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152 Tatum Rd
. � Davie County, NC Tax Parcel Report Tuesday, October 11, 2016 WAKNllV(T: "1'Hl� 1� 1VU"1' A�UKVL+' Y Parcel Information Parcel Number. N50000007701 Township: NCPIN Number. 5744783734 Municipality: Account Number: 82516920 Census Tract: Listed Owner 1: GAUDET RICHARD B Voting Precinct: Mailing Address 1: 152 TATUM ROAD Planning Jurisdiction: City: MOCKSVILLE State: Zoning Class: NC Zoning Overlay: Zip Code: 2702&0000 Voluntary Ag. District: Legal Description: 5.745AC TATUM ROAD Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: °"�'�' Davie County, °�U��� NC 5.30 Elementary School Zone: 5/2001 Middle School Zone: 003700949 Soil Types: Flood Zone: Watershed Overlay: 112150.00 Outbuilding � Extra Freatures Value: 44620.00 Total Market Value: 175330.00 Jerusalem 37059-807 JERUSALEM Davie County DAVIE COUNTY R-20 DAVIE COUNTY CZOD JERUSALEM COOLEEMEE SOUTH DAVIE PcB2,PcC2,RnD DAVIE COUNTY 18560.00 175330.00 � Permittee's � _' DAVIE COUNTY HEALTH DEPARTMENT ��e; "t�',t= sl'�;: -� tr �' ���-� t i Environmental Health Section , , + _. _..� ., .. ,. P.O. Box 848 Pd � PROPERTY INFORMATION�'3I Directionstoproperty: "'`' y' '` `•;�'r'�:'- Mocksville, NC 27028 Subdivision Name: 4� � � . 1 r .� �j �., ,;♦ . � � . ��: ,;, Phone #: 336-751-8760 '`- Section: Lor. AUTHORI7.ATION FOR ; t'. ± i`�. a j} WASTEWATF.R Tax Office PIN:# SYSTF,M CONSTRUCTION - - AUTHORIZATION NO: Q � � � � � A /S2 Road NameT4�� IM �� Zip:` � � **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior to issuance of any Building Perrnits. 7'his Fonn/Authonzation Number should be presented to the Davie County Building Inspections Office when applying for Building Pennits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �' � ***NOTICE*** THIS AUTHORI7.ATION FOR WASTEWATER CONSTRUCTION '��°�'i'�y�`� —�' ��� �`� � IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE F) # BEllROOMS += ^' # BATHS �- # OCCUPANTS ---�' GARBAGE DISPOSAL: Yes or'�o� COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �' �* • TYPE WATER SUPPLY rcr� �� r��, DESIGN WASTEWATER FLOW (GPD) —�t' � NEW SITE REPAIR SITE �-�' � �� ,� r SYSTEM SPECIFICATIONS: TANK SIZE �f`'� GAL. PUMP TANK GAL. TRENCH WIDTH "•'' �' ROCK DEPTH � Z LINEAR FT. -%�" � nTNF.R `��Ctl�. ll$.e 2=;�%O ��tr'Gt��-- :,��':^1f,n�..- REQUIRED SITE MODIFICATIONS/CONDITIONS: � �1a�� -i4 "K C �;f e_ I (,:,�c., ;.j �� G'� �:-,, �`i� ., • �,� t �. . ��,' � �fs �! f �%, ^...; t, �, ti•.�-�.� . IMPROVEMENT PERMIT LAYOUT FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 830 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: pM GlN � G� A V_�,e,.I � A y `� � � 2�0' 'fo}a l AUTHORIZATION NO. OPERATION PERMIT BY: DATE: ����' D 9 �'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT T SYSTEM DE CRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAP'TER 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. x�,n ovoz c���s�a) � �7i3 0 t� 1 • � . - . . . : � .1 .. .. % . . . . . - . . � � .. .. . - . .. 1 1 ; � � Permittee's �� -" �.