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374 Brier Creek RoadDavie County. NC Tax Parcel Rennrt Friday, December 30, 2016 9 t1� ♦ ♦ 1 11113 1A7 1\ V l A-% k3 %J XX V .:, l All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the Parcel Information County of Davie, North Carona, its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: H70000005801 Township: Shady Grove NCPIN Number: 5769758965 Municipality: Account Number: 82519260 Census Tract: 37059-804 Listed Owner 1: ALBARRAN WILFREDO Voting Precinct: WEST SHADY GROVE Mailing Address 1: 374 BRIER CREEK 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: 9.94 AC BRIER CREEK RD Fire Response District: CORNATZER - DULIN,ADVANCE Assessed Acreage: 9.75 Elementary School Zone: SHADY GROVE,CORNATZER Deed Date: 7/2002 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 004300579 Soil Types: EnB,MsC,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 81 Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9 t1� J i Davie County, All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the i, NC County of Davie, North Carona, its agents, consultants, contractors or employees from any and all claims or causes of action due to ! _ � or arising out of the use or Inability to use the GIS data provided by this website. Fermi' AVIE COUNTY HEALTH DEPARTMENT re�,t�brT 'Name:. �a� Environmental Health Section PROPERTY INFORMATION �, r� P.O. Box 848 , //�� ., Directions to property � I� �ci l �� `y Nt ks ille, NC 27028 Subdivision Name>�ffpi,,, 7 XJ li ��fG'�✓�;: Phone #: 336-751-8760 Section: AUTHORIZATION FORWASTEWATER Ifs 'SYSTEM CONSTRUCTION Tax Office PIN:# - / - AUTHORIZATION NO: 002600 A871 graa 6' Road Name�iC/1.1f //, ,_ `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 Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CON,T UCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HtALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE / / # BEDROOMS � # BATHS _ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE E� # PEOPLE : # PEOPLF/SHIFIr /j�}# SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLV0_& DESIGN WASTEWATER FLOW (GPD) O V NEW SITE REPAIR SITE �r SYSTEM SPECIFICATIONS:' TANK SIZE _GAL. PY�P T ANK GAL. TRENCH WIDTH � ROCK DEPTH ,� LINEAR FT. � 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. I OPERATION PERMIT SYSTEM INSTALLED BY: 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 1 I 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. iy Permittee r // DAVIE COUNTY HEALTH DEPARTMENT 6reMbti� � '•.rte== ._ ��,i s- -Name: _ - �' +� .d^ d I -i r Environmental Health Section PROPERTY INFORMATION .. `1 P.O. Box 848 Directions to property:- '' ► J t�' % f h1ocksville, NC 27028 Subdivision Name t' Phone #: 336-751-8760 f f Iw+ Section: " ot•' ^ AUTHORIZATION NO: ®Q 2r) "9 0 A AUTHORIZATION FOR WASTEWATER Tax Office PIN:# 1 SYSTEM CONSTRUCTION - l�i"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 Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) **.*NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION t - } - ;•' ` IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE %i` # BEDROOMS # BATHS — lz,— # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: rYes or No LOT SIZE TYPE WATER SUPPLY;,'/ // DESIGN WASTEWATER FLOW (GPD) 111&0 NEW SITE REPAIR SITE rl �� SYSTEM SPECIFICATIONS: TANK SIZE _GAL. PU P TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. OTHER 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: 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 1 I 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. DCHD 02/02 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLI ATION FOR IMPROVEMENT PERMIT (REPAIR) NAME PHONE NUMBER X95,' ..�) ADDR SS `-� �� G`1 flel SUBDIVISION NAME •� LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY !NU BER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRIN DATE REQUESTED /rte INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledgg, and that I understand [,am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT I Rev. t/93 d. 577( �► _ � �. ,� ,� x.30 �IDAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued:in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Permit Number -,� Name r c � Date mol ./ �� 9 � '' e:.' 2103 Location . C �e�,.`�r; a . l�.. VL C Subdivision NameLot No. (]P- Sec. or Block No. Lot. Size r a House - Mobile Home _ Business Speculation . No. Bedrooms No. Baths .No. in Family Garbage Disposal ' YES 0 NO Specifications for' System: q30 Auto Dish Washer ; YES [ NO ❑ i� Auto Wash Machine YES' NO p I Type Water Supply 'This permit Void if sewage system described below its not installed within 36 months from date of issue. LL 12"4 *Contact a represent 9:30 A.M. or 1:00-1 j ofthe avie C unty Health Department for final inspection of this system between 8:30- P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation.Diag m: fl System Installed b �., S i i ge ? �1 Certificate of Completion Date o The signing of this. certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DATE/ /7Z 1-7 f Dl's%SIE COMITY HEALTIi DEPARTMIT PERCOLATION TEST RESULTS NA:,iE e r a_ 0 1 utn� 5� 3[ a— M o� �;[ I e LOCATI0�7 �-ree.... �r.o -�as� S��<<\ '�o �eF \ � � O-CA-IS,.c. FINDINGS: HOLE I70. COMMIMITS 13 e- 1 �� . r �`► lac. -1. C'v1cr1 - S �..'�s o : L — v e/► � `J1a1s�: � ' Ca L a�- 2 V`!C, 3Prda-- �rcnvv`.5�'Q`�•L�V1►ue llQAe�S'` 3° Shr..n�-SwQ,�I 4 SrakAc_ LOT DIAG.IRM — Q ,S QCveS A4�l� L+II (1 C lS�� 1l(ll �� ., a; a' ►ISP . C\ear cD- oj,c,c, elU 5b DAVIE COUNTY HEALTH DEPARTMENT .� . ENVIRONMENTAL HEALTH SECTION P.O. BOX 57 �,Py MOCKSVILLE, N.C. 27028 (704) 634-5985 STATEIZEM FOR SEPTIC TANK IMPROVEMENTS PERMITS AND/OR SITE EVALUATIONS NAME_ ° � �c1��► DATE fe ;241 ADDRESS_ r 2,44 3in PERMIT NO. EXPLANATIO14 OF CHARGE XMOUNT DULj24,,,iN SANITARIAN PLEASE REMIT THE ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT. *NOTICE° Evaluation(s) can not be completed until payment is received. Improvements Permit(s) can not be issueduntil payment is received.