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217 Woodburn Place Lot 18D-, M6 WARNING: THIS IS NOT A SURVEY All data is provided as is withoutwarnwnty, or guarantee ofany kind eghereapraed or Implied including but not gmtied to theDavie Impliedwarnnlies of merchantability or fitnessfor a parlicularuse. Ali user, of Davie CountysGlSweahe shall hold harmless the Parcel Information Parcel Number: C7150A0009 Township: Farmington NCPIN Number: 5862763433 Municipality: Account Number: 1460000 Census Tract: 37059-802 Listed Owner 1: ANDERS BOBBY C Voting Precinct: SMITH GROVE Mailing Address 1: 217 WOODBURN PLACE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 18 CREEKWOOD ESTATES Fire Response District: SMITH GROVE Assessed Acreage: 0.45 Elementary School Zone:. PINEBROOK Deed Date: 10/1976 Middle School Zone: NORTH DAVIE Deed Book IPage: 001000100 Soil Types: PcC2,GnC2 Plat Book: 0004 Flood Zone: Plat Page: 171 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: - Land Value: Total Market Value: Total Assessed Value: County, All data is provided as is withoutwarnwnty, or guarantee ofany kind eghereapraed or Implied including but not gmtied to theDavie Impliedwarnnlies of merchantability or fitnessfor a parlicularuse. Ali user, of Davie CountysGlSweahe shall hold harmless the [all CounryofDavie, North Carolina, tis agents, consultants, contractors or employees from any and all claims or causes of action due to - NC or anteing out of the use or lnabil" use the GIS data provided by this websft Permittee s r A COUNTY HEALTH DEPARTMENT °- Name: 7 R Environmental Health Section ... PROPERTY INFORMATION P.O. Boz 848 i ` Directions to property r :I N1 {� Mocksville, NC 27028 Subdivtswn Name:. C t-�V•�i7 )I J \Phone#:336-751-8760 Section: i. Lot r>IJ.ZiJ L , AUTHORIZATION FOR' WASTEWATER Tax Office PIN:# SYSTEM TI CONSTRUCON AUTHORIZATIONNOi 2309 A ° Road Name **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number, should be presented to the bavie County Building Inspections Office when applying for Building Permits. (1n compliance with Artjc11 of 0 .S. CI 13 ; Wastewater Systems, Section :1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FORA PERIOD OF FIVE YEARS. I�—WVIItONWENT,A_LAEA-CTH§PtCiALIST(,71 DATEI SUq j RESIDENTIAL SPECIFICATION: BUILDING TYPE FIt71I�I4'BEDROOMS 3 - # BATHS - 2 # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIALSPECIFICAMN: FACILITY TYPE - # PEOPLE # PEOPLFISHIFT # SEATS" INDUSTRIAL WASTE: Yes or No LOT1 /. ACRC EWATER SUPPLY � �G DESIGN WASTEWATER FLOW (GPD) 5LO NEW SITE REPAIR SITE 'SYSTEM SPECIFICATIONS, TANK SIZE- GAL. PUMPTANK GAL. TRENCHWIDTH 3� ROCKDEPTH I4. ' LINEAR FT. o OTHER "AI�Mt:lc ��iprtr '0F-��7 NtJfA/ATIv�.MnLIS7G'�---V£ucSS,,,'..' REQUIRED SITE MODIFICATIONS/CONDITIONS: �Il7jOH' F"L�1; L`�S: �-7.T�'la� �v1'CY �i�. �IJw�L'f W Qj'L PeMzmimee s 11 DAVIT COUNTY HEALTH DEPARTMENT �`� 3� ° i Environmental Health Section PROPERTY INFORMATION P.O. Box 848 Directions to property '�r I .:; t I aT� C. ^';r � Mocks`ville; NC 27028 Subdivision: Name: Phone#:336-751-8760 Section: F �' Lot: •'� :AUTHORIZATION FOR - - WASTEWATER Tax Office PIN:# ,.. ..: , a e SYSTEM CONSTRUCTION t , AUTHORIZATION NO: 3 9 A Road Name.tZ�p .,l **NOTE** This Authorization for Wastewater System "Construction MUST BE. ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pemuts. "Mis Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying, for Building Permits: (In compliance with Arnie I 1 ofJ .S. Chime"r l30�, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ✓ ' \� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRON ENT4-0EALTH SPECIALIST,., -.DATE 1SSU rD' - RESIDENTIAL,SPECIFICATION; BUILDING TYPE t it.;(L# BEDROOMS ' # BATHS # OCCUPANTSGARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT _ # SEATS _ INDUSTRIAL WASTE: Yes or No CPQ �, - ,LOT SIZE /i n TYPE WATER SUPPLY IV DESIGN WASTEWATER FLOW (GPD) �`- 0 NEW SITE oREPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK` GAL. TRENCHWIDTH ROCK DEPTH (♦ a LINEAR FT. OTHER - ke{P�'.4t"'IWL IHDI C;E ,Aj(C�,1��"� �pjIJV1��TIJG . tISTr •♦�-- (d..�..fAVEIt.LSS� `': ",.,-REQUIRED SITE MODIFICATIONS/CONDITIONS:" 1 Il'Gcf fLr., - IMPROVEMENT PERMIT LAYOUT - - ♦ 1 r� lVi_ 17 �. AUTHORIZATION NO. ' `' OPERATION PERMIT BY: — - '• 1 TE: In 1,94 IF It, "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDIC THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN W 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. DMD 02102(RevisW) - '1 L�L C:cc - _ - DEPARTMENT OF TRANSPORTATION DIVISION ' OF HIGHWAYS - E= 4 E - • ` PROPOSED SUBDIVISION ROAD - -_ -. - CONSTRUCTION STANDARDS CERTIFICATION CERrbeICA i£ OF APPROVAL BY THE- PA VIE - COUNrY PLAA/NINO BOARD: - - - -- 4 = = APPROVED- ( 4..:_??�,.y..- /.,.•s_. /- - . _ . DISTRICT ENGINEER A j IVID4C•rw I - e-- CHA/RMAJtI OF V DATE Oc46G. /6, %75 THE A9VIE COUNTY PLAJVN1/y8 - BOARD, HEREBY - _ - CERTIfy rHAT SRtD BOARD DULY APPROVED - TI -/E F/-YAE PLAT OF THE. S148DIVISIOM EA/ - LOCATION MAP TITL ED CREEKWOOD ESTATES , ON THF y 3 1019 F - = OF 9 c.T -19,71S - CHAIRMAN - S4 57Z. S TZ *,5.1;r ST4•35'E #Zc- p tos / Am., - Iq 50' , _ h �" 60 . aca� b _'/VE rs .,�0 r. a , 0 11� ^ R -FICA rf OF VwVNCRSHJP- AM? DED/CATIGIV: _ r ,��! - �y�� "'_ D1,��I - I (WE) HEREBY CERTIFY THRT-Z-AM (WE ARSE) t;S �05 lots d'o ; r� .-z - THE owyi-R(s) 0,-- THE PROPERTY SHOWN AMID / Qe - ` ,.eat .� 'f0 -c_ _ S (e o ` VL9. _ r I '►o--, -tic - yfo- t�q Z` a 7 N ! 9.yS `•� ro 7D -Z --did - - , s ✓ .� 3 a -,oC, _ 36 // ?� DESCRIBED HEREON AND THAT ? (WE) HEREBY 3✓' /�' Dft -/G - ' E�'_ /y, p ^' sI � �U 0 y - r -y-� �� I '%'0 O �� a i�� '-1oas--- e��/ 3 �4. i ! � T !"' e. +/ un f d Yl N `" ISI O i F , /00-- r W • Q ' O. „ o -ADOPT THIS PLAN Of SUBDIVISION - W/TH - lt�tj/ _ hie � `r� ;. ✓� /oo _ _.,/ /6's. n o F. . , ;0 �, �{ �o _�j c Q . Ik t3s.Tt ' ?. WV 0 �/ _ xj �c► E'',c✓�I f f Via} N6� 3 v ,dy+y 1 2 \ �,' �' tarE w NTYv•ao- (OUR) FREE CONSENT,ESTABEISN M/JV/M(lM _ .t /` �1*1 ''� +N�hc� �, ti `,,,.s3 1O '� ���(- �;�-- -� `� ► � ►�. J� sus oo'E BLl/LD/NG 11NfS, AND DED/GATE AtL STREETS - / i� B1Dt; `C O A �W • `off t�S o t�, l,0 0 0 , I e b5 -4'S _ ,L� Q C �t �t y 'as , N o tie - in , yq ' �' • ALLEYS WALXS- PARKS AND OTWER S17ES. ` SET X11 0 �`• / h ' Yo � YUP' /on B/ICR• U { o l0 Y I gyp. 4 rj la FQ RES1 QB,S(� g' 3 Z r' 1v .0 – ��oa's w - _ ° q 4>> - C� .E--- z',s FCIRTHER, I (WE) CERTIFY THE f,,4ND AS -` ( ,y€ 'U • sNGT° r' 1z3.Tr y �r�z w t$ tts 11� ` e N T a° SHOwN HEREON /S WITHIN THE PLATTING 1n I 4•y. - leU.. ��r4 } •IFS E �' � _ � �f2e — IiLo .I � i -- -_ ,►,`• o sE— �g——� + �— �tOQQ(I �►�.3� aI U IV`i/ TLlRISD/rT1ON Qf AV/E COUNT 9 9 ��;g F _ 4A' _ Ca 6URP�( S �— i- `:-75- 00 R +; ^ r8� O Ilii j E ~ g�ttK _ /oa /o Y a 2 f "r; 1� ff + 1-- F "r Als9'iT' e- N� ti 1 Lr.• . - /7- -_ N �/,�S •/Mwo� .! 3 Z, - o ., -- IaTa _,.Sl _� / C! o , et �"� SATE OWNER OR 'luTHOR ED AGENT . 4 Ib4.zft CQ tc0l.Z , - �Z / �v T3 7 2 �o �r2 - cc vl t s,�,� ,,1 g f ► - �p �f[ C �. rte,. '- i •�- /Op �• s�'' �, �Y q t� +o Q e�" 1 : 1 . `� • ' o '. \'►S� �, DATE OWN 0 AtcT RI7E0 AGENT - tvbT°.400w�� �/� F ��,W'. �Z•7 o Z�`�.+��„�ej ii�'�� �� �Y `t r`33R �f 3 1�`-; r • _ _ : �. 7L °p /„o N` ,,. ; 'r, t r v ti I ., 1 Zoo• �-, ,.g huj t�, �. W s. a �[ . • - _ - - - - - ` o v - 40'bl y'i a -73 y� yo {� F,rs}�.i f Zo V �z�o b - - 4 y ? �313�� ` r_7 ,-1;'- �I y ; j CHg1t?MAN OF TuE - a - f j -- , • OT - .2sy.� a Zc� l 0 '` DAVIE C04e yrY COMMISSIONERS, HEREBY SHc, IJ Td S ; 146 ✓ o°' p ` CERTIFY THAT SAID COMMISSIONERS- DULY = �, APPROVE TWE FINAL PLAT OP THE SUB - = ti pr D1ViS1o4l Ear1rZED; CREFXW0OD ESTATES "ON - + THE DAY OF 2co _ 4r 't1A ' I 1 . CHAIRMAN. t lz 167 _ State Of A 1 �)•y t - ' (. / - _ ( CERTIFICATION OF THE _APPROVAL OF PRII/AT£ _ it __ WATER AND SEWER SYSTEM: ; •.W �C1�E_ t -%irT _ I HEREBY CERTiFr THAT- TRE wgrER SUPPLY - -Jte rj C AND SEWAGE D/SP0,"L SYSTEMS INS TALZ ED dm'1%2:ert=ty tha. th s rrta4 OR PROPOSED FOR INSTALLATI4NF_ IN THE - -_ was drawn from f an actual survey made by me? )deed des- rt �'� r^ m ;- *: _F a. ' R _ 248D/V<SJON ENT/TEED CREEKWOOD ESTATES FULLY . - 't�cficiats��[, t�:q Ta - - MEETSTHE REQUIREMENTS -OF -T _ - recorded in Book-_Pa;<.e.___-. $ouK - -- -- . Page- - HE. NORTH etc-) (other); t;.at the errr•rt f c;ow a 3s ca'cuIa'ed by day. of. deter c2._" • 19 7S _- CAROL/1V/9 STATE HEALTH yDEPRRTMENT AND - - E latitudes_ and departures ;s 1:..�.�a� ? _ - _ ,��y ARE HEREBY APPRovED AS SHOWN d are sho:vn a broken ;a-'t•_a ''• •- - - that the boundries not s,Jtveti e r nes. , __Nctary Pub-fic potted from informatics found in -Book. --- _—• Paige..-:.....--� � v..; ` F _ -- . LATE _ OUNT SALT OFP C that this reap was prep. red in accordance willh G. & 47-3� j'') _ C-� hl . J ER _ES_TATE.5 c - as amended.. Witness mq hand and Seal this �_day qt► C/�Eff REPRESENTATIVE. - Sunreyat . . - . _ - - - _ _ _ fox �If.SOS`, W —S., l� C. TEL NO 766-4376 _ IL FA RMII�lG 011 / _ WiV-,pA 1�1E --CQ - - - ` � -_ -.«,L� _SCALE ! _—_200 - ` ! MQiartr A:�.