7614 Hwy 801SDavie County, NC I aa Tax Parcel Report 1 11, 0 � Wednesday, September 28, 2016
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Davie County, NCimplied
WARNING: THIS IS NOT A SURVEY
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°-.•�ParcelTnformation
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Parcel Number:
M510OA0008
Township:
Jerusalem
NCPIN Number:
5745069910
Municipality:
Account Number:
63972500
Census Tract:
37059-807
Listed Owner 1:
SEAMON CURTIS W
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 1197
Planning Jurisdiction:
Davie County
City:
COOLEEMEE
Zoning Class:
DAVIE COUNTY R-12
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27014-1197
Voluntary Ag. District:
No
Legal Description:
1 LOT HWY 801
Fire Response District:
COOLEEMEE
Assessed Acreage:
0.70
Elementary School Zone:
COOLEEMEE
Deed Date:
3/1998
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
002100313
Soil Types:
GnB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-,WS-iV-P
Building Value:
41890.00
Outbuilding & Extra
9190.00
Freatures Value:
Land Value:
25000.00
Total Market Value:
76080.00
Total Assessed Value:
76080.00
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Davie County, NCimplied
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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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AUTHORIZATION NO. 6 4 % DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's r P.O. Box 848
Name:ocksville NC 27028 Subdivision Name: '
Directions toproperty:y . / Phone # 336-751-8760
/ � � �� �/tt1� !� S Section: Lot:
//2 �� �f AUTHORIZATION FOR
f t'C %r'�`�I f� �"f r, ! � WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Q 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 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)
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
• a'' 7 DAVIE COUNTY HEALTH DEPOTMENT
IMPROVEMENT AND OPERATION PERMITS
Permittee's
Name:
Directions to property: ;7(,'%-
^I_
PROPERTY INFORMATION
Subdivision Name:
I -
Section: Lot:
IMPROVEMENT
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/installation of a system or the issuance of a building permit.
(In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
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 t, DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE !/
SYSTEM SPECIFICATIONS: TANK SIZE 'W GAL. PUMP TANK GAL. TRENCH WIDTH ma c- ROCK DEPTH LINEAR FT.,--V'�l
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT -'APPROVED EFFLUENT FILTER- *RISER(S)
IF 611 BEL.OJ FI IISIC-D GRADE*
"CONTACT A REPRESENTATIVE OF TIIF.,DR•DIE 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 (7ft { '1M II
OPERATION PERMIT /
SYSTEM INSTALLED BY: t !/
1
��t
AUTHORIZATION NO. OPERATION PERMIT BY: T�!7 l-/ DATE: / Y7
"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.
7111) 05/96 (Revised)
A DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's fa �-.
Name:
Directions to property:
IMPROVEMENT
s PERMIT
•i
Subdivision Name:
Section:
Lot:
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/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 HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _� # BEDROOMS _� # BATHS # OCCUPANTS 9 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPPE� # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ( t% DESIGN WASTEWATER FLOW (GPD}=^e NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE%/' V GAL. PUMP TANK GAL. TRENCH WIDTH.-, ROCK DEPTH �h LINEAR F r-. eo
REQUIRED SITE,MODIFICATIONS/CONDITIONS:
IMP$ } '
OVEMENTPERMITLAYOUT ,C�I EFFLUENT FI TERy--MPISER(S) IF 611 LIELO �S FINISiiED Gli DE-R-
fj I
t �I r
4
{
I
**CONTACT A REPRESENTATIVE OF TH&VI 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 (7Q4):63487h0:x
OPERATION PERMIT)
SYSTEM INSTALLED BY:
1 r
AUTHORIZATION NO. ' OPERATION PERMIT BY:/ �f'? DATE:
'**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
/, /WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME /(,�i� /J' W, �) ed M,91? PHONE NUMBER
ADDRESS ` ��Y`S. SUBDIVISION NAME _
SUBDIVISION LOT #
DIRECTIONS TO SITE U
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�'j� ��'i �eG/�� t/ lJrl ,�f?' �/�'E�S � i��v� 5' 49��ito�-r✓� �T�e /
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER de
SPECIFY PROBLEMS OCCURRING eO11V G
DATE REQUESTED �I�Jo �r� INFORMATION TAKEN BY �