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1401 Peoples Creek Rd (3)Davie County, NC Tax Parcel Report 1661 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: Land Value: Total Assessed Value: WARNING: THIS IS NOT A SURVEY Parcel Information G90000000804 Township: Shady Grove 5789781812 Municipality: SHADY GROVE 82516708 Census Tract: 37059-804 REYNOLDS WARREN P Voting Precinct: EAST SHADY GROVE 1401 PEOPLES CREEK ROAD Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC 27006-7450 10.00 AC PEOPLES CREEK RDLOTS 10-11 10.00 3/2000 007482000 0006 035 465180.00 120060.00 677770.00 Zoning Overlay: Voluntary Ag. District: No Fire Response District: ADVANCE Elementary School Zone: SHADY GROVE Middle School Zone: WILLIAM ELLIS Soil Types: WeC,WeB,PcB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra 92530.00 Freatures Value: Total Market Value: 677770.00 Davie County, All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �r County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to �OUty� NC or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: ' DAVIE OUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's T , o i q P.O. Box 848 Name: i (�l�i✓�'tCLLY�'1 i��� u'?t"ocksville, NC 27028 Subdivision Name: Phone # 336-751-8760 Directions to property: 1` Q (77- T' F '� ° Section: Lot: AUTHORIZATION FOR C T • ' �y WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION /06/ Road Name 0 r I . �e-ORLS Zi id **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 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) l' ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION r ? IS VALID FOR A PERIOD OF FIVE YEARS. ENYIR?I KIENTAL HEALTH SPECIALIST DATE ISSUED T, r/ o DAVIEOUNTY HEALTH DEPA�tTM, )ENT r' 4— y IMPRO; EMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittees '= " �' • 0 • Name.` " '71 1�� I"7�it-�'� CU MSubdivision Name: Directions to property: `l ' " r Section: Lot: {. IMPROVEMENT % PERMIT Tax Office PIN:# Road Na e: E� 1�1e S _�_ZiM **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*** TILS PERMIT IS SUBJECT TO REVOCATION IF SITE "1 Z %f, 0 /' " f PLANS OR THE INTENDED USE'CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIpfiNTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS —4,A— # BATHS _ # OCCUPANTS 3 GARBAGE DISPOSAL eG or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT LOT SIZE /49• TYPE WATER SUPPLY �' DESIGN WASTEWATER FLOW (GPD) SYSTEM SPECIFICATIONS: TANK SIZE 000 GAL. PUMP TANK GAL. TRENCH WIDTH REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT I # SEATS INDUSTRIAL WASTE: Yes or No NEW SITE REPAIR SITE (� " _ ROCK DEPTH LINEAR FT. "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 (336)751-8760. OPERATION PERMIT r� SYSTEM INSTALLED BY: —Jere �/10 C 5 /Y/!LG'-S jtoo Nlr AUTHORIZATION NO. s� 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 05196 (Revised) ' DAVIEOUNTY HEALTH DEPARTMENT *IMPRO: EMENT AND OPERATION PERMITS Permittee' PROPERTY INFORMATION Name: L.2I I-1!-�"'� ( ft 1�► Subdivision Name: Directions to property: ' Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# `: - Roadd NaNa me: SCI Cr Zip: -'Q,11 ,1 11 **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. i (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 —,�4— # BATHS # OCCUPANTS _ 3 GARBAGE DISPOSAI�,Ve) or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE /,O, 1/b/-)" TYPE WATER SUPPLY. Cly ' DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SI I'E SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH �„ LINEAR FT3/—w' OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT c � I X— "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 (336)751-8760. ' i a I OPERATION PERMIT SYSTEM INSTALLED BY: Dov t'll�� F AUTHORIZATION NO. �S.S/ OPERATION PERMIT BY: /Cr /f 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 05/96 (Revised) • J�d ry DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) -7& 7 - 6Vf-0 "'"K' NAME �'� I %C u ►'� PHONE NUMBER 8 46 Lx 14' z'0 42- ADDRESSLt. iJtI,L W �13�� z7 SUBDIVISION NAME ` Z?oeL LOT# DIRECTIONS TO SITE `i LT - -r. tLli' 8r� - 2 P-�-� �• �'// �f ���•� 4- %4A1- -- . .1C - DATE SYSTEM INSTALLED °I2-53 NAME SYSTEM INSTALLED UNDER �t+SS Lo .. 11 TYPE FACILITY— NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING IJ '6 A.c,tv S.T. i-S DATE REQUESTED 7 " 30 �r INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application SIGNATURE OF OWNER OR AUTHORIZED AG Rev. 1/93 se'r�"16 "An V- 79,