292 Jesse King RdDavie County, NC
1.
Tax Parcel Report 11 G 3pr Thursday, September 29, 2016
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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
County of Davis, 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.
-77
Parcel Number:
B700000039
Township:
Farmington
NCPIN Number:
5863379462
Municipality:
Account Number:
71359000
Census Tract:
37059-802
Listed Owner 1:
STONEMAN WAYNE JACKSON
Voting Precinct:
FARMINGTON
Mailing Address 1:
292 JESSE KING ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
1.23 AC JESSE KING RD
Fire Response District:
FARMINGTON
Assessed Acreage:
1.12
Elementary School Zone:
PINEBROOK
Deed Date:
1/1982
Middle School Zone:
NORTH DAVIE
Deed Book/ Page:
001150542
Soil Types:
WeB,RnC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
77340.00
Outbuilding & Extra
Freatures Value:
1340.00
Land Value:
25680.00
Total Market Value:
104360.00
Total Assessed Value: 104360.00
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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 Davis, 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.
AUTHoitIZATION NO. i;T6 MDAVIE COUNTY HEALTH DEPARTMENT /
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O..Box 848
Name. ' ll�Ar} j 1 Mocksville,NC 27028 Subdivision Name:
-Direction's _.... 8760
Phone 336-751-
ions to property: �l AUTHORISection: . Lot:
ZATION FOR
y� WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name: 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 with Article 1 I'of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
r ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH;SPECIALIST-, DATE ISSUED
*.**NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PIANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
~ SYSTEM CONTRACTOR MUST SEE THIS PERMIT, BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS #BATHS _ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE • TYPE WATER SUPPL/,//&%' DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE _
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHy d ROCK DEPTH ZC LINEAR FTa-)f)_
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) 634-8760.
XHXXXXXXX
DCRD 05/96 (Revised)
1 7 � � "DA COUNTY HEALTH DEPARTMEN
-:; IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
,�,.Pet�iifttee s i
Name: � � � � .F„ ; ' s' Subdivision Name:
Directions to property: �/ '�r1 t`` -r' r }' .,Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
~' Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the"constriction 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 pen -nit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
1 ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
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 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
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LOT SIZE TYPE WATER SUPPLY/!,&DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SP ECIFYCATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ,4j LINEAR FT I
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAY/OUT
I
*APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOW FINISHED GRADE'S
15 U' 111
"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) 634-8760.
XXX)txxx):x
J I — t?
OPERATION PERMIT �' ,I%
SYSTEM INSTALLED BY: 4?4 dLe &I'r
i
AUTHORIZATION NO. OPERATION PERMIT BY:(.C%[ 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.
DCHD 05/96 (Revised)
r
NAME GU4 �/� en —
ADDRESS
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
UBDIVISION NAME
LOT #,
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY -NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED �`INFORMATION TAKEN BY /V Id /7
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.1193