131 Jordan Lane Lot 15 P/O 17Davie County, NC Tax Parcel Report
Tuesday, January 10, 2017
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
E8110B0008 Township:
Shady Grove
NCPIN Number.
5881050197 Municipality:
Account Number:
38450000 Census Tract:
37059-803
Listed Owner 1:
HUNTER ERIC A Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
131 JORDAN LANE Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag. District:
No
Legal Description: LOT 15 P/O 17 GREENWOOD Fire Response District:
ADVANCE
Assessed Acreage:
1.59 Elementary School Zone:
SHADY GROVE
Deed Date:
5/1987 Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001370669 Soil Types:
GnB2
Plat Book:
0003 Flood Zone:
Plat Page:
101 Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
9 PIS,
Davie County,
All data is provided as Is without warranty or guarantee of any Idnd either expressed
implied warranties of merchantability or fitness for a particular use. All users of Davie
or Implied Including but not limited to the
County s GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
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NC
or arising out of the use or Inability to use the GIS data provided by this website.
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Pernuttee's t ` _ �. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 n Oak
Directions to property: ���� /47 Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760 Irl
�/�/ tai r► 5� S ` j`}i' r �(!_ i t �J Section: Lot:
f AUTHORIZATION FOR O b �•• Q ••I
WASTEWATER Tax Office PIN:#1O� " l q /
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 4- A Road Name
**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 11 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.
---"'ENVIRON NTAI;HEALTH SPECL LIST DAT ISSUED
Irr (_.1 _
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS #BATHS;_ #OCCUPANTS _ " GARBAGE DISPOSAL Ye or No
COMMERJCI%ASL SPE/C,IIFI(C,ACTION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE/ &V LA TYPE WATER SUPPLY /10 DESIGN WASTEWATER FLOW (GPD) �`� `� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.��
OTHER �� UST i_rat J - >C —tom, Ci l E*.X rr rJ �.L�J L
REQUIRED SITE MODIFICATIONS/CONDITIONS: - VA -n-?" -��»_ '•--"k=rte �►� i" ( ' "`) c'
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE-eF THE 1rAVV IE 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.
OPERATION PERMIT
SYSTEM INSTALLED BY:
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01-p L I X- t�JD"_ Olp"
FLAXaA SD 0`r Lz*p� 7 Vj
AUTHORONO'71. •• • .� _
MEW—.0 G3 =
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THESY91VTq=RIBED ABOVE'+tAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G. S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AITIT 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 07/02 (Revised)
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DAVIE COUNTY HEALTH DEPARTMIDGZJLJ��f CE# n�Environmental Health SectionVPO Box 848/210 Hospital StreetMocksville, NC 27028T��n3Phone: (336)751-8760
TAiHr1[iyON-SITE WASTEWATER CERTIFICATION FOR
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNE'C/TIO
Name: - / J t Phone Number:�f��7 LI (Home)
Mailing Address: l l /' c OpJl -7 - 6 c3 (Work)
D&
Detailed Directions To Site:D
,OL= - �-'qd e wolsorl ,a�4b/-D1Gl• �m-'�es �6 �IcS�'
Q r HJT D b ilil
r' 44, e-nd W S7
Property Address:
Please Fill In The Following Information About The Existing Dwelling: l �.
Name System Installed Under, e Type Of Dwelling: �T `�-
Date System Installed(Month/Day/Year): 9s -.( C -_7 7 Number Of Bedrooms: 27/' Number Of People:
Is The Dwelling Currently Vacant? Yes ❑ No a-�ff Yes, For How Long?
Any Known Problems? Yes ❑ No q/If Yes, Explain:
will b r 3 b is
73s
a- `lY6`-Y,�s re1r.�1 �6 ' 6 ( �- , 0 ,
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling:
Requested By:
(Signature)
I
,n
umber Of Bedrooms:
nvironmental Health Office Use Only
Rd-
rc-ti
'56 --y- (. r P
Y
ment th Staff is in no intended, nor should be taken as a
tiC � :)n -site wastewater system will function properly for any given period of time.
��- - '_
er ❑ # Amount: $ Date:
Received By:
Account #: 2 Invoice #: 5-
DAVIE COUNTY HEALTH DEPARTMENT Lsj
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C
n P )
OWNER OR CONTRACTOR r-rSo,ti ' "DATE r° PERMIT
LOCATION jrn;c,. r: .i G� �c.,at.. �i ~'taA..�. •,, 1458
S. R. NO.
SUBDIVISION NAME LOT NO. _ 5 SECTION OR BLOCK NO.
HOUSE JM MOBILE HOME ❑ BUSINESS
NO. BEDROOMS NO. BATHROOMS X11 --
GARBAGE DISPOSAL UNIT YES ❑__/ NO ❑
AUTO. DISHWASHER YES C NO ❑
AUTO. WASH. MACHINE YES 0 NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK 0 gal.
NITRIFICATION FIELD �_� ' sq. ft.
DEPTH OF STONE IN LINES: "f
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
I
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
INSTALLED BY e��-'-'
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
CERTIFICATE OF COMPLETION Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT �O
P. 0. BOX 57
MOCKSVILLE, N. C. 27028 U
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAll, E t DATE ISSUED - ->7
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ADDRESS.3h � �ug� �' ,�,, PERMIT NO. 1y
Explanation of charge ( t,_�n,�,•��,,�-� p,,,,
AMOUNT DUES,',^ SANITARIAN cLy� GLd
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.