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188 Woodburn Place Lot 9Dav M6 [all WARNING: TMS IS NOT A SURVEY All data is provided u tswithoutwerrndy or guarantee of any ldnlmlierexpressed or Implied Including butnot limited to the Implied warranfles of merchantability or glossa for a particularum. All users of Davie County's GIS webslte shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or muses ofaction due to or arising out of the use or inability to use Ne GIS data provided by this website. ParcelInformatton_ Parcel Number: C7150A0018 Township: Farmington NCPIN Number: 5862767545 Municipality: Account Number. 8300473 Census Tract: 37059-802 Listed Owner 1: BREHM KATHRYN ROSE Voting Precinct: SMITH GROVE Mailing Address 1: 188 WOODBURN PL Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-9457 Voluntary Ag. District: No Legal Description: LOT 9 CREEKWOOD ESTATES Fire Response District: SMITH GROVE Assessed Acreage: 0.46 Elementary School Zone: PINEBROOK Deed Date: 7/2011 Middle School Zone: NORTH DAVIE Deed Book / Page: 008630894 Soil Types: GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all Davie County, NC All data is provided u tswithoutwerrndy or guarantee of any ldnlmlierexpressed or Implied Including butnot limited to the Implied warranfles of merchantability or glossa for a particularum. All users of Davie County's GIS webslte shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or muses ofaction due to or arising out of the use or inability to use Ne GIS data provided by this website. DAVIE COUNTY' HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Natele r/✓ ; t�/ e 1 Subdivision Name: D`irections'toprope�ty✓�/r //i:. L;��Fr Section a Lot C' IMPROVEMENT .PERMIT Tax Office PIN:# Y . t ' Road Name: OOH b �Z'p:.� %bO6 **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) r ; - ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE < '` PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ' .ENVIRONMENTAL HEALTH SPECIALIST. DATE ISSUED,; - SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEDROOMS # BATHS # OCCUPANTS ,-5— GARBAGE DISPOSAL. Yes or No. COMMERCIAL spkwICAnom FACB,rrY TYPE # PEOPLE # PEOPLEISHIFf' p # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY C -0 DESIGN WASTEWATER FLOW (GPD) /-NEW STTE `REPAIR SITE // SYSTEM SPECIFICATIONS: TANK SIZE c� //GAL. PUMP TANK e! GAL. TRENCH WIDTH [ . ROCK DEPTH QL.L_, LINEAR FT - O:ZQP OTHER �!- mL/OYK� (Tll-fPr REQUIRED SITE MODIFICATIONS%CONDMONS: IMPROVEMENT PERMIT LAYOUT �. ot ZT77 to �� "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 (704) 6348760. OPERATION PERMIT - �jpr� _, _ SYSTEM INSTALLED. BY. _ 3 61t p 1� Tj rl Vim`\ AUTHORIZATION NO.0106 OPERATION PERMTT BY: ( •moi " DATE: L~'0 1 1 **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. .'3 DAVIE COUNTY HEALTH DEPARTMENT Awn IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PemlffWs. n ' Subdivision Name: Direc �"e E lvT/.) d7 on : Lot: 4o toperty 4, IMPROVEMENT Secti PERMIT Tax Office PIN:# - 1 �., Road Name: "jb LIZOp; c� %606 **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*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED . SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE iI # BEDROOMS 3 # BATHS :V # OCCUPANTS ,r- GARBAGE DISPOSAL: Yes'or No COMMEIRCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No - LOT S1ZE TYPE WATER SUPPLY (40 DESIGN WASTEWATER FLOW (GPD) \ NEW SrTE REPAIR SITE'_t� ' SYSTEM SPECIFICATIONS: TANK SIZE .GAL. PUMP,TANK.�GAL. TRENCH WIDTH �U ROCK DEPTH' LINEAR Fr. .2OD i n 77 , , R . OTHER r�• i.(.l %; OYK� SFr �. I . REQUIRED SITE MODIFICATIONS/CONDITIONS: - /i 6 • ' "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 (704) 634-8760. OPERATION PERMIT _� - '-•,.). SYSTEM INSTALLED BY: - y• -t, it Poup i l , AUTHORIZATIONNO. v O�0 - OPERATION PERMIT BY:-+-—�'�' .�i�—'� 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 WAYyBEXAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY.FOR.ANY GIVEN PERIOD OF TIME. � ' j DCHD 05/96 (Bevis d), .w _ A DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION �r APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME YOJuoe 1.toa, PHONENUMBER�'96 ADDRESS Lf/'Bra O llmG SUBDIVISION NAME LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLEDNAME SYSTEM INSTALLED UNDER TYPE FACILITY J/ NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY Co SPECIFY PROBLEM OCCURRING DATE REQUESTED c=7� 9 7 INFORMATION TAKEN BY���/� This is to certify that the information provided is correct to the best of my knowledge, end that 1 understand I am responsible for all chargee Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1183