3331 Hwy 801SDavie County, NC Tax Parcel Report I 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" Information
Parcel Number:
1800000029
Township:
Fulton
NCPIN Number.
5788242189
Municipality:
Account Number:
8303999
Census Tract:
37059-804
Listed Owner 1:
BODE DONALD T
Voting Precinct:
FULTON
Mailing Address 1:
3331 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
Voluntary Ag. District:
No
Legal Description:
2.92 AC HWY 801
Fire Response District:
FORK
Assessed Acreage:
2.83
Elementary School Zone:
SHADY GROVE,CORNATZER
Deed Date:
8/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book/Page:
009660143
Soil Types:
PaD,PcB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:
248770.00
Outbuilding & Extra
19830.00
Freatures Value:
Land Value:
35260.00
Total Market Value:
303860.00
Total Assessed Value:
303860.00
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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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME OWEE PHONE NUMBER
ADDRESS�I 1�C�l�J$Uls SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE l�� N� fel 0 �, j SID1
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DATE SYSTEM INSTALLED 'eA%_NAME SYSTEM INSTALL D UNDER g
TYPE FACILITY—AO-015--q- NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY C�^rJ SPECIFY PROBLEM OCCURRING )5b'C*4 J 6o V
DATE REQUESTED
NFORMATION 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
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`AUTHORIZATION NO , � � � � �� "
DAVIE COUNTY HEALTH DEPARTMENT :� S"�"j
; .Environmental Health Section '' PROPERTY INFORMATIO
Perfnittee's • ' . p - ,, P.O: Boz 848 ' ;
Name: ��,.�} _�I-��-' t���� ' Mocksville; NC 27028 . �Subdivision Name:
• � -� � ��, Phone # 336-751-$760 ' , .
: Directions to roperty: � � AUTHORIZATION FOR '� Section: Lot:
��! '; � � WASTEWATER Tax Office PIN:#
SYSTF.M CONSTRUCTION ' � � ' . '
� Road �r►S� �-��� ,�i�/5 Zip: )D {Q_
*.*NOTE** .This Autharization for Wastewater,System Conswction MUST BE ISSUED by the Davie Counry Environmental Health Section prior
� co issuance of ariy;Building Permits<This Form/Authorization Number should be presented to the Davie Counry Building Inspections
` Office when'applying for Building Permits:`` ' ` '
(ln complian�e with ic e 11 ' f G.S. Chapter,130ArWastewater Systems Section .1900 Sewage Treatment and Disposal Systems)
'' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
_'`j '. IS VALID FOR A PERIOD OF FIVE YEARS.:
ENV1R N NT L H S CIAL DAT ISSU D
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' • � � � ... ,�, �-� �� �' �� DAVIE COUNTY. HEALTH DEPARTNTE�iT �� � �- � � �" � � � � � � ` �,'�
� ` `� '" �: ` IMPROVEMENT AND OPERATION PERIGIITS � PROPERTY INFORMATION� ��
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�' �.Perinittee'srr�'�.., : ,
;Name. : ��� A.�� ���t `�..�'�� , Subdivision Name: r�
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��Directions to property: � � � ��� ; Section: Lot:
.. �4. � IlVIPROVEMENT
, r r-5 . X..�� PERNIIT Tax Office PIN:# - -
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'Road Narr�e: � � � � ) � � l )1 � Zlp: '? r . 3 � "'. (ra
**NOTE** This Improvement Permit DOES NOT authorize fhe construction or installation of a sepdc tank sysfem or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION musf be obtained from this Department prior to the
constniction/installa6on of a system or ihe issuance of a building pernut: ` ,
(In compliance with Article 11� f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
, ,,,,.
' ''"�, .''`� ' ***NOTICE*** TFIIS PERMIT IS SUBJECT.TO REVOCATION IF SITE .
,.' ....�, ��'�, �'"� , r"�-,� ��� "%.�I ! r PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER `
ENVIR(SNMENT�L`HEAL"TH SPECIALIST DA ISSU D' ' SYSTEM CONTRACTOR MUST SEE TI-QS PERMIT BEFORE ,
, �_ . , 1�;: INSTALLING THE SYSTEM. � :
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RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
�. .
