404 Pine Ridge RdDavie County, NC
Tax Parcel Report 1 (1 1 „ Wednesday, October 5, 2016
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Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: COOLEEMEE
State:
WARNING: THIS IS NOT A SURVEY
Parcel Information
N50000006206 Township: Jerusalem
5744890934 Municipality:
82527051 Census Tract: 37059-807
JONES TIMOTHY Voting Precinct: JERUSALEM
PO BOX 1218 Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27014-1218 Voluntary Ag. District:
Legal Description: 2.000 AC PINE RIDGE RD Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
1.96
Elementary School Zone:
10/2006
Middle School Zone:
006820822
Soil Types:
0008
Flood Zone:
0393
Watershed Overlay:
96770.00
Outbuilding 8r Extra
Freatures Value:
22150.00
Total Market Value:
122390.00
JERUSALEM
COOLEEMEE
SOUTH DAVIE
WeC, PcB2
DAVIE COUNTY
3470.00
122390.00
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Davie County,
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
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NC
County of Davie, 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.
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AUTHORIZATION NO:
DAVIE
COUNTY HEALTH' DEPARTMENT��
n
Environmental Health Section
PROPERTY INFORMATION
Permittees
P.O. Box 848
Name: ',41 4
15'/L�i'� F
' Mocksville, NC 27028
Subdivision Name:
Directions to property:,,-,4//`.�
'
''i ~"'
Phone #: 704-634-8760
sr'�r,
Section: Lot:
;J � �
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:# "
Road NiR��//I�EiP/
**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
`.r�`f;"� :✓ar `�'''% IS VALID FOR A PERIOD OF FIVE YEARS.
-1
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
'' DAME COUNTY HEALTH DLPAR ENT I i1 O4/L S
IMPROVEMENT AND OPERATION PERMITS
PROPERTY INFORMATION
Permittee -'s
Name: *, /rr ,`,/. _ , ,, %''ier
Directions to property:
IMPROVEMENT
PERMIT
Subdivision Name:
Section: Lot:
Tax Office PIN:#
Road Na e:fi
**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*** TIM
PLANSR INTENDPERMIT
D USE CHANGE. YOUR WASTEWATER %
f f' IS SUBJECT TO REVOCATION IF SITE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE A/ # BEDROOMS �� # BATHS ;"? # OCCUPANTS r GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYE - #PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE f
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH rt ROCK DEPTH r':? LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"CONTACT A REPRESENTATIVE OF THE DAV:
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30
OPERATION PERMIT
UNTY EALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
ON TjqE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
M INSTALLED BY:
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 TAKEMAS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
- DAVIE COUNTY HEALTH DEPARTMENT ���`✓ s
TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Subdivision Name:
Directions to property:' ' _r Section: Lot:
IMPROVEMENT
PERMIT
Tax Office PIN:#
Road Na e:rl !/1�£ 'l 1� -ip r �`�
**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)
r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
{ r -� , ++' �`_"* ..• - 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 f T # BEDROOMS <1� # BATHS) # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPI # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
d;
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH r ROCK DEPTH LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**CONTACT A REPRESENTATIVE OF THE DAVM COUN.
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 .M. ON'
f� I
OPERATION PERMIT
S:
16�
F
EALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
^M INSTALLED BY: n +. •=
1L[D
AUTHORIZATION NO. 6, 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 05/96 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME HONE NUMBER
ADDRESS
% ,% iit� ,�. ��� �.� SUBDIVISION NAME
SUBDIVISION LOT
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE -REQUESTED_ Oj` INFORMATION TAKEN BY