820 Williams RdDavie Countv, NC . ' Tax Parcel Report Tuesdav, October 1 l, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
2ip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAK1VllVli: �ltll.l' l� 1VV1 A DUKVI�;Y
Parcel Information
170000003602 Township:
5768866925 Municipality:
Fulton
82521347 Census Tract: 37059-804
BURTON JOHNNY W JR Voting Precinct: FULTON
860 WILLIAMS ROAD Planning Jurisdiction: Davie County
ADVANCE
Zoning Class: DAVIE COUNTY R-A
NC Zoning Overlay:
27006-7194 Voluntary Ag. District:
LOT 3 2.480AC BURTON J SD Fire Response District:
2.01 Elementary School Zone:
1/2008 Middle School Zone:
007421081 Soil Types:
0009 Flood Zone:
244 Watershed Overlay:
0.00 Outbuilding & Extra
Freatures Value:
24330.00 Total Market Value:
9"� `�' Davie County,
`'��N�� NC
24330.00
No
FORK
CORNATZER
WILLIAM ELLIS
GnB2,GnC2
DAVIE COUNTY
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24330.00
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AUTHORIZATION NO: � � � � `DAVIE C � UNTY HEALTH DEPARTMENT � •� X� �
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• Environmental Health Section PROPERTY INFORMATION
Permi[tee-'s � ,t P.O. Box 848
Name: �, b i���� u��0 �" Mocksville, NC 27028 Subdivision Name:
' � �T. �� Phone # 336-751-8760
Directions to property: �l'��� � Section: Lot:
� AUTHORIZATION FOR
�,{2-CG �� Zn �( v'Q � � �� � ( � r� WASTEWATER _ _
, - Tax Office PIN:#
SYSTEM CONSTRUCTION �7��
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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 Peimits.
(ln compliance� with Article 11 �f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatmen[ and Disposal Systems)
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TH SPECIALIST DATE
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
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r �. _ TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORIv1ATION ��""�"�
` Permittee's -! � -
Name: � � ��R'�� �$���-l�b � Subdivision Name:
Directions to property: �-� �'� � �� ' r'�' � Section: Lot:
, IlNPROVEMENT
�' j i� i�� �+,� {'� �,"� .,,�e;� r-� � 1t ,� f,,- .� PERMIT Tax Office PIN:# _ _
;.��, fJ . 2�vo cv
i.� � t� l. !!'��r� �^. ` r� � F 1'�j� '7 �� Road Name: � l l..Ll a�i r'�1� �`�'� Zip; �; �.; �� -i.,
**NOTE** lfiis Improvement Permit DOES NOT authorize the construction or installadon of a septic tanlc 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 � f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) '
�,_ _'--,y '—""'---� ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE
'� „� ; ,, _ �v-. . � �` ;- ' y PLANS OR THE IlVTENDED USE CHANGE. YOUR WASTEWATER
ENVIRO�*TMENTAL" H ALTH SPECIALIST DA , ISS D SYSTEM CONTRACTOR MUST SEE THIS PERNII'I' BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE I� �-i # BEDROOMS '�= # BATHS �•�# OCCUPANTS Z- GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No
LOT SIZE TYPE WATER SUPPLYW6%1 l. DESIGN WASTEWATER FLOW (GPD) ✓"i� NEW SITE REPAIR SITE �
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH —�n ROCK DEPTH � L1 1,LINEAR FT. 1'2� ,
OTHER � A�s�r2�r�� n�� ��'k�
,
REQUIREDSITEMODIFICATIONS/CONDITIONS: I�CJ%Q(-� n� G��*C>t�� � 1�l:!.� N�� L�N�S t'��.-Sj"
IMPROVEMENTPERMITLAYOUT thFPR01IE�� EFrri.li�LiT �ILiEi`c� ��ISEir�",��i
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+*CONTACTA REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-87G0.
