180 Shady LnDav
!016
C+OUx�-4
WARNING: THIS IS NOT A SURVEY
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
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.
Parcel Information
Parcel Number:
D700000177
Township:
Farmington
NCPIN Number:
5862808651
Municipality:
Account Number:
82517539
Census Tract:
37059-802
Listed Owner 1:
HOWARD WAYNE E
Voting Precinct:
SMITH GROVE
Mailing Address 1:
180 SHADY LANE
Planning Jurisdiction:
BERMUDA RUN
City: ADVANCE
Zoning Class: BERMUDA RUN GB,RM
State:
NC
Zoning Overlay:
BERMUDA RUN MH -O
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 8 SHADY LANE
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.44 Elementary School Zone:
SHADY GROVE
Deed Date:
9/2001
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
003860902
Soil Types:
GnC2
Plat Book:
0003
Flood Zone:
Plat Page:
048
Watershed Overlay:
BERMUDA RUN
Building Value:
58540.00
Outbuilding & Extra
Freatures Value:
2070.00
Land Value:
13530.00
Total Market Value:
74140.00
Total Assessed Value:
74140.00
!016
C+OUx�-4
Davie County,
NC
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
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.
'AUTHORIZATION NO: '1729/9 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Perrmittee's 1(P.O. Box 848
Name: '��Gi�i All % Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property:/!%%i e f%f ✓ C Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#2m,
r SYSTEM CONSTRUCTION
Road Name:Sh ,4�5/f t� Zip: ?o D
**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)
-i !J r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUC71
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
' 1 7 9 DAVIE COUNTY HEALTH DEPAI iTMENT
IMPROVEMENT AND OPERATION PERMITS
Permittee's „ J'
PROPERTY INFORMATION
Name: ,;) w Subdivision Name:
Directions to property: �'� �� %'.' /?,r Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# 22A - f/ _ e / //.�
Road Name: S/) 11J-1 Zip: 2 Io o �*
**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)
i ***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 /n # BEDROOMS ? # BATHS _V # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE/i # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY O DESIGN WASTEWATER FLOW (GPD) 3W/' /' NEW SITE REPAIR SITE L�
SYSTEM SPECIFICATIONS: TANK SIZE Z4ZP GAL. PUMP TANK GAL. TRENCH WIDTH +ROCK DEPTHX,]; LINEAR FT
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLUENT FILTER* *RISER(S) IF G" BELO11 FINISHED 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.
xxxxxxxxx
J.30 J 6t
OPERATION PERMIT
SYSTEM INSTALLED BY: � tT�1Gi3'R
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s
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Ae�,�.pu,,r6�i
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rt
AUTHORIZATION NO. `rl OPERATION PET BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE' THE SYSTE ESCRIBED 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)
_._.' DAVIE COUNTY HEALTH DEPARTMENT 1 `�
IMPROVEMENT AND OPERATION PERMITS ' PROPERTY INFORMATION
Pernittee's /
Name:
Directions to property:
IMPROVEMENT
- PERMIT
Subdivision Name:
Section: Lot:
Tax Office PIN:#" `f.<1 - 1
Road Name:-./) 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 9 # OCCUPANTS „ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEf # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY K) DESIGN WASTEWATER FLOW (GPD) � a 9�' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEJUGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH L % LINEAR FL"':7")
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT _
*sr3°.ryPROVEIS EFFU1ENT E= ILTEC � x-RISEP (v) Ir- 611 } EL014 FIVIu.XED 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.
xx):;,xxr,>:f;
:1 ii?i !J U f 00
OPERATION PERMIT' )
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. ��� OPERATION PE1T BY: r^ DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTE 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)
NAM
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
DIRECTIONS TO SITE
,N NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY /NJUMBER BEDROOMS �� NUMBER PEOPLE SERVE
TYPE WATER SUPPLY ( o SPECIFY PROBLEM OCCURRING
DATE REQUESTED �!'/ y l5U INFORMATION TAKEN BY,
This is to certify that the information provided is correct to the best of my
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93 10%
I understand I am responsible for all charges incurred from this application.