169 J & L Farm LnDavie Countv. NC
Tax Parcel Report l 111 Thursday. September 29, 2016
WAKNENG: THIN IN 1VU1' A NUKVEY
Parcel Information
Parcel Number:
M400000053
Township:
Jerusalem
NCPIN Number:
5735792415
Municipality:
Account Number:
7328000
Census Tract:
37059-807
Listed Owner 1:
BLATT WILLIAM P
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 102
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
.60 AC OFF GLADSTONE RD
Fire Response District:
COOLEEMEE
Assessed Acreage:
0.60
Elementary School Zone: COOLEEMEE
Deed Date:
8/1991
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001600499
Soil Types:
GnB2,GaD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
57590.00
Outbuilding & Extra
Freatures Value:
30.00
Land Value:
7670.00
Total Market Value:
65290.00
Total Assessed Value:
65290.00
161
Davie County,
NC
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
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.
ih 4t +w � � 1 L ,�-w, � . ti.:•- �, S� 'i
AUTHOR;zATtoN No: DAVIE C LINTY HEALTH DEPARTMENT J
Environmental Health Section
PROPERTY INFORMATI
Permittee's P.O. Box 848
Name: ��"gym LAIr Mocksville,NC 27028 Subdivision Name:
/ ? Phone # 336-751-8760
.Directions to property: ' ! 1� Section: Lot:
AUTHORIZATION FOR
'�"L�1 ' -y� 1 v ' WASTEWATER Tax Office PIN.,# - -
(� SYSTEM CONSTRUCTION �% �,q
LAA 'l.:rJ Road `tame:'''(41–Cr ARIM—L Lip: off. � f�O
**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.
(116comp lance/with Article 11 f G.S. Chapter 130A, Wastewaters stems, Section .1900 Sewa a Treatriment and Disposal Systems)
Y g
W ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,, .,.• 1-%�: Its IS VALID FOR A PERIOD OF FIVE YEARS.
ENVI M TAL HEALTH PE(CJA IST .' ' DAT9 ISSUED
**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..1
N
"I uutu AN inn I ru%I Inn J 1 J1C.1Y1111LL i'Vl\1J 11V1\JA11J1'A�.I VI�LLII aa. aa.
DCHD 05/96 (Revised)
as-� .-.. .,,.... .. .s-.-��i h..0 a Hw..wy -.. ,�ti.. av r.a�•s.vi..vw zcx --�. • - :-t -_
��
r 1 `
.1997, DAME COUNTY HEALTH DEPARTMENT
PE
IMPROVEMENT AND ORATION PE �,TS PROPERTY INFORMATION
Permittee's .L
Name':—'ok0l ' • �'�'.� Subdivision Name:
Directions to property: ` 't f - Section: Lot:
r' P"ROVEMENT
r.;? : t� " j �Mj: r+ PERMIT Tax Office PIN:# -
.� L t~ Roa Nm e.�.j--t LFAPni1-!u Zip: P, r7o PS
**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/mstalUion of a system or the issuance of a building permit.
I(In compliance with Article l l of G.S. Chapter'130A, Wastewater Systems; Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
'til yPLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
EN O MENTAL HEALTH SPECIALIST DA ISS ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFIC . , jL'
ATION: BUILDING TYPE � � #BEDROOMS ' 3 #BATHS �_ #OCCUPANTS �_ GARBAGE DISPOSAL: Yes i No
r`
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
I'vLOT SIZE "�,<�E TYPE WATER SUPPLY AL . DESIGN WASTEWATER FLOW (GPD)34f NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHROCK DEPTH LINEAR FT.
OTHER G I?tsT�L,i/Ti��yXtaS
REQUIRED SITE MODIFICATIONS/CONDITIONS: ") I ItLSTA L L U^J 7r>cl•� .
IMPROVEMENT PERMIT LAYOUT *APh3V FWLU0 *RISER(S) IP 691 BELOW FIRISHED SHADE*
_J;
o Fo�pw
V
FIuJ sks
**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 p� 1(�E,►llJ L C_
1dCP'
Io,�-7"Cl"XI7-"
H
"T-� � ►J
s. �4 ,_
'1
......................... .
AUTHORIZATION NO. 1�3 OPERATION PERMIT BY: r DATE: �J 4
U
**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 05196 (Revised)
Z
NAM
ADD
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
ONE NUMBER 2-*- Z ! a (/
BDIVISION NAME
F0 )( I I -S , GfG�1Jtc.t�� LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED ? NAME SYSTEM INSTALLED UNDER ,WArV
TYPE FACILITYL
, ` NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY W -u' SPECIFY PROBLEM OCCURRING S� AU`�' S ock'r- n
DATE REQUESTE
FORMATION 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 AGENTIQ `M J zt ct
Rev. 1123 [/ ! �.6 DOD /