148 Creason RdDavie County, NC Tax Parcel Report 4; � ` , Tuesday, September 27, 2016
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141
Davie County, NCimplied
WARNING: THIS IS NOT A SURVEY
_,
,:Parcefinfo'rmation
Parcel Number:
M400000046
Township:
Jerusalem
NCPIN Number:
5735585770
Municipality:
Account Number:
36396000
Census Tract:
37059-807
Listed Owner 1:
HOLLEMAN BRENDA C
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 275
Planning Jurisdiction:
Davie County
City:
COOLEEMEE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27014-0000
Voluntary Ag. District:
No
Legal Description:
1.28 AC OFF CREASON RD
Fire Response District:
COOLEEMEE
Assessed Acreage:
1.30
Elementary School Zone:
COOLEEMEE
Deed Date:
10/1989
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001510209
Soil Types:
GnB2,GnC2,RnD
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:
23480.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
16080.00
Total Market Value:
39560.00
Total Assessed Value:
39560.00
141
Davie County, NCimplied
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
_ Permittee'sDAVIE COUNTY HEALTH DEPARTMENT 7— J
Name: /. Environmental Health Section PROPERTY INFORMATION
;. / P.O. Box 848:'
'Directions to property: :• D Cep./ Mocksville, NC 27028 Subdivision Name:
�` f: f `✓J, Phone #: 336-751-8760
Section: Lot:
.AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: '2528 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. Chapter130A, 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
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY , O DESIGN WASTEWATER FLOW (GPD) ,51 y NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHZ,�f ROCK DEPTH { _- LINEAR F r_-�
OTHER
REOUIRED SITE MODIFICATIONS/CONDITIONS:
**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
r
���
AUTHORIZATION NO. OPERATION PERMIT BY: DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WrrH 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 0/02 (Revised)
} DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
e p-.- a n� PHONE NUMBER r� -2 f -
S
ADDRESS f,'$' �re S v t J SUBDIVISION NAME
At o c irGS .11 //c, LOT #
DIRECTIONS TO SITE 601-S o ,� 6 1--Wr 9Lc-r'- -kc CP -116J Pf 6-2
cc__II r s
DATE SYSTEM INSTALLED_ �S NAME SYSTEM INSTALLED UNDER&t (7Je- -.s 0 zj
TYPE FACILITY
NUMBER BEDROOMS
NUMBER PEOPLE SERVED
TYPE WATER SUPPLY
(20 C -( SPECIFY PROBLEM
OCCURRING —c K
DATE REQUESTED x.18 d INFORMATION TAKEN B
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. 1/93