OPERATION PERMIT
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BY:
U,�h/� fa ���
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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. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII,L FUNCTION SATISFACI'ORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
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';.'�� �'" DAVIE C UNTY HEALTH DEPARTMENT . ,� S<U
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.�,�-=��t ` IMPRO � MENT AND OPERATION PERMITS PROPERTY INFORNIATION
Permitt��'s q �� •
Name:�,,�0 �'�i'��1�� ���.�;,.��'F� ; Subdivision Name:
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Directions to property: `"�' (� Y;' r`�' �
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IlbIPROVEMENT
PERMIT
Section: Lot:
Tax Office PIN:# - -
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Road Name: �`� «-�f� r�j� �"`� Zi '�`T`�'
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**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AU'THORIZATION FOR WASTEWATER SYSTEM CONSTRUC'TION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
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NVIRO �MENTA f .���~—�–�— ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF STTE
�'ti `'�} ,% ,._ , r.• '� � i PLANS OR TIiE INTENDED USE CHANGE. YOUR WASTEWATER
E N L H�`ALTH SPECIALIST DATEISSU D SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING TI� SYSTEM.
RESIDENfIAL SPECIFICATION: BUILDING TYPE M�_ # BEDROOMS 'Z # BATHS �� # OCCUPANTS �— GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYWL�IL DESIGN WASTEWATER FLOW (GPD) �� NEW SITE REPAIR SITE �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK 'A ' GAL. TRENCH WIDTH "j�n� � ROCK DEPTH ��, �LINEAR FT. !2� ,
. .., OTHER � � 1 S `f +Z! /�`�j lJ TI�•-� '7i�2 ,l� - ......._ ,
REQUIREDSITEMODIFICATIONS/CONDITIONS: I��'7L�LL v� C.t��7(�(.J�k , r"�Gl;'�' ��-� L►N�-� ���5''�
IMP�tOVEMENTPERMITLAYOUT �ggp}���p�� �FLUE��' FIL"CEI�* ;C{TS��(Si
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*'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 - 130 P.M. ON THE DAY OF INSTA�.LATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT
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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 DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII,L FUNC1'ION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
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� •` DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) m��� ��2)'0^�
NAME �1-�1�1 � �-�dN PHONE NUMBER �� X � $ �?�o
ADDRESS �r ��3 1 �"� Lu a'"`-� `G� SUBDIVISION NAME
DIRECTIONS TO S
LOT #
� ►�ip c��.� � o� Gi���► ��..,.5
DATE SYSTEM INSTALLED �" NAME SYSTEM INSTALLED UNDER �kC��� � uUl �"'
1 l
TYPE FACILITY M�- �""� NUMBER BEDROOMS � 1�� NUMBER PEOPLE SERVED �
� M /�QC� � S � c
TYPE WATER SUPPLY �' ' SPECIFY PROBL M OCCURRING ��� ���`�"�
�-��� ��1�:. i l��<<
DATE REQUESTED�� '1�1 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 ail charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT_
Rev. 1/93
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�l 1. �, M� �� �g1�v � g 3y i.Jl u.v�..,,.-� (Li� '��oocE, �,•y�', �� �
. � � ' DAVIE COUNTY HEALTH DEPARTMENT
.... +(Septic Tank) Lnprovements Permit and Cert�cate of Completion
'� (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR � �� : ,, ''';:_ :�- :��� ,,�.�:"��':•;�::.;,; DATE �'��_� . n,� �RMIT
LOCATION � �,�,� f,',1.-n,-�..e.�...� -tf,:...'"'`. ♦`O
.
S.R. N0.
SUBDIVZSION NAME LOT N0. SECTION OR BLOCK N0. _____
�
HOUSE ❑ MOBILE HOME �� BUSINESS ❑
N0. BEDROOMS `=a'r N0. $ATHROOMS
GARBAGE DISPOSAL UNIT YES � NO ❑
AUTO. DISHWASHER YES ❑ NO ❑ �'
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE C�� YES ❑ NO ❑
SIZE OF TANK �al.
NITRIFICATION FIELD � sq. ft.
DEPTH OF STONE IN LINES: �T
WATER SUPPLY: Individual ��� P�ic ❑
��..f. ~ '� �-:.��^.t..'
IMPROVEMENTS PERMIT BY _ , ` ����-
CERTIFICATE OF COI�LETION
BY—
(8/16/73) *Construction must
LOT AREA :%< ' ' " -� , � ��
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
370
; 800._Gal., 4Q�.., Sq ...`F-t-..
�
T��.4:s�a�--:_� 600._ Sg.� Ft.,;
900 Gal. 900�Sq. Ft.
1000 Gal. 1200 Sq. Ft.
INSTALLED BY Ff�iS ' .��1• �' •
��� Date �n 'I `7�
ly with all other applicable State and local regulations
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