230 Kerr Ln (2) Davie County,NC ` ' Tax Parcel Report � � c7 Tuesday, October 4,2016
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WARNING: THIS IS NOT A SURVEY
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Parcei Number: C700000090 Township: Farmington
NCPIN Number. 5863803903 Municipality:
Account Number: 82529869 Census Tract: 37059-802
Listed Owner 1: FAIRCLOTH MARY H HEIRS � Voting Precinct: FARMINGTON
Mailing Address L• C/O PAMELA J FAIRCLOTH Pianning Jurisdiction: Davie County
City: ADVANCE • Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Ove�lay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: HWY 801 Fire Response District: SMITH GROVE
Assessed Acreage: 15.62 Elementary School Zone: PINEBROOK
Deed Date: . 6/2007 Middle School Zone: NORTH DAVIE
Deed Book/Page: 2007E0244 Soil Types: PaD,WeC,WeB,PcB2,PcC2
Plat Book: 10 Flood Zone:
Plat Page: 170 Watershed Overiay: DAVIE COUNTY
Building Value: 78460.00 Outbuilding 8�Extra 8460.00
Freatures Value:
Land Value: 118140.00 Total Marlcet Value: 205060.00
Total Assessed Value: 205060.00
9�.�F All data is provided as Is wMhout warraMy or gwnntee of any Idnd either expressed or Implied Including but not Umited to the
Davie County� Implled wamMles of inercharHabllity or fitness(or a particular use.All users oT Davle CouMys GIS websHa ahall hold harmleu the
Courrty M Davie,North Grolina,its ageMs,consultaMs,contraetors or employees from any and a0 claims or causes of actlon due to
�'p�N.t� NC or arising aut of the use or i�ablllty to use the GIS daU provided by fhis rve6site.
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`AUTxoR��T�ON NO: DAVIE COUNTY.HEALTH � . b.��'y��
4 _ O 8 � O D E P A R T M E N T ���'�,-�'''' �
� � Environmental Health Section PROPERTY INFORMATION
Permittee's ' P.O.Box 848 .
Name: ��"�?+�. �r`�-`ti"�.x-r��-�.�. Mocksville,NC 27028 Subdivision Name:
� Phone#:`704-634-8760
Directions to property: '��`l.•t':. ' 1.,��c���`� ` Section: Lot:
. AUTHORIZATION FOR
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SYSTEM CONSTRUCTION
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**NOTE**This Authorization for Wastewater System Construction MUST BE ISSLJED by the Davie County Environniental Health Section prior
xo 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)
"�a �� C� ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRCJCTION
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_� �,--�,�,�. p > �...J.,� � ��� 1� ' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST` DATE ISSUED
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� , ' � `� "��� ` IMPROVEIVIENT AND OPERATION��I�'S PROPERTY INFORMATION �
Pernvttee.s "- _ .. ;
Name: ` '��"�-�•.�� �.: ��....�.x.�;�a��� Subdivision Name: :.
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D'uections to property:_�} Jl t= "�-�'�`w*�^1:����`� ^ Section: Lot:
� "' �`• IIIZPROVEMENT
' �+�.�.:;n`;3,�='� `,'`:``;-'.°"r...""� _ _�d..�'�,., '�;,, PERMIT _ _
Tax Office PIN:#�
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� � ;"� Road Name: r
� = '�*NOTE**This Improvement Pernut DOFS NOT authorize the construction or installatiQn of a septic tanlc system or any wastewater system.An
�� « AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior fo_the
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t construction/'mstallation of a system or the issuance of a building pernut.
:. (In.compiiance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) �
�"` ry�,,, `4� • ��it1 r � ***NOTICE***THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE
w'�,�>_.�'';-.�.r�, "�.:..y�'� . �,,,�i�'-� PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
, ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE Tf�S PERMIT BEFORE.
'�-�' INSTALLING Tf�SYSTEM..
RESIDENTIAL SPECIFTCAITON:BUILDING TYPE �� #BEDROOMS 3 #BA,THS #OCCUPANTS � GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACII,TTY.TYPE #PEOPLE #PEOPJ.E/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE�� 'yi. TYPE WATER SUPPLYi� DESIGN WASTEWATER FLOW(GPD) �b b NEW SITE REPAIR SITE ��+
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH/ g LINEAR Ff.� ��
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;. OTHER .
