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117 North Claybon Drive Lot 2Day. !016 [Oil All datais provided as Is withoutwartndy or guarantee of any Idnd ehher expressed or implied Including but not limited to Ne Davie County, Impliedwa anti as or merchanhbghy or fitnessfor a particular uss. Ali users or Davie Courdy's GIS archaic shall hold harmless the County ofDavie, North CaMina, Its agerdsconsultants, cordrachn wemployeeshwnanyands0cWmsorcausesofacdandueto NC - ararisingomoftheusearinabirdytouse Me GlSda pmvidedbythisw holds. - WARNING: TMS IS NOT A SURVEY T Parcel Information Parcel Number: C7140A0002 Township: Farmington NCPIN Number. 5862965707 Municipality: Account Number. 82521391 Census Tract: 37059-802 Listed Owner 1: GARWOOD BOB L Voting Precinct: FARMINGTON Mailing Address 1: 127 ASHBURTON ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20,1-2 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 2 DAVIE GARDEN Fire Response District: SMITH GROVE Assessed Acreage: 0.45 Elementary School Zone: PINEBROOK Deed Date: 6/1990 Middle School Zone: NORTH DAVIE Deed Book/Page: 001540639 Soil Types: GnB2 Plat Book: 0003 Flood Zone: Plat Page: 093 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: , - Total Assessed Value: [Oil All datais provided as Is withoutwartndy or guarantee of any Idnd ehher expressed or implied Including but not limited to Ne Davie County, Impliedwa anti as or merchanhbghy or fitnessfor a particular uss. Ali users or Davie Courdy's GIS archaic shall hold harmless the County ofDavie, North CaMina, Its agerdsconsultants, cordrachn wemployeeshwnanyands0cWmsorcausesofacdandueto NC - ararisingomoftheusearinabirdytouse Me GlSda pmvidedbythisw holds. - �i -'; � y :' `� ' -..: ..-.i: �'.,(rr' � 'f C.� ii'!_♦ r �i�V /fir°r� n_ AUTHORIZATION 10 rj %A DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section . PRORT;Y;INFORMATION Permittee s r P O: Box 848 " Name �i9(li(ilJf7f/ Mo�ksville,NC27028 - Subdivision Name ,C/%�✓ f ilYl✓lT/mss Directions to Phone #,.336-7-51 8760 ; %/� " Seaton Lot_ property: .AUTHORIZATION FOR _' WASTEWATER SYSTEM CONSTRUCTION, Tax Office PIN:# Road Name::. _ ZtP **NOTE** This Authorization for:Wastewater System Constriction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any BuildingP.errmLs.-This Fonn/Authoriiation,Number should be presented to the Davie County Building Inspections nfr (In.compliatice with Article I 1 c L�FI Ve� ` ENVIRONMENTALHEALTHSPEC - r Building Permits S, Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal, Systems ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER C ISVALIDFORAPERIODO]FIVEYEARS, 'r� ST: . DATE ISSUED ( - DAVIE COUNTY HEALTH DEPARTMENT °� � " "00 ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATIION Pemtttee s /� (_ /�i,J. C� 'Name X �//J-/W/�p< /' * Subdivision Name. !. f / �r!!ir A -'� Dvections to'pioperty: 1 *i 3n Section % Lot L%J//�i 11 ,(� )/ IMPROVEMENT 1(/ PERMIT Tax Office PIN:# \ Road Name: Zip: *NOTE** This 6prbvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTIORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION most be obtained frgm this Department prior to the construction/iristallation of a system orthe issuance of a building permit- (Incompliance ermit'(Incompliance with Article l l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) i ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE .; `f,•4.V�/r , r '� / Uf rs-1 j :J ). ^/�� e j . PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ;..r ENVIRONMENTAL HEALTH SPEcrALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM RESIDENTIAL SPECIFICATION. BUILDING TYPE _ # BEDROOMS;—r . # BATHS ` - # OCCUPANTS GARBAGE DISPOSAL. Yes or No COMMERCIAL SPECIFICATION FACILITY TYPE - # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE Yes or No uLOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) yL ri NEW SITEREPAIR SITE ' �^ SYSTEM SPECIFICATIONS: TANK SIZE" GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.1ftL , OTHER" REQUIRED SITE MODIFICATIONS/CONDITIONS: *_*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OFTHIS.SYSTE1Vt BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS L7"i o& - . I47L 17S��G70.01 GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TINE.,- ✓ DCHD 05/96 (Revised) {. 673P, DAVIE,COUN4 HEALTH DEPARTMENT ' PJG� CXJ IMPRQVEMENT AND OPERATION PERMITS PRARTY INFORMATION Permittee s . Name (e` i /i S�!liJ::t i Subdivision Name 1.�.`r �'.✓ '��" Directions to property: �> Ji / / `%1 " Y Section: % Lot: l V IMPROVEMENT PERMIT Tax Office PIN:# Road Name: Zip: **NOTE** This Improvement Pemdt DOES NOT authorize the construction or installation of a septic tank system or any wastewater sy's`tem. 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 `P # BATHS . `)_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE*PEOPLE , # PEOPLEISHIFP # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE WATER TYPE SUPPLY ' . < ..- ` v DESIGN WASTEWATER FLOW (GPD) y ev NEW, SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH , 7 ' ROCK DEPTH LINEAR FT. 6/�,4- 2 REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED lr EFFLU NT FILT� R(S) IF 611 FINISHED. GRAM,* QP✓ g2o0 Xs l8l� TeX u�C'� r -- -------------- **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 �7"7i'kWf& „ !22[.1757—n7T,0) OPERATION PERMIT SYSTEM INSTALLED BY: . n , . x AUTHORIZATION NO. -73 - OPERATION PERMITBY: � DATE: 1!22-116 -do **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 TUNE. -DCHD 05/96 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME PHONE NUMBER UP RI1Rn]Vl..glnM NAMF 4/ ,( C_ 4ol lze' 1.0 t�- c�2onn LOT # �- DIRECTIONS TO SITE Ty0 /y Owl /�. , �/J?� ��. &// 3 Pd tS�f crn (/v on fie# ka_�_a4 Cll'ykv DATE SYSTEM INSTALLED 0 S �1 _NAME SYSTEM INSTALLED UNDER TYPE FACILITY // Se , NUMBER BEDROOMS J NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM DATE REQUESTED INFORMATION TAKEN BY T, 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. lfs3