130 Gray Carter Ln Davie County,NC ; ` Tax Parcel Report Thursday, December 15, 2016
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_ . WARNING: THIS IS NOT A SURVEY
ParcelInformationv,.
Parcel Number: 170000010002 Township: Fulton
NCPIN.Number: 5778373095 Municipality:
Account Number::-: ""13520000 Census Tract: 37059-804
Listed Owner-1:-= CARTER KAREN RUTH"` Voting Precinct: FULTON
- Mailing Address 1: 130 GRAY CARTER LANE Planning Jurisdiction: Davie County
.City: - ADVANCE Zoning Class: DAVIE COUNTY R-A
State:. =- NC Zoning Overlay:
Zip Code: : ` 27006-0000 Voluntary Ag.District: No
_ Legal Description: - 1.60 AC LIVENGOOD RD Fire Response District: FORK
Assessed Acreage: 1.48 Elementary School Zone: CORNATZER
Deed Date: 6/1991.. Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001590763 Soil Types: PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Outbuilding&Extra
Building Value: Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
161 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 warrantles of merchantability or fitness for a particular use.All users of Davie County's GIS webslte shall hold harmless the
rCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or inability to use the GIS data provided by this website.
ALTh&ZATION NO`.' J 7 3 DAVIE COUNTY HEALTH,DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's /� P.O:Box 848
Name: /.qi l Cif Mocksville,NC 27028 Subdivision Name:
Phone# 336-751-8760 /p A`�
Directions to pro rt
Section: Lot:
1
AUTHORIZATION FOR� f //' cr' �}/. WASTEWATER
oC�✓.`' 0,C r� Tax Office PIN:# - -
SYSTEM CONSTRUCTION _
Road Name:-iU�yt/�G�B Zip: 'loll�"
**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 I.1 of G.S.,Chapter 130A,Wastewater Systems;Section•.1900 Sewage Treatment and Disposal Systems)
1 ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION'
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
- +L.•"` - "i Yv`br -
t � '•. ri �Y ,/•..J� � 'f' V L � r' s W V.a <(. ��,,r•:..� ' . Y�^,r'F�9 I' fi. - .. V,It
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pernutlee's`,r 1 f , {
Name:. r`=.•.r'. r''+r/r," `r Subdivision Name:
�.
Directions to property: Section: Ldt: .=1,!,• � 7"
r IMPROVEMENT
PERMIT Tax Office PIN:#'1
Road Name-41Zip:,%r',•!aG"
**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
constructiordinstallation 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 tPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE.,
INSTALLING THE SYSTEM. '
RESIDENTIAL SPECIFICATIONc BUILDING TYPE #BEDROOMS #BATHS_0�#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(GPDT--sP>�/ NEW SITE' PAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE/aoy GAL. PUMP TANK GAL. TRENCH WIDTH c7/ ROCK DEPTH LINEAR Fr.-Tell)
OTHER a
REQUIRED SITE MODIFICATIONS/CONDITIONS: ell
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOU FINISHED GRADE*
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:307 9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(7ff4j B34V601<){
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. 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) f
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME / PHONE NUMBER
ADDRESS '4 .Gs-r- !X/ SUBDIVISION NAME
LOT #
DIRECT ONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
�J
TYPE WATER SUPPLY 4:We eG/ 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 at I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT !/
Rev.1/93 61
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