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118 Forest Drive Lot 30Davie County, NC • Tax Parcel Report Thursday, December 8, 2016 132 1 123 ,r Popo1 141 , + r do 110 EsrDR s� 1 118 ; i i V 128 -"140 r i It O 149 1 147 120 [all AN dab is provided ask whhoutwarrardy or guarantee atony Idnd Ntlmereapressed or hnplied Including but not limited to the Davie Countywa, Implied rantles of merchardabgity wiliness for a particularuse. Ali users of Dweavie CourWs GIS bake shag hold harmless be County of Gavle,North Carolina, ib agerda, consultants, corrtrnmr, or employeesfrurn artyandallctalms orcausesofactiondueto NC or arising out ofbe use orinabirdyto usethe GIS debt provided by this website., WARNING: TIHS IS NOT A SURVEY Parcel Information. Parcel Number: C714000006 Township: Farmington NCPIN Number: 5862864271 Municipality: Account Number: 44179500 Census Tract: 37059-802 Listed Owner 1: LANE JACKIE CLAY Voting Precinct: SMITH GROVE Mailing Address 1: 118 FOREST DRIVE Planning Jurisdiction, Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-9451 Voluntary Ag. District: No Legal Description: LOT 30 CREEKWOOD ESTATES Fire Response District: SMITH GROVE Assessed Acreage: 0.45 Elementary School Zone: PINEBROOK Deed Date: 10/1980 Middle School Zone: NORTH DAVIE Deed Book / Page: 001120083 Soil Types: GnB2 Plat Book: 0004 Flood Zone: Plat Page: 171 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra BuildingValue: Freatures Value: Land Value: Total Market Value: Total Assessed Value: [all AN dab is provided ask whhoutwarrardy or guarantee atony Idnd Ntlmereapressed or hnplied Including but not limited to the Davie Countywa, Implied rantles of merchardabgity wiliness for a particularuse. Ali users of Dweavie CourWs GIS bake shag hold harmless be County of Gavle,North Carolina, ib agerda, consultants, corrtrnmr, or employeesfrurn artyandallctalms orcausesofactiondueto NC or arising out ofbe use orinabirdyto usethe GIS debt provided by this website., '>'�v;'� " f ; •.1-7224DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTYINFORMATION t' 'Names l�'ij.f° .J9'/I/C - Subdivision Name �•a1lr"r"��r%6�?l7 ' Drrectlons to propertyI rr(s / r �' �� Section: i Lot: IMPROVEMENT- � (A✓ :' :.%! PERT Tax Office PIN:# FE - o /to 7 NII ^ Road Name; �/iC 17Dr: Zip:.Z7Do%'' ; **NOTE**This Improvement Permit DOES NOT authorize the constntcfion or installation of a septic tank system or any wastewater system. An • j AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION, must be obtained from this Department prior to the constnictionlinstallation 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*** THISTERMIT IS SUBJECT TO REVOCATION IF SITE i 7 C r.Jf �'} , pj✓-� ' f 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. # BEDROOM 2— # BATHS; -;!2� # OCCUPANTS _,GARBAGE DISPOSAL Yes or No , COMMERCIAL SPECIFICATION FACILITY TYPE # PEOPLE # PEOPLE/SHIFI' # SEATS INDUSTRIAL WASTE Yes or No LOT SIZE . TYPE WATER SUPPLY - co ' DESIGN WASTEWATER FLOW.(GPD) NEW Srl • -"REPAIR SITE . SYSTEM.SPECIFICATIONS: TANK SIZE- GAL. PUMP TANK GAL. TRENCHWIDTHROCKDEPTHppp J LINEAR Fr.✓ .. - OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT -. *APPROVED EFFL F TER +tRISENS) IF 6++ BELOW FINISHED CaRADE} **CONTACT A REPRESENTATIVE OF THE DAVB BETWEEN 8:30 - 9:30 A.M. OR 1:00 -- 1:30 OPERATION PERMIT DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM THE DAY O STALLATION. TELEPHONE # IS (704) 634-8760. - F DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR �o�;.�t+ / F,7f+y� DATE �" r PERMIT LOCATION N? 958 p S.R. NO. SUBDIVISION NAME C ?QB F+,tUr7s LOT NO. SECTION OR BLOCK NO. N0. BEeROOMS _ N0. BATHROOMS _f� GARBAGE DISPOSAL UNIT YES NO ❑ AUTO. DISHWASHER. YES NO ❑ AUTO. WASH. MACHINE YES 1. NO ❑ SITE SUITABLE YES ( NO ❑ SIZE OF TANK �J M gal. ; �C �aa(•+s NITRIFICATION FIELD % —a sq. ft. DEPTH OF.STONE IN LINES: «` ~ WATER SUPPLY: Individual Public .❑ IMPROVEMENTS PERMIT BY (8/16/73) LOT AREA TE OF COMPLETION ; BY *Construction must c �\ f Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. .• 900 Sq. Ft. House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. .• 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY,,�.-2 .j/ i. cP • �- s r . I with all other Date. State and local re y DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAMEcfe K/�����G�/e/J- PHONE NUMBER ADDRESS��� / �/'�jT �v/�/^�C SUBDIVISION NAME # DIRECTIONS TO SITE DATE SYSTEM INSTALLED' NAME SYSTEM INSTALLED UNDER 7 TYPE FACILITY /fes NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED 7 �42�aU INFORMATION TAKEN BY a� This Is to certify that the Information provided is cones 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. 1193 /���`l/07 7/32. 1w 1 - y 2 DAVIE COUNTY HEALTH DEPARTMENT ,p- IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permiftee's .� / -'7 Nadnef.�:�f� ^R r t" Cia /Z� C°' Subdivision Name: f'°�f f":✓fid?' -Directionstoproperty:fl/YA-1/. A- Section: Lot: --IMPROVEMENT PERMIT Tax Office PIN:# 7q (110 - Z ✓l -0//07 Road Name: --f l / 17 ,7 . Zip:'2- 7,) o (, **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic tank system or any wastewater system. Ari, ) 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) `?..,✓ �.!''�•' „•J,. _/ r �J'" f:,;'- ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE " f1 ✓ .Yj�C j v✓�. !� r. '' 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 H # BEDROOMk,,Z7 , #BATHS_ # OCCUPANTS � GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE _ # PEOPLEJSHIFT _ # 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 Y,55— ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED *RISER(S) IF 691 BELOW FINISHED GRADE* **CONTACT A REPRESENTATIVE OF THE DAV MT-fZ TH APARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 ON THE DAY OP STALLATION. TELEPHONE # IS (704) 634-8760. xxxxxxxxx OPERATION PERMIT r,,7 Ij tI t STEM INSTALLEDAY:ln�. P lk- //Y'i0�(MfIr1 gOyju�' y0 k�� T MW r„.. AUTHORIZATION NOJ -f79�2jd OPERATION PERMIT BY: (` .��J/ DATES s 1 "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 TIME. DCHD 05/96 (Revised)