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361 Pinebrook School RdDavie County, NC t Tax Parcel Report 6 3 L 3 Wednesday, October 5, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage; Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS IS NOT A SURVEY Parcel Information F600000036 Township: Farmington 5851200104 Municipality: NORTH DAVIE 82524206 Census Tract: 37059-802 BRUCE MICHAEL L Voting Precinct: FARMINGTON 361 PINEBROOK SCHOOL ROAD Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: DAVIE COUNTY QD 27028-7748 Voluntary Ag. District: No 4.568 AC PINEBROOK SCHOOL Fire Response District: SMITH GROVE Land Value: Total Assessed Value: 4.01 Elementary School Zone: PINEBROOK 2/2015 Middle School Zone: NORTH DAVIE 009810221 Soil Types: MrC2,EnB,EnC,ChA WATER arising out of the use or inability to use the GIS data provided by this website. Flood Zone: Watershed Overlay: DAVIE COUNTY 128050.00 Outbuilding & Extra 12260.00 Freatures Value: 54350.00 Total Market Value: 194660.00 194660.00 C u SIE Davie County, All data is provided as Is without warranty or guarantee of any Idnd 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 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or inability to use the GIS data provided by this website. ✓Xo DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMIENT PERMIT and OPERATION PERMIT Y IMPROVEMENT PERMIT i **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 13OA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME PROPERTY ADDRESS FD Q �N `4� c,�.Sc \ V� DATE LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION:'FACIL"ITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZES TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 3 GO NEW SITE REPAIR SITE Gf SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOP, eE SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. 't r0% OL IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:38 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8768. OPERATION PERMIT SYSTEM INSTALLED BY b H 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 13OA, 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. DC HD 10/95 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPROVEMENT PERMIT *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 6.5. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME N\ `tom ?.� �� PROPERTY ADDRESS �� �., \l \, 1�;. ,�rti DATE _ �` 1 �' LOCATION I i' �� y,�\ . c ��• _ `� �..r_v to .,1� ti ; c :` 1. SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE :n # BEDROOMS ) # BATHS �° # OCCUPANTS �)_ GARBAGE DISPOSAL: Yes/No COMMERCIAL SPECIFICATION: FACILITY TYPE t # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE —i ~ C� e ;� ^ TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE 1� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH f LINEAR FT. �. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR.MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. r IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN ..-8:30-9:38 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY €' b ),✓o r o AUTHORIZATION NO. OPERATION PERMIT BY i�%�-�' 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. DOHD 10/95 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) R1A1(� 1\ W c 1� PHONE NUMBER SCb f 5-3 R ADDRESS 3 T1 t- I V e b'(k o aN S r -n RA SUBDIVISION NAME O c..\F" V ,1 `'P I -� M n% LOT #, DIRECTIONS TO SITE 1 '--N 1 17--- " DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER Q TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY ,K1 Z& SPECIFY PROBLEM OCCURRI DATE REQUESTED S -ZD 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 AjEi To��_� Rev. 1/93 ' o Davie County Health Department ENVIRONMENTAL HEALTH SECTION P.D. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION! ,'Jf-6 • Q O (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.`*** NAME ,(� e� h' tAUTHORIZATION NU99ER 4 4n R �. DATE i J :. U C NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION�C COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. q C/ ENVIRMKNTAL HEALTH 5P_ECIALIST DATE DCHD 10/95 r