272 Chestnut Trail Lot 17Davie County, NC T Tax Parcel Report Wednesday, November 16. 2016
WAKNMU: '1'H1S 1S NU*1' A SURVEY
Parcel Information
Parcel Number:
1600000054
Township:
Shady Grove
NCPIN Number:
5758955977
Municipality:
Account Number:
29961000
Census Tract:
37059-804
Listed Owner 1:
GOUGHNOUR ROBERT A JR
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
272 CHESTNUT TRAIL
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7122
Voluntary Ag. District:
No
Legal Description:
LOT 17 CHESTNUT WAY
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
3.89
Elementary School Zone:
CORNATZER
Deed Date:
10/1987
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001400625
Soil Types:
EnB,MsC
Plat Book:
0004
Flood Zone:
Plat Page:
154
Watershed Overlay:
DAVIE COUNTY
Building Value:
181140.00
Outbuilding 8r Extra
Freatures Value:
0.00
Land Value:
49620.00
Total Market Value:
230760.00
Total Assessed Value:
230760.00
County,
All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to theDavie
Impliedwa vantlesofmerchantability orfitness for a particular use. All users of Davie County's GIS website shall hold harmlessthe
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NCor
County of Davie, North Carolina, Its agents, consuftarrb, contractors or employees from airyand all claims orcauses of action dueto
arising out of the use or Inability to use the GIS data provided by this website.
'PermittebAVIE COUNTY HEALTH DEPARTMENT
=''t'°r`� % Environmental Health Section PROPERTY INFORMATION
'✓
P. . Box 848 k
Directions to property:hocklle, NC 27028 Subdivision Name:f Lil
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION NO:
002019 A
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
OnA Cha u TrAi /
Road Name: cwjhe, Zip-aUM
**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 l 1.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.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS. # BATHS —,-44, # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEE� # 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 ROCK DEPTH Q ,fi(LINEAR FT. -5
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:
r-�
/,ox))t,
/1
AUTHORIZATION tVOrG� OPERATION PERMIT BY: �1/ DA TE/ l/
**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.
DCtlD 02/02 (Revised) / I �I /f'/ � `r V fa � •--
r,1 �7+ '~+ `. �•: ... W"r tom,- 4.K,. ,r ,_�;. �. � .s .'- �
`PelriniftCa s Fr AVIE COUNTY HEALTH. DEPARTMENT
a // '� ` yfr Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
.,.,
Directions to property: ' " ' °' Ivlocksville, NC 27028 Subdivision Name:
Phone #: 6-751-8760
Section: Lot:
AUTHORIZATION NO:
002619 '"A
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:#
0?k1l e llesV //
Road Name:�141,✓ ZiP:707SC4.!//�,
**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.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS _ # 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 i % DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
f �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH �/ LINEAR FT.,�
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT , t�
i
f
IIFOR 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:�/''
r
AUTHORIZATION NO, J OPERATION PERMIT BY:
**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 I30A 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) l
a.
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f
Perm Y e's " DAVIE COUNTY HEALTH DEPARTMENT�.1' 7- --
Environmental Health Section PRO ER 6*MI.ATION
.r., . j P.O. Box 848
Directions to property'f 7�- /jam f Niocksville,NC27028 Subdivision (Name:
Phone #: 336-751-8760
Section: — Lot: %
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -
o SYSTEM CONSTRUCTION
255
AUTHORIZATION NO: A Road Name. 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 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.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yeas or
No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) -,J 2'NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. UMP TANK GAL. TRENCH WIDTH.T ROCK DEPTH 7LINEAR FT,r `/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: t
"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:AW"Irl
r
n �
Y
AUTHORIZATION NOZd� OPERATION PERMIT BY: DATE: �
"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.
gCE{D 02102 (Reused)
,�� S 74
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)y`"�'�
NAME PHONE NUMBER
ADDRESS / plr % SUBDIVISION NAME
L �v v LOT # t�'T
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY bl-NUMBER BEDROOMS �7 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED U INFORMATION TAKEN BY,
This is to certify that the information provided is correct to the best of my knowled e, an at
SIGNATURE OF OWNER OR AUTHORIZED AGENT
7
Rev. 1/93
all charges incuged from this application.
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements PermitandCertificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
-
OWNER OR CONTRACTOR 1) —itl 14 DATE vfi PERMIT -
LOCATION N? 1538
CERTIFICATE OF COMPLETION By Dai
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA rjj,,.a
Gov "t 71,4-4,
,)� -1
3
S. R. NO.
SUBDIVISION NAME C,,LtF.5T,0tr,
kulqy LOT
NO. SECTION OR BLOCK NO.
HOUSE [Rr MOBILE HOME E3
BUSINESS 0
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO. BATHROOMS
Two Bedroom House 800 Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES El
NO 0"
Three Bedroom House 900 Gala 900
Sq. Ft.
AUTO. DISHWASHER YES NO ❑
Four Bedroom House 1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES
NO 0
SITE SUITABLE YES '
SIZE OF TANK... gal.
NO [3
NITRIFICATION 'FIELD
sq. ft.
4
x 14Y
DEPTH OF STONE IN LINES:
V4 (, t -
WATER SUPPLY: individual
Public 0
IMPROVEMENTS PERMIT BY
ki L
INSTALLED BY,6
CERTIFICATE OF COMPLETION By Dai
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA rjj,,.a
Gov "t 71,4-4,
,)� -1
3
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 571
MOCK'SVILLE, N. C. 27028
(704) 634-5985'
Statement for Septic Tank Improvement,..Permits
and/or SitLe�% Evaluations
' NAME DATE ISSUED
ADDRESS a� � 3 PERMIT N0.
Explanation of charge
AMOUNT DUE %y. u SANITARIAN 7-
4`
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.