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Davle County, NC
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Parcel Number:
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Township:
Shady Grove
NCPIN Number:
5880044781
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141
Davle County, NC
WARNING: THIS IS NOT A SURVEY
Parcel�nfonnatioa.--
Parcel Number:
G800000031
Township:
Shady Grove
NCPIN Number:
5880044781
Municipality:
Account Number:
8305116
Census Tract:
37059-803
Listed Owner 1:
WELLS NATALIE E
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
1641 NC HWY 801 S
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
1.397AC HWY 801
Fire Response District:
ADVANCE
Assessed Acreage:
1.20
Elementary School Zone:
SHADY GROVE
Deed Date:
6/2015
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
009910677
Soil Types:
WeB,PcB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
147350.00
Outbuilding & Extra
6550.00
Freatures Value:
Land Value:
32080.00
Total Market Value:
185980.00
Total Assessed Value:
185980.00
141
Davle County, NC
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causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
;AUTHQRIZATION NO: Q 6 4 D DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Perinittee's) P.O. Box 848'
Name: �r:�" CLJ ,�'�i' Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: F, Section: Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name: 0 Zip: 7 L t0
**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)
f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�,�'�/�%! / l ; ' j� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
J y
DAVIE COUNTY HEALTH DEPARTMFr1T
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permlt%�s
• Name �``s.J,.r.�r % 'l�� .'.�i`��
Directions to propeity: ' ,='.✓ !�j
IMPROVEMENT
PERMIT
Subdivision Name:
Section: Lot:
Tax Office IST:# - -
Road Nam0/.s . ZiP
**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/installation 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 f, r+�r ***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
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE A/ # BEDROOMS <F # BATHS ^� I/ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
14�.
LOT SIZE / h TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -.re' ROCK DEPTH %r LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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: 6;V
iK/��,TyiN
\ S�
G�
AUTHORIZATION NO. - b�=— 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.
DCHD 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
PROPERTY INFORMATION
IMPROVEMENT AND OPERATION PERMITS
! r
Perrmtkers -
Name: • ra,: l'?� f �, Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
PERMIT Tax Of� Pr:# - -
, of 5. ? rl0t)(a
Road Name: - Zip:
**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/installation 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
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS —f' # BATHS ,-a9 # OCCUPANTS GARBAGE DISPOSAL: Yes or No
J' COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
1 LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE Y ��
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH re. ROCK DEPTH _%_Sp^ LINEAR FT.
nTwpp
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
J
f.
�j
r
"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:
n f
f 1*
S�
Y
t
{
r � l
AUTHORIZATION NO. — 6 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.
DCHD 05/96 (Revised) 1 .
i; ,
f DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME r 17
PHONE NUMBER
ADDRESS 16A/ 14v it/ of P/ '57 SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED 7 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY�e SPECIFY PROBLEM OCCURRING
DATE REQUESTED 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