173 Joe Myers Rd Davie County,NC Tax Parcel Report Qba L3 Thursday, September 29, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G700000051 Township: Shady Grove
NCPIN Number: 5769899884 Municipality:
Account Number: 69663000 Census Tract: 37059-804
Listed Owner 1: SPAUGH ROSIE COPE Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 173 JOE MYERS ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20,1-1
State: NC Zoning Overlay:
Zip Code: 27006-7002 Voluntary Ag.District: No
Legal Description: 1 LOT OFF CORNATZER RD Fire Response District: CORNATZER-DULIN
Assessed Acreage: 0.30 Elementary School Zone: CORNATZER
Deed Date: 3/1990 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001530389 Soil Types: GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 4500.00
Freatures Value:
Land Value: 12050.00 Total Market Value: 16550.00
Total Assessed Value: 16550.00
I,V 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
County of Davis,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.
Permittee'e' DAVIE COUNTY HEALTH DEPARTMENT
Name: Environmental Health Section PROPERTY INFORMATION
) P.O. Box 848
-Directions to property: (Ottof-r-,-Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Ijc� iG
AUTHORIZATION NO: 002963 A Road Name: � Zip a
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
--7- 2..? r i IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE W r r 1#BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
c
LOT SIZE V• TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
15 y
SYSTEM SPECIFICATIONS: TANK SIZE t� GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH/ LINEAR FT. '
As' Etated in 15A t4CAC J&>.i
OTHER Z00C;R0.,d Sy;Btyms may a)—#,,o Irn
REQUIRED SITE MODIFICATIONS/CONDITIONS: I e ' C < d' �`-� S -�u h� �• <r
5
IMPROVEMENT PERMIT LAYOUT 7
o
r rc 5 y
� (dw—, ss
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT SYS,��M�t
----- -------
i-• —7 —7 —7 17 —fir 7 n
�
.00
IS
7 t
AUTHORIZATION NO. OPERATION PERMIT BY: 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 02/02(Revised) ` �✓/ _ /7010 0
ro`'..x"f"�. �• 9 ..yT_:� �h ♦i•., - �^M xx-.�S��'•'-r.ti - �y'�f _ ` -_{. .i ""� � d.` „Yi. ..r „�. '1.�....'�h _ XF . w. zir h•t-..
Pl� �� DAVIE COUNTY HEALTH DE�6A
C,
1 � Environmental Health Sec tt R� PROPERTY INFORMATION
P.O. Box 848
rection to property: t ��� L r 'lI<c+f Z `'`Mocksville,NC 27028 Subdivision Name:
1 ( Phone#: 336-751-8760 Section: Lot:
AUTHORIZATION FOR
WASTEWATER I�r it ,.. C
SYSTEM CONSTRUCTION Tax Office PIN:# S _ r I f cY
AUTHORIZATION NO: 002963 A Road Name: l � �<I Zip: � 7C, &
**NOTE**This Authorization for Wastewater System Construction MUS T`BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pen-nits.
(In compliance with Article l l.of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
- ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
E` j IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST'>,a DATE ISSUED
RESIDENTIAL SPECIFICATION:�BUILDING TYPE 5 t #TBEllROOMS #BATHS #OCCUPANTS 3>GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE 4 PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
/, c c 7 ,•L'
LOT SIZE V TYPE WATER SUPPLY ` L DESIGN WASTEWATER FLOW(GPD) !I NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE r/ GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCKDEPTHZJI /A LINEAR FT.
0
OTHER _ G
REQUIRED SITE MODIFICATIONS/CONDITIONS: V �� v �` �S -f'G+ ,• 'Y
.+
IMPROVEMENT PERMIT LAYOUT
w /V\ -
V
FOR FINAL INSPECTION OF TIES SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SY4MA
v I - 11't1
1%, `
7
AUTHORIZATION NO. OPERATION PERMIT BY:
�. � 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",BU_MSH�,LL,IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM_ WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME , oe
DCHD 02102(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME NC/ �Oaw h PHONE NUMBER � v`ZC7i7/
ADDRESS S SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE �Rsf / � 8Nk f2J-.$1xbC1 LeA OND VOe
A ., a6/9N f hAJ4 C'i2ds ' TAc- 173 0 I 46e2(-
DATE SYSTEM INSTALLED Z NAME SYSTEM INSTALLED UNDER "6) "02
TYPE FACILITY !7 NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING barl&iell
li'ml L P,il;wa a D au 1jc/( j
DATE REQUESTED �-� �'l/`"/ INFORMATION TAKEN BY UJ. C�iLIL�G
This is to certify that the information provided is correct to the best of my knowledge,and that I understa I am responsible for all charges incurred from this application.
00,
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193
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