REQUIRED SITE MODIFIG`ATIONS/CONDITIONS:
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IMPROVEMENT PERMIT LAYOUT . '
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**CONTACT A REPRESENTATIVE O T'HE t�V CO HEALTH PARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BET'WEEN 8:30-9:30 A.M:OR 1:00- :30 .M.ON DAY OF I�ISTALLAT'ION.TBLEPHONE#IS(704)6348760.
OPERATION PERMIT Q�
SYSTEM INSTALLED BY: �9.,�tr �JJ�T�e�
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AUTHORIZATION NO.v� `� OPERATION PERMIT BY:- � DATE:
**Tf�ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TI-IE SYSTEM DES ED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAP'TER 130A,SECI'ION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BLTT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNGTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OSN6(Revised)
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' ' ' `���'�;�.�: ' ,�;�.�, DA�'CO�NTY HEALTH DEPARTMENT � ;:.r-=�.;� �""�:':; ',>`�
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r�"^��`�`' � �' � ` ,IMPROVEMENT AND OPERATION�ERMITS PROPERTY INFORMATION .._._.
Pernuttee's:, ' " � :.f i,
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Name: °�:�, �. k,• '.., .,� , ��,'`�'.,,, Subdivision Name:
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Directions to ro e �` " ' � `'��'•� `�; Section: Lot:
P P rh'� �; i. .�,- I° ���
' ` � � IlVIPROVEMENT
�ti �,. , 4"� PERNIIT Tax Office PIN:#
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L '��' Road Name: ,'+. � Zip: 3�
�`� '�*NOTE**This Improvement Pemut DOES NOT authorize the constcuction or installatian of a septic tank system or any wastewater system.An
!'� ALTTHORIZATTON FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
= � � ' construction/installafion of a system or the issuance of a building pernut.
. (In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
� � � �•. - "`**NOTICE***THIS PERNIIT IS SUBJECT TO REVOCATION IF STfE
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', ��'';�.�.:�.�: � �'� •3�.i PLANS OR Tf�INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TI�IIS PERMIT BEFORE -
.r � INSTALLING Tf�SYSTEM,
W RESIDENTIAL SPECIFICATION:BUILDING TYPE �. Sc+ #BEDROOMS � #BATHS #OCCUPANTS 4
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� � _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFTCAITON: FACILITY T'YPE • #PEOPLE #PEOPLFJSHIFf #SEATS INDUSTRIAL WASTE:Yes or No
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,LOT SIZE��y��TYPE WATER SUPPLY �?���' . DESIGN WASTEWATER FLOW(GPD) ..%�'� NEW SITE REPAIR SITE L/
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH� r' LINEAR FT. �S
. �,, OTHER �
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REQUIRED S1TE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE O 't1HE AV CO HEALTH EPARTMENT FOR FINAL'INSPECTION OF THIS SYSTEM
BET'WEEN 8:30-9:30 A.M.O 1:00 1:3 P.M.ON DAY OF STALLAT'ION.TELEPHONE#I5�(704)6348760.
OPERATION PERMIT • `
SYSTEM INSTALLED BY:��:��1r':�. �J�s�J'�-
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AUTHORIZATION NO.v�\U OPERATION PERMIT BY: �' DATE:_
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT;THE SYSTEM DES RIBED 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 WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96(Revised) , � q. �-•.
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, . ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION � '
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME � ' PHONE NUMBER I � � � �� a��
ADDRESS �� v � �.�� `�N SUBDIVISION NAME
���1 '�*� �- .a. . � •�.. _L'I 6 O L LOT#
DIRECTIONS TO SITE I 5 � k- h\°'��5�� h� ' �� u+�, �.1 a��-�A. �, s�.��
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DATE SYSTEM INSTALLED �� NAME SYSTEM INSTALLED UNDER
TYPE FACILITY a�-a- NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED �
TYPE W/�TER SUPPLY � ��-� SPECIFY PROBLEM OCCURRING �� � �c�.stik�
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DATE REQUESTED � ��.3 ' �71NFORMATION TAKEN BY � _
This is to certify that the fnfqrmation provided is conect to the best of my knowiedge,and that I understand I am responsible for all charges incurred from this applicadon.
SIGNATURE OF OWNER OR AUTHORIZED AGENT � t
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