��� COMMERCIAL SPECIFICATION: FACILTTY TYPE # PEOPLE # PEOPLElSHIET. ,# SEATS INDUSTRIAL WASTE: Yes or No .
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LOT SIZE TYPE WATER SUPPL � DESIGN WASTEWATER FLOW (GPD) l� NEW SITE REPAIR SITE,�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH ' o•' LINEAR FT.�� ��
-;;�Je�iyo �� _ � ��sfi�t ����o� � `
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' REQUIRED SITE MODIFICATIONS/CONDITIONS: I I�'�ALL D� ��t� Q- ����' N�..*k.� L.1 ��.5 F 12S'j �;
IMPROVEMENT PERMIT LAYOUT ���� S" C�
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*"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION O�y'�'��SyS�'�'�vI
- BETWEEN 830 - 930 A.M. OR 1:00 -,1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (7 7
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OPERATION PERMIT��p � , , , � � f ' _ ,'
�..Y-S�? � - SYSTEM INSTALLEDBY: ��IJ I l.i ��
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AUTHORIZATION NO: `✓�`� OPERATION PERMIT BY: ATE: I�
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**THE ISSUANCE OF THIS OPERATION P�RMIT SHALL INDICATE THAT THE S S ES ED ABOVE BEEN INSTALLED IN C MPL ANCE
WITH ARTICLE 11 OF G.S. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEM , BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEIv1 WILL FUNCTION SATISFACfORILYFOR ANY GIVEN PERIOD OF TIME. ,
DCHD OSH6 (Revised)
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DAVIE COUNTY HEALTH DEPARTMENT
�. IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With G.S. of North Carolina, Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number.
Name Date — �� lb"17
Location 4 , i_ r \.. `� • , '� _
1_ `_- l �\ �l � i,.} .. r ref".�} , � .vv\, ,Y`,` i � \ y. `i. •^
Subdivision Name Lot No. Sec. or Block No.
Lot Size House 4 Mobile Home Business Sneculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply _
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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mprovements permit by
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
i
Certificate of Completion Date_
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given, period of time.
DAVIE COUNTY HEALTH ' DEPARTMENT ` S3?/ Ive f f wr gol 5
(Septic Tank) Improvements Permit and Certificate of. Completion
apvNL4e '
. , (Ground Absorption Sewage Disposal System - G.S. Chapter.130-Article
13C)
OWNER OR CONTRACTOR �, 3� i�{ �3 r° i t r'. DATE ,l t 'j ,:..PERMIT
A�
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LOCATION ,:a.- ! u��_, r �� !., 1� d ;1 i�` el �.e� %'
t N� 1750
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SUBDIVISION NAME , LOT NO. SECTION OR
BLOCK NO.
HOUSE' ❑ MOBILE HOME E3 BUSINESS ❑
House Trailer 800
Gal. 400 Sq. Ft.
NO. BEDROOMS',- % N0. BATHROOMS:
Two Bedroom House800
Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑, NO
Three Bedroom House 900
Gal. 900 Sq. Ft.
AUTO. DISHWASHER - YES ❑ NO ❑
Four Bedroom House. 1000
Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑.-w—
SITE,-SUITABLE YES ❑ NO ❑
SIZE OF -TANK gal.
/
NITRIFICATION FIELD / sq. ft.
i
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DEPTH OF STONE IN LINES:
6&
WATER SUPPLY: Individual Public ❑
-IMPROVEMENTS PERMIT BY
INSTALLED BY
CERTIFICATE OF COMPLETION
By
Date
(8/16/73) *Construction must comply with all other applicable State and
local regulations
LOT AREA
Ave,
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..;! DAVIE COUNTY HEALTH_ DEPARTMENT
P. 0. BOX 57
? MOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
% and/or Site Evaluations i
NAME f DATE ISSUEDJ7 /7�
ADD RES�PERMIT 'NO.
Explant i°on of charge�,�
AMOUNT DUE , SANITARIAN?y
S
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.