592 Baileys Chapel Rd Parcel#: H80000005202 Page 1 of 1
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Parcel#: H80000005202 Account#: 82523147
Owner Information Tax Codes
ENTLEY GREGORY SCOTT ADVLTAX-COUNTY T
20 BENTLEY DRIVE FIREADVLTAX-FIRE TAX
EXINGTON NC 27295
Property Information Township
nd(Units/Type): 0.910 AC SHADY GROVE
[Address: 592 BAILEYS CHAPEL RD
Deed Information Local Zoning
ate: 08/2004 Book: 00564 Page: 0067
Plat Book: Page:
Le al Description PIN
1.006 AC BAILEYS CHAPEL 5779539541
Property Values
Building:
BXF: 5,74(
Land: 27,46(
Market: 33,20(
ssessed: 33 20
[Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00139 0399 08 1987 WD Unqualified Vacant 1
112 00564 0067 08 2004 WD Unqualified Vacant 0
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All Information on this site is prepared for the Inventory of real property found within Davie County. All data Is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, In fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at(336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsneWiew.aspx?prid=1460634 10/12/2016
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AUTHORIZATION NO: . 16,9 8 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
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Permittee,~ '/.�,� 1 P.O.Box 848
Name0 a= Mocksville,NC 27028 Subdivision Name:
/ ,•+J Phone# 336-751-8760
Directions to propert}c,�g '/t ✓1 G�t Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# -
Road Name: Zip:
**-NOTE**This Authorization for Wastewater System Construction MUST.BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildinggPermits.`This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits:
(In compliance with Article H..of G.S.Chapter 130A,Wastewater Systems;Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR PERIOD OF FIVE YEARS
ENVIRONMENTAL HEALTH.SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT � ��
Permittee's %'x.11
)VIUP OVEMENT AND OPERATION PERMITS PRO ERTY INFORMATION '
Name: ` '�1 � '..i,, t?// X Subdivision Name:
-Directions to property; i . Section: Lot:
1 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 Article11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
ti
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
/moi , .►� 1/ j (? 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 I #BEDROOMS :Q_#BATHS -'a— #OCCUPANTS_2 GARBAGE DISPOSAL:Yes or No
'6
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yews or
No
LOT SIZE TYPE WATER SUPPLY "0" DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
ee rr �.'���, .
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH i ROCK DEPTH� LINEAR FT v, C
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMITLAYOUIIPPR13VED EFFLUENT FILTER* *RISER(S) IF 611 BELOW FINISHED GRADE*
o
**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#ASIOVO4)A3tt 760.
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
CP pl;,Os
i "
AUTHORIZATION NO. L / OPERATION PERMIT BY: NWK DATE: . ]�
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT T 'Y M DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
Yt.
1 S;9 3 DAVIE COUNTY HEALTH DEPARTMENT -0c
"
IMPROVEMENT AND OPERATION PERMITS PRdERTY INFORMATION '
"Permittee's
Name: Subdivision Name:
Directions to property; 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 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 A2 #BEDROOMS #BATHS --I)- #OCCUPANTS--;—) GARBAGE DISPOSAL:Yes or No
-6
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS— INDUSTRIAL WASTE:Yes or No
T SIZE TYPE WATER SUPPLY UPPLY A`*' DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr,,;��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUPPPROVED EFFLUENT FILTER* *RISER(S) IF 611 13ELOW FINISHED GRADE*
"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 4019(Q04)83PW60.
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
el
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: A 2
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TTIISY;TgM 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 ENVIRONMENTAL HEALTH-SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME 4!:'-OA' PHONE NUMBER
ADDRESS 2- lii� �d1lG•� SUBDIVISION NAME
� llcv�2c G 706 LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY_ _;NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED_ '0 C) 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.1/93
101W-0-1- ��� �G,-/