178 North Claybon Drive Lot 11Davie County, NC a Tax Parcel Report Thursday, December 15, 2016
AD data data is provided as is adthoutwamamanan
y or gurdes of y Idnd elther expressed sed or Implied Induding but not limited to the
Davie County, impliedwa . . ofinerehardablilry orlimessfor a particular use. Ag users of Davie Count's GIS wcbsbe shall hold harmless we
County of Davie, North Carolina, lis agents, consultants, contractors orempioyees horn any and all daims orcauses 0 action due to
nopp2 NC oraddng out ofthe use orinabllgyto use the GIS data provided by thlswebslte.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number.
C7140A0009
Township:
Farmington
NCPIN Number:
5872070096
Municipality:
Account Number.
15460000
Census Tract:
37059-802
Listed Owner 1:
CLAY KARL
Voting Precinct:
FARMINGTON
Mailing Address 1:
960 EASOME ROAD
Planning Jurisdiction:
Davie County
City:
HURT
Zoning Class: DAVIE COUNTY R -A
State:
VA
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
24563-0000
Voluntary Ag. District
No
Legal Description:
LOT 11 DAVIE GARDENS
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.46
Elementary School Zone:
PINEBROOK
Deed Date:
11/1973
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
000910883
Soil Types:
PcB2,PcC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
& Extra
Building Value:Outbuilding
'Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
AD data data is provided as is adthoutwamamanan
y or gurdes of y Idnd elther expressed sed or Implied Induding but not limited to the
Davie County, impliedwa . . ofinerehardablilry orlimessfor a particular use. Ag users of Davie Count's GIS wcbsbe shall hold harmless we
County of Davie, North Carolina, lis agents, consultants, contractors orempioyees horn any and all daims orcauses 0 action due to
nopp2 NC oraddng out ofthe use orinabllgyto use the GIS data provided by thlswebslte.
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street \
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
REPAIR IMPROVEMENT PERMIT
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005656 Tax PINMH #: 5872-07-0096
Billed To: Karl Clay Subdivision Info: Davie Gardens Lot # 11
Reference Name: REPAIR PERMIT LocationiAddress:' 178 N. Claybon Drive -27006
Proposed Facility: Residential Repair Property Size: 0.464 Acre
ATqMTKI"O PMAPRuthorizafion to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS H'/ AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat.
or theintended use chanee.
Residential Specifications: # Bedrooms # Bathrooms_ # People_ BasementD Basement plumbing❑
Non -Residential Specifications: Facility Type # People_ # Seats_
Square Footage(or Dimensions of Facility)
Lot Size ' Type of Water Supply:.ACounty/City DWell DCommunity Well
System Specifications: Design Wastewater Flow (GPD) Tank Sizee*, AL. Pump Tank GAL. '
r JJ
Trench Width Max. Trench l)eptb5q Rock Depth Linear Ft.262' 2�I
Site Modifications/Conditions/Other. �ucPa
Contact the Davie County Environmental Health Section for final inspection of this system between .
Environmental Health Specialist
i.p. 11-06
DAVIE COUNTY ENVIRONMENTAL HEALTH
a P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
REPAIR OPERATION PERMIT
Account M
990005656 Tax PINIEH M 5872-07-0096
Billed To:
Karl Clay Subdivision Into: Davie Gardens Lot # 11 .
Reference Name:
REPAIR PERMIT Location/Address:' "178 N. Claybon Drive -27006
Proposed Facility:
Residential Repair Property Size:'- 0.464 Acre
ATC Nu bei.
*NOTE**
5757
The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type: S.T. Manufacturer.
Pump Tank Size
System Installed
GPS
DCHD 11/06 (Revised)
Tank Date Tank Size
E.H. Specialist: Date: