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404 Vogler RdDavie County, NC Tax Parcel Report Tuesday, October 11, 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 F90000001806 Township: 5880889008 Municipality: 48106000 Census Tract: MAYHEW KEVIN WAYNE Voting Precinct: 404 VOGLER ROAD Planning Jurisdiction: ADVANCE 2oning Class: NC 2oning Overlay: Land Value: Total Assessed Value: 27006-0000 Voluntary Ag. District: 2.35 AC VOGLER RD Fire Response District: 2.04 Elementary School Zone: 7/1998 Middle School Zone: 002030826 Soil Types: Flood Zone: Watershed Overlay: 0.00 Outbuilding 8� Eutra Freatures Value: 41080.00 Total Market Value: °"��'�' Davie County, `'��N�� NC 45580.00 Shady Grove 37059-804 EAST SHADY GROVE Davie County DAVIE COUNTY R-A ADVANCE SHADY GROVE WILLIAM ELLIS WeC, PcB2 DAVIE COUNTY 4500.00 45580.00 No �.,.: �..�..... ,.,--:•�,r �-: �:..,��. �, ...,� . �...� .- ., -. .. . , �. ,. . . . .. ,�x,,_ ,, AUTHORIZATION NO: ���� DAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section Permittee's � P.O. Box 848 �� s-Z7 -q, � . . . : ;, � �• t� PROPERTY INFORMATION Name: �/�Q'�'�'1 �/��.Yl� Mocksville, NC 27028 Subdivision Name: /j Phone # 336-751-8760 Directions to property: "��'�� %�f�'%��,��{� � Section: Lot: / �� AUTHORIZATION FOR G�����G�L�!-O!�/�/D�o�) ��/��� WASTEWATER _ � C� � �id �� SYSTF.M CONSTRUCTION Tax Office PIN:# i Road Name: .!{/� � ZiP:1j,�rG **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 Counry Building Inspections Office when applying for Building Permits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r �/ (� � ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �,�;�,�Y;�,!;�� �,�'y!�.�f ) r'7� • _._3��::,:�r,f f,i�'''r IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED .. .. , � __ _: . . _ . . :, . . . , ,.�, . , ,, ,. .,:. . . , � �-z�-�� . , '+'� _ '" � �j � t�D ,�„, � � � , _ �:DAVIE COUNTY HEALTH DEPARTMENT � - �' TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's ' ' ' Name: �jlf � �'YI �� j� Subdivision Name: , �, � Directions to property: , �'i' �,•' ��' .'%f�2�` �'� 'j Section: Lot: �� "" IMPROVEMENT g���—�f��O��, (%G�OI�) /`I�IA.J�� PERMIT Tax Office P # - , �v.� : Road Name: Zip: ���f� **NOTE** .This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AiJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCITON must be obtained from this Department prior to the construction/installation of a system or the issuance of a building pemut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) +..��` �: ; F+ _. � ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE .. , f`�,� , « ' ,r ,, ,� �;,� , `; �:-;,r�} . r;;r� , ,,, ,. PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALT{I SPECIALIST DATE ISSUED ' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING TI-IE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING 1'YPE �� # BEDROOMS �_ # BATHS �_`�i OCCUPANTS _�_ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) G� NEW SITE REPAIR SITE ��r f.. SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCIC� �EPTH �CS` LINEAR FT. �. S� I 7�i OTHER � � � /, � REQUIRED SITE MODIFICATIONS/CONDITIONS: ` ��� v�� • ` �� � /'d . IMPROVEMENT PERMIT LAYOUT +E►E'CPOY�U GFFL!!E€ii' CILTE�?� �RI �i(�1 I�' �" E3�L0« FI�iTSIi��} G£fF��tv+� ,�,�- k; i i%$ T r� "•CONTACT A REPRESENTATIVE OF THE BETWEEN 830 - 9:30 A.M. OR 1:00' OPERATION PERMIT � we1/ � E COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. SYSTEM INSTALLED BY: � �'�` I�LL..t�/ �' , , �a�t�J� �� � ., �F iz..�.-�-r AUTHORIZATION N0. ��� OPERATION PERMIT BY: DATE: �i-1 ••THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE Y M DESCRIBED A OV HAS BEEN INSTALLED IN COMPLIANCE WTTH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THESYSTEM WII,L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) , . . : : : : - , . : . . ._ .;., ,. . .. , , .� ,. : _., , . :. . . . . ` . , �� 5-27-���j _� _ `w � � '� : ��,;DAVIE GOUNTY HEALTH DEPARTMENT �' �'� '-= =' �. '� TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's � -- Name: ,�1i��c>'Y�l fi��'3�� SubdivisionName: Directions to property: ' `� •;,: L2�` l i i 'f Section: Lot: . � ' .,, n�RovE�iv�r y��-,Ef/-D�6�fl`(�dG�� : IA �l �" � � PE�MIT Tax Office P1N # �✓-�`�`�'`� Road Name: `' k=� Zip: �17� **NOTE** This Impmvement 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 conshuction/installation of a system or the issuance of a building pemut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** TIIIS PERMTI' LS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING THE SYSTEM. �-- ,r� � # RESIDENTIAL SPECIFICATION: BUILDING TYPE i i r� # BEllROOMS �_ # BATHS �5 `"# OCCUPANTS �„� GARBAGE DISPOSAL: Yes or No � COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) " �� NEW SITE REPAIR SITE � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH /' ROCIS �EPTH �� LINEAR FT. �S %J � � �� . ,� . REQUIRED SITE MODIFICATIONS/CONDITIONS: �( G� ( �`� ' � �% ,t�10�, IMPROVEMENTPERMITLAYOUT ���pP[:01ii:0� EFFLUEiis F'iLi�C�B +Stl�i.'�t�S? I� �i�' :3:�'.L17:± �II8I5�I� G�AL��� ,�+ %S� . � I �f � � � WPII **CONTACT A REPRESENTATIVE OF THE E COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:0(� 30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT L� (/�/ .I�� �..,�� � A7 SYSTEM INSTALLED BY: ��'�`��` ALl_.l.a/ " Nc_.. j r � V �1�J�s � 3� � �z .� a: `1� ���� /"`�� ! 1� �,�5 txiST�.��� � � M .1-�c�.-S � 2.�..�T n AUTHORIZATION NO. ���, OPERATION PERMIT BY: I �� - DATE: �`�+ � "�THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE Y M DESCRIBED A OV HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECIION .1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCI70N SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) .:� i� _