1444 Davie Academy Rd Davie County, NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS ISNOT A SURVEY
ParcelInforma ion
Parcel Number: J200000056 Township: Co|oho|n
NCPIN Nomhoc 5717087108 Municipality:
Account Number: 43316000 Census Tract: 37059-801
Listed Owner 1: KJONTZJACK GA[THER Voting Precinct: SOVTHCAU\HALN
Mailing Address 1: 1444D/YV|EACADEMY ROAD Planning Jurisdiction: Davie County
City: N1OCKOV|LLE Zoning Class: DAV|ECOUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028'0000 Voluntary Ag.District: No
Legal Description: 28.6SACD/Y/EACADEMY RD Fire Response District: COUNTY LINE
Assessed Acreage: 38.44 Elementary School Zone: COOLEEMEE
Deed Date: / Middle School Zone: 8OVTHDAV|E
Deed Book/Page: Soil Types: ApB.VVeC.RnD.Ceg2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAV|ECOUNTY
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Building OutbuildindinQ��|uu; 12121U.00 Fmeuhuros=—Value:Extra 17410.00
Land Value: 196460.00 Total Market Value: 335080.00
Total Assessed Value: 185190.00
All data Is pro ided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davis 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
}ATE** 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)
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NAME ���� `� PROPERTY ADDRESS �U 1 �CA�. ti) R%-DATE �-
LOCATION p V
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE Ct o oSQ. # BEDROOMS 3 # BATHS ,- # OCCUPANTS GARBAGE DISPOSAL: Yes
COMMERCIRL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS °i --INDUSTRIAL'WASTE:'...Yes/No
LOT SIZE 30 TYPE WATER SUPPLY )I. DESIGN WASTEWATER FLOW (GPD) FEW SITE REPAIR SITE 1�
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SYSTEM SPECIFICATIONS: TANK SIIE �� GAL. �. TAM( GAL. TRINCH WIDTH RDCK.DEPTH LINEAR ET
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
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mTHIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. `"
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IMPRO EMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEiTTALLATION.
HD RTMENT FOR FINAL-INSPECTION.OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY CSt.'t&
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AUTHORIZATION NO. O �q' OPERATION PERMIT BY `_ - DATE d 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.
DCHD 10/95
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DAVIE COUNTY HEALTH DEPARTME
IMPROVEMENT PERMIT and OPERATION 4Iq j
IMPROVEMENT PERMIT
-**NOTE** This improyement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIZATION) FOR WASTEWATER SYSTEMCDN5 TION. must be obtained from this Department prior to the
construction/installation of a system or the issuanc of a b'ilding permit.
(In compliance with Article 11 of G.S. Chapter 136A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
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E �a�k �`�.O 0 PROPERTY ADDRESS 1 VC N)Yiy 1�Z f, ��4�Q. •�) DATE
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LOCATION
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE C\0`�SQ- # BEDROOMS # BATHS ,- # OCCUPANTS 2, GARBAGE DISPOSAL: Yes 1Q
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIIE 30 a.u-1�4 TYPE WATER SUPPLY n DESIGN WASTEWATER FLOW (GPD) FEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE10b0 GAL. PUMP TANK GAL. TRENCH WIDTH ✓ ROCK.DEPTH LINEAR FT.�L
OTHER 1 " •. o�, `* c c� 1 �c cm s
REQUIRED SITE MODIFICATIONS/CONDITIONS:
*HTHIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE•SYSTEM.
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r fMPRO EMEN PERMIT"BY i
}*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTYTHD RTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF I TALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY n,
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AUTHORIZATION NO. Q ��• 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, 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 10/.95 "
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Davie County Health Department p
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
Mocksville, N.C. 27028 �7�•d v
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
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(Issued in compliance with Article 11 of
G.S. Chapter 13OA, Wastewater Systems)
***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 Counfy,Building Inspections
Office when applying for Building Permits.***
M1 INE •J A cNI_' �0 V �' `7� DATE 9 _1b ' �� �AfHORIZAT093
I`f MMER
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION AV �e pp
COMEMTS/CONDITIONSAIN AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NITICE***,THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (55)) YEARS.-
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. ENVIROMWAL HEALTH SPECIALIST DATE.
DCHD .10/95
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j AVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME k=a14- PHONE NUMBER
ADDRESS f ` - ,DqV/ e-- 4C1qL6_.Y71 SUBDIVISION NAMELX4 _
6 d_k_,5 v,/l P, / lc LOT #
DIRECTIONS TO SITE V/ �� ' u . '� C� CL --
,-A� L r0_5 S' rd
DATE SYSTEM INSTALLED a�� l�l/J�NAME SYSTEM INSTALLED UNDER ,o
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED-42
TYPE WATER SUPPLY jtlL SPECIFY PROBLEM OCCURRING67
,Ix * k -te-k J Jt!q
DATE REQUESTED %��� INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge nd that I understand I am responsible for all charges incurred frim this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT v
Rev.1/93