1145 Daniel Road Lot 3Davie County, NC Tax Parcel Report Tuesday, December 13, 2016
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Parcel Information
Parcel Number. L500000O1803 Township: Jerusalem
NCPIN Number. 5738823848 Municipality:
Account Number.
8304283
Census Tract:
37059-807
Listed Owner 1:
ELLER MARY THERESA
Voting Precinct:
COOLEEMEE
Mailing Address 1:
107 WOOD STREET
Planning Jurisdiction:
Davie County
City: CLEVELAND
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAME COUNTY CZOD
Zip Code:
27013
Voluntary Ag. District:
No
Legal Description:
LOT 3 DANIEL EAST
Fire Response District:
JERUSALEM
Assessed Acreage:
0.49
Elementary School Zone:
COOLEEMEE
Deed Date:
10/2014
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
009720228
Soil Types:
PcC2
Plat Book:
0005
Flood Zone:
Plat Page:
125
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding 3 Extra
Frestures Value:
Land Value:
Total Market Value:
Total Assessed Value:
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Name Environmental Health Section PROPERTYINFORMATION
.
/ rte// ij / P.O.BozW
Direciionstopropetfy Ce/!tee s`�b,/� sf Ld Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751 8760
Section. Lo. -•�
AUTHORIZATION FOR
WASTEWATER /�pX�ffice PIN:# -
7 n2 SYSTEM CONSTRUCTION
AUTHORIZATION NO: 2 3 5 A Road N/ t'/ 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-Fonn/Authorization Number should be presented to the Davie County Building Inspections
Officewhen applying for Building Permits:
(In compliance With Atticle.l l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. _
'ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE ,&2 # BEDROOMS ,S� # HATHS _;Z7 # OCCUPANTS` GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYP/Ey # PEOPLE # PEOPLE/SHIFT /"'#}SEATS_ INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY/_�� DESIGN WASTEWATER FLOW (GPD) �w NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE- GAL. PUMP TANK ---L—GAL. TRENCH WIDTH `—� ROCK DEPTH LINEAR FT.
. OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.:::'
DCHD 02102 (ReAsw)
DAVIE COUNTY HEALTH DEPARTMENT y J a y
Name° Environmental Health Section PROPERTY INFORMATION
P.O
`Box 848 `:.
Direcuons to property: L /r •>> r Mocksville, NC 27028 Subdivision Name:
}
Phone #: 336-751-8760.
'v`,''�6h.�Tr •'f>' r-.�.•;: i ""' Seciion: -,Lot -�
AUTHORIZATION FOR
WASTEWATER TA�c9ffice PIN:#
SYSTEM CONSTRUCTION ' y e PI
/ -
AUTHORIZATION NO: A Road Narr e: ' N� r s ZIP
**NOTE** ThisAuthorization for Wastewater System Consruction 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.
an compliance with Article 11 of G.S. Chapter 130A,'Wastewater Systems,'Section .1900 Sewage Treatment and Disposal, Systems)
' �'�r y (moi) r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
! i..�[��.r"�/ �,�'.'?r' f� •.:. J .F�.:"i/� !:', • . - IS VALID FOR A PERIOD OF FIVE YEARS. - -
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SP.CIFICATION: BUILDING TYPE 0; Al # BEDROOMS � # BATHS _,,�7 N OCCUPANTS _ GARBAGE DISPOSAL: Yes or No .
COMMERCIAL SPECIFICATION: FACILITY TYPE ' 4PEOPLE PIE6PLbSHiFr1 #SEATS_ INDUSTRIAL WASTE: Yes or No
n
LOT SIZE -TYPE WATER SUPPLY , DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ` GAL.. PUMP TANK( GAL. ,TRENCH WIDTH {__ G ROCK DEPTH _ AL LINEAR Fr. �r
OTHER
REQUIRED SITE. MODIFICATIONS/CONDITIONS: - - '
sN
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
f APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAMEN/i �a`�C� PHONE NUMBER �
ADDRESS SUBDIVISION NAME ]L�)It,�
�- /LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BED ROOMS_7::�NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTE D-4 INFORMATION TAKEN BY _:9!9'74
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 AGENT
Rev. 1193
I,