149 North Claybon Drive Lot 5-6Davie Countv. NC
Tax Parcel Report
Thursdav, December 15, 2016
171-,
t
N-CCAYBON DR I
149 VL ---173 133 132r
125 -- - �ARorsr
9h to Alldate Is provided as Is withoutwarranty or guarantee of any Idndehherexpressed or Implled Including but notlimbed to th
Davie County, Impllad wnrantles of merchantability or Nbressfor a pa,gcolaruse.All users of Davie Countys GlSwehslte shall held hmnless the
1�i
Courtly of Dzviq North Carolina, its agents, consultants, contractorsoremployees horn any and all chins or causes of action due to
�a CH.t'y NC or adsing out of the use or lnabilltylo use the GIS data provided by this aadrsite.
WARNING: THIS IS NOT A SURVEY
�_ v
Parcel Information-�_
Parcel Number:
C7140A0005
Township:
Farmington
NCPIN Number:
5862975291
Municipality:
Account Number:
19981900
Census Tract:
37059-802
Listed Owner 1:
DARNELL JOSEPH F
Voting Precinct:
FARMINGTON
Mailing Address 1:
149 NORTH CLAYBON DRIVE
Planning Jurisdiction:
BERMUDA RUN
City: ADVANCE
Zoning Class: BERMUDA RUN,DAVIE COUNTY OS,R-A R-20,1-2
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 5.6 DAVIE GARDENS
Fire Response District:
SMITH GROVE
Assessed Acreage:
1.18
Elementary School Zone:
PINEBROOK
Deed Date:
111994
Middle School Zone:
NORTH DAVIE
Deed Book/Page:
001120282
Soil Types:
GnB2,PcC2
Plat Book:
0003
Flood Zone:
Plat Page:
093
Watershed Overlay:
BERMUDA RUN,DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
9h to Alldate Is provided as Is withoutwarranty or guarantee of any Idndehherexpressed or Implled Including but notlimbed to th
Davie County, Impllad wnrantles of merchantability or Nbressfor a pa,gcolaruse.All users of Davie Countys GlSwehslte shall held hmnless the
1�i
Courtly of Dzviq North Carolina, its agents, consultants, contractorsoremployees horn any and all chins or causes of action due to
�a CH.t'y NC or adsing out of the use or lnabilltylo use the GIS data provided by this aadrsite.
Permittee DAVIE COUNTY HEALTH DEPARTMENT
Name: _ LeZ ��(' iNO / Environmental Health Section PROPERTY INFORMATION
:_.---'��A),7y P.O. Box 848 �t
Directions to property: kGl/t% Mocksville, NC 27028 Subdivision Namet. GtiiIIE gLtrf?g
('�f I �. 1 C1 (� G Phone #: 336-751-8760
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Section: Lot:
CVS
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AU OR
WASTEWATER
SYSTEM CONSTRUCTION
Taxffj PIN:#
!f -
009004 A
AUTHORIZATION NO:
,
Road Namey—&4 hitzi
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv Environmental Health Section prior
to issuance of any Building Pemtits. 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)
O ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER
I l IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HE LTH SPECIALIST 6ATE fSSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS �# BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPPE� # PEOPLE # PEOPLEISHIFT # SEATS _ INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 360 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE (S yAL. PUMP TANK GAL. TRENCH WIDTH _ ROCK DEPTH LINEAR FT.- V1 0007
E
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
�k Bay �ic rola W/Ne0Utd,5
aC� JocA
y
i r
Y�
i
11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30.9:30 A.M. ON THE DAY OF INSTALLATION. TEJ..EPHONE # IS (336) 751-8760. II
OPERATION PERMIT
SYSTEM INSTALLED BY:
QC
AUTHORIZATION NO. OD OPERATION PERMIT BY: / (1
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I 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 SATTSFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02M (ReviW) 6 FiL 7 TIV l l
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1, Permittee' � (� .!! �•�+, � DAVIE'COUNTY HEALTH DEPARTMENT
-; _,.Mame' LY"fV t • '� )I Environmental Health'Section PROPERTY INFORMATION
:... , o Mrs ; . P.O. Box 848
Drectionstoproperty: ( F�'p", Mocksville,NC27028 SubdivisionName:s• 1Qi9- HCl/(JP!'1T
, , /� C ` i' i� ;1 ['r C Phone #: 336-751-8760 t
Section: Lot:
+ i . I f AUTHORIZATION FOR '
t '.� 1, Gt :( Cr. i( F ,'t!� WASTEWATER
SYSTF,M CONSTRUCTION Tax Of�f)'cp PIN:# -
AUTHORIZATIOIgNO: 003004 A RoadName ip:. ',C.!
**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 l 1 of G.S. Chapter 130A: Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
- I j ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION '
J..,� I i(-� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
,i P.
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE � (i, PEOPLFISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY (C. DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
'I'
SYSTEM SPECIFICATIONS: TANK SIZE �'t (S �ignL. PUMP TANK GAL. TRENCH WIDTH _ ``""' ROCK DEPTH LINEAR FT.. _, 0t.1
!(/(3 n�l
m
REQUIRED SITE
IMPROVEMENT PERMIT LAYOUT 4
a( C(J da A,, (x s� t•/ ul't- �
.�i -)IC +\IG Lo/A)00 (. kC f
/ &o,
r`e!t
IA
a,
+
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30.9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT 1
SYSTEM INSTALLED BY:
, •�, 300 �,� �Gt-ST
AUTHORIZATION NO. oO ' OPERATION PERMIT BY: � A IdOAA) a4daeft DATE: � Q V -26Z D
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT 71 ESYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHDON0 M( ;isW) . IT r, LJ 7`7 :. .. �.I I - - - :::,,,�::.:, --_ >.;:-.;a`TTnrr r �- �7Y7/
s.
• - DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) .
NAME.ToSeA
DAt2nell
PHONE NUMBER ggpr.SS81
ADDRESS 1•F4
N.
Cla„hon Zr'
SUBDIVISION NAME,bAV;G �nuGntr
PC do • 2 7dv t- LOT #
DIRECTIONS TO SITE�io 6 -T. leF M g�(- ?• (:�e.,brn �►• S+i hrnl. M
DATE SYSTEM INSTALLED 301-4e 5b NAME SYSTEM INSTALLED UNDER NNVYVA-ZAA
TYPE FACILITY H NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY Co, SPECIFY PROBLEM OCCURRING S4rF'oe,. a..
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,
Aev. 1193
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