1620 Hwy 801SDavie County, NC f Tax Parcel Report �i� Tuesday, September 27, 2016
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Davie County, NC
WARNING: THIS IS NOT A SURVEY
Parcel Number:
F800000095
Township:
Shady Grove
NCPIN Number:
5880040797
Municipality:
Account Number.
12825680
Census Tract:
37059-803
Listed Owner 1:
CAPRONI CAROLYN A
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
C/O CAROLYN A CAMACHO
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:
1.94 AC HWY 801
Fire Response District:
ADVANCE
Assessed Acreage:
2.05
Elementary School Zone:
SHADY GROVE
Deed Date:
/
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
Soil Types:
WeC,WeB,ChA
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
44430.00
Outbuilding & Extra
1320.00
Freatures Value:
Land Value:
38320.00
Total Market Value:
84070.00
Total Assessed Value:
84070.00
N
Davie County, NC
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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 or arising out of the use or inability to use the GIS data provided by this website.
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AUTH02IZATION NO: 0 6 6 2: DAVIE COUNTY HEALTH DEPARTMENT
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Environmental Health Section . PROPERTY`INFORMATION
Permrttee's , P.O. Box 848
Name:l- 6 /,d_/r ff. r i Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: ��Zi C�C'lu�r &�bf�' Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
Road Name: _ ���5 Zip: ! 8d {�
**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 Peiniits.
(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 HEA TH SPECIALIST., DATE ISSUED
Yf t Y '"Y .1,4 '.: r 'i ar- • Yrak'a � igrf':y t W I of q Y 'Y.""aib[e•"I'+��t'-e'..: v'r`it�^1 �._. 'tiI .r �'-,�. .j.z ., ,Jr�Y.: i'r k'i-r o-'�.it -.. . wr .. iY r y,* ......y „ . .
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permrft' g
410 40.41 subdivision Name:
Directions to property: A.�,Jd �% %`:��1'/ Section: Lot:
Y IMPROVEMENT
_-- PERMIT t Tax Office PIN:#
Zip ��/�-- �� (0
Road Name•
**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 HEA TH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM. F
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS �1 # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 1l� DESIGN WASTEWATER FLOW (GPD) 2L NEW SITE. -REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAG'. , WIDTH BaCK't31� k �� LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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 THIS DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
0
SYSTEM INSTALLED BY:+�. ,
AUTHORIZATION NO. O Io bZ 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 05/96 (Revised)
1'
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}.:.r ADAME COUNTY HEALTH DEPARTMENT
a� ;• IMPROVEMENT AND OPERATION PERMITS PROPERTY'INFORMATION
Permitte
Marne, :- -.Oil I Subdivision Name:
birections to property: �'`•r ri �,= J''':' i %�� Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN1
1(aa Q/S
• RnaA Name.
* lin•
**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
coristruction/mstallation 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)
***Vn9 fVV*** rrMQ WOM" TQ QTMTVd `r Tl1 DVVnV A"n%T TV Q"W
PLANS OR THE INTENDED USE.CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING •THE SYSTEM. i
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS' # BATH # OCCUPANTS : GARBAGE ISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
r
LOT SIZE TYPE WATER SUPPLY ,�i'�/i�/ DESIGN WASTEWATER FLOW (GPD)- NEW SITE REPAIR SITE t/
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAr--,,TREN�H WIDTH`°"ITO ' U IH fr� LINEAR FT.. 60
• OTHER >� ' TJX _
REQUIRED SITE MODIFICATIONS/CONDITIONS:
*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
SYST):`M INSTALLED BY:
F
r3 a�
7
L� �C4
AUTHORIZATION NO. (O OPERATION PERMIT B.Y. DATE: 1�
**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) ,
•Y
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME C'.�o�yry (1LDrorr/% PHONE NUMBER
ADDRESS 16 Z o SUBDIVISION NAME
'ags a rrer f?G z"7,0,06 LOT #,
DIRECTIONS TO SITE 90/ Tov• D,*sT ?.�.G �G ,��,,.�. / m; 14
DATE SYSTEM INSTALLED dkuj_�P4-' - NAME SYSTEM INSTALLED UNDER
TYPE FACILITY A?4--- NUMBER BEDROOMS a-- NUMBER PEOPLE SERVED 2
TYPE WATER SUPPLY Lv&/ SPECIFY PROBLEM OCCURRING 1✓ed.&4 44&a -y-�-
DATE REQUESTED a -1,,3 'q 7 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,
/and that I understaZI am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1193