161 Sam Cope Rd Davie County, NC ' Tax Parcel Report Thursday, October 6, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information .
Parcel Number: G8130B0007 Township: Shady Grove
NCPIN Number: 5789379758 Municipality:
Account Number: 82530914 Census Tract: 37059-804
Listed Owner 1: NELSON SEAN C Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 151 SAM COPE ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 0.6887AC LT 1 SAM COPE RD Fire Response District: ADVANCE
Assessed Acreage: 0.68 Elementary School Zone: SHADY GROVE
Deed Date: 10/2000 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2000E0249 Soil Types: PcB2,PcC2
Plat Book: 0009 Flood Zone:
Plat Page: 352 Watershed Overlay: DAVIE COUNTY
Building Value: 105380.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 19740.00 Total Market Value: 125120.00
Total Assessed Value: 125120.00
t.vl 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
�o�Nei NC or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
�lV�Name: Environmental Health Section PROPERTY INF RMATION1v
�) P.O. Box 848
Directions to property: Q ` rii CJS Mocksville, NC 27028 Subdivision Name:
Vt b t d ot `\ ` Gl C Phone#:336-751-8760
Section: Lot:
( �j Cert AUTHORIZATION FOR �/�-,.,.�
"i`� ✓�:�'Lti G, `}6'� WASTEWATER f 4i 3 7 C/
SYSTEM CONSTRUCTION Tax Office PIN:#7 t 5J
AUTHORIZATION NO: 002A� R�oadfN4 mA WG1)4 II".t) Zip:2w(p
**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 of G.S.Chapter 130A,Wastewater Systems,Section.]900 Sewage Treatment and Disposal Systems)
C/***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED `' ,M
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS 2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
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LOT SIZE ! TYPE WATER SUPPLY l DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PMP TANK n t �r GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER ��r"v"��'//`
REQUIRED SITE MODIFICATIONS/CONDITIONS: Ail rlateri in JBA h!;AC 1E.1, 1r'3
^�51
I PROV---MENT PERMIT LAYOUT„ t
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6uCk 5 . _ f
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. ,
OPERATION PERMIT
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. � PERATION PERMIT BY: DATE: [;`J-//
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT E SYSTEM DE CRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREAT ENT AND DI POSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SY{S}TEM WILL FUNCTION SATISFACTORILY FOR NY GIVEN P IOD OF TIM/E.
DCHD OM(Revised) d f
Perctii DAVIE COUNTY HEALTH DEPARTMENT
Name: r�' �`(• Environmental Health Section PROPERTY INFORMATION V _
I P.O. Box 848
Directions to property: -' it f asM Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
1l.t tom'? Section: Lot: --a
AUTHORIZATION FOR
WASTEWATER •�Er -7;
V('"•SYSTEM CONSTRUCTION Tax Office PIN:#. D L
AUTHORIZATION NO: A� R'oadlN et:w` �L'iZip:
*NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section pnor
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 of G.S.Chapter, 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
/,��t-' r/r�t✓ l (7' t IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
ti
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS %3 #BATHS 2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No,
LOT SIZE 5 TYPE WATER SUPPLY �Q DESIGN WASTEWATER FLOW(GPD)��� NEW SITE REPAIR SITE V
rX��jl.✓ � �•
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROV HENT PERMIT LAYOUT,
o ,� a4 SPP
Ceu4C
1 { t
r FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS t 36)751-8760.
9
` OPERATION PERMIT
xs SYSTEM INSTALLED BY:
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AUTHORIZATION NO.•<�E= �PERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT T E SYSTEM DE CRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREAT ENT AND DI POSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR NY GIVEN P IOD OF TIME.
DCHD 02/02(Revised)
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