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974 Farmington RdDavie County, NC' Tax Parcel Report 1 GO Wednesday, September 28, 2016 E01 Davie County, NC WARNING: THIS IS NOT A SURVEY causes of action due to or arising out of the use or inability to use the GIS data provided by this website. ParcerTnformation Parcel Number: E50000003001 Township: Farmington NCPIN Number: 5841665115 Municipality: Account Number: 82520694 Census Tract: 37059-802 Listed Owner 1: BOGER HELEN Voting Precinct: FARMINGTON Mailing Address 1: 974 FARMINGTON ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 1.93 AC FARMINGTON RD Fire Response District: FARMINGTON Assessed Acreage: 1.81 Elementary School Zone: PINEBROOK Deed Date: 4/2000 Middle School Zone: NORTH DAVIE Deed Book / Page: 2000E0149 Soil Types: EnB Plat Book: Flood Zone: x Plat Page: Watershed Overlay: - Building Value: 56490.00 Outbuilding & Extra 4430.00 Freatures Value: Land Value: 34180.00 Total Market Value: 95100.00 Total Assessed Value: 95100.00 E01 Davie County, NC All data is provided as is without warranty or guarantee of any kind 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 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. AUTHORIZATION NO: 1 U IA ; DAVIE COUNTY HEALTH DEPARTMENT 7— ' Envi onmental Health Section PROPERTY INFORMATION Permittee's a �/u�� P.O.Box848 Name: Z -15W /" ll�� �1 Icksville, NC 27028 Subdivision Name: Directions to property: :—/Phone Phone # 336-751-8760 -';h1?r7 /O t' � Section: Lot: AUTHORIZATION FOR Gl WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION 7 Road Name: F F -1n MA., PX Zip: L j **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) % ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT T .I EMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee=s Name:' (! `� -.'� ( 0 -- �� Subdivision Name: Directions to property: �t, : f+'r Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - - `_ / Road Name: n, PX Zip: **NOTE** This Improvement Permit DOES NOT authorize the constriction 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ZU / PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE 1:7�_ # BEDROOMS c.I-, # BATHS # OCCUPANTS _�_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE, / # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY iv DESIGN WASTEWATER FLOW (GPD) ,22-,Z1d NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH (`/ROCK DEPT LINEAR Fr--9�J REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED FFFLU34T FILTER* *RISER(S) IF 6" E L0 ! FINISHED GRADE* 17 F **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 (1U4jVA4169.X (336)751—a760 OPERATION PERMIT SYS M INSTALLED BY: �/W�^► el ., Gv 0 r 201 xZo AUTHORIZATION NO. OPERATION PERMIT BY: DATE: r **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT t4fSCRlBED ABOV AS 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) « J e DAVIE COUNTY HEALTH DEPARTMENT -4 oii-JMPRQVEMENT AND OPERATION PERMITS PROPERTY INFORMATION `f Name:, Subdivision Name: Directions to property: - Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#. Road Name: f7/l Zip: **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 r G PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERM BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE — # BEDROOMS � # BATHS # OCCUPANTS -�—) GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) .. 1�1%/ NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH2L �j LINEAR FT:.' ;! r OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPPMVED EI~FLUENIT FILTER4 licYIS—ER(S) IF G" BELGF'.•. FINISPED GrMDE- "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 (1W6V6601 1 (33&) 751-8760, OPERATION PERMIT;-7� SYS M INSTALLED BY: iJ J Sr 7o f x3& r'x24 AUTHORIZATION NO. jLiL)?A OPERATION PERMIT BY:LASBEEN DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS IE t DESCRIBED ABOVEINSTALLED 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) 9 J I jil, /- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER OBER ,N NAME LOT # 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. 1/93 Acc i V A�4� 4�'_VOO-oF,711-6 ( K 74v.�# r_-2— el 1