�c. NwtK Calm - _S U R VEYED BY:- ` - My a� oxpa �otr.i4 - ToT�1 f L/ F/4 TDE _ p %EAI VE r Tie_ i . =TEL_NO--765-2377, ROUTE Na 8, } -- - DAVIE )UNTY HEALTH DEPARTMENT (Septic Tank) Improiements Permit and Certificate of Completion • (Ground Absorption /S.ewage sposal System - G.S. Chapter 130 -Article 13C) OWNER.OR CONTRACTOR (,✓` i\ i DATE �� PERMIT LOCATION . - r 'c _ I . rG' , 'x7 ,��'!f : •..n F N� SUBDIVISION NAME '6 HOUSE MOBILE HOME p BUSINESS NO. BEDROOMS NO. BATHROOMS �� GARBAGE DISPOSAL UNIT YES IQ NO LI, AUTO. -DISHWASHER YES M. NO ❑ AUTO. WASH. MACHINE YES C1 NO ❑ SITE SUITABLE YES Cis] NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD% .sq. ft. DEPTH OF STONE IN LINES:';, t WATER SUPPLY: Individual_ d Public ❑ IMPROVEMENTS PERMIT BY INSTALLED BY 41. 1 Us" 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. CERTIFICATE OF COMPLETION (8/16/73) *Construction k LOT AREA 9 0-e - ma hp Date y a4, -?G comply with all other applicable State and local regulations a_ 73'x�rs frAw. S.R. NO. _ 7` �T LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME p BUSINESS NO. BEDROOMS NO. BATHROOMS �� GARBAGE DISPOSAL UNIT YES IQ NO LI, AUTO. -DISHWASHER YES M. NO ❑ AUTO. WASH. MACHINE YES C1 NO ❑ SITE SUITABLE YES Cis] NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD% .sq. ft. DEPTH OF STONE IN LINES:';, t WATER SUPPLY: Individual_ d Public ❑ IMPROVEMENTS PERMIT BY INSTALLED BY 41. 1 Us" 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. CERTIFICATE OF COMPLETION (8/16/73) *Construction k LOT AREA 9 0-e - ma hp Date y a4, -?G comply with all other applicable State and local regulations a_ 73'x�rs frAw. ,� l z. P • � t-. � rier¢an(R ry�tlr 13�x°' �. f( fiy �. _; ... 17 ''I�LT ne " 'k�S) }vSht IwA">u�U1 CAI i0ic'l, . • ]:'":Iy!scer.. C{: la�� io1 At,ticlE{tl3kkf Y 1l. ✓1 i°�i'YN¢• A. ,j 'M.� MM �'1�� d1F JC1..' �•. y ... A� �...•.� �`-1 �-" V , :- , r •T � f _ r � �2�•—iai�•-r_� �i: s ��:i • � -� �:r�-h l T�r. t , �' t r .' dsw.1' %` t"l•�il TZGY�. his r Fi Y - t : k 32fL k OL`SSoF •, )Sh ,OU s�} Jrlllfj y` iU Ga� 4'i)S1 7Cj'.ii FL, w tiT i i s �_ r I w Sec ream Hous. s boo Ga 1. a,. >iJ ,q. fit.. ( tz'�c YFj Cg;C I ISti. Gal, joOC [l.y,-Qcn ....i�,sa ' 1t)Do al. " ✓�..� t iN*ffl � i5�`F at -' y f, x ' _ Er -, � Jii ry4,. --j 11 � `^rh d ("SCR ( f• Cif �i3.a NJ4 s � +.f�+'- �:� Z •'�• t'Z 1) i„e, k,. 'a C'1 YA`.11b u n.iX 1 k : r l l 4th 7' ',-.- °u'' e o o- 't a 2d �`yz ,G �, :. k 6 lol.al 3�a "its.•. r..:.f,. t�• _{';,•E :d f:�:r T`.: DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAMEa.l� y PHONE NUMBER ADDRESS ! �JO a� �.✓ %� SUBDIVISION NAME'c cam. LOT # DIRECTIONS TO DATE SYSTEM INSTALLED !g`7G •"y NAME SYSTEM INSTALLED UNDER CW Ar�>Q&-y C <- TYPE FACILITY V NUMBER BEDROOMS_NUMBER PEOPLE SERVED 2 - TYPE WATER SUPPLY] u✓� t_ SPECIFY PROBLEM OCCURRING .l DATE REQUESTED d ( INFORMATION TAKEN BY F This is -to wrtlfy that the information provided is corteot to the best of my knowledge, and that I understand I em responsible for all Herpes inwmd hom 1hiepplimtion. SIGNATURE OF OWNER OR AUTHORIZED AGENT a 3