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1675 Hwy 801SDavie County, NC , ., Tax Parcel Report Wednesday, October 12, 2016 �` 1860j � 1862 197 � - -r--1869 �� —c , Zs�s'yti. ��`'`'r�=f� ��o �_ � 1= 1902 \r _ _l �;'��1144 � J �� ,� Z37 frf'� 110 i � �- ; -/ .. � � �,�� , ��`f -',''� � ;� ? 3 6 '1-�r— '`-'�1� '1 / .� � 2? 5 �f J I i�� f � �, ��.- �Ii��_.� ,f-;��6tia�� r��ir�� o � ' = 130 r �� R �, �,;� �zo , + ; ,�_-�-- _� ��til �� 124� �136 --_ . j= C��-� � � ' _ ' .�----"�y r� ' F` � 1 -- 177 ' ,� '--173 1939 ,- �� i� � 1938 1 _ ___�+.._ _ _ 167 _- 165 553 � _'�. __ _ 1 5 S 178 --172 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G8050A0004 Township: Shady Grove NCPIN Number: 5880212663 Municipality: Account Number: 298750 Census Tract: 37059-804 Listed Owner 1: ADVANCE UNITED METHODIST CHURC Voting Precinct: EAST SHADY GROVE Mailing Address 1: 1675 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 6.71 AC HWY 801 Fire Response District: ADVANCE Assessed Acreage: 6.87 Elementary School Zone: SHADY GROVE Deed Date: 9/2004 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 005710479 Soil Types: WeB,PcB2 Plat Book: 0003 Flood Zone: Plat Page: 070 Watershed Overlay: DAVIE COUNTY Building Value: 971530.00 Outbuilding 8� Extra 0.00 Freatures Value: Land Value: 96100.00 Total Market Value: 1067630.00 Total Assessed Value: 1067630.00 9"�'F Davie County, �aU�� NC , , , , :x �. : - : �.. .. ,, . . . ,_� .� ,D . • :-... . � . . . .F ;:. . , , , �i'�jV, AUTHORIZATION�NO: 'O J�'j 6 AVIE COUNTY HEALTH DEPARTMENT �'' �,r �^ ^� 5p, {�� , ' � Environmental Health Section PROPERTY INFORMATION I�'�b Permittee's c ,� P.O. Box 848 Name:;�a�v �t1�c� '��*r��::�� \��*.� `a��.�y-,..`"_*,� �;'Mocksville, NC 27028 Subdivision Name: ' 1 Phone #: 704-634-8760 Directions to property: 1�'S `� �-• ��l �^� � r Section: Lot: - AUTHORIZATION FOR `�� `� "` �, `�` WASTEWATER ��`, �� , � C�t ��`�`'`''�"', �`� �'�� '��' SYSTEM CONSTRUCTION Tax Office PIN:# - - Road Name: V��::-�_�.;+:..n �' y Zip: �� ' **NOTE** This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Pernuts. " (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Trea[ment and Disposal Systems) ;`�* C� a�, � C;�,w �,,. c� �'�j ***NOTICE*** T'HIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION � �.-��.i-==*-� '`-� �• � 1� '-' f IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED `t i� - .(' - ' 1 ' .. .. " � . ... _ . , . , . . . � . � .. . . . ., - . . " . . . � � � � - �.,./��f) ..... . ..! .. ' . . � ' - � ,`` ' • �a �DAVIE COUNTY HEALTH DEPARTMENT ; , `. t `- -- �-�a, o�::: ,.� ` �. .,�,. X�� IMPROVEMENT AND OPERATION PERMITS PRO .ERTY INFORMATION � ' �� Permlttee', s -� � � , ' - Name:<< � ti �.., - � � . ' '� _ . ' .::t _ � _, � ' . (� . :, ,� • - 'Di��ctic�ns to property: i ' `� ��a ' ;�`�1 t�' -""''-,..� � IMPROVEMENT PERNIIT -- a . r �,� � � � � Subdivision Name: � Section: Lot: Tax Office PIN:# Road Name: � �� t_ ,:� ZIP, �•� i' i•;'' , � �**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON must be obtained from this Department prior to the construction/installation of a system or the issuance of a building pernut. '�, i � (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal'Systems) ` . ` ,',_ t-�..�� ... � � , ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE�j��'�`� # BEDROOMS COMMERCIAL SPECIFICATION: FACILITY TYPE LOT S J � � TYPE WATER SUPPLY � # PEOPLE ***NOTICE*** THIS PERMIT 1S SUBJECT TO REVOCATION IF SITE PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE TEIIS PERNIIT BEFORE INSTALLING TI� SYSTEM. � # BATHS # OCCUPANTS i GARBAGE DISPOSAL: Yes o No ! _# PEOPLFJSHIFf # SEATS INDUSTRIAL WASTE: Yes or No �% .. y� . ,"t:. � 1�ESIGN WASTEWATER FLOW (GPD) ��^ l U NEW SITE �� REPAIR SITE � �. � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH .