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7716 Hwy 801SDav it: UoUnry, INt- iax rarcei Kepon Igv`j iy weanesaay, beptemoer /-u, 7692 11 7700' it I r t.l t it i I5 1 t 7704 r /r 1 / r 7 716 Il rr rlrl ,' ? 1 77:22 9 �I� WARNING: THIS IS NOT A SURVEY All 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 �OUty C� Parcel Information 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. Parcel Number: M5160D0003 Township: Jerusalem NCPIN Number: 5745053678 Municipality: COOLEEMEE Account Number: 81240750 Census Tract: 37059-807 Listed Owner 1: YADKIN VALLEY TELEPHONE MEMB Voting Precinct: COOLEEMEE Mailing Address 1: PO BOX 368 Planning Jurisdiction: COOLEEMEE City: YADKINVILLE Zoning Class: COOLEEMEE OI State: NC Zoning Overlay: Zip Code: 27055-0000 Voluntary Ag. District: No Legal Description: 1 LOT HWY 801 Fire Response District: COOLEEMEE Assessed Acreage: 0.54 Elementary School Zone: COOLEEMEE Deed Date: 3/1981 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001130129 Soil Types: GnB2,GnC2,EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: COOLEEMEE Building Value: 69260.00 Outbuilding 8r Extra 620.00 Freatures Value: Land Value: 13610.00 Total Market Value: 83490.00 Total Assessed Value: 83490.00 9 �I� Davie County, All 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 �OUty C� NC 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. -At7THORIZATION NO: + .� r 9 9 74 DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section PROPERTY INFO MATLQN Pefrnittee's P.O. Box 848 O� / c. �� Name: �t�'�l� Y��-Y ��k L�"l�r r3 Mocksville, NC 27028 Sub ision Name: �: %off/j Phone # 336-751-8760 Directions to property: Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION — 7 7r& Road Name: fl Wtt' �01,� 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,wh Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION L��'2C' IS VALID FOR A PERIOD OF FIVE YEARS. ~J ENVIR04,EHEXUTA SP CIALIST DAYE ` ! DAVIE COUNTY HEALTH DEPARTMENT , �_ . _ --. • -- ` IMPROVEMENT AND OPERATION PERMITS P t >ROPERTY INFORMATITN Peon ttee's , Name: i` t''r;j 1`1. t. `' jt !::T If, Subdivlslon Name: Directions to property: `j f 'f �`' 'f Section: Lot: r IMPROVEMENT PERMIT Tax Office PIN:# Road Name: i I -''t` r; t 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 w th Article711 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE / �;• �t ' = 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 TYP97 :7'y� #BEDROOMS # BATHS -# OCCUPANTS GARBAGE DISPOSAL: Yes or No r COMMERCIAL SPECIFICATION: FACILITY TYPE Cf F1C PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes br LOT SIZEJ2 `"`CCG TYPE WATER SUPPLY C-CIXA DESIGN WASTEWATER FLOW (GPD) 1 NEW SITE REPAIR SITEy 6 SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TREINGH WIDTH CO ROCK DEPTH " LINEAR FT. ' REQUIRED SITE MODIFICATIONS/CONDITI64 —.. IMPROVEMENT PERMITLAYOUT01PPR0VED EFFLUENT FILTER* *RISER(S) IF 6" BELM) FUHSHED SWIDE* 17 �--�c�S z }— J c Iti Li -_- **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 uy� SYSTEM INSTALLED BY: m,—z J: g� ->► r 14 z3-�I SD' !L &,)L I z'" Cou-`? SDI t_ AUTHORIZATION NO. i--� OPERATION PERMIT B . DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STEM DESCRIBE VE 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) a •"' `; a ' DAVIE COUNTY HEALTH DEPARTMENT t •, IMPROVEMENT AND OPERATION PERMITS , PROPERTY INFORMATION Peimlttee's Name: i'� `r` ` 'ry if Subdivision Name: Directions to property: r �' ' i Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - - Road Name: Is' 't ' Zip: 1 **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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) /� J ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE kt�. /' >. 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 TYPR"I"'t #'BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE(f-It .# PEOPLE 4.1 # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes br No ^ J LOT SIZE'y- �C% TYPE WATER SUPPLY �—� t�Jli DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE til �! t i t � It SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. 4RENGsH WIDTH 6 ' ROCK DEPTH LINEAR FT. L REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT-unPP OVED EFFLUENT FILTERS *RIS'ER(S) IF 61' 1-`EL01.1 FI141SHED GRADE* Lj 2 tiCi 7 CLL "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECT Q Oyrr�, BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # I�j 6�� 56p - �3`3� T�Hi}�.YSTEM OPERATION PERMIT n SYSTEM INSTALLED BY: ��®Y L �� i+A t 41 zI` J AUTHORIZATION NO.� " OPERATION PERMIT B DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT STEM DESCRIBE B VE 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) r . � �. . .. . � F� � � �£ � � � � � ��'\ V �t� Y . . � �� :«r�� , a�� f � 4 � � �� `` '' � � � �; /V + ' � ��' � ' � �` � L . � r„ � '�, � � � `�` a ' � ` ^� �. � �' �� A r � . �^ � ��;. ��.�� 9 �� ,�� 0� � � � �" �:�, � � �� ,,,� � � ' � �' � � � � K Cit �cs � � � ' � �� ?� �� °p< < . ' , . ,,a .. 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'�i� �� " `Q � � ` � �!S L � , �/� 8 � �- � �,.,�i ' � �r .�g� L b' ' � � � � c�,"' 'Sx�2GSA� '�' ''� �r��` . �, �. »�� -, �ti °�.� � . �w ��. `�',�~ .n>��!o� � V DA`lIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT No of Bedrooms e ( e RD up eo l Date This permit is grant6d t` .f % Ca' for the instal io of a se is tanK at the residence of e r K h �ddressell Building Contractor k 4dr x_ 'W 6ddress Septic Tank Specifications: Length dth Depth C pacity al. Manufacturer's Name Address ,/A9,c& l No of lines_1 width in. Total Length ,140 ft. No. of Sq. Ft. '�Vrs'n Type of filter material ; &/ Total tons used / 02 Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400 Two-bedroom house- 800 600 Three-bedroom house 900 1900 No one shall install a septic tank in Davie County without a permit from the Health Officer or his agent. Date of final approval Signed: Sanitarian I hereby certify that the above septic tank has been installed according to specifications. Signed: Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to Health Center, Mocksville. f DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME VAuey -_'-Lu 0rjf PHONE NUMBER ADDRESS (P NC- A LQ' V S � SUBDIVISION NAME AY— VA( L'rnl JiL`LA'LOT # DIRECTIONS TO SITE NL�"r '1� VFW aoo? A b4T4kj'_ W� DATE SYSTEM INSTALLED Jn 103 NAME SYSTEM INSTALLED UNDER TYPE FACILITY Nt= + NUMBER BEDROOMS NUMBER -PEOPLE SERVED 3' TYPE WATER SUPPLY 0awq SPECIFY PROBLEM OCCURRING W (O t) DATE REQUESTED_ �� y INFORMATION TAKEN BY i� 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 ( _ tCL— P_ -7 -7 � q TO