268 River Road Lot 3Davie County, NC , I Tax Parcel Report Wednesday, January 11, 2017
241
214
247
23 0
263
254. ON,
13� 173
131
f 117
2 5 �70 �/E 1�
34
ILI
2
116
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website &hall 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
F- I
WARNING: TMS IS NOT A SURVEY
Parcel Information
Parcel Number:
E8110BOO10
Township:
Shady Grove
NCPIN Number:
5881057154
Municipality:
Account Number:
47605000
Census Tract:
37059-803
Listed Owner 1:
MARTZ ROBERT 0
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
268 RIVER ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-7602
Voluntary Ag. District:
No
Legal Description:
LOT 3 GREENWOOD LAKE SECTION 1
Fire Response District:
ADVANCE
Assessed Acreage:
1.62
Elementary School Zone: SHADY GROVE
Deed Date:
3/2004
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
005400422
Soil Types:
GnB2
Plat Book:
0008
Flood Zone:
Plat Page:
074
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website &hall 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
F- I
DAVIE COUNTY HEALTH- DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
P.O. Box,848
Eiffi-ec'tions to prop'ei'fip�*tZ- A�� Vi ke 4 -2 11 Subdivision Name: r
Motksvillei NC �7028
Phone #: 336-751-876,
.0 Sec o
ti n: I-ot:
AUTHORIZATIONTOR
WASTEWATER Tax f PIN:#,
SYSTEM CONSTRUCTION
AUTHORIZAnON NO: Road Name: t,,vor Ile",
**N0T8** This Authoriz'ation' for W4stewa'ter System Construction MUST BE ISSUED by the.Davie County Environmental Health Section prior
to issuance of any Building Permits. This F6n-n/Authorizaiion Number should be
presented to the Davie County Building Inspections
Office when ipplying for Building Permhs.
with'Ar6cleA I of G.S. Chapter 130A Wastewater Systems, Section . 1900 Sewage Treatment and Disposal S
(In compliance I ystems)
***NOTICE*** THIS AUTHO, RIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMEkT- I HFAI TH-SPECIALIST D;TE 19SUE!b
RESIDENTIAL SPECIFICATION: BUILDING TYPE i'BEDROOMS, # BATHS I # OCCUPA . NTS GARB AGE DISPOSAL: Yes or No
COMMERCIACSPECIF�ICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATERSUPPLY 4�11�eDESIGN WASTEWATER FLOW (GPD� NEW SITE- REPAIR SITE
. P''
SYSTEM S ECIFICATIONS: TANK SIZE GAL. PUMPTANK ROCK DEPTH
-GAL. TRENCH WIDTH LINEAR FTR�'
OTHER
REQUIRED SITE MODIFICATIONS/C ONDITIONS:
IMPROVEMENT PERMIT LAYOUT
(A
*-c6NTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 -.1:36P.M. ON THE DAY OF INSTALLATION: TELEPHONE #.IS (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO OPERALLnON PERMIT B DATE:
:;;7Zt lev
OPERATION PERMIT SHA LL INDI
"THE ISSUANCE OF THIS ATE T AT THE SYSTEM DESCRIBEDABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I OF G.S. CHAPTER 136A, SECTION '. 1900 "S] AT'MENT AND DISPOSAL SYSTEMS", BUTS'
. .. . .. - �1 HALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY. GIVEN PERIOD OF ME.
DCHD 02/02 (Revised)
3 aoP
<2-
Perrvittec' DAVIE COUNTY HEALTH DEPARTMENT
I h 1 j
Environmental Health Section
Narne: PROPERTY INFORMATION
41 P.O. Box 848
Directions to propert Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760 Lot:
Section:
AUTHORIZATION FOR
WASTEWATER Ta;Ae PIN:#
SYSTEM CONSTRUCTION
ell ��` ) I
, , /" , � , r �i p:
AUTHORIZATION NO: 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 I I of G.S. Chapter 130A, Wastewater Systems, Section . 1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
Xv IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST D,�TE I§SUffD
RESIDENTIAL SPECIFICATION: BUILDING TYPE Z� # BEDROOMS _�� # 13ATHS —2 # OCCUPANTS _Z GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE — # PEOPLE/SHIFT — # SEATS — INDUSTRIAL WASTE: Yes or No
LOT SIZE — TYPE WATER SUPPLY Z�/_/�,DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
ROCK DEPTH LINEAR FTO
SYSTEM SPECIFICATIONS: TANK SIZE ____-_—GAL. PUMP TANK GAL. TRENCH WIDTH A-3
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.