� r�'"+ LINEAR FT. ti�a : n�ruFu REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT Q �' _r . **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. I OPERATION PERMIT AUTHORIZATION NO.v� � � � **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 OS/96 (Revised) . ,.�,,`_ ,, ` ,.. . .. . . . . .. � .:�u,. { _ . _____ _� . - -,: �i.._ ... . _. . _ . . - - - - _— -�-- - — - _ _ _ . , _ _�" . . _:_ __ __ _ E. , � _.« , ,. . ... � , . ,:: � ' . � �DAVIE COUNTY HEALTH DEPARTMENT ' ' . -� . _ � } j :?;J " " ` _.,, ;} : � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION -� Permittee's � , ' 3 ' _ Nat�e'` _ . � Subdivision Name: '�; ' �Directions to property: ' � Section: Lot: f_ t ; . IlVIPROVEMENT r, �'"' -�... ��. ,. ., PERMIT Tax Office PIN:# � ,-, � _. � _ Road Name: . ': Zip: ....., s � - **NOTE** This Improvement Petmit DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An AITTHORIZATiON FOR WASTEWATER SYSTEM CONSTRUC'TION must be obtained from this Department prior to the constcuction/installation of a system or the issuance of a building pemut. .,. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �.4 � .: **�'NOTICE**"' TfII.S PERNIIT IS SUBJECT TO REVOCATION IF STl'E �, i� PLANS OR TI� IlVTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING Tf� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDINC3 TYPE�� Q V�'� # BEDROOMS '=� # BATHS # OCCUPANTS '� (3ARB?iGE DISPOSAL: Yes o�No �� p COMMERCIAL SPECIFICATiON: FACILITY TYPE # PEOPLE # PEOPLFlSHIFf # SEATS I�iDUSTRIAL WASTE: Yes or No { ..,,� ,� •,;. LOT SIZE� ^ �� TYPE WATER SUPPLY `-1� DF�SIGN WASTEWATER FLOW (GPD) =` j�U .i NEW SITE � REPAIR SITE t�� .,. , ,i � 7, � SYSTEM SP�C��ICATIOIVS; TANK SIZ� C3AL. PUMP TANK GAL. TRENCH WIDTH % ROCK DEPTH �--� LINEAR FI'. ��n W �'I'HER . �QUIR�� SI'PE MA�I�ICATIONS/CON�ITtONS: _. , �,,,�. IMPROV�M�N'P �RMIi' LAYOUT � -� <: , � � `� � �� : ( -----�� ,. �� o �' �*��N`PA�`f' A��IVTA`�IV� @� `fti� �AVI� COUNTY HEALTH DEPARTMENT FOR FINAL INSPECCiON OF THIS SYSTEM ��`PVV��N �t�0 =�t�0 A.M, 0� 1;00 • 1t�0 P,M, ON THE DAY OF INSTALLATION. TELEPHONE li IS (704) 634-8760. ��A�'I�N F��INI`P m � a►urxo�►�nox tvoJ� � o�Rn�o:. . **Tl°[E ISSUANC� OF TkIIS O�RATlON PERMIT SFiALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTtCL� 11 0� C3.S. C�tAP'i�R 130A, SECTION .1900 "SEWAC3E TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A (3UARANTE� TFiAT TFi� SYSTEM W1LL FUNCTlON SATISFACTORILY FOR ANY C3IVEN PERIOD OF TIME. DCHD 03/86 (Aevleed) _ ;:�„ ADDRES �� DIRECTIONS �('� .sL �-n.e,�a ' �.a�,�-�`��-1i� �I��In- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION �Y�fy� APPLICATION FOR IMPROVEMENT PER T(REPAIR) �%�" �/�'fI'�1� ��7'1C� U[7?1� /��E'�7G�L��S�" PH N� UMB RaJ ��! �� D � 7�?. �i� �/� 0 C �. " ��ss �� '_I " L��L'- 0 BDIVISION NAME LOT # A � � n �,e� �`� �- , 7� ' ` " ��.� o� DATE SYSTEM INSTALLED `�U • NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS � NUMBER PEO LE SERVED� TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING �� , - . . .,. , /f, . /L�� .n � n ) //L.. � /l _/ �n ./n n � _ �/.n �f n � /]v ^ /l� / � DATE REQUESTED �'�l �� INFORMATION TAKEN BY Thia is to certify that the information provided is correct to the best of my knowledge, and ��i yr�e SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 � I am rd�consihle for all application.