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267 McKnight RdDavie County, NC Tax Parcel Report PO V Friday. Sentember 30, 2016 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 101360.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 49250.00 Total Market Value: 150610.00 Total Assessed Value: 150610.00 F-O71 Alldataisprovided 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 NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS 1S NOTA SURVEY Parcel Information Parcel Number: C600000090 Township: Farmington NCPIN Number: 5853911006 Municipality: Account Number: 1487000 Census Tract: 37059-802 Listed Owner 1: ANDERS LAWRENCE DALE Voting Precinct: FARMINGTON Mailing Address 1: 267 MCKNIGHT ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 2.89 AC MCKNIGHT RD Fire Response District: FARMINGTON Assessed Acreage: 2.84 Elementary School Zone: PINEBROOK Deed Date: 4/1983 Middle School Zone: NORTH DAVIE Deed Book / Page: 001190237 Soil Types: PcB2,PcC2,RnD,MsC Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 101360.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 49250.00 Total Market Value: 150610.00 Total Assessed Value: 150610.00 F-O71 Alldataisprovided 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 NC or arising out of the use or Inability to use the GIS data provided by this website. Permittee's ,--Y..,, D VIE COUNTY HEALTH DEPARTMENT .mgr Name: Environmental Health Section s P.O. Box 848 PROPERTY INFORMATION Directions to roperty: Or,F; i �` C1Z4ocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION — AUTHORIZATION NO: 2 &1 A Road Name: Zip: Lot: **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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION '�%s�,r`,:) ,/ ;4 '` lir',% .'' ;jj n IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAE HEALTH SPECIALIST DATE ISSUED F RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS�, # BATHS �.� # OCCUPANTS GARBAGE DISPOSAL: Yes or No r 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 1 REQUIRED SITE MODIFICATIONS/CONDITIONS: _ IMPROVEMENT PERMIT LAYOUT P10 "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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: F ASO AUTHORIZATION NC��/ 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 02102 (Revised) COUNTY HEALTH DEPARTMENT errruttee s r R .� amer�` ,�-� . � f �� e,p'-'; •'� . `��,�•'',' Environmental Health Section P,O Z3 PROPERTY INFORMATION V I. I>P.O. Box 848 I Directions,to property:1 ✓R'. `' a ' r (.N(ocksville, NC 27028 Subdivision Name: �� 1 f Phone #: 336-751-8760 zz f , ' Section: Lot: A1jTHORI7ATION FOR r AUTHORIZATION NO: 6 4, A WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION 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 ] l of G.S. Chapter 130A, Wastewater Syste`tsctlon?1900 Sewa e;T eatej&and DisposaL.Systems) r L • *N TICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �. — '\I A,' .j FO>E2,A�Q RIOI) OF F{VE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE �(s� _ # BEDROOMS`*-� # BATHS CCUPANT9 +%' +dARBAGE.DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE �. PEOPL SHIFT;# �EXTS tltliIII.14TRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESTGN\A IT4AJER FL•O�k(qPQ'&y NE)VV l� �` EPAIR SITE ! ` " /' ' SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL..�'1� CHV, IDITH� ROCK DEPTH AJ/ LINEAR 7 REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT r4 i 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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: r 4 AUTHORIZATION NOt1:5�?tT—_ OPERATION PERMIT BY: ,i� DATE: r "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE . WITH ARTICLE I 1 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) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION 1 ,APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME c��� C� 2Ad W PHONE NUMBER ADDRESS �� '7 g/ SUBDIVISION NAME ate" do-1) Ge-- 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 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. 1/93