��y ,�, DA�UIE COUNTY HEALTH DEPARTMENT lwame: _�`��_ t! +. ' �. ' ' ' � 4 � Environmental Health Section '. c� •2 :; ,.- s P.O. Box 848 . _ ' , . ' ' - � ��� � 3�� PROPERTY INFORMATION� Directions to property: '`'" ' '"�� 1�4ocksville NC 27028 Subdivision Name: � , ..,� F r -., -.E -, : ; s ` , . ;, _ Phone #: 336-751-8760 Section: ., - AUTHORI7.ATION FOR ' + ` " � � � WASTEWATFR Lot: . SYSTF.M CONSTRUCTION Tax Office PIN:# - - Cf "1 � : �' AUTHORIZATION NO: Q � � -' � � 1� Road Name�� � � � � �'� Zip; : � � ' ' '� **NOTE** This Authonzation for Wastewater System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior to issuance of any Building Permits. This Fom�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pennits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �' ***NOTICE*** TH1S AUTHORI7ATION FOR WASTEWATER CONSTRUCTION .- ;`~''�'� ���'' "�{ IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE N� # BEllROOMS �= �# BATHS �- # OCCUPANTS � GARBAGE DISPOSAL: Yes or Ho' COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFI' # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE �^ �� � TYPE WATER SUPPLY ��'-+ `�'� DESIGN WASTEWATER FLOW (GPD) -^'E` � NEW SITE REPAIR SITE r--" SYSTEM SPECIFICATIONS: TANK SIZE j'' •'� GAL. PUMP TANK GAL. TRENCH WIDTH ~ t" ROCK DEPTH � 7,I LINEAR FT. --- {' �, f .�. �, 1 ri�� kl..e � _`.�ll) t�rc.'L�r`��.- � -.��l-'u� REQUIRED SITE MODIFICATIONS/CONDITIONS: � � 4 t : � -} ; ; � i� ;_ '! F z � �: , � r ; :. �i . '_ r. . 1 • �'. � . , . 10 � I i a ! 1 �> . ( `� � . ; , cy . . I VYhKA11UN NbKMII SYSTEM INSTALLED BY: � �� C' �'' J�� C �)�� ✓� (� L-� �• �i i � U' l �, }n � F I � � ; ' d�. �� � � ,, � '�..� i 1 � ` � , _� < < �- f, � �� I I,� ,JI-_ � 7 1 ; f'- ^ n � "_ -- ----- �-� � ��'�'C- �'f ' S Y � 1' ��,� , ; , � --- - _ _ _ _ _. �_ : , _ �- / � � � �, � AUTHORIZATION NO. OPERATION PERMIT BY: ���-�^��i.��v %�.r- �� ��'� i�� �� pp�; �-�`� ���� �� ij *+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 SATISFACTORII.Y FOR ANY GIVEN PERIOD OF TIME. DCHD 07/02 (Revised) �' � J 2 G �✓ d r" v�11�I�i C 6N �SiG�� 3q,s a'� �►II�P t,�"'w°`�. ��. � , � DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION /!��X�C l/�/�C 6�l(� APPUCATION FOR IMPROVEMENT PERMIT (REPAIR) �. � NAME IIiUIQ',/�/,l CTGLGCGt.�( PHONE NUMBER OCd �'(l1 /J�� ADDRESS��Z ��(,�/yI � ����1/��l�(�. /VV 2Z UBDIVISION NAME LOT # DIRECTIONS TO S DATE SYSTEM INSTALLED � NAME SYSTEM INSTALLED UNDER ��%YJP�i� //��I�- TYPE FACILITY �- NUMBER BEDROOMS � NUMBER PEOPLE SERVED � TYPE WATER SUPPLY G�%� SPECIFY PROBLEM OCCURRING �7 G� �G�✓/i�/ � �;Zo�� DATE REQUESTED C� �� 9 I FORMATION TAKEN BY, This ia to certify that th� informa6on provided is conect to the best of my knowledge, and that I understand I am responsible for all charges ineurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 I . . J .,:,..; :� _...s . ___ .. _... GoMaps GIS � �° �� � . _� � � � „� �, � 3 a. +�°'�,�5; %1� � �.� � �i W� j �« � � ��.� %�} � L �' ' . 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