791 Singleton Rd Davie County,NC - Tax Parcel Report Tuesday,November 8, 2016
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- - WARNING: THIS IS NOT A SURVEY
wParcel Information A � �
Parcel Number: --N700000002 Township: Jerusalem
NCPIN Number: 5765324530 Municipality:
Account Number:- : 35828000 Census Tract: 37059-807
Listed Owner 1:-= HILTON BREMON D SR! Voting Precinct: JERUSALEM
Mailing Address 1: - 723 SINGLETON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE - Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-6840 Voluntary Ag.District: No
Legal Description: 5.75 AC SINGLETON RD. Fire Response District: JERUSALEM
Assessed Acreage: 5.78 Elementary School Zone: COOLEEMEE
Deed Date: 5/2016 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 010171135 Soil Types: WeB,PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 173720.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 35520.00 Total Market Value: 209240.00
Total Assessed Value: 209240.00
161
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AUTHORIZATION'NO: 1879 DAVIE �OUNTY HEALTH DEPARTMENT
t Environmental Health Section PROPERTY INFORMATION.
Permittee's / ,,�. P.O.Box 848
Name: 1°eIYLt!/�✓ ✓/• �/✓ Mocksville,NC 27028 Subdivision Name:
�
JJ Phone# 336-751-8760 _
Directions to property: 161- _f; 11.4 `/01 Section: Lot:
yr AUTHORIZATION FOR
!C'�'� ✓, : �t°` WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
RoadName: �'1 /eip:
**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 I l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
/ -
***NOTICE*** WASTEWATER CONSTRUCTION
NOTICE THIS
VALID OR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
"t `w"` .� �4J 4. tw♦ val:ns 1 t� L .It ...hft ,..��
8T .
DAVIE�OUNTY HEALTH DEPARTMENT:'
- IMPRdVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's f .. '
Name: 1P_C)'l.dA/ E +i'/� A�`1 Subdivision Name:
Directions to property: i�l� 1 !. Section: ' Lot:
IMPROVEMENT
PERMIT ' Tax Office PIN:# -
Road e 'Yl l�/� G1
I' 0�g
**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***THLSPERMIT 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:.
a
RESIDENTIAL SPECIFICATION:BUILDING TYPE _ #BEDROOMS ,#BATHS _#OCCUPANTS _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATIONr FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZFx, TYPE WATER SUPPLY� DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3� ROCK DEPTH �L LINEAR FT. 1
OTHER
'y
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYO .
eQ P
n�
**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 INSTA ATION: #IS (336)751-8760.1
OPERATION PERMIT
D BY:
b
AUTHORIZATION NO. OPERATION PERMIT BY: �` 'wtiI' DATE: (
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM 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)
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i
rf DAVIE OUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permiftee's
Name: Ar em,I A/ � � �� Subdivision Name:
Directions to'property: �-"�' Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# _
Roal I i e �) �'`h11Tp: Od g
**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
r ,%� ,/ "1✓ 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 _#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SI7.F� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH,?� ROCK DEPTH LINEAR Fr.,
}� OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYO�T f
� a
b�
**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 INSTA I ,TION #IS (336)751-8760.
OPERATION PERMIT
ED BY:
1
AUTHORIZATION NO. OPERATION PERMIT BY: I` 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)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME >'� , PHONE NUMBERC33% 9p'=4qw-
ADDRESS 7!?/ �l. SUBDIVISION NAME
�S LOT #
DIRECTIONS TO SITE i` e
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY 41 NUMBER BEDROOMS �--� NUMBER PEOPLE SERVE
TYPE WATER SUPPLY /&� SPECIFY PROBLEM OCCURRING
DATE REQUESTED _� 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
Rev.11W
Tw X99