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173 Livengood RdDavie Countv. NC Tax Parcel Report (3�1� Friday, September 30, 2016 } . 3 WARNING: THIS IS NOT A SURVEY t� �........_ Parcel Information Parcel Number: 1700000099 Township: Fulton NCPIN Number: 5778374515 Municipality: Account Number: 8306316 Census Tract: 37059-804 Listed Owner 1: FOSTER ROGER DEAN ETAL 3 6 �t �._.._..._ FULTON Mailing Address 1: Iv 146 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC 142 Zip Code: 27006 Voluntary Ag. District: No Legal Description: 4.135 AC LIVENGOOD RD i r 80 EI Assessed Acreage: 4.32 _ CORNATZER Deed Date: 12/2015 Middle School Zone: t 145 '4 Deed Book / Page: 2015E1222 z 213 221 22 7 --)35 5 , E ti_...,....__...___ y . , ...... 173 i I---.--....... 108 _....... _ ..... ... Plat Page: C rvf'J Ca l.D rD �-- - .. _. ..._...... .._ .... Watershed Overlay: DAVIE COUNTY 194 IL� E Building Value: 65310.00 Outbuilding & Extra 2020.00 Freatures Value: Land Value: 48290.00 Total Market Value: 115620.00 Total Assessed Value: 115620.00 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 Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to no 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: 1700000099 Township: Fulton NCPIN Number: 5778374515 Municipality: Account Number: 8306316 Census Tract: 37059-804 Listed Owner 1: FOSTER ROGER DEAN ETAL Voting Precinct: FULTON Mailing Address 1: 145 LIVENGOOD ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: 4.135 AC LIVENGOOD RD Fire Response District: FORK Assessed Acreage: 4.32 Elementary School Zone: CORNATZER Deed Date: 12/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 2015E1222 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 65310.00 Outbuilding & Extra 2020.00 Freatures Value: Land Value: 48290.00 Total Market Value: 115620.00 Total Assessed Value: 115620.00 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 Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to no NC or arising out of the use or Inability to use the GIS data provided by this website. 1399 AUr H.OkfLATION NO: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: Mocksville NC 27028 Subdivision Name: j Phone #:704-634-8760 Directions to property: d�l Vt3,�✓D�00 r�` Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - " Road ame: I ✓P—)1 R 000 Zip: -"g **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 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED / DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Perms tee's Name Directions to property: IMPROVEMENT PERMIT Subdivision Name: Section: Lot: Tax Office PIN:# 111Road Name : ✓Q Yi c�.� p: 4 06, **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 Departmentprior 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 t' t 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 -517 # BATHS 9 # OCCUPANTS 457 GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH. LINEAR FT.� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT "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. OPERATION PERMIT SYSTEM INSTALLED BY: ---\ 1 00 ygil 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 1 I 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) �l DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS Perri " Name: Directions to property:.-�.-a'� IMPROVEMENT PERMIT PROPERTY INFORMATION Subdivision Name: Section: Lot: Tax Office PIN:# j ! Road Na e: � !`� 3 t �j D6 Zip **NOTE** This Improvement Permit DOES NOT authorize the"construction or installation of a ptic 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) -M- ***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 r— # BEDROOMS 02' # BATHS _'_9 # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT yy 3 F' "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. OPERATION PERMIT SYSTEM INSTALLED BY: i i + 01 �' r AUTHORIZATION N0. G/ PERATION PERMIT BY: r'/'C /'� DATE: �� f "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 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT 1/ NAME Y�/.�/I . /z° 1—l�S �[`'� PHONE NUMBER ADDRESS ✓B 451©e/. C/SUBDIVISION NAME p SUBDIVISION LOT # J DIRECTIONS TO SITE DATE SYSTEM INSTALLE NAME SYSTEM INSTALLED UNDER SPECIFY PROBLEMS OCCURRING DATE REQUESTED /2�` , INFORMATION TAKEN BY