210 Rhynehardt RdDavie County, NC
Tax Parcel Report () �3 1 `i Thursday, October 6, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C60000001002 Township: Farmington
NCPIN Number:
5852360688
Municipality:
No
Account Number:
82526388
Census Tract:
37059-802
Listed Owner 1:
GLASS FAMILY TRUST
Voting Precinct:
FARMINGTON
Mailing Address 1:
PO BOX 6545
Planning Jurisdiction:
Davie County
City: WESTLAKE VILLAGE
Zoning Class:
DAVIE COUNTY R-20
State:
CA
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
91359-0000
Voluntary Ag. District:
No
Legal Description:
3.00 AC OFF RHYNEHARDT RD
Fire Response District:
FARMINGTON
Assessed Acreage:
2.97
Elementary School Zone:
PINEBROOK
Deed Date:
6/2005
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
2005EO272
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
236330.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
30600.00
Total Market Value:
266930.00
Total Assessed Value:
266930.00
E@1
All data is provided 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
NIC or arising out of the use or Inability to use the GIS data provided by this website.
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 -s\ \Xyt, VP\ Q9- ems PROPERTY ADDRESS DATE
LOCATION Y� �' •�, OS�3 �' � r•. ,. " e�� 4 r• so Lr `" VNI\ a,,,
SUBDIVISION NAME LOT NUMBER
RESIDENTAL SPECIFICATION: BUILDING 7PE u 52 # BEDROOMS �Ll # BATHS
4
SEC./BLOCK NUMBER
# OCCUPANTS �:% GARBAGE DISPOSAL: Ye No
COMMERCIAL SPECIFICATION'E:FACILITY'TYPE # PEOPLE # PEOPLE/SHItT, # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIIE TYPE WhTER SUPPLY DESIGN WASTEWATER FLOW (GPD) y NEW SITE REPAIR SITE +`
SYSTEM SPECIFICATIONS: TANK SIIE /O'D�)GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT. 06
OTHER l.� 0 X S
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE'PLANS OR.THE INTENDED USE CHANGE. yYOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
V
kN
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
F
10-5, U 0
AUTHORIZATION NO. T BY A 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
IMPROVEMENT PERMIT
—,
DAVIE COUNTY HEALTH DEPARTMENT•; Cl -A
IMPROVEMENT PERMIT and OPERATION PERMIT
=+(ATE** 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 6.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME •x� �'�rc,
_ � = .. PROPERTY ADDRESS
�
ti y+ c� � :,.f s�
`�€;
DATE
LOCATION 1 `/ \ _ ��
` �'� ^: .; r", ,y. rte,
1, h��,
r., rte.,
`[a� _`a i�, csr.
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SUBDIVISION NAME
LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPEC.\a5`: # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Ye(6
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
SYSTEM SPECIFICATIONS: TANK SIZE 10e)J"GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH I e1t LINEAR FT.
OTHER
N ;
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF,SITE`PLANS OR THE INTENDED USE CHANGE.
�s SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
�` k, /0W
r
YOUR WASTERWATER SYSTEM CONTRACTOR MUST
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN n
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
F
AUTHORIZATION N0. OPERATI�F-PERM T 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
11'sob
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) 9
NAME J i�v. Q� a PHONE NUMBER
ADDRESS d\� N e A ,z �� SUBDIVISION NAME
0 DA LOT #
DIRECTIONS TO SITE 5$ Z -'c'
� a
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY `A o U -S.Q NUMBER BEDROOMS NUMBER PEOPLE SERVED 3
TYPE WATER SUPPLYrA�oSQ SPECIFY PROBLEM OCCURRING �a�
DATE REQUESTED L - I J6 - 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 AGENT/ E.
Rev. 1/93
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. � - "°�� IMI?ROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �,- ''`�'
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a Improvements permit by ���� r '�/r-"• �"" ,�'
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3. *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30- � �`
j 9:30 A.M. or, 1:00-1:30 P.M, on day of completion. Telephone Number: 704-634-5985. }.� `�;
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a ° ' ; Certificate of Completion �' � Date � �r-� � , ;
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' :�The signing of this certificate shall indicate that the system described above has.been installed in:;compliance,,with =v .�
� the'�standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function � �
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, ` satisfactorily for any given period of time. �; , � �`
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Davie County Health Department
' - ENVIRONMENTAL HEALTH SECTION
• P.D. Box 665
' Mocksvi l le, N.C. 27028 U. U0 r �.
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article if of
G.S. Chapter 13OA, Wastewater Systems)
***This Authorization For Wastewater System Construction must be issued by thejavie County Environmental Health Section prior to
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County B1111ding Inspections
Office when applying for Building Permits.***
4
AUTHORIZATION NU6BER
NAMEJ wm� ,� \ s1 ` p ra DATE 1 �; ° "J
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION - - - C` ���•5='�• �_
CON ENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
L 19 Ito
ENVIRONMENTAL HEALTH SPECIALIST DATE
DCHD 10/95