187 Claybon Drive Lot 32-33Dau
.016
CON ; All data is provided as is wtihout"rianty, or guarantee of any Mind either expressed or Implied Including but not limited to the
Davie County, Impliedwa..... f merchantability,orfitness fora particularuse. All users of Davie County's GIS webstie shall hold harmless the
County of Davis, North Carolina, Its agents, consultands, conbaclors or employees from any and allclaims or causes of action due to
o NC or arising out of the use orInability touse tire GIS data provided bythisweb:ee
WARNING: TIHS IS NOT A SURVEY
Parcel Number:
D703000010
Township:
Farmington
NCPIN Number:.
5862955460
Municipality:
Account Number.
8303060
Census Tract:
37059-802
Listed Owner 1:
FEARRINGTON MARY ANN
Voting Precinct:
SMITH GROVE
Mailing Address 1:
187 CLAYBON DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
LOTS 3233 DAVIE GARDENS SECTION 3
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.95
Elementary School Zone: PINEBROOK
Deed Date:
712013
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
2013WO729
Soil Types:
GnB2
j Plat Book:
0004
Flood Zone:
Plat Page:
021
Watershed Overlay:
DAVIE COUNTY
Extra
Building Value:
FOreatures Va ue
Land Value:
Total Market Value:
Total Assessed Value:
CON ; All data is provided as is wtihout"rianty, or guarantee of any Mind either expressed or Implied Including but not limited to the
Davie County, Impliedwa..... f merchantability,orfitness fora particularuse. All users of Davie County's GIS webstie shall hold harmless the
County of Davis, North Carolina, Its agents, consultands, conbaclors or employees from any and allclaims or causes of action due to
o NC or arising out of the use orInability touse tire GIS data provided bythisweb:ee
System Type: S.T. Manufacturer Tank Date Tank Size
Pump Tank Size
C
System Installed By:` old
E.H. Specialist: L W4ae-4434�/z
GPS Coordinate:
DCHD 11/06 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
kvv
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
°
REPAIR OPERATION PERMIT
Account #
990005825 Tax'PINLEH #: D703000010
Billed To:
Ann Farrington Subdivision !Info;.: Davie Gardens Lot # 32 & 33,
Reference Name:
REPAIR PERMIT - LocatibfiiAtimcess":.,187 S.Clayboh Drive -27006
Proposed Facility:
Residential Repair - • - P€operty,Size3•=! 0.95 Acres
ATC Number:
5881
**NOTE**
The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type: S.T. Manufacturer Tank Date Tank Size
Pump Tank Size
C
System Installed By:` old
E.H. Specialist: L W4ae-4434�/z
GPS Coordinate:
DCHD 11/06 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
REPAIR IMPROVEMENT PERMIT
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005825 Tax PIN EH #: D703000010
Billed To: Ann Farrington Subdivision Info:. Davie Gardens Lot # 32 & 33
Reference Panne: REPAIR PERMIT LocationiAddress: 187 S.Claybon Drive -27006
Proposed Facility: Residential Repair Property. Size 0.95 Acres
Site Type: Repair kExpansion ( )
ATC Number. 5881
**NOTE** This IP/ Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS IP/ AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat
or the intended use change.
Residential Specifications: # Bedrooms # Bathrooms # People ` Basement❑ Basement plumbing❑
Non -Residential Specifications: Facility Type # People # Seats_
Square Footage(or Dimensions of Facility)
Lot Size Type of Water Supply: (County/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow (GPD) ( Tank SizeI GAL.PumpTank -' GAL.
Trench Width 3 L Max. Trench Depth% Rock Depth Linear Ft.15t
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Health Section for final inspection of this system between
5:3u - Y:sua.m. on the ctav of instauation. i eiennone n
I�rvr
U ,i�S , Jz1
��" � �C �
DCHD 11/06 (Revised)
NAM
N-9
01 %rM
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
ONE NUMBE
BDIVISION
LOT # 62 ILA-
TYPE FACILITY NUMBER BEDROOMS J _ NUMBER PEOPLE SERVED
TYPE WATER SUPPLY N,444 SPECIFY PROBLEM OCCURRING (: U 170 [Z" ,
� I A
� / /
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that 1 understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1f93 V o 2
GoMAPS - Davie County NC Public Access
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* * *WARNING: THIS IS NOT A SURVEY! * * *
This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded
deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public
primary information sources should be consulted for verification of the information contained on this map. The
County and mapping company assume no legal responsibility for the information contained on this map.
El
WATERSHED STRUCTURES
WATER BODIES
COUNTY—BOUNDARY
ADDRESS
/
DRIVES
i
STREETS
RAILROAD CENTERLINE
PARCELS
CITY—LIMITS
E]
BERMUDA RUN
COOLEEMEE
DAVIE COUNTY
MOCKSVILLE
Friday, February 24 2012
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