586 Baltimore Rd (2) Davie County+,NC Tax Parcel Report Monday, February 13, 2017
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SUNEY BEA r C� A%IP RD
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WARNING: THIS IS NOT A SURVEY
Parcel Number: E700000117 Township: Farmington
NCPIN Number: 5861729575 Municipality:
Account Number: 34860000 Census Tract: 37059-803
Listed Owner 1: HENDRIX GARLAND VESTAL Voting Precinct: SMITH GROVE
Mailing Address 1: . 1975 DARWICK ROAD Planning Jurisdiction: Davie County
City: WINSTON SALEM Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27127-8711 Voluntary Ag.District: No
Legal Description: 1.93 AC BALTIMORE RD Fire Response District: SMITH GROVE
Assessed Acreage: 1.65 Elementary School Zone: SHADY GROVE,PINEBROOK
Deed Date: 3/1968 Middle School Zone: NORTH DAVIE,WILLIAM ELLIS
Deed Book/Page: 000780447 Soil Types: MrB2,GnB2,EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 30840.00 Outbuilding&Extra 5060.00
Freatures Value:
Land Value: 38530.00 Total Market Value: 74430.00
Total Assessed Value: 74430.00
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 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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AUTHOI*ZATION NQ: DAVIE COUNTY HEALTH DEPARTMENT
a, Environmental Health Section PROPERTY INFORMATION
Permi[tee's P.O.Box 848
Name: � �]�- Mocksville,NC 27028 Subdivision Name:
1 :I i - �,, Phone#:704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
CyV414— WASTEWATER T Office PIN:# -
SYSTEM CONSTRUCTION �/„ ?,
Road Name: 'C'�i7f'> 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 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
IS VALID FOR A PERIOD OF FIVE YEARS:
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
ame: y1 Civ C�'(�.1 Subdivision Name:
Directions to property:" Section: Lot:
IMPROVEMENT
PERMIT -Tax, PIN:__# -
AA-
Road Name: "a .Zip:ri (►
**NOTE**This Improvement Permit DOES NOT authorize the constriction 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)
r. ti, (.? s, C` �•� r ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEtkLTH 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 TYPE, #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH_3 ROCK DEPTH LINEAR FT.
OTHER
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REQUIRED SITE MODIFICATIONS/CONDITIONS:
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IMPROVEMENT PERMIT LAYOUT Q 10
)3q%
)3q%
"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: /,�dL4L
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J.
AUTHORIZATION NOIR
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 BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 03/96(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME ��1e � PHONE NUMBER IIID—
ADDRESS 19�'S� ?���'w% SUBDIVISION NAME
G Z 7/2 7
LOT#
DIRECTIONS TO SITE �S� L% - �f 6A6.�;m.�G /� ,47-&zrz4e - !3�,Ta-,L
Aea^ /94z'Ae-11 G 7 99
DATE SYSTEM INSTALLED lo-1-9=- - NAME SYSTEM INSTALLED UNDER C_XX_ b &'aLzr
TYPE FACILITY NUMBER BEDROOMS -? NUMBER PEOPLE SERVED -3
TYPE WATER SUPPLY CALygg SPECIFY PROBLEM OCCURRING
DATE REQUESTED Q'�o?'9? INFORMATION TAKEN BY
This is to certify that the Information provided Is correct to the best of my knowledge,and that I nderstand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93