987 Liberty Church Rd (2)Davie bounty, NC
Tax Parcel Reuort 1141 A Monday. October 3, 2016
WAKINENU: THla IS INUl A SURVEY
Parcel Information
Parcel Number:
D200000046
Township:
Clarksville
NCPIN Number:
5812219752
Municipality:
Account Number:
10010500
Census Tract:
37059-801
Listed Owner 1:
BRINKLEY SHERRILL K
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
PO BOX 249
Planning Jurisdiction:
Davie County
City: YOUNGSVILLE
Zoning Class: DAVIE
COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27596-0000
Voluntary Ag. District:
No
Legal Description:
64.50 AC LIBERTY CHURCH
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
62.10
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
11/1997
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001980667
Soil Types: AaA,MnC2,MnB2,MdB,ChA,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
369560.00
Outbuilding & Extra
Freatures Value:
3710.00
Land Value:
352000.00
Total Market Value:
725270.00
Total Assessed Value: 436140.00
161 All data is provided as is without warranty or guarantee of any kind eitherexpressed 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 Davie, 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.
AuTHOR1ZATION NO'7479 COUNTY HEALTHTMENT * .. .. .�... - .
i . Environmental Health Section PROPERTY INFORMATION
Permittee's 5� w' f r P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
(: Phone # 336-751-8760
Directions to
property: i•� I Section: Lot:
AUTHORIZATION FOR
i WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# -
1%7
Road Name: o fry G7 'Ctl ,� Zip: <—' •0;z
; 8
**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 1-1 of G.S�'hapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
a�J vim' �% IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR E-ff£At7i?SPECIALI$T�'! DATE ISSUED
PI
DAVIE COUNTY HEALTH ZEPRTAIENT,
IMPROVEMENT AND OPERATIOPEIMTS PROPERTY INFORMATION
.°
Permittee's :.
Name: �w ` . iLt--- 4 ~• -{' 3 f i-;�'t Subdivision Name:
'Directions to property:{ i- Section: Lot:
IMPROVEMENT
j ► PERMIT Tax Office PIN:# - -
_ Road Name. i; ! , F ') I r -'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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***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 V1005 , # BEDROOMS _ # BATHS t E # OCCUPANTS 2 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE .`' " ; Y E WATER SUPPLY(- LWT DESIGN WASTEWATER FLOW (GPD) lr NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH S , ROCK DEPTH + LINEAR FT. 7-0(
OTHER STEA f,JTt0-3 &D,4 E-T&W- 1_9 b `� tel, 0.�.
REQUIRED SITE MODIFICATIONS/CONDITIONS: ke ,!E ALL O-) C"'n o o, , �''� CA31 LG- 7- 1 C. E, V` --1=t LjAC�^ = � ➢t
r
IMPROVEMENT PERMIT LAYOUT
-NAAPROVED EFFLUENT FILTER* *RISERS) IF 611 EELO ; FINIIESED GRADE*
"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.
}tY.XH1t)SXHIt
OPERATION PERMIT
SYSTEM INSTALLED BY: She4 ►'ta-- b Itlw-'V
AUTHORIZATION NO. / 7V 7p* OPERATION
. -de)
PERMIT BY: � DATE: `� '
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE TH 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.
7 478 DAVIE COUNTY HEALTH DEPARTMENT -
• IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
"Permittee's ►
Name:
i �* !t- ':~` Subdivision Name:
t'
-Directions to property: i' :? Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
z.
Road Name. + ' i 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)
***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 _LL`!L # OCCUPANTS % GARBAGE DISPOSAL: Yes or No
r
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZ �`�'� L TAPE WATER SUPPLY'S t Jr DESIGN WASTEWATER FLOW (GPD) ?`'C'"
NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH --C: % ROCK DEPTH 1 LINEAR Fr. •� 3�
nTHF.R
REQUIRED SITE MODIFICATIONS/CONDITIONS:
t f t .3
IMPROVEMENT PERMIT LAYOUT
*APP110VED EFFLIJE14T I=ILTERif •01SER(S) IF 61' BI L04 Flt1IL f'ED G� ADEi
"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.
XX):}CHFC2fXF;
v jo. 1 7 J J.
OPERATION PERMIT
SYSTEM INSTALLED BY: �tG, r.� ! �� r✓!
.,t1 av
AUTHORIZATION NO. 7 70� OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THI 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.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
q1T s50 - /57b
NAME c��
L�'
.� f IV U; j
PHONE NUMBER 412- - 6,35-0
ADDRESS
g ►,����
.��
SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE L40 (1� 70 Lj t�• l iCl �-iJ
DATE SYSTEM INSTALLED �2a NAME SYSTEM INSTALLED UNDER
TYPE FACILITY a O �� NUMBER BEDROOMS NUMBER PEOPLE SERVED Z
TYPE WATER SUPPLY_d0"-rI SPECIFY PROBLEM OCCURRING
DATE REQUESTED S V INFORMATION TAKEN BY�
This is to certify that the information provided is correct to the best of my knowledge, nd tat I understand I am
SIGNATURE OF OWNER OR AUTHORIZED AGENT'
Rev. 1/93
9 P6
foi all charges incurred from this application.