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1 41
Davie County, NC
-Parcel In
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcel Number:
G8130A0004
Township:
Shady Grove
NCPIN Number:
5789277605
Municipality:
Account Number:
8269000
Census Tract:
37059-804
Listed Owner 1:
BOGER SCOTT BRADLEY
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
2230 NC HIGHWAY 801 SOUTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7421
Voluntary Ag. District:
No
Legal Description:
1.82 AC HWY 801 LOTS 17-20+45
Fire Response District:
ADVANCE
Assessed Acreage:
1.83
Elementary School Zone:
SHADY GROVE
Deed Date:
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
Soil Types:
PcB2
Plat Book:
0003
Flood Zone:
X
Plat Page:
017
Watershed Overlay:
WS -IV -P
Building Value:
73400.00
Outbuilding & Extra
570.00
Freatures Value:
Land Value:
33440.00
Total Market Value:
107410.00
Total Assessed Value:
107410.00
1 41
Davie County, NC
I data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
-
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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Pett OUNTY HEALTH DEPARTMENT . ' .
Environmental Health Section � � PROPERTY INFORMATION
F t' {.0✓" 4 a P O Brix 848 _v
Directions to propertyMocksvtlle,SNC 27028 Stibdiviston Name:
Phone# 336 751,8760 Section. Lot
'
,,,AUTHORIZATION FOR r
WASTEWATER Taz Office;PlN# ,
SYSTF,M CONSTRUCTION
AUTHORIZATION NO A x, Road Name, Zip: ,
**NOTE**Thts AuthorzaUon`for Wastewater.System'Construction MUST BE I$SUED by the Davie County Environme�ital Health'Section"prior"
io issuance of any Building Permits This FormlAuthonzati�n Number should be presented to the Davie County,Building Inspections
Office,wheplytngbr Build is
(In compliance w Art e 1 I of S Chapter 130 Wastewater Systems Section 1900 Sewage Treatmen' an Disposal^Systems)
k., •, �r� _ rn
*NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
";,` . > t IS VALID FORA PERIOD OF
FIVE YEARS ' ;
.ENVIRONMENTA 9"FECIA IST. I A E"I
i l 5 t tAif
RESIDENTIAL SPECIFICATION BUILDING TYPE BEDROOMS #BATH #OCCUPANTS GARBAGE DISPOSAL Yes or No
.COMMERCIAL SPECIFICATION FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
([r7,9
LOT SIZE;�` �" T 1�TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPDNEW SITE REPAIR SITE.777777777
SYSTEM SPECIFICATIONS: TANK SIZE GAL PUMP TANK GAL TRENCH WIDTF�`ROCK DEPTH LINEAR
t�
OTHER �tr�a�4--(�L 1� �� ' ' '
f y
REQUIRED SITE MODIFICATIONS/CONDITIONSS
IMPROVEMENT PERMIT LAYOUT.,
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** HEALTH DEPARTME FNA PECTION OF THIS SYSTEM
CONTACT"A REPRESENTATIVE OF•THE DAME COUNTY
BETWEEN 8 30 9 30 A M OR,1 00 1}30 P M ON THE DAY OF INST ATIO HONE#IS (336)751-8760
OPERATION PERMIT
STEM ALLED BCS
.o` S�
AUTHORIZATION NOya OPERATION PERMIT BY DATE
*THE ISSUANCE OF THIS OPERATION PERMIT SHALL:INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
ARTICLE I .CHAPTER 130A;SECTION 19W"SEWAGE TREATMENT'AND DISPOSAL SYSTEMS?;`BUT SHALL IN NO WAY BETAKEN ASA .
1 OF G:SYSTEM`WILL FUNCTION
GUAHRANTEE THAT THE TIME
SATISFACTORILY FOR'ANY GIVEN PERIOD OF _
DcxD 62,162 6d)'
Permittee'o ''' DAVIE COUNTY HEALTH DEPARTMENT _
ame: -- L'�l `""''` Environmental Health Section PROPERTY INFORMATION
_ 3 s��
P.O. Box 848
+ , C.
Directions to property: � Moeksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: A < iI(r,4gi-
Road Name..:..: � r ,_ ip: 4 -
**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, whenNplying fbr Buildirig'PeTNis.
. (1n compliance w' A" ICP 11 of S. Chapter 130 j, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENT A Etj "1 FI " CIA 1ST 6ATE•'1 SUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE BaA # BEllROOMS # BATH # 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)4j 40 NEW SITE REPAIR SITE >�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANKGAL. TRENCH WIDTH`--'r-�° ROCK DEPTH LINEAR F LODa
OTHER 1.-al���T ►Yi O✓
REQUIRED SITE MODIFICATIONS/CONDITIONS: 3-FAU– Cgt�42 POP L t ^J
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTME F NAL Y$PECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 = 1:30 P.M. ON THE DAY OF INST TIOO HONE # IS (336)751-8760.
OPERATION PERMIT
STEM I LLED B C/Z
e� 41
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AUTHORIZATION NO 4��—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. S
DCHD 02/02 (Revised)
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
S60 alteil--
NAME ��� PHONE NUMBER �
ADDRESS 2,z - 5p go l s 'VASUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
,asos (-�7
DATE SYSTEM INSTALLED NAME SYSTEM INS ALLED UNDER
TYPE FACILITY Y NUMBER BEDROOMS �- NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRINGL�1�1�C� t�T
tj,ro'J
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 resp
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1193
for all charges incurred from this application.
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