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WARNING: THIS IS NOT A SURVEY
K Parcel Information
166
r
15 9 �� 1.---•-'
Parcel Number:
C700000096
Township:
Farmington
NCPIN Number:
5862771636
Municipality:
Account Number:
46800880
Census Tract:
37059-802
Listed Owner 1:
MACEDONIA MORAVIAN CHURCH
Voting Precinct:
FARMINGTON
Mailing Address 1:
700 NC HIGHWAY 801 NORTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
12.23 AC HWY 801
Fire Response District:
SMITH GROVE
Assessed Acreage:
12.69
Elementary School Zone: PINEBROOK
Deed Date:
6/1989
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
000800184
Soil Types:
PcC2,CeB2,Ud
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
1255090.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
204850.00
Total Market Value:
1459940.00
Total Assessed Value:
1459940.00
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Davie County,
NC
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
impiled warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
.,
AUTHORIZATIQN NO: 1 4 J % DAVIE COUNTY HEALTH DEPARTMENT A �r r
Environmental Health Sectiod'j PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: MAC, -,-",A A4:rCc,Ji&13 U1Le%%CIocksville NC 27028 Subdivision Name:
I
Phone #: 704-634-8760
Directions to property: 1 t (':A6 f �'� �1 So i, Section: Lot:
AUTHORIZATION FOR
iU2
WASTEWATER EJey �'� ��'�� SYSTEM CONSTRUCTION Tax Office PIN:# - -
} F
1.;4 Road Name: ii'��c> "?�: f.,
[i Zip: 4_.. y,
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
7 T.�jj.Jt t C r ,�
*` DAVIE COUNTY HEALTH DEPARTMENT `'� °��Xo
LMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permtttee's ,
. Name. " alt .i '.. `� ,"� t�'�f�: i * �, �, n,; ,l �: aLC r Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
1. : L = r1 " :2 [,=17 PERMIT Tax Office PIN:#
nq
-icy tI p_ r
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/insta1lation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRO MENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
,•
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE j'� `
# BEDROOMS #BATHS r' Ik OCCUPANTS GARBAGE DISPOSAL: Yes orE-
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE --
SYSTEM SPECIFICATIONS: TANK SIZE 1 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1 ' LINEAR FT./-/CZ:�+
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
x o i
IMPROVEMENT PERMIT LAYOUT
/ >) e1Xz
X
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
I OPERATION PERMIT
SYSTEM INSTALLED BY:'J
K-'-�
AUTHORIZATION NO.OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBEt A OVE H N INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
!' . '.,_;:r _ i 5 w �• '' ._ ` ! ! "3, •1� -' is (�f .
DAVIE COUNTY HEALTH DEPARTMENT
w -.... -IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee°s A
,Name – Subdivision Name:
Directions to property: F �' i " `` ' i ; Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name ZI
p: -
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constructionlmstallation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE— ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
i INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE "'�-�— # BEDROOMS H # BATHS k_•� OCCUPANTS �i? GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE jf TYPE WATER SUPPLY A Zi DESIGN WASTEWATER FLOW (GPD) "/ 4w NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. L/a-) '
OTHER 1
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
l�
_x �Z
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE# IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: ✓'"�� �� `� C�, 4��
'i' ry
�Z Saz� a
fill
AUTHORIZATION NO. OPERATION PERMIT BY:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE15 A OVE Hr!�BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL• FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96_(Revised)_. i
„ ;
'd -
t DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
C' D WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAMES -TVA- �I`�� PHONE NUMBER q9����
ADDRESS At' SUBDIVISION NAME
SUBDIVISION LOT #
DIRECTIONS TO SITE 15Y O ' fir. d
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING �� S .� OL
(4R ks CD f
DATE REQUESTED tO -I �J iS IN ORMATION TAKE