517 Gordon Drive Lot 80Davie County, NC Tax Parcel Report Tuesday, December 13, 2016
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9P yEAll data Is provided as is withoutwarranty or guarantee of any kind eitherexpressed 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 shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or cau ses of action due to
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nDUN'� NC or arising out of the use or Inability to use the GIS data provided by IN s website.
WARNING: THIS IS NOT A SURVEY
-
Parcel lnfofmaUon
Parcel Number:.
- D7030SO022 -
Township:
Farmington
NCPIN Number:
5862841444
Municipality:
Account Number:
288500
Census Tract:
37059-802
Listed Owner 1:
ADOLF PETER JOSEPH -
Voting Precinct:
- SMITH GROVE
Mailing Address 1:
1647 LINDAN DRIVE
Planning Jurisdiction:
Davie County
City:
ALDEN
Zoning Class: DAVIE COUNTY R-20
State:
NY
Zoning Overlay: DAVIE COUNTY QD
Zip Code:
- 14004-0000
Voluntary Ag. District:
No
Legal Description:
LOT 80 CREEKWOOD ESTATES SECTION TWO
Fire Response District:
SMITH GROVE
Assessed Acreage:
.0.45.
Elementary School Zone:
PINEBROOK
Deed Date:
611983
Middle School Zone:
_ NORTH DAVIE
Deed Book/Page:
001190605
Soil Types:
GnB2
Plat Book:
0005
Flood Zone:
Plat Page:
007
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
-
Freatures Value:
Land Value:
-
Total Market Value:
Total Assessed Value:
9P yEAll data Is provided as is withoutwarranty or guarantee of any kind eitherexpressed 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 shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or cau ses of action due to
j�J
nDUN'� NC or arising out of the use or Inability to use the GIS data provided by IN s website.
AUTHOR!ZAT18N NO: 17 4 DR DAVIE COUNTY EALTH DEPARTMENT
tjrtalHealth Section PROPERTY INFORMATION
Permittee s, S G ! O. Box 848 —/
Name., ,//UQ�e �e . Mocksville, NC 27028 ' Subdivision Name:
Phone # 33677511-8760' p
Directions to property: S L�//bit Section
AUTHORIZATION FOR
�^ / WASTEWATER
rip ` . �/Y�/�J ✓l�P Tax Office PIN:#
SAY/STEM CONSTRUCTION
1�6�G L'e262 jdU. lt%G 29ovC Road Name. Zip ��66
**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/Authorimuon Number should be presented to the Davie County Building, Inspections
Office when applying for Budding Permits.—,, `
(In compliance with Article I 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 FTVE YEARS
'DATE ISSUED
ENVIRONMENTAL HEALTH SPECIALIST
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• 4-374 0A DAVIE COUNTY11EALTH DEPARTMENT 1
1 ` ' i�TOVN
ss D OPERATION PERMITS PROPERTY INFORMATION
e il'tli�ttee s ;
G P';., ; Subdivision Name:40
Directions to property.i`.S I Cct: i n Section:_ Lot:
� IMPROVEMENT
✓ xjM? n/� j'. F o' :q PERMIT Tax Office PIN:#
Road Name:
**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
constmction/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 Treatmentand Disposal Systems)
1 Y / ***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 -.7' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION:. FACILITY TYPE . # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE. Yes or No
LOT SIZE TYPEWATER SUPPLY DESIGN WASTEWATER FLOW (GPD) Ti NEW SITE— REPAIR STCE:(�'"
SYSTEM SPECIFICATIONS: TANK SIZE GAL.. PUMP TANK !V -eGAL. TRENCH WIDTH �. ROCK DEPTH LINEAR 1:T. /
. OTHER'
• -- REQUIRED SITE MODIFICATIONS/CONDITIONS: - -
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OFTHIS 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.
... - xxxxxxxxx
< DCHD 05196 (Revised)
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11DAME COUNTYI;JEALTH DEPARTMENT
t P OVF ON OPERATION PERMITS PROPERTY IINFORMAATION
.Retfir14t a s.,.A 1 i.. C. j�l !;C Lc zY C/
Narget'' f ��`' Subdivision Name:
Directions to property: ' '` v � >✓ '�- � ' ' �� .: a Section: Lot:
., IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zips'
**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
constructionAnstallation 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
r + SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM.
Jam.
RESIDENTIAL SPECIFICATION: BUILDING TYPE • # BEDROOMS,�� # BATHS y� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
t
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/or No -
LOT SIZE TYPE WATER SUPPLY ,DESIGN WASTEWATER FLOW (GPD),;; ly NEW STYE 'REPAIR S17'E._(�-- _y
' SYSTEM SPECIFICATIONS: TANK SIZE nn GAL. PUMP TANK /GO d GAL. TRENCH WIDTH 1 ROCK DEPTH A? - LINEAR FTQV—C)'
REQUIRED SITE
IMPROVEMENT PERMIT LAYOUT
QPM X11
*APPROVED EFFLUENT FILTER* eRISER(S) IF fill. BELOW FINISHED GRADE*
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of
A/
**CONTACT A REPRESENTATIVE OF THE DAVE: 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. -
.. - XXXXXXXXX r
OPERATION PERMIT
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AUTHORIZATION NO. jO .OPERATION P ! DATE: -
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE '1
- WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEM$'„ BUT SHALL IN NO WAY BE TAKEN AS A '
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY Gr4N PERIOD OF TIME. ;
DCHD 05/96 (Revised) _
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AUTHORIZATION NO. jO .OPERATION P ! DATE: -
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE '1
- WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEM$'„ BUT SHALL IN NO WAY BE TAKEN AS A '
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY Gr4N PERIOD OF TIME. ;
DCHD 05/96 (Revised) _
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~ r ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME Wfi 941t lfi D re PHONE NUMBER
ADDRESS QJP-/ /O�Dfy/�tRr✓ //)/a SUBDIVISION NAME
1/bop// s p-, We 4 /V le LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS ',S NUMBER PEOPLE SERVED, T
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
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. 1193
rr� 11 �l -7-,u)� I (_!j �
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
a
(Ground- Absorption Sewage Disposal System - G. S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR /'Z. I t,1 e 'iii) a i-1 c 4. 6 DATE PERMIT q p t
LOCATION. %�Lf1�f/;VCL N? 1634
S.R. NO.
SUBDIVISION NAME % .ti'L%/uO LOT NO. iii SECTION OR BLOCK NO.
NO. BEDROOMS- �`
NO.
BATHROOMS Z
GARBAGE DISPOSAL UNIT
YES
❑
NO O'
AUTO. DISHWASHER
YES
❑
NO ❑
AUTO. WASH. MACHINE
YES
P
NO ❑
SITE SUITABLE
YES
Q
NO ❑
/
SIZE OF TANK%M.
gal.
-NITRIFICATION FIELD
sq. ft.
V1,
DEPTH OF STONE IN LINES: <+'-
WATER SUPPLY: Individual
❑
Pub�l/ic ❑
BY��
IMPROVEMENTS PERMIT
(8/16/73) *Construction must comply with
LOT AREA
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.
INSTALLED BY. �� �uy✓
Date / A//,'
L other applicable State, and local iegtAat6ns .
/S v /_A'
- a L
DAVIE COUNTY HEALTH DEPARTMENT '
P. 0. BOX 57 �f
MOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site
Evaluations
NAME
(
DATE ISSUED
ADDRESS P
r
PERMIT N0,
27
Explanation
of charge
AMOUNT
DUE�
SANITARIAN
PLEASE REMIT
THE ABOVE AMOUNT ON RECEIPT
OF THIS STATEM NT.