OPERATION PERMIT SYSTEM INSTALLED BY: VJ14 iTk7
24& AUTHORIZATION NO—.Irdl OPERATION PERMURL. DATE -
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDITE IT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WrrH ARTICLE I 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 HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE 'OF COMPLETION
-.kote: iss e 13c.
ued in Compliance with G.S. of North Carolina Chapter 130—Articl
Permit Number
Name Date PP82
Location
Subdivision Name ��w V. -O I Lot No. Sec. or Block No.
Lot Size
House Mobile Home -- 134iness Speculation
N o. Baths No. in Family
No. Bedrooms
Garbage Disposall� YES [Z NO E] Specific
atibns for System:
Auto Dish Washer YES E0 NO 0
Auto Wash,Machine YES NO
Type Water 'Supply
*This permit Void if se wage system described below.is not installed within
I t
Improvements
J
months from date of issue
it by
*Contact a representative of the Davie County Health 'Department for finall insp
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number �04-&
Final Installation Diagram: S stem InstalleO by--�
V.
L)
q6
Certificate of Completio'n �Az
*The signing of this certificate shall iribic6te that the system describeg I i
the standards set forth in t6e above regulation, but shall in NO way be tak
satisfactorily for any givenperiod of time.
tion of this system between 8:30-
-5985.
Date I/ A `�V
ve has been instailldd-,in."C'orfiplia*ncelwitlil
as a guarantee thdt the system will function
qqq
, 7k-
DAVIE COUNTY HEALTH DEPARTMENT*
IMPROVEMENTS PERMIT AND CERTIFICATE, F COMPLETION
�1
44,ote: -Issue'd in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date 22 P
Location
Subdivision Name ej,,�w Lot No. Sec. or Block No.
Lot Size
House
0
Mobile Home Business
Speculation
No. Bedrooms No. Baths
No. in Family
1��` IV
Garbage Disposal
YES :[Z' NO�
E]
Specific atidns for System:
Auto Dish Washer
YES NO
Auto Wash. Machine
YES NO
',Type Water Supply
t /Z,-,
*Thic nrmi+ X/niA if
n n + 14 V; k A
k I + in +nllnA ;thin' rnnn+ho frnm rlo+n nf ioo"n
Improvements permit by
*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 day of completion. Telephone Number: �04-634-5985.
Final -Installation Diagram: S stem Installed b
�y
f V J;,& I e
IV
9V
J/
/V
Certificate of Compleii on
tio
t t vstam sr
'ri
*The signing of this', certificate sh I in ic&te that the system describlee
the standards set forth in the above regulation, but shall in NO way be taki
satisfactorily !or any given'period of time.
Date A
,ve has been instg'1[4d�.-,-in.com'plianc6'w'ft�
as a guarantee thEit the iystem will function
0 VV �ju 0yo K-,111 K;OL, . U V UVV 0 "U
0
1�lw
Improvements permit by
*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 day of completion. Telephone Number: �04-634-5985.
Final -Installation Diagram: S stem Installed b
�y
f V J;,& I e
IV
9V
J/
/V
Certificate of Compleii on
tio
t t vstam sr
'ri
*The signing of this', certificate sh I in ic&te that the system describlee
the standards set forth in the above regulation, but shall in NO way be taki
satisfactorily !or any given'period of time.
Date A
,ve has been instg'1[4d�.-,-in.com'plianc6'w'ft�
as a guarantee thEit the iystem will function
DAVIE COUNTY HEALTH MENT SEPTIC TANK PEUIIT Date(Rl—
.0um-er/Occupant To: 0"If
Address
Address
P
Building Contractord 0 1
Address
Cal. 4;?4fD Dianufacturer's Name
Az�4 '&:-� Address eJ/'�
No. of lines Width in. Total length ft. No. sq. ft. "X
Type of filter material V lo Total tons used
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400
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 Fealth Offic
or his agent.
Date of Final Approval :>7 Signed:
Sanitarian
I hereby certify that t4e above septic tank has been installed according to specificatiop
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
19 It
O_L
-o ta/t_
6` -Fre-, -7 7 -7
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) Ce&
NAME /LL PHONE NUMBERO 0/ �/O_
_R 0 SUBDIVISION NAME
ADDRESS '4 , j 0- P__
DIRECTIONS TO S
erc /.t C_ e__
/ - 6 Flf-
LOT #
L —7(�ry'b / e ,, a o
DATE SYSTEM INSTALLED —NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBERBEDROOMS NUMBER PEOPLE SERVED�
TYPE WATER SUPPLY__�2 �-( —/SPECIFY PROBLEM OCCURRING
-+--P _P_� kc-:, _"� --t/— I-) - -J-_�
DATE REQUESTED d1a Y' INFORMATION TAKEN BY
I I
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
NO P_0_1kbKp7- 5-3 tl--- 7�-