145 Ellis Lnt
Davie County, NC Tax Parcel Report d B I Thursday, September 29, 2016
WARNING: THIS IS NOT A SURVEY
Patc61,146rmation
Parcel Number:
C70000006501
Township:
Farmington
NCPIN Number:
5862568709
Municipality:
Account Number:
71008000
Census Tract:
37059-802
Listed Owner 1:
STEPHENS JOHN HENRY JR
Voting Precinct:
SMITH GROVE
Mailing Address 1:
145 ELLIS LANE
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
1.00 AC OFF HWY 801
Fire Response District:
SMITH GROVE
Assessed Acreage:
1.00
Elementary School Zone:
PINEBROOK
Deed Date:
11/1992
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001660109
Soil Types:
PCC2,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
90150.00
Outbuilding & Extra
Freatures Value:
1240.00
Land Value:
19210.00
Total Market Value:
110600.00
Total Assessed Value:
110600.00
Iff All data Is provided 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 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
NC or arising out of the use or inability to use the GIS data provided by this website.
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• AUTHORIZATION NO: 0831. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
j,
PetrnAtee's ...-%. P.O. Box 848
Name. .. %7�E�A Mocksville, NC 27028 Subdivision Name:
%�/� .t' ��f` Phone #: 704-634-8760
Directions to property: .
Section: Lot:
/7/I �5 / AUTHORIZATION FOR
1rI /1` r / WASTEWATER . Tax Office P N:#
SYSTEM CONSTRUCTION
/ll
Road N me:�I / S L!'� - Zip; O O
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by Davie County Environmental Health Section prior
to issuance of any Building Pen -nits. 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)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. ,
ENVIRONMENTAL HEALTH SPECIALIST- DATE ISSUED
nip „'a•:. 1Y��htitg � +E�;^1n a"��, f.,,_,,,,Y . r �h'` to ,:i:tntw,, f .,� ', :.tr -. t 1 '. .r-. . .: � .
t � � .-':;p wt'i ""�'. �:.:;ti 4. i `KJ( Irr1JY r<'St 3' 'ri''i't �..' +�.,•c.. k•`'.' •.r. rr,_vt,rr .t C,j..
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION'PiEM ITS PROPERTY INFORMATION
Pemlittee's
Name:. Subdivision Name:
Direction to property: Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#_ r
` r Road �arYie: — / 5 L Zip: d 0 6
**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)
F ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
r J . f jx,; �% PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TMS PERMIT BEFORE
j
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS -3 # BATHS _2_# OCCUPANTS --'?–'—GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE ` # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE i �~
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _/ CSS LINEAR FT. i
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I
*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.
SYSTEM INSTALLED BY:
l–
A��pr
o
lJ
AUTHORIZATION NO. D431= OPERATION PERMIT BY: Adz DATE: /
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN
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)
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` 1 ` • '' DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
PeAtfittee's'
Name:- Subdivision Name:
Direction to property: ,+ �'` `� may,. Section: Lot:
r.,
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:,6// ! .S 4 —K ' Zip: 0 0
**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 HEALT .i SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPETCATION: BUILDING TYPE # BEDROOMS -3 # BATHS _ ,57 # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFr # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ��' �� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE -GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. 1-,!:�d
OTHER
^-, REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
1
"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: 0:��'y.! N4
AUTHORIZATION NO. X43 �_ OPERATION PERMIT BY: r.��K 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 TAKEKAS'A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
i.
"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: 0:��'y.! N4
AUTHORIZATION NO. X43 �_ OPERATION PERMIT BY: r.��K 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 TAKEKAS'A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
i.
y DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
` APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME
-.
��P��
�1 S
PHONE NUMBER
ADDRESS
�L1S�
�C ./li-i
Wt-
SUBDIVISION NAME
LOT #
DIRECTIONS TO SITES /'•`G �� f»✓ �� f
a
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
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