163 Creekwood Drive Lot 63Davie County, NC
Tax Parcel Report Tuesday, December 6, 2016
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WARNING: THIS IS NOT A SURVEY
Davie County,
NC
Ali data b provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Implied warranties of merchantability orlitnessfor a particular use. All users of Davie County's GIS website shall hdtl hamdess the
County of Davi% Noah Cadtaa, Us agent, eonsukwft eonbactars or emptayeeafmm my and aU deans or ceases of action due to
or arising out of the use or inability to use the GIS data provided by this website.
Parcel Information
-
Parcel Number:
D7030B0003
Township:
Farmington
NCPIN Number:
5862951749
Municipality:
Account Number:
61686500
Census Tract:
37059-802
Listed Owner 1:
RIVERS MERCEDES M DE
Voting Precinct:
SMITH GROVE
Mailing Address 1:
PO BOX 1398
Planning Jurisdiction:
Davie County
City: CLEMMONS
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27012-1398
Voluntary Ag. District:
No
Legal Description:
LOT 63 CREEKWOOD ESTATES
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.48
Elementary School Zone:
PINEBROOK
Deed Date:
1011996
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
1990EO023
Soil Types:
GnB2
Plat Book:
0004
Flood Zone:
Plat Page:
171
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
.Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
ghmvrA
�UUN•��
Davie County,
NC
Ali data b provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Implied warranties of merchantability orlitnessfor a particular use. All users of Davie County's GIS website shall hdtl hamdess the
County of Davi% Noah Cadtaa, Us agent, eonsukwft eonbactars or emptayeeafmm my and aU deans or ceases of action due to
or arising out of the use or inability to use the GIS data provided by this website.
ILI
Pertnitt - e t C r 4�, . DAVIE COUNTY HEALTH DEPARTMENT
�NM,4 5 Environmental Health Section PROPERTY INFORMATION
' t' P.O. Box 848
Directions((toproperty: ryQ �0f/r-� Mocksville, NC 27028 'Subdivision Name: ` ��e�lllUU4
G� jj0' G/t . r ty Phone #:336-751-8760 &S
Iioc :Section: Lot:
AUTHORIZATION FOR
", G ;-OL1 L WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# -
A
tt ��
AUTHORIZATION NO: O O 2 8 O 4 Road Name rJ{� �'� Zip. � 7,0A
**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)
7,1
'E*** THIS AUTHORIZATION FOR WASTEWATER
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED -
RESIDENTIAL SPECIFICATION: BUILDING TYPF/ # BEDROOMS # BATHS # OCCUPANTS I - GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
gy
LOT SIZE ' TYPE WATER SUPPLY �0 DESIGN WASTEWATER FLOW (GPD) �U' NEW SITE A � �R�EPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE I GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /V /1F- LINEAAR FT.�O f
OTHER r'J7—
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT4
�tN�S
'(( At
Oi'e Kort
C /0 r / C -t' I l 4 /OrJ-/S .
OPERATION PERMIT -
SYSTEM INSTALLED BY:
j
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 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. -
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-5760.
OPERATION PERMIT -
SYSTEM INSTALLED BY:
j
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 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. -
DCHD 02102(t<vi.M) C)An'l V;71. 7 7lll V . 0 & fzz .W -
v✓ . _i�.V ,I t'�.:�Y!`. i ��-,.h..;-}s.;N:.���ca •_w ..vc - _..v�Wyl✓rF;.�:.-.F.5.rr^ N.Av...tTr7.. �e.n ..N.a-•.�.�,n.....�. .. ... / .
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DAME COUNTY HEALTH DEPARTMENT x%/61"
� `� Environmental Health Section PROPERTY INFORMATION
40 F_' �l/ b, P O. Box 848
Diiecfion'sto property: G I Mocksville, NC 27028 Subdivision Name:
` �Ff �w�U-� tr �
N0 Gn .z f!t lc u/ Phone #: 336-751-8760 Section: Lot: 7
AUTHORIZATION FOR
C(5 . P j'1 L WASTEWATER Ta Office PIN:# -
- SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002884 A:: Road Nam e(���Luer Zip:,�7,0
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv 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
RESID9NTIAL SPECIFICATION: BUILDING TYPE/ # BEDROOMS 3 # BATHS �- # OCCUPANTS ' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
G tAoo .;:74 ik.
