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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, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
CountyofDavie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC 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:
C300000106
Township:
Clarksville
NCPIN Number:
5812888171
Municipality:
Account Number:
82519968
Census Tract:
37059-801
Listed Owner 1:
HANES MICHAEL ANTHONY
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
111 TURKEY HILL LANE
Planning Jurisdiction:
Davie County
City: HARMONY
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
28634-0000
Voluntary Ag. District:
No
Legal Description:
5.58 AC JACK BOOE RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
4.17 Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
2/2000
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
003250859
Soil Types: MnC2,MnB2,MdB,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
42780.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
39860.00
Total Market Value:
82640.00
Total Assessed Value:
82640.00
161
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, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
CountyofDavie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHORiZATIONNO: Q 5 17 DAVIE COUNTY HEALTH DEPARTMENT``
Environmental Health Section PROPERTY INFORMATION
Permittee' i P.O. Box 848
.1���
.Name: Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATERy
SYSTEM CONSTRUCTION Tax Office PIN:#J�
Road Name-�YfiAl
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED b the Davie County Environmental Health Section prior
Y ty
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 11 of G.S"-gapter 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
V XO
DAVIE COUNTY HEALTH DEPART ENT
*� :IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Peputtee's
Name-- ;r:�.,5 �. 1 :., ,... Subdivision Name:
Directions to property:' l`l �. ti: Section: Lot:
IMPROVEMENT
+' PERMIT Tax Office PIN:#.r
Road Name - �� s -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 with Article 11 of G.S: Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
11
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
.w•.. j F 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 TYPE # BEDROOMS # BATHS # OCCUPANTS I GARBAGE DISPOSAL: Yes N
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOTS TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) + 1 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Q M GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH J LINEAR FT. J
r
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 (704) 6348760.
.'r t..
!nom fNr
AUTHORIZATION NO. OPERATION PERMIT BY: c \c�J` (,t?�rDATE:
"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 05/96 (Revised)
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y
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
` APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME Ate\ 1 e 1 `� 4S PHONE NUMBER ycl2' 1
A
ADDRESS �� '��� `S41Z�e 'iZA SUBDIVISION NAME
oc�5 V���Q� •� LOT#
DIRECTIONS TO S
6 II N - �\\ 0", �tac•� %00$ U - l " O'N
cz
DATE SYSTEM INSTALLED �' NAME SYSTEM INSTALLED UNDER
TYPE FACILITY a vSQ NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY v" SPECIFY PROBLEM OCCURRING yA Q,y--
DATE REQUESTED , INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowle ge, d that I understand kin responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT X
Rev. 1193