1644 Hwy 801SDavie County, NC , Tax Parcel Report 93-7oA Tuesday, September 27, 2016
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All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC implied 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
•
Parcel Number:
F800000098
Township:
Shady Grove
NCPIN Number:
5880043551
Municipality:
Account Number:
940000
Census Tract:
37059-803
Listed Owner 1:
ALLEN JOHN G
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
2517 INDEPENDENCE LN
Planning Jurisdiction:
Davie County
City:
SAINT CLOUD
Zoning Class:
DAVIE COUNTY R -A
State:
FL
Zoning Overlay:
Zip Code:
34772-8809
Voluntary Ag. District:
No
Legal Description:
1 LOT HWY 801
Fire Response District:
ADVANCE
Assessed Acreage:
0.60
Elementary School Zone:
SHADY GROVE
Deed Date:
9/1963
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
000710129
Soil Types:
WeC,WeB
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
101730.00
Outbuilding & Extra
940.00
Freatures Value:
Land Value:
18060.00
Total Market Value:
120730.00
Total Assessed Value:
120730.00
141
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC implied 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.
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Permittees.•--� ,i,/,�. DAVIE COUNTY HEALTH DEPARTMENT
` lTame: ��-•. )� j ✓ �` (/ Environmental Health Section PROPERTY INFORMATION
1
P.O. Box 848
Directions to property: '�` Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
a; !i jlf ' C;' r fJ > �c*" S ✓ f r 7f l Section: Lot:
AUTHORIZATION FOR
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WASTEWATER
`�._.0 7 ";,_..,�j•,/"�/i...r�. r :; Tax Office PIN:#
~- SYSTEM CONSTRUCTION
AUTHORIZATION NO: 0 � 0 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 I I 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. ,
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE f # BEDROOMS # BATHS # OCCUPANTS 1 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), NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH `� ROCK DEPTH � LINEAR ] •I.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**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 (336)751-8760.
L
AUTHORIZATION N WOPERATION PERMIT BY: DATE:
**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. .
' DCkID01/02(Revised)
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DAVIE COUNTY HEALTH DEPARTNIEN. 1,
Narpei;A
Environmental Health Section PROPERTY INFORMATION
. TT
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P.O. Box 848
c r
=Dutctiong fo-property:'%
?'' f ; N&ksville, NC 27028 Subdivision Name:
, .
s -- ��r•. �,'
Phone #: 336-751-8760
i r Section: Lot:
AUTHORIZATION FOR
WASTEWATER • Tax Office PIN:# -
SYSTEM CONSTRUCTION
:.
27070 1.
AUTHORIZATION.NO: -,
A Road Name: Zip:
**NOTE** This Authorization for Wastewater System Constriction 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 I 1 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.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # 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 (GPD),- F NEW SITE REPAIR SITE
-� s
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP,TANK GAL. TRENCH WIDTHS ROCK DEPTH �% �'� LINEAR FT.� r .,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
1
IMPROVEMENT PERMIT LAYOUT
4
`f ' 4
"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 (336)751-8760.
OPERATION PERMIT./
SYSTEM INSTALLED BY: 4C 1
pv '
AUTHORIZATION NC��� 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 02/02 (Revised) ^ .
ter.
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i DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERVT (REP I )
NAME---),-)n� PHONE NUMBER
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED �`�' s NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS - NUMBER PEOPLE SERVED �--
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED L 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. 1/93
11
(l)