543 Bailey Rd Davie County,NC Tax Parcel Report Wednesday, October 12, 2016
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Parcel Information
Parcel Number. F90000004101 Township: Shady Grove
NCPIN Number: 5890037557 Municipality:
Account Number: 82519978 Census Tract: 37059-804
Listed Owner 1: TERRY CALLIE B Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 543 BAILEY ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-7406 Voluntary Ag.District: No
Legal Description: 148.450 AC BAILEY RD Fire Response District: ADVANCE
Assessed Acreage: 147.65 Elementary School Zone: SHADY GROVE
Deed Date: 7/2001 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 200lEO194 Soil Types: AaA,PaD,WeC,WeB,PcB2,PcC2,RvA ChA,BuB,WATER,MaB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 205640.00 Outbuilding&Extra 230.00
Freatures Value:
Land Value: 982290.00 Total Market Value: 1188160.00
Total Assessed Value: 286520.00
161 All data Is provided as Is without warranty or guarantee of any Idnd 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 website.
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AUTHORIZATION No: HEALTH DEPARTMENT i SD
7 8A DAVIE COUNTY H
s Environmental Health Section PROPERTY IN RM1V'"`-"" "
Permittee'ti: -^^'--fes- P.O.Boz 848
Namel,l i*` `� Mocksville,NC 27028 Subdivision Name:
�, Phone# 336-751-8760
Directions to property:' �l� 1�� V Section: Lot:
AUTHORIZATION FOR
n r� ,•� L�t �,wr� 3 U ,.,� WASTEWATER
L) Tax Office PIN:# - -
SYSTEM CONSTRUCTION
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Road Name:arae: k�AI Zi
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**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 1 l f G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
4 ! ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
Li Z S IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRON E TAL HEALTH;$ C LIST DA/E IS ED
d . ,I 7 A DAVIE COUNTY HEALTH DEPARTMENT
J6 '. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATIONM"" -,
Permittees `"1 �� -
:Name': '�► A.L(L €*�'�1�1 j . Subdivision Name:
Directions to property: 1 R 11 1 U Section: Lot:
tIMPROVEMENT.,
`' '` ���# i'1 f ��ss ". +,3i�•, PERMIT
�� -Tax Office PIN:# - -
" Road Name� Zip:
:**NOTE**This
RIZ Improvement
Permit
FOR DOES NOT authorize'the construction or installation of aseptic tank system or any wastewater system.An
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 111,6f G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
N1, ' ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONX4ENTAI HEALTH S CIALIST D#EISAJED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE_'N005, #BEDROOMS _#BATHS - #OCCUPANTS_,3 GARBAGE DISPOSAL:Yes o0
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZETl'PE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)�� NEW SITE' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE/iL DGAL. PUMP TANK GAL- TRENCH WIDT ROCK DEPTH 12 LINEAR FT.
454
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER_* *RISER(S) IF 601' BEl=,O FINISHNE"D, 1fgRR33E*
!3
55�
4D/fix
1
E)a�> .
"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(M)W— K
(336)751-a76i3
OPERATION PERMIT ^
� d t1I►J�
SYSTEM INSTALLED BY:
W Ztl
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AUTHORIZATION NO.0S1 OPERATION PERMIT BY:
DATE. Zkr
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE S 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 AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
,1 ..7 y';7 �^.P'`i"'��r� i�%.-ri ""tie",-�, A� �=2'^'r'S" "' ti^`tau T'a :; � 1 Y�l '"i✓a.'"� �t pr �' j . .�'✓,r,. .r.''_a .:;' ', ..:,�.� :. "`� . nr 3...;;,
r "1• ; ' '' ' DAVIE COUNTY HEALTH DEPARTMENT y�
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION—
Permittee's� ''
Nam_ ' R l V,L I t- `' ' Subdivision Name:
i
Directions to property: ` ' ! r �' Section: Lot:
IMPROVEMENT
i! �,.,.i :.4 . . ', ,: ; 1+.• N. PERMIT Tax Office PIN:#
fJ
i"p t. �.. i i 4 r.«$. Road Name 1` t L.t i" w . 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 110 G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
' ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
fr : . , "t' PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAE HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE �lnI.#BEDROOMS #BATHS #OCCUPANTS_3 GARBAGE DISPOSAL:Yes or N)
COMI ERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE ^�TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)._1e)e) NEW SITE ' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZFj/L X ja GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH s LINEAR FT.
T
v OTHER / l a lJ r14� Glx
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER* *RISERtS) iF6fi1s IsEt f1. ICdI&!i�„ . �*
I
14
wl I v
F'l-
f
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS 'STEM
BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS � �5 �1J
(930751-6760
•,
F
OpBRATION PERMIT
u SYSTEM INSTALLED BY:
sem'
S
7
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AUTHORIZATION NO.)S"?hA OPERATION PERMIT BY: DATE. Zai Aq
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE S BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
r " DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME z01CA1LJ PHONE NUMBER �a7ZV
ADDRESS3 �•�'`� � ,Z�70040 SUBDIVISION NAME
AT VAD LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED DS NAME SYSTEM INSTALLED UNDER
TYPE FACILITY Ua05C NUMBER BEDROOMS �' NUMBER PEOPLE SERVED
TYPE WATER SUPPLY- SPECIFY SPECIFY PROBLEM OCCURRING
r
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 572
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