182 Bailey's Chapel Rd Davie County,NC Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H700000073 Township: Shady Grove
NCPIN Number: 5779152562 Municipality:
Account Number: 82525831 Census Tract: 37059-804
Listed Owner 1: BARNES BRENT Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 182 BAILEYS CHAPEL ROAD 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: 0.999 AC BAILEYS CHAPEL Fire Response District: ADVANCE
Assessed Acreage: 0.83 Elementary School Zone: SHADY GROVE,CORNATZER
Deed Date: 10/2002 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2002EO292 Soil Types: GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 95060.00 Outbuilding&Extra 120.00
Freatures Value:
Land Value: 25780.00 Total Market Value: 120960.00
Total Assessed Value: 120960.00
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 warranties of merchantability or fitness for a particular use.All users of Davie County's GIS webs$e shall hold harmlessthe
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 webstte.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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)
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NAME PROPERTY ADDRESS DATED
LOCATION ,"/G1
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESI DENTAL SPECIFICATION: BUILDING TYPEflrS # BEDROOMS% # BATHS J_ # OCCUPANTS'_ GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/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 DEPTH /� LINEAR FT.
OTHER Y dX
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**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 1.
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AUTHORIZATION N0. 6 1 ~^ OPERATION PERMIT I _ ` -M DATE 3V 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 10/95
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
-IMPROVEMENT PERMIT
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**NOTE4 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 priorto 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)
��
NAME /l�SQGvS PROPERTY ADDRESS -2 "'j�'/✓��.+�>.-. /� � DATE
LOCATION
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE / `'re-# BEDROOMS`-..t? 0 BATHS N OCCUPANTS _ GARBAGE DISPOSAL: Yes/No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY ��'/� DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TAME( GAL. TRENCH WIDTH .fry ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: ,
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MAST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
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IMPROVEMENT PERMIT BY
**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 a �
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AUTHORIZATION N0. OPERATION PERMIT BY � DATE �IS • ICi
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**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 F1NCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
• ' Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
6.S. Chapter 130A, Wastewater Systems)
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***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 wjh'e'n` applying for Building Permits.*** f/
Wil//f/.r ,r9it1S DATE ��%/,�, AUTHORIZATION NUMBER
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NAME ON IMPROVEMENT PERMIT (If different than above)'
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SITE LOCATION �
COMMENTS/CONDITIONS'ON AUTHOAi AYl TION TO CONSTRUCT WASTEWATER SYSTEM
}**NOTICE*** THIS AUTHORIZATION FD WATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRONMENTAL WEALTH SPECIALIST DATE
DCHD 10/95
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME d✓ PHONE NUMBER
ADDRESS � i - /"y -1 /SUBDIVISION NAME
Alllh✓C'e LOT#
DIRECTIONS TO SITE V . r.C�
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DATE SYSTEM INSTALLED, NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS `-sem NUMBER PEOPLE SERVED
TYPE WATER SUPPLY 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 that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENTT�'�ca�. - C-
Rev.1/93