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388 Riverbend Drive Lot 207Davie County, NC Tax Parcel Rennrt Thursdav, October 27, 2016 WARNING: T1 1h IS NOTA SURVEY Parcel Information Parcel Number. D806OA0029 Township: Farmington NCPIN Number: 5882027834 Municipality: BERMUDA RUN Account Number: 82522114 Census Tract: 37059-803 Listed Owner 1: COBB FAYE MARLENE TRUST Voting Precinct: HILLSDALE Mailing Address 1: 388 RIVERBEND DRIVE Planning Jurisdiction: BERMUDA RUN City: BERMUDA RUN Zoning Class: BERMUDA RUN CR State: NC Zoning Overlay: Zip Code: 27006-8523 Voluntary Ag. District: No Legal Description: LOT 207 BERMUDA RUN GOLF&COUNTRY Fire Response District: CLEMMONS Assessed Acreage: 1.03 Elementary School Zone: SHADY GROVE Deed Date: 1/2004 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005310030 Soil Types: GnB2,GnC2,GaD Plat Book: 0004 Flood Zone: Plat Page: 092 Watershed Overlay: BERMUDA RUN Building Value: 180660.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 110000.00 Total Market Value: 290660.00 Total Assessed Value: 290660.00 101 �T All data is provided as is wNhout war anty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. Ali 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 causes of action due to l� C or arising out of the use or Inability to use the GIS data provided by this website. 3 _ Permittees DAVIE COUNTY HEALTH DEPARTMENT Name: /%�A%� /r�°� %I �r,� / � Environmental Health Section PROPERTY INFORMATION P.O. Box 848� f 3 4) Direc 'ors to propertyl,:'r� it p r en Mocksville, NC 27028 Subdivision Name: ar"'°ii�relllw YYda a hone #: 336-751-8760 Section: Lot: l / ; AUTHORIZATION FOR ar WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION 2136 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) 1 r' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL EALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTSGARBAGE DISPOSAL: Yes or No k COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No, , LOT SIZE TYPE WATER SUPPLY C O DESIGN WASTEWATER FLOW (GPD) Zy NEW SITE-1REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANKA (!V GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. L) OTHER r 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 (336)751-8760. OPERATION PERMIT iYS M INSTALLED BY: N 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. WHD 07!02 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME h-) J -r4- h , L J_... Y%Z- PHONE NUMBER � ADDRESS L 'S'yys� IVISION NAME.��C G /,, raj �'I din ��2 -� J a i, �. (� / LOT e— DIRECTIONS TO SITE -�Z:2 O tj -cr6'e_ o _ A-0 zuKr " . �7 —7 DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER _ U TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED 3 TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED ��3 �-� 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 DAVIE COUNTY HEALTH DEPARTMENT • ' (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage_ Disposal System - G.S. Chapter 130 -Article 13C) OVMER OR CONTRACTOR 4 f\S :tri+.r ,,r 1 r DATE �/ -/ ` �77 PERMIT ..LOCATION � ��'•1 y N�«,�rr�--�.) No 1702 S.R. NO. SUBDIVISION NAME LOT N0, CR f) 7 SECTION OR BLOCK NO. HOUSE MOBILE HOME BUSINESS ❑ 3 f� House Trailer 800 Gal. 400 Sq. Ft. N0. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES E:r- NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES C!r NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES Er NO ❑ ' ��.1, SITE SUITABLE YES [3 NO [3�a S I ZE OF TANK /,R dV gal. 'A i"k J- NITRIFICATION FIELD sq. ft. C }7 } oc" DEPTH OF STONE IN LINES: ^--' WATER SUPPLY: Individual ❑ Public IMPROVEMENTS, PERMIT BY �- £�..�`� - INSTALLED BYp,'�j_. CERTIFICATE OF COMPLETION By- Date (8/16/73) *Construction mus comply with alf other applicable State and local a ulations LOT AREAr�, • cru ��` .' X/ " It�.�k• r 7 • ` �O i=ce c�.'�`VJ�'" .�"- � � �^.j i �j' �r � !" (A! ti DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 MOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME -5 4 N �� ur. 43. t?�yjj., NUuwoO) DATE ISSUED 11-J-27 ADDRESS �6 N�u�+-�Q 24c, Q Sic . PERMIT N0. 91U— 7V20 Explanation of 'charge AMOUNT DUE SANITARIAN �. nia",) PLEASE REMIT THE ABOVE A14OUNT ON RECEIPT OF THIS STATEMENT.