LOT SIZE U TYPE WATER SUPPLY �U DESIGN WASTEWATER FLOW (CPD) 3 � o NEW SITE � � /REPAIR SITE .�✓jy -
SYSTEM SPECIFICATIONS: TANK SIZE &C,GAL. PUMP TANK -,GAL. TRENCH WIDTH3-0-1-1
7 0 r t ROCK DEPTH I (IIA- LINEAR F DO'
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: ^ PG�� �r G ✓r
IMPROVEMENT PERMIT LAYOUT,
G�.�'1 Icy �. d�5i�, b6.'I.ch boxy ah
�. �I✓ cs G✓P Hat c'�ocf5,-' 74 ccds ,
Ci -cur at r��°�R" 1 5 n
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CA
�% CG✓11lGCiG✓ G{aa rr5(�oc`f#� W•��'. la� /i/�'-� SrS�rws y
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 I I OF G.S. CHAPTER 130A, $ CTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNr9ON SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCnnmm(RmW) CIAr! �%/.�fl TAI V.0e,9 Sm�
S DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
1 APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER 0_6 7o2
SUBDIVISION NAME
- LOT #
DIRECTIONS TO
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER S[ !�� &O,�.S
TYPE FACILITY 4011W NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING /I O7�G�iyilUG,
G�i7��r /��D//l� NPS 1� 4w reau� afc�,
DATE REQUESTED �l dI OY INFORMATION TAKEN BY
This is to oartify that the information provided is correct to the best of my knowledge. and that 1 understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT,
Rev. 1193
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion wjzs
(Ground Absorption Sewage Disposal System - G.S. Chapter 1307Article 1T —47fi 5_S93
R'OR CONTRACTOR-- DATE .. -,, •,;_ PERMIT
LTION I10� �t� euldon� �/C . N° 798
DIVISION NAME LOT
St LOT
;SE R MOBILE
HOME
❑ BUSINESS
BEDROOMS '4
NO.
BATHROOMS
_
dBAGE DISPOSAL UNIT
YES
J; j
k
TO. DISHWASHER
YES
mow- O
Gal.
TO. WASH. MACHINE
YES
q3.- NO
❑
.TE SUITABLE
YES
C,,, ,' O
❑
-.-_.___iZEOF-- TANK TQ
gal.
1000
/ \ SECTION OR
BLOCK NO.
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
ITRIFICATION FIELD - -- -- - sq. ft. /000 g0/ fITN(C
EPTH OF STONE IN LINES:__ -
EATER SUPPLY: Individual Public ❑ 1 p
LMPROVEMENTS PERMIT BY I�_, «�^ -1•, INSTALLED BY
(8/16/73)
LOT AREA
�.. .. BY i. LL 4 - Z% "-
*Construction must comply with all
Loboo
i'
GO�0i $ I
0
�L"p QQ . 5��16vol
!(in \A, _ ' 336
applicable State and local regulations
Ii;` KOCS lc aaa
jr DAVIE COUNTY HEALTH DEPARTMENT G�fiKw��
' '(Septic Tank) Improvements Permit and Certificate of Completion 1a -S
(Ground Absorption Sewage Disposaj System -.G.S, Chapter 130-Article3C c/ys_ SS83
OWNER OR CbNTItACTORarrnnr, �:•... DATE PERMIT
LOCATION 1 Fn - -- - - NQ 798
S.R. NO.
SUBDIVISION NAME (�i {� LOT NO. �,2 SECTION OR BLOCK NO.
NO. BEDROOMS 3_ NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES I
AUTO. DISHWASHER YES 4 -
AUTO. WASH. MACHINE YES Ci]/ NO ❑
SITE SUITABLE YES Q oeO ❑
SIZE OF TANK / nn i1 gal.
.NITRIFICATION FFIELDD sq. ft.
DEPTH OF STONE IN LINES:
.WATER SUPPLY: Individual �. Public ❑
IMPROVEMENTS PERMIT BY;
By
sn_4
(8/16/73) *Construction must comply with all
LOT AREA
House Trailer
Two Bedroom House
Three Bedroom House
�Four Bedroom House _
':T�t k.-�a•�C.'S 1r1�1r.,i Mir
800 Gal. 400 Sq. Ft.
800 Gal. 600 Sq. Ft.
900 Gal. 900 Sq. Ft.
1000 Gal. 1200 Sq. Ft.
/aoe qa/. ¢�trrt
I
INSTALLED BY
0t' <do..
• Date -3 /Z • ffil
-ijapplicable State and loca^l� regulations
as X�'t<;.�e � � '� ROLV, k",?A