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154 Pine Valley Road Section 1 Lot 13Davie County, NC , Tax Parcel Report Tuesday, January 24, 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS IS NOTA SURVEY Davie County, Parcel Information �o W J605OA0008 Township: Fulton 5758906592 Municipality: 82521665 Census Tract: 37059-804 BAHNSON PAMELA B Voting Precinct: FULTON 154 PINE VALLEY ROAD Planning Jurisdiction: Davie County MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: 27028-0000 Voluntary Ag. District: No LOT 13 HICKORY HILL SECTION 1 Fire Response District: FORK 0.49 Elementary School Zone: CORNATZER 10/2003 Middle School Zone: WILLIAM ELLIS 005190121 Soil Types: Gn62 0004 Flood Zone: 105 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9�uv.11 Davie County, All data as provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS webslte shall hold harmless the �o W NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to the Inability to the GIS data by this webstte. u N �a or arising out of use or use provided AV FHORLATION NO: Q 8 Q 4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's j P.O. Box 848 Name:/.a: ✓� s.1fi7�* S r`��6! Mocksville, NC 27028 Subdivision Name: '', Phone #: 704-634-8760 s Directions to property: e Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - SYSTEM CONSTRUCTION ISI j�ALG`� . Road Name: /i✓4 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) ze, ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION f 1, f.'S}-' `p' yF"</ . <,IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SI!EeIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION dame" Subdivision Name: Directions property: Section: / Lot: % IMPROVEMENT PERMIT Tax Office PIN:# _. Road Name: //� ip: **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 PERMrr BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE 6� # BEDROOMS '�- # BATHS ti:EI! # OCCUPANTS —? GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY (l' DESIGN WASTEWATER FLOW (GPD), NEW SITE REPAIR SITE v SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH .5ROCK DEPTH 2L. (LINEAR FT. /-!�� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **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: 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 05/96 (Revised) r DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION y WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT NAME )5,4,n w / 4 <O.a� PHONE NUMBER ADDRESS lQ l�< ! SUBDIVISION DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER SPECIFY PROBLEMS OCCURRING NAME SUBDIVISION LOT # DATE REQUESTED INFORMATION TAKEN BY DAVIE COUNTY HEALTH DEPARTMENT .. (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal, stem - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR r? r1+f�.i. C. t, �-r)r,, u, ��t5 DATE " %�'{ PERMIT ,,// N° 2 5'7 LOCATIONS 7` �" I .t c) a'j < / S.R. NO. SUBDIVISION NAME 1-hCAbrt fl o)i LOT NO. t, SECTION OR BLOCK NO. HOUSE jff MOBILE HOME ❑ BUSINESS E/ NO. BEDROOMS _ NO. BATHROOMS " i.1. GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES M'- NO ❑ AUTO. WASH. MACHINE YES [fir NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK r�"r% gal. NITRIFICATION FIELD Atti, sq. ft. DEPTH OF STONE IN LINES:011 WATER SUPPLY: Individual r ❑ Public , IMPROVEMENTS PERMIT BY !++*�' CERTIFICATE OF COMPLETION BY— (8/16/73) *Construction must 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.( 1 " ;.-, 000 130 INSTALLED BY 1 J/;! �✓.�J.p'Ji'i/V -- i � 9ii Date f, 1 Tt: y with all other applicable State and local regulations 04 6 CD y 3 f g' `'civ - DAVIE COUNTY HEALTH DEPARTMENT ' (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposalstem - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR _ ��,Cl l`[9� �11A_. ��ls .t ��}� l, j& -f c5 DATE %/ PERMIT LOCATION (o N? 257 S.R. NO. SUBDIVISION NAME M ex'Dr !A N w LOT NO. 1 SECTION OR BLOCK NO. HOUSE eq MOBILE HOME 0 BUSINESS NO. BEDROOMS —:K— NO. BATHROOMS ;?,/,' GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ®' NO ❑ AUTO. WASH. MACHINE YES Ca'" NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK % d?1P gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: t WATER SUPPLY: Individual ❑ Public X IMPROVEMENTS PERMIT BY CERTIFICATE OF COMPLETION BY— (8/16/73) *Construction must 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. dW �ecv,.•-�'�p. iia, INSTALLED BY j ; P. 1),Ia, ;,iV C J MQ,.N(ill Date 6 ',%b"7� ly with all other applicable State and local regulations 1 j t dew'n