1001 Peoples Creek Rdr
Davie County, NC Tax Parcel Report 6a01 Wednesday, October 5, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
H900000004 Township: Shady Grove
5799059759 Municipality:
4682000 Census Tract: 37059-804
BARNEY ROMMIE L Voting Precinct: EAST SHADY GROVE
1001 PEOPLES CREEK ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAME COUNTY R -A
NC Zoning Overlay:
27006-7449 Voluntary Ag. District:
2.39 AC PEOPLES CREEK RD Fire Response District:
Land Value:
Total Assessed Value:
2.19
Elementary School Zone
7/1981
Middle School Zone:
001140338
Soil Types:
Flood Zone:
Watershed Overlay:
155010.00
Outbuilding 8r Extra
Freatures Value:
40870.00
Total Market Value:
196890.00
ADVANCE
SHADY GROVE
WILLIAM ELLIS
PaD, PcB2, PcC2
DAME COUNTY
1010.00
196890.00
No
Davie County,
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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. ._.
4
• t DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
D
**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.
lln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
.�
NAMEAIAl�/
[, PROPERTY ADDRESS �2D/E S �C eo� �� • — DATE-Z—
LOCATION
SUBDIVISION NAME LOT NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS
SEC./BLOCK NUMBER
# BATHS / # OCCUPANTS _�,9 GARBAGE DISPOSAL: Ye N6o
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY /�r�� DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE l/
Orc2,60
��n v
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ,/ LINEAR FT. c,6 v
OTHER s..
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR LAST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**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.
OPERATION PERMIT
SYSTEM INSTALLED BY
0
Ile -
v
�a
S�
AUTHORIZATION NO. Q OPERATION PERMIT BY GL �W DATE/�
**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 10/95
R' �
' DAVIE COUNTY HEALTH DEPARTMENT
>' IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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)
NAME 4 `;4 ;r1 / * / cr .�`�' /, t/ i _-� RRORERTY ADDRESS TJ�P S �/� C'/� /1 • ^ ,�eDATE
LOCATION A0
SUBDIVISION NAME A LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL;SPECIFICATION: BUILDING TYPE
# BEDROOMS nP # BATHS # OCCUPANTS f GARBAGE DISPOSAL: Ye /N1
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE l%
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. acrJv
OTHER, �' t
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**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.
OPERATION PERMIT
J
SYSTEM INSTALLED BY
AUTHORIZATION N0.OPERATION PERMIT BY DATE
**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 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION!
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
/ AUTHORIZATION NUMBER
NAME rA e DATE �/� , �(�-�� '� F
a
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION -�1�� �� � /'/'.- C✓
COMlENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
+*+NOTICE* THIS AUTHORIZATION FD WAS EWAT 5Y5 CONSTRUCTION 19 VACID�R A�'ERIOD FIVE✓t5) YEARS./
ENVIRONMENTAL HEAN SPECIALIST DATE
DCHD 10/95
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
ADDRESS lord �' 6 r9 /S ;1 -/
PHONE NUMBER
UBDIVISION NAME
LOT #
DIRECTIONS TO SITE U rV
DATE SYSTEM INSTALLED - NAME SYSTEM INSTALLED UNDER
TYPE FACILITY aft" NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED
NFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,
SIGNATURE
SIGNATURE OF OWNER OR AUTHORIZED AGENT /�
Rev. 1193
I understand I am responsible for all charges incurred from this application.
i _/ ry