1057 Hwy 801SDavie County, IVC Tax Parcel Report O � o�;� O Tuesday, September 27, 2016
f I
+` 305.77 140 _
443.34
Ln 7114
1036'
z
`,, 3076
,4 F ... �•—• e
241 v
\ 7
------------
0 4907-
1 7998
1052 ' w0
W �c0
* aLp++ ,+10f6.
t 399
l
� 4842 1
-(-6 --)..—. _ + (373) s91
- - -- .... ___.. (230) —�,\ +
l
-' , 87'f
flo 4757 La w
141
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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.
WARNING: THIS IS NOT A SURVEY
-
Par6ellhfornabon
Parcel Number:
E8150A0010
Township:
Shady Grove
NCPIN Number.
5871814907
Municipality:
Account Number:
54531000
Census Tract:
37059-803
Listed Owner 1:
ORRELL WALTER DOUGLAS
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
421 HILLCREST DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
.692 AC HWY 801 LOT 3
Fire Response District:
ADVANCE
Assessed Acreage:
0.70
Elementary School Zone:
SHADY GROVE
Deed Date:
8/1989
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
001500021
Soil Types:
GnB2
Plat Book:
0003
Flood Zone:
x
Plat Page:
074
Watershed Overlay:
-
Building Value:
74630.00
Outbuilding & Extra
4320.00
Freatures Value:
Land Value:
22390.00
Total Market Value:
101340.00
Total Assessed Value:
101340.00
141
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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.
AUTHORIZATION FOR
,' �; "`t' l yr` r• _ / �' /�`'' WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002585 A Road Name: Zip:
**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)
i` / / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,,/ y CJ ,/J` IS VALID FOR A PERIOD OF FIVE YEARS.
ENVK6NMENTXL HEALTH SP 'IALIST DATE 1 SUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE 0eq # BEDROOMS # BATHS :;:,?, # OCCUPANTS — GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT //# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPDIC (---,,`NEW SITE REPAIR SITE
r f ,`
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHV i ROCK DEPTfI LINEAR FTs:R�0
OTHER d r.
REQUIRED SITE MODIFICATIONS/CONDITIONS: '
i'
IMPROVEMENT PERMIT LAYOUT
r=
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BET : 0 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT rs -
J AA1 ! SYSTEM INSTALLED BY: /
J /hf
AUTHORIZATION NO OPERATION PERMIT BY: E1DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I 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 02/02 (Revised) ��% 7 p
•.. t
Parmittee's ':
f DAVIE COUNTY HEALTH DEPARTMENT
14ame: `'�t�1`� '
r/ df1
/ Environmental Health Section
PROPERTY INFORMATION
�J
a P.O. Box 848
Directions to property:
�O
Ivlocksville, NC 27028 Subdivision
Name:
41, r' J '— ' ?,
"/`r'/�:.�
Phone #: 336-751-8760
, t .
Section:
Lot:
AUTHORIZATION FOR
,' �; "`t' l yr` r• _ / �' /�`'' WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002585 A Road Name: Zip:
**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)
i` / / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,,/ y CJ ,/J` IS VALID FOR A PERIOD OF FIVE YEARS.
ENVK6NMENTXL HEALTH SP 'IALIST DATE 1 SUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE 0eq # BEDROOMS # BATHS :;:,?, # OCCUPANTS — GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT //# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPDIC (---,,`NEW SITE REPAIR SITE
r f ,`
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHV i ROCK DEPTfI LINEAR FTs:R�0
OTHER d r.
REQUIRED SITE MODIFICATIONS/CONDITIONS: '
i'
IMPROVEMENT PERMIT LAYOUT
r=
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BET : 0 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT rs -
J AA1 ! SYSTEM INSTALLED BY: /
J /hf
AUTHORIZATION NO OPERATION PERMIT BY: E1DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I 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 02/02 (Revised) ��% 7 p
r
DAVIE COUNTY HEALTH DEPAFTME T� �� v�-�- �/�
P
Environmental Health Section ACIPERTY INFORMATION
P.O. Box'848
Dirpctio s to property' Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
AUTHORIZATION NO: 002585 A
Road Name:
Zip:
**NOTE** This Authorization for Wastewater Sysiem 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
141IS VALID FOR A PERIOD OF FIVE YEARS. —
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS # BATHS ::2 # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE — # PEOPLE # PEOPLE/SHIFT # SEATS — INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)'---;'2C%'r NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH, fio'CK DEPTH, ��-L LINEAR FIJI'--'—)
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BEIVtTNT-56 930 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT r
SYSTEM INSTALLED BY: f'!!")
e
"all
AUTHORIZATION NO.— OPERATION PERMIT BY:, DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS 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.
DPPD 02/W�R�isedl C)
k-w
se"J, --/-.6 ; ?a - / 3/ *0Clw�
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION �e
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME 4 1 I rr
V - 73 PHONE NUMBER 7
ADDRESS 1 �-2 /4-L� a s SUBDIVISION NAME
/ LOT #
DIRECTIONS TO SITE
t'o-��• t�-C
DATE SYSTEM INSTALLED ?' `.S NAME SYSTEM INSTALLED UNDER ?
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLYL SPECIFY PROBLEM OCCURRING
LEO tee -
DATE REQUESTED l y 5 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application...
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev, 1193