382 Baltimore 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: E700000110 Township: Farmington
NCPIN Number: 5861758242 Municipality:
Account Number: 2508000 Census Tract: 37059-803
Listed Owner 1: ARMSWORTHY RICKY GORDON Voting Precinct: SMITH GROVE
Mailing Address 1: 382 BALTIMORE ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20-S,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 10.46 AC BALTIMORE RD Fire Response District: SMITH GROVE
Assessed Acreage: 10.04 Elementary School Zone: SHADY GROVE,PINEBROOK
Deed Date: / Middle School Zone: NORTH DAVIE,WILLIAM ELLIS
Deed Book/Page: Soil Types: SeB,GnB2,GnC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 100090.00 Outbuilding 8x Extra 9420.00
Freatures Value:
Land Value: 143430.00 Total Market Value: 252940.00
Total Assessed Value: 252940.00
9t ul� 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 orfltness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carollna,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�UUN� NC or arising out of the use or Inability to use the GIS data provided by this website.
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7 ...AUNORIZATION NO: DAVIE COUNTY HEALTH DEPARTMENT ���'�O�
...
Environmental Health Section ROPERTY INFORMATION
Permittee'sJ9 P.O. Box 848
=Name:' ' I Srdi/, l/ �M Mocksville,NC 27.028 Subdivision Name:
r �/ f��c Phone# 336-751-8760
Directions to property: '1 Section: Lot:
r ,I AUTHORIZATION FOR
r%�fr✓i% WASTEWATER
Y - -
✓/ r' Tax Office PIN:#
SYSTEM CONSTRUCTION
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.Building�Permits.This Form/Authorization rjumber 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)
.***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED
A+'r��� h ``'r #'` '�/ 7 t� .�ry z "'*w,v lP:'.i °' "z,:�' .,,, °tv 't.... •- t. -i.y aV.r. ::.__d
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-1666ADAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permrttee's
lame: . fi , A, 1✓,1^r' 'y ' Subdivision Name:
Directions to property: Section: Lot:
ID9'-ROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zip:
**NOTE**'This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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 11of 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
f INSTALLING THE SYSTEM. .
r.
RESIDENTIAL SPECIFICATION:BUILDING TYPE _ #BEDROOMS. #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH Ye // ROCK DEPTH/,r� LINEAR FT7 .
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER* *RISER(S) IF til• BELOW
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#IS 17D j XY4 R x
(336)751-8760
OPERATION PERMIT L%I/
SYSTEM INSTALLED BY:
/,06
AUTHORIZATION NO. if OPERATION PERMIT BY: — DATE: el)-T
**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 NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
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1.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permutee's � w
Subdivision Name:
Directions to property: �` Section: Lot:
BR-ROVEMENT
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/instaIlation of a system or the issuance of a building i5ennit.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
r ***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 #BEDROOMS#BATHS #OCCUPANTS—7,-,Z—GARBAGE DISPOSAL:Yes or No
�F
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITEI REPAIR SITE ' V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT..26k
.. 1
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT APPROVED EFFLUi:.MT FILTER* it-RISER(S) IF fart PELGH FINISHED. GRADE*
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6
**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.TFLEPHONEV IS tM45UM0
(336)751-871 0
OPERATION PERMIT
SYSTEM INSTALLED BY: 14 ,�`/�--�•.
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 BETAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05ft(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION .
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME k;tkL4 Y -o r?' PHONE NUMBER
ADDRESS AV�'YA a f SUBDIVISION NAME
SUBDIVISION LOT#) 1
DIRECTIONS TO SITE G111,4710-fe )m ; 9v1 /P�7
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
PSN 99GU'rfr-oa 91/x' --A PY�" � //S.