137 Heritage Trail Davie County,NC - " Tax Parcel Report Friday, December 16, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel'Information�
^'Parcel Number: H60000005601 Township: Shady Grove
NCPIN Number: 5769044154 Municipality:
,�Account Number: ;;82515429' Census Tract: 37059-804
Listed Owner-1: KURFEES STUART:GRAY Voting Precinct: WEST SHADY GROVE
Mailing Address*I:_ 137 HERITAGE TRAIL Planning Jurisdiction: Davie County
City:: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
_
State:.-_- NC Zoning Overlay:
:Zip Code:,—. 27028-7371 Voluntary Ag.District: No
Legal.Description:'`.__: 2.28 AC MILLING RD " Fire Response District: CORNATZER-DULIN
Assessed Acreage: 2.28 Elementary School Zone: CORNATZER
':,.Deed Date:-----,--- =-4/2000 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 003310803 Soil Types: WeB,RnC,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
�V♦ All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to th]due
9 i s Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmle
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of actio
�O�p�S NC or arising out of the use or Inability to use the GIS data provided by this website.
bAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) �
NAME /flir�f�/� ) r ;Pt`'el- T PHONE NUMBER
ADDRES SUBDIVISION NAME
'%
lsV% l!P "'(';�' LOT #
DIRECTIONS TO SITE i e �lAlov-,
C
DATE SYSTEM INSTALLED /.5*NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS IS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
%/zme
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.1193 „
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AUT.IORIZATION NO ' 'DAVIE COUNTY HEALTH DEPARTMENT `11
Environmental Health Section PROIAJ TY INFORMATION
Permittee's , P.O:Box 848
Name: .: ?�,� i;sr� �> f� s' �.,: Mocksville,NC`27028 Subdivision Name:
1 Phone#:336-751-8760
Directions to property: /� ��_:r �"C� Section: Lot:
✓ AUTHORIZATION FOR
�. WASTEWATER
//�,' /. -'✓ /r Tax Office PIN:#:
T SYSTEM CONSTRUCTION
Road Name: Zip: .
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuanceof 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
ai
, r)' �1✓ ' 1 ,'� !, �/ ISNALID FOR A PERIOD OF FIVE YEARS.,'
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
4 �.� - idoL _ •�' h�;lh�kvtfilv9 b Jrf'.y
5ADAVIE COUNTY HEALTH DEPARTMENT ,
IMPROVEMENT AND OPERATION PERMITS PROTY INFORMATION
YFermittee's "`
Subdivision Name:
'Directions to property: ''r d Section: Lot:
IMPROVEMENT
_ PERMIT Tax Office PIN:# -
Road Name: 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 PERMrr 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
GARBAGE DISPOSAL Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPES i #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY o DESIGN WASTEWATER FLOW(GPD NEW SITE REPAIR SITE'
Syt CIFICATIONS: TANK SIZE Zl c' GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT.PERMIT LAYOUT*APPRDVED EFFLUENT FILTER* *RISER(S) IF 61" BELOW FINISHED GRADE*
JAA
Q'
**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(704971601K
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. zg��-4ERATION 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) .