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167 Fork Bixby RdDavie County, NC Tax Parcel Report 61 6 � Wednesday, September 28, 2016 i 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. Parcel Number: J7120A0014 Township: Fulton NCPIN Number: 5777280916 Municipality: Account Number: 8302627 Census Tract: 37059-804 Listed Owner 1: CRAVER BARBARA FORREST Voting Precinct: FULTON Mailing Address 1: 172 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: 2.89 AC FORK BIXBY RD Fire Response District: FORK Assessed Acreage: 2.69 Elementary School Zone: CORNATZER Deed Date: 9/2013 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 2013E0913 Soil Types: PcB2,PcC2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - ,WS -IV -P Building Value: 46170.00 Outbuilding & Extra 830.00 Freatures Value: Land Value: 34520.00 Total Market Value: 81520.00 Total Assessed Value: 81520.00 i 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: 0755 DAVIE COUNTY HEALTH DEPARTMENT'` /'11'Environmental Health Section PROPERTY INFbRMATION Permittee' P.O. Box 848 Name: Mocksville, NC 27028 Subdivision Name: Directions to property: LLk E Phone #: 704-634-8760 ' �.� a c- Section: Lot: AUTHORIZATION FOR c, �'�G„ fi� �• .. ,., ,��; c-.,� WASTEWATER Tax Office PIN:# - A _ SYSTEM CONSTRUCTION r, Road Name:. Zip: 006 **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 FonY/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) t '.. . ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED q / DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permit' ' 1 Name: '0- Subdivision Name: Directions to property: Section: Lot: IMPROVEMENT ILI C-. e ' ' �� - PERMIT Tax Office PIN:# � �F� Road Name. i r� �.. � 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 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 BIN'- # BEDROOMS !)— # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes opo) COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFI # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE' TYPE WATER SUPPLY �3 �� DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE �� i SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH' —'LINEAR FT. OTHER '- REQUIRED SITE MODIFICATIONS/CONDITIONS: _ IMPROVEMENT PERMIT LAYOUT 0 3-3 "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 'LLED BY: AUTHORIZATION NO O� �✓ 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 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 Permittee s; _ F Name: `'"� `� ti . Subdivision Name: Directions to property: Section: Lot: t IMPROVEMENT PERMIT Tax Office PIN:# Road Name **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) t ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE I 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 'S►t+ # BEDROOMS # BATHS # OCCUPANTS 1 GARBAGE DISPOSAL: Yes or N COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZe,' cts_ a3 TYPE WATER SUPPLY c -) DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -' LINEAR Fr. '`-1 U OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT j"J "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 5:30.9:30 A.M. OR 1:00.1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT r # -- \ 1 ` - \ N SYSTEM INSTALLED BY: ► U"��°+ c r �J t e r- , AUTHORIZATION NO.y' OPERATION PERMIT BY.DATE r "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I OF O.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 03/96 (Revised) �V DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION k.1 N APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME fhib 7 r0 1'I'� PHONE NUMBER . L?gIF' 5"X ADDRES DIRECTIONS TO UBDIVISION NAME LOT # t - -!:;� Tz 1 c DATE SYSTEM INSTALLED 4 NAME SYSTEM INSTALLED UNDER TYPE FACILITY De- NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY --(/-i l I SPECIFY PROBLEM OCCURRING W e+ 0?kt-. Ml - ,n YS . &q D DATE REQUESTED ���� -% % INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that Iunderstand I am responsible for all charges incurred from this SIGNATURE OF OWNER OR AUTHORIZED AGENT i �U �QAI-') L-17 I Rev. 1193