126 Ashburton Drive Lot 1-2Davie County, NC t Tax Parcel Report Wednesday, January 11, 2017
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Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
E8070B0013 Township: Shady Grove
5871859472 Municipality:
47836000 Census Tract: 37059-803
MATHIS JAMES D Voting Precinct: EAST SHADY GROVE
126 ASHBURTON DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27006-0000 Voluntary Ag. District:
LOTS 1-2 GREENWOOD LAKE Fire Response District:
2.08 Elementary School Zone:
Land Value:
Total Assessed Value:
9/1959 Middle School Zone:
000610559 Soil Types:
0003 Flood Zone:
053 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
No
91
Davie County,
NC
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and alt claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
ION NO. 35 0#4DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section PROPERTY INFORMATION
Permittees.—+ P.O. Box 848
Name: �✓�j'/%��' l' j �,�� ('' Mocksville, NC 27028 Subdivision Name: 6r«'h Lu 6ans, Wee.
Directions to ro erty:�1 Phone # 336-751-8760
Section: Lot:
��i AUTHORIZATION FOR
-1
/ WASTEWATER Tax OPIN:#
!'� s/ ( SYSTEM CONSTRUCTION Office -
Road Name:9111.— Zip: 7-7e a to
**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 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
rGXXw2;%,3/ IS VALID FOR A PERIOD OF FIVE YEARS.
~ E VIRONME AL HEA&-rk SPECIALIST DATE ISSUED
f f�
Lr 5 DAVIE COUNTY HEALTH DEPARTMENT 3
O / !
IMPROVEME 4T AND OPERATION PERMITS PROPERTY INFORMATION
Permittee"
�J ' '`` 6ree t) iAInn-li
_Name: fui% r`/ %t; Subdivision Name:
,. Directions to property;-/ 4 Section: Lot:.
IMPROVEMENT Tax Office PIN:# - -
Road Name:Kb Zip: Z 71 a fr
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank 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 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THUS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
v RONM HEALTH SPECIALIST DATE SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
4. INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE r # BEDROOMS ,Y—# BATHS —,.?_ # OCCUPANTS, GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 0C- /ROCK DEPTH 4,749' LINEAR FT.
`
REQUIRED SITE MODIFICATIONS/CONDITIONS: ✓
IMPROVEMENT PERMIT LAYOUT APPROVED FFLUEN # RIS�R(5) IF 6" DELOrI FIrlIS�l=Ii G!'ADF
Vel
**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 (7(Y4)' 1W(k`
(330751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
r -
AUTHORIZATION NO. �y OPERATION PERMIT BY: DATE. W
**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 SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DAVID; COUNTY NZALTH DI PIa7i NT
SEPTIC TANK PM-aT
No. of Dedrooms 3 Date 2-6)
This permit is granted to _...�-r.�(-.�°�-- for the installation of
IF
a Septic Tank at the residence of 04� � MAddress ,kJ z2, _.c.q, Q
Duilding Contractor CaC�,,.t Address /,
Septic Tank Specif5.cations: LengthWidth5-2--" Depth � `% "" Capacity Q Gal.
Manufactureris Name ,,.�.� c_ p -�� Address &,.r �
No. of lines Width It tr in. Total length Ft. No. of Sq. Ft.
;2-- 5 717
`
Type of filter material Total tons used .3 0
Minimum Requirements: Tank Capacity Square Ft. of Line
House Trailer 800 100
Two -Bedroom House 800 600
Three-Dedro= House 900 900
No one shall install a septic tank in Davie County vrithout a permit from the
Health Officer or his agent.
Date of final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according
to specifications.
Signed,
Septic Tank Contractor
Note: Make sketch of disposal system on back. of sheet and mail to the
Health Center in Mocksvi]le.
/ o�
.S .
7 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME ecr PHONE NUMBER 1 `t' e 3
ADDRESS n S, A R" /9- 'o J SUBDIVISION NAME
Y� 1/ a. ti C-- LOT #
DIRECTIONS TO SITE 60 tr - 'k ) S o --,+- k- �, 4-.4 Lc et_eu�,_-s s irk
i
�- �J S' . _ t -pace L S �-" 6--�2 CZ s -�-ar� �
DATE SYSTEM INSTALLED 6O NAME SYSTEM INSTALLED UNDER J�M-�� A-���s
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED -�
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING )-4 2
n—, �> 2 ,ec
DATE REQUESTED
NFORMATION TAKEN BY 1-9—
This
�
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. 1/93
I � 1 ?� d ,4-- ��-� `7 t o
Ga:�es 12�C X51 ur��� / 0 (
jrntne-!5'1fl#4Ais r N (gree ria /] ,
DAVM COUNTY HZALTH DEPARMENT 4diiWdeM
SEPTIC TANK PER%LIT
No. of Bedrooms 3
/,� Date 2-- V
This permit is granted to �%� for the installation of
a Septic Tank at the residence of
Duilding Contractor
Septic Tank Specifications: LengthZLITidth 5-2-'' Depth Capacity o o Gal.
Manufacturer's Name �� `����, _ Address
No. of lines ZTidthin. Total length Ft. No. of Sq. Ft. �� O
Type of filter material Total tons used 30
Minimum Requirements: Tank Capacity Square Ft. of Line
House Trailer 800 100
Two -Bedroom House 800 600
Three -Bedroom House 900 900
No one shall install a septic tank in Davie County without a permit from the
Health Officer or his agent.
Date of final Approval
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according
to specifications.
Signed�4g,�(
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to the
Health Center in Mocksville.