1535 Fork Bixby Rd�
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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, NC 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.
WARNING: THIS IS NOT A SURVEY
r Parce[Information' __ µ
Parcel Number:
H70000006407
Township:
Shady Grove
NCPIN Number:
5779067217
Municipality:
Account Number:
8301085
Census Tract:
37059-804
Listed Owner 1:
WEIR MICHAEL CHRISTOPHER
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
1535 FORK BIXBY ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
1.125AC AMANDA MILLER S/D
Fire Response District:
ADVANCE
Assessed Acreage:
0.80
Elementary School Zone:
SHADY GROVE
Deed Date:
5/2012
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
008920197
Soil Types:
GnB2,PeC2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
87250.00
Outbuilding & Extra
180.00
Freatures Value:
Land Value:
29300.00
Total Market Value:
116730.00
Total Assessed Value:
116730.00
141
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, NC 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.
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No. of Bedrooms CZ Date
This perndt is granted to for the installation ofa septic tu-
t the residence of c'�i?t�rZ_----_-�-•_ Adares�jv�Z-��.�,�Q��7/ � .a��-°�
Building Contractor _ Address
Septic Tank Specifications: Length WidthDepth—,_Capacity_— Gal, a._�
;Aar:c.`a; Curer°s Name -�C "' _Address
PIo, of lines_ / width o% in. Total Length _ - ft. of Sq. Ft. . 4 oa��_
TtTpe of filter material J4r,0 a"-" d X224 __ Total tons used -
Mini=-ar. Requirements: House Trailer 7 Tank Cap. 800 Sq, ft. line �400
Two-bedroom house " 8:o0 boa
Three-bedroom house 900 900
No one shall install a septic tank in Davie County :;ithout a permit from the Health Officer
or his agent.
Date of final approval � Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specifications.
Signed: -
Septic Tank Contractor
Note- Miake sket:c'. of disposal system on back of sheet and mail to Health Center, Mocksville,,
I -
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
No. of Bedrooms z Date L —12-
T€lis per;ni-b is granted to c �for the installation of a septic ta_�
x,,, the residence of 1`G'i? Adares
Building Contractor _ Address.
Septic Tank Specifications: Length _ WidthDepth-� Capacity_ Gal,
D1,-inc °ac,turer°s Name - . Address --
r
No..of lines--/ width 3 iv in. Total Length _ ft. No. of Sq. Ft , �4 o O - �M
T;rpe of filter material f ro ( ��a s r .r _- Total tons used
Miniii!xm Requirements: House Trailer/ Tank Cap. _800 Sar ft. line _400
Two-bedroom house 8UU` _/6
Three-bedroom house 90U t,goo
No one shall install a
or his agent
Date of final approval
septic tank in Davie County- without a permit from the Health Officer
Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specifications.
Signed:
Septic Tank Contractor
Nate-. Mialke sketbc2 of disposal system on back of sheet and mail to Health Center, Mocksville,,
AUTHORIZATION NO: Q 9 4 4 DAVIE COUNTY HEALTH DEPARTMENT
'„" x/m- S.- F,�,-- � Environmental Health Section PROPERTY INFORMATION
Permittee's - P.O. Box 848
Name: /"' / 1 r, Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
DireptibBs to proper y-` / Section:
J �- AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#_
SYSTEM CONSTRUCTION
Road Name:
Lot:
**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
Y - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION;
_
Name:
Di;ectiansto property:
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: t-oki, -
**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
f ` 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 t # BEDROOMS -'�9, # BATHS _, # OCCUPANTS GARBAGE DISPOSAL: Yes or No
1
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY .J DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE l�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -5-- FT.)
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 (704) 634-8760.
OPERATION PERMIT Z2 ��-y,/J f�
SYSTEM INSTALLED BY:
��
AUTHORIZATION NO. "/ OPERATION PERMIT BY: ,/ (/" DATE: / `1�-e ✓
"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 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
,.. - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION;
`PBr"mittee's - ..
k- Name: Subdivision Name:
Directions top y ert : p, ro %`
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: l�'ll•+ Zip: r
**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 HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 0T # BEDROOMS ' # BATHS _/_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
I
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # 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 DEPTHLINEAR Fr.
OTHER
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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: ZP-O 4ki.� wi
� 1�7
r -
AUTHORIZATION NO. -- (1 OPERATION PERMIT BY: �✓� �L'�/ DATE: /_,15'_
*"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 05/96 (Revised)
NAM
- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
11
_ PHONE NUMBER 29R - yW, n
vv'v-c N
SUBDIVISION NAME Alo
LOT #
DIRECTIONS TO SITE C oyA nr n� fcc' k - R,Yt 6q ' -
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER �a W.e� Int i svk
TYPE FACILITY L),�e NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING KJ ae K >
cI 111- ^ [\fmIcI �n� OkAn AAICA �OKK rOD 1 I- 1✓1 (i.a-go
C
DATE REQUESTED — % '9 i INFORMATION TAKEN BYT t tt
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
Cake by dOL't)M'Pr ( 1CG0.Cj\QI I