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987 Liberty Church Rd (2)Davie bounty, NC Tax Parcel Reuort 1141 A Monday. October 3, 2016 WAKINENU: THla IS INUl A SURVEY Parcel Information Parcel Number: D200000046 Township: Clarksville NCPIN Number: 5812219752 Municipality: Account Number: 10010500 Census Tract: 37059-801 Listed Owner 1: BRINKLEY SHERRILL K Voting Precinct: CLARKSVILLE Mailing Address 1: PO BOX 249 Planning Jurisdiction: Davie County City: YOUNGSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27596-0000 Voluntary Ag. District: No Legal Description: 64.50 AC LIBERTY CHURCH Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 62.10 Elementary School Zone: WILLIAM R DAVIE Deed Date: 11/1997 Middle School Zone: NORTH DAVIE Deed Book / Page: 001980667 Soil Types: AaA,MnC2,MnB2,MdB,ChA,MdE Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 369560.00 Outbuilding & Extra Freatures Value: 3710.00 Land Value: 352000.00 Total Market Value: 725270.00 Total Assessed Value: 436140.00 161 All data is provided as is without warranty or guarantee of any kind eitherexpressed 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. AuTHOR1ZATION NO'7479 COUNTY HEALTHTMENT * .. .. .�... - . i . Environmental Health Section PROPERTY INFORMATION Permittee's 5� w' f r P.O. Box 848 Name: Mocksville, NC 27028 Subdivision Name: (: Phone # 336-751-8760 Directions to property: i•� I Section: Lot: AUTHORIZATION FOR i WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - 1%7 Road Name: o fry G7 'Ctl ,� Zip: <—' •0;z ; 8 **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 1-1 of G.S�'hapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION a�J vim' �% IS VALID FOR A PERIOD OF FIVE YEARS. ENVIR E-ff£At7i?SPECIALI$T�'! DATE ISSUED PI DAVIE COUNTY HEALTH ZEPRTAIENT, IMPROVEMENT AND OPERATIOPEIMTS PROPERTY INFORMATION .° Permittee's :. Name: �w ` . iLt--- 4 ~• -{' 3 f i-;�'t Subdivision Name: 'Directions to property:{ i- Section: Lot: IMPROVEMENT j ► PERMIT Tax Office PIN:# - - _ Road Name. i; ! , F ') I r -'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) ***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 V1005 , # BEDROOMS _ # BATHS t E # OCCUPANTS 2 GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE .`' " ; Y E WATER SUPPLY(- LWT DESIGN WASTEWATER FLOW (GPD) lr NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH S , ROCK DEPTH + LINEAR FT. 7-0( OTHER STEA f,JTt0-3 &D,4 E-T&W- 1_9 b `� tel, 0.�. REQUIRED SITE MODIFICATIONS/CONDITIONS: ke ,!E ALL O-) C"'n o o, , �''� CA31 LG- 7- 1 C. E, V` --1=t LjAC�^ = � ➢t r IMPROVEMENT PERMIT LAYOUT -NAAPROVED EFFLUENT FILTER* *RISERS) IF 611 EELO ; FINIIESED GRADE* "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. }tY.XH1t)SXHIt OPERATION PERMIT SYSTEM INSTALLED BY: She4 ►'ta-- b Itlw-'V AUTHORIZATION NO. / 7V 7p* OPERATION . -de) PERMIT BY: � DATE: `� ' "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE TH 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. 7 478 DAVIE COUNTY HEALTH DEPARTMENT - • IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION "Permittee's ► Name: i �* !t- ':~` Subdivision Name: t' -Directions to property: i' :? Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# z. Road Name. + ' i 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 _LL`!L # OCCUPANTS % GARBAGE DISPOSAL: Yes or No r COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZ �`�'� L TAPE WATER SUPPLY'S t Jr DESIGN WASTEWATER FLOW (GPD) ?`'C'" NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH --C: % ROCK DEPTH 1 LINEAR Fr. •� 3� nTHF.R REQUIRED SITE MODIFICATIONS/CONDITIONS: t f t .3 IMPROVEMENT PERMIT LAYOUT *APP110VED EFFLIJE14T I=ILTERif •01SER(S) IF 61' BI L04 Flt1IL f'ED G� ADEi "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. XX):}CHFC2fXF; v jo. 1 7 J J. OPERATION PERMIT SYSTEM INSTALLED BY: �tG, r.� ! �� r✓! .,t1 av AUTHORIZATION NO. 7 70� OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THI 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. DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) q1T s50 - /57b NAME c�� L�' .� f IV U; j PHONE NUMBER 412- - 6,35-0 ADDRESS g ►,���� .�� SUBDIVISION NAME LOT # DIRECTIONS TO SITE L40 (1� 70 Lj t�• l iCl �-iJ DATE SYSTEM INSTALLED �2a NAME SYSTEM INSTALLED UNDER TYPE FACILITY a O �� NUMBER BEDROOMS NUMBER PEOPLE SERVED Z TYPE WATER SUPPLY_d0"-rI SPECIFY PROBLEM OCCURRING DATE REQUESTED S V INFORMATION TAKEN BY� This is to certify that the information provided is correct to the best of my knowledge, nd tat I understand I am SIGNATURE OF OWNER OR AUTHORIZED AGENT' Rev. 1/93 9 P6 foi all charges incurred from this application.