263 Gladstone RdDav
!016
[61
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 webshe.
WARNING: THIS IS NOT A SURVEY
P q-0FInformation
Parcel Number:
L5090B0007
Township:
Jerusalem
NCPIN Number:
5736948762
Municipality:
Account Number:
8300071
Census Tract:
37059-807
Listed Owner 1:
HANCOCK DAVID WALTER ETAL
Voting Precinct:
COOLEEMEE
Mailing Address 1:
114 NATAL[ ES WAY
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay: DAVIE COUNTY CZOD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 162-163 MORRIS-HENDRX
Fire Response District:
JERUSALEM
Assessed Acreage:
1.28
Elementary School Zone:
COOLEEMEE
Deed Date:
6/2010
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2010EO469
Soil Types:
CeB2
Plat Book:
0001
Flood Zone:
Plat Page:
043
Watershed Overlay:
DAVIE COUNTY
Building Value:
57090.00
Outbuilding 8r Extra
Freatures Value:
3410.00
Land Value:
18420.00
Total Market Value:
78920.00
Total Assessed Value:
78920.00
[61
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 webshe.
,.�-'7. � `4'u' _ —x7 ,,.,t _� _ � ' _ ,.,. .- . '�.,.:d^',� ., ��
r a�. '��°: .
AUTHORIZ�ITION NO: '� .�,� � DAVIE COUNTY HEALTH DEPARTMENT
., � _
` ��' _, ,� '. Environmental Health Section ` PROPERTY INFORMATION
Perriiittea's P.O: Box 848
Name: ' ��'1F� � ' Mocksvillc, NC 2702E Subdivision Name:
! � : Phone #: 704-634-8760
Directions to �property: �� •.� ,�i�• ��'" O.�' f - Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION a � � - -
- Road Name: Zip::���:�a�1
**NOT'E** 11us Authorizadon for Wastewater System ConstrucUon MUST BE ISSUED by. the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Focm/Authorizadon Number should be presented fo the Davie County Building Inspections '
Office when,applying for Building Perrnits. : ''
,(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 ,
',Gt� :. IS VALm FOR A PERIOD OF FIVE YEARS.
'� cY�' +'3 s �'�l' `�� �
"'ENVIRONMENTA HEALTH SPECIALIST : ` DATE ISSUED
.r �� � �;,y r v .- ._ _ rr�.-,.. «.' ".,TnF>: .q....�%t-•r�. - e- -,. - .. ... -. :. _.,.- ,,,ar*F«"`� a
Nc-
DAVIE COUNTY HEALTH DEPAiT�CNT
tw
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
'Perf ritt�'.$ C
,r
Nine:%'i:✓!1f �1F��`rat' Subdivision Name:
Directionsto property: c _.;1✓,Cf' "/�.u' Section:
R IMPROVEMENT
PERMIT Tax Office PIN:#
cL
Road
Nam
e:�VSaa-15
**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�' %� �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 # BEDROOMS —? # BATHSV— # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No .
COMMERCIAL SPECIFICATION:. FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY AZZ 4Z DESIGN WASTEWATER FLOW (GPD) i NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 629 GAL. PUMP TANK GAL. TRENCH WIDTH -52 ROCK DEPTH 1� LINEAR Fr. Sdd
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
U
/
II **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 OEIDLSTALLATION, TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM
■m
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: G `�
°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)
q �Y
69 ..y .i`��//X
* � A'
286DAVIE COUNTY HEALTH DEPARTMENT
- - ' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
I�atne: ! �:'rfi1✓ ff . ':: f Subdivision Name:
Directions to property:( - t7.? ;fr��!, Section: Lot: '
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: CL Zip: _1 Cl
**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 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
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 #BEDROOMS '? #BATHS #OCCUPANTS —_,2 GARBAGE DISPOSAL: Yes or No,.
.COMMrRCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
t
LOT SIZE TYPE WATER SUPPLY /yi %Z DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE (.
SYSTEM SPECIFICATIONS: TANK SIZE KD GAL. PUMP TANK GAL. TRENCH WIDTH I
�z— ROCK DEPTH �� LINEAR FT.•_,_��
OTHER t
x
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 JNSWALLATION TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT pA
SYSTEM ,-^1V
"
AUTHORIZATION NO. _�iS OPERATION PERMIT BY: DATE:'
d
*"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 05196 (Revised)
Y
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME f i`rnls/W e-40liy/PHONE NUMBER 7•— %�3
ADDRESS AbETDIVISION NAME
ori.
SUBDIVISIONN LOT #,
DIRECTIONS TO SITE LT r a,:�n !��
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
0