963 Williams RdDavie Countv. NC Tax Pazcel 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:
WAK1VllV(.T: '1'tll� l� 1VU'1' A JUKVL+ Y
Parcel Information
170000004201 Township:
5768974232 Municipality:
74366000 Census Tract:
TURNER STANLEY D Voting Precinct:
963 WILLIAMS ROAD Planning Jurisdiction:
ADVANCE 2oning Class:
NC Zoning Overlay:
Land Value:
Total Assessed Value:
27006-7131 Voluntary Ag. District:
8.811 AC WILLIAMS RD Fire Response District:
8.70 Elementary School Zone:
9/2008 Middle School Zone:
007700900 Soil Types:
0010 Flood Zone:
006 Watershed Overlay:
114160.00 Outbuilding & Extra
Freatures Value:
81780.00 Total Market Value:
201340.00
9"�`�' Davie County,
�o� NC
Fulton
37059-804
FULTON
Davie County
DAVIE C�UNTY R-A
No
FORK
CORNATZER
WILLIAM ELLIS
GnB2,GnC2
DAVIE COUNTY
5400.00
201340.00
` . . + Y, . � . .
" ' Permittee:s r---.�-�-1. ��.-•; r" DAVIE COUNTY HEALTH DEPARTIVIENT �' � � �� � � 1 ,
, � l�m�: " � �� �°�;': !`,��'� �.��;, , ; Environmental Health Section `' P OPERTY INFORMATION
. .� �' ` P.O. Box 848 '
Direcdons to property: �•'�� � � � "� �'.'� • - �` � �f �qocksville, NC 27028 Subdivision Name:
t'. f r Phone #: 336-751-8760
f� ' �: ' ��' r� �' � t`. . `-` ' Section: Lot:
f �UTHORIZATION FOK
%� ' � ' � :%� ' ' WASTEWATER
� _ �'' .�` �� . ,.•� r, ,'f �" �' 1� i'" Tax Office PIN:#
i`' - "� � SYSTF,M CONSTRUCTION - -
AUTHORIZATION NO: �'� �.��� �:° � � I �t �i�-s p� �� D d � �
� A Road Name: /''� Zip:
**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 Forn�/Authorization Number should be presented to the Davie Counry Building Inspections
Office when applying for Building Permits.
(In compliance wi[h Artide 1] of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
,�. ,�
,; � ***NOTICE*** THIS AUTHORI7.ATION FOR WASTEWATER CONSTRUCTION
�''+ '- _. , i F' � •- �`/ r'.,.'t;-' = IS VALID FOR A PERIOD OF FIVE YEARS.
- f'. ,
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED -.
RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEllROOINS'�'��� # BATHS �_ #� OCCUPANTS ^�� GARBAGE DISPOSAL: Yes or No
� ,
;: _. _
COMMERCIAL SPECIFICATION: FACILITY TYPE �' �# PEOPLE # PEOPLF✓SHIFI' # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD} ��l'�-=/'�, NEW SITE REPAIR SITE :��
.�-� � ✓i � �r
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH- {! � ROCK DEPTH �"-� LINEAR FT.,/�1.1 j�
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**CONTACT A REPRESENTATIVE O DAV1E COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1: .M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
.,
OPERATION PERMIT
AUTHORIZATION NO.ZS�/i OPERATION PERN
,\
ALLED BY: JQ h� w� �f l� �4aJi �
� ��
DATE: � T.7"� S
••THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICAY`E 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 FUNCTTON SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
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, �' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
ADDRESS_ `�L�1�/���%�-� �� SUBDIVISION NAME
,
� LOT #
. ". . � � .
DIRECTIONS TO S
i
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER /�1'L �—
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED �
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REGtUESTED INFORMATION TAKEN BY,
Thi� ia to c�rti(y that the information provided is corcect to the best of my knowledge, and that I e
SIGNATURE OF OWNER OR AUTHORIZED AGENT �
Ae,,. ,/93
,
I res o' ' ed from this application.
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