249 Lybrook RdDavie Countv. NC
Tax Parcel Report I TO N Friday. September 30, 2016
WARNING: THIS 1S NOT A SURVEY
Parcel Information
Parcel Number:
D80000002401
Township:
Farmington
NCPIN Number:
5871783915
Municipality:
BERMUDA RUN
Account Number:
49791000
Census Tract:
37059-803
Listed Owner 1:
MCKENZIE MARK EDNEY
Voting Precinct:
HILLSDALE
Mailing Address 1:
249 LYBROOK ROAD
Planning Jurisdiction:
BERMUDA RUN
City:
ADVANCE
Zoning Class:
BERMUDA RUN RM,CR
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27006-7630 Voluntary Ag. District:
3.627 AC LYBROOK RD Fire Response District: SMITH GROVE,ADVANCE
3.40 Elementary School Zone: SHADY GROVE
7/2003 Middle School Zone: WILLIAM ELLIS
004990239 Soil Types: GnB2,GnC2,ChA
0003 Flood Zone:
042 Watershed Overlay: BERMUDA RUN
165330.00 Outbuilding & Extra
Freatures Value:
150980.00 Total Market Value: 316310.00
316310.00
0.00
No
101
AlldataIsprovided as is without warranty or guarantee of any kind either expressed 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
NCor arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ,MCnI.
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) C/l C —C
r
1ME PHONE NUMBERZSR
ADDRESS7--A �? (") `�ovk- �c� SUBDIVISION NAME
Aal Va4ce_ /V (L LOT #
DIRECTIONS TO SITE iC-ba 1590 90 %n",A-0 r - 500� an gja 44-4 ort L4baoo k R(A
LaS� AoU� oA RQ -7j 6/1 leo 4-4er r, --Id Yv%AS �O a!rl
DATE SYSTEM INSTALLED % NAME SYSTEM INSTALLED UNDER V �`�' d* --c 1eelv Z. -t
z d c.Qr 4-1 o:- l
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY � -z t/ SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
01'4k --=i-1 6tis- 763
I understand 1 am responsible for all charges incurred from this application.
DAVIE COUNTY HEALTH DEPARTMENT
^' (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR ��j, / /; /7 li)���'�»," l DATE PERMIT
LOCATION �'L� / /�4 �2�^� c- ` % D,'T Ay '1 4W lr
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE G;r MOBILE HOME ❑ BUSINESS ❑
N9. BEDROOMS 3 NO. BATHROOMS 0 -
GARBAGE
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD e,'crn sq. ft.
DEPTH OF STONE IN LINES: /�, 1,
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
1'712
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY
CERTIFICATE OF 1;ON
? By Date
(8/16/7 .� �'Gonstruction must 4mply with all other applicable State and local regulations
LOT AREA
• ,��, . �«tom-�-�� ,�.t�ti
f,4z L.
.-. 1 ; ti s ,.. :....• :r:_.-. ..._ ::,. ....::; - r::t;,-r ,..=-r'.i., cd" •`yr�.r- �.��-^""`- `
-AUTHORIZATION NO: i 3 0 911 DAVIE COUNTY HEALTH DEPARTMENT -
Environmental Health Section PROPERTY INFORMATION
Permittee's ,� P.O. Box 848
Name: `-�L �`'��.-, 'r; .. Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: �` ��+ `tT_.� Section: Lot:
AUTHORIZATION FOR
I VC,J ` j j U :.•r 3� WASTEWATER Tax Office PIN:#
— SYSTEM CONSTRUCTION - - —
Ll 01
L1 ,�
t.. ( l :� •-' Road Name:— L �.;; [ -X I'Ztp (p
**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 Buijl�ing Permits.
(In compliance with Article I 1 of G.S hapter 13,E 0` A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
* *NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRWJ �� 13AI H -SPECT IST STATE ISSU D ��;
DAVIE
COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perrrtttee's
Name: -` 1, Q.— t `=- Subdivision Name:
Directions to property: i i,.t Section:_
IMPROVEMENT
Lot:
- PERMIT Tax Office' IPJIN:#
L Road Name:p:
**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 1330A, 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 ISSU D ' C '' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE i3 # BEDROOMS --q— # 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 ,L -LL- DESIGN WASTEWATER FLOW (GPD) ` L� �o NEW SITE REPAIR SITE
.► 1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �- ROCK DEPTH ' 2-- � LINEAR FT.
OTHER' ►JI SI 21 P-1 0-j 1�"0
REQUIRED SITE MODIFICATIONS/CONDITIONS: 0'Ft' t I ' • 1. ' +=
IMPROVEMENT PERMIT LAYOUT
IAPPROVED EFFLUEUT FILTERS -x-RISER(S) IF 6" Er1.Q:7 FINIMgED GrADEI
N �J
�� � Lam► k �„� 1
1
<"'`�'
' 1 `j
"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 (ZQ4) 4*760--
XXXXXXXXY
lZb) 751-5761
OPERATION PERMIT i� coa5w
SYSTEM INSTALLED BY:
too U('X,Z „ i{ S tCLA ► r`1 �'�> > I
L9 P42
77v
/0-3 3
�
`
v '
AUTHORIZATION NO. I k OPERATION PERMIT BY: -- DATE:
e
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THATS STEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)