202 Brentwood Drive Lot 45e —
Davie County, NC Tax Parcel Report Wednesday, December 7, 2016
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BOO 202 �� 130
213 122
11 196
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WARNING: THIS IS NOT A SURVEY
Davie County,
All data b provided as Is wiNoutwamnry orguaranteofanyIdnd eitherexpressed orlmpiled Including butnotlimbedto Me
mplk lw+mntles ofinemha taWbtyorrMees fora parricularuse. Ab users ofDvie CounWa GWS xebabeshall hold hamleas the
County of Davie, North Carolina, Its agents, eonwbama, cont actors or employees from any and m ciaims or cauees a action due to
or arising out 0 Me use or Inability to use the GIS data provided by Mis aebsft
Parcel Information
Parcel Number.
D7020B0009
Township:
Farmington
NCPIN Number.
5862758476
Municipality:
Account Number:
i 82513313
Census Tract:
37059-802
Listed Owner 1.
GAJEWSKI ANTHONY
Voting Precinct:
SMITH GROVE
Mailing Address 1:
202 BRENTWOOD DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay: DAVIE COUNTY QD
Zip Code:
27006-9440
Voluntary Ag. District:
No
Legal Description:
LOT 45 CREEKWOOD ESTATES SECTION TWO
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.45
Elementary School Zone: PINEBROOK
Deed Date:
511988
Middle School Zone.
NORTH DAVIE
Deed Book / Page:
001430365
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
[611NC
Davie County,
All data b provided as Is wiNoutwamnry orguaranteofanyIdnd eitherexpressed orlmpiled Including butnotlimbedto Me
mplk lw+mntles ofinemha taWbtyorrMees fora parricularuse. Ab users ofDvie CounWa GWS xebabeshall hold hamleas the
County of Davie, North Carolina, Its agents, eonwbama, cont actors or employees from any and m ciaims or cauees a action due to
or arising out 0 Me use or Inability to use the GIS data provided by Mis aebsft
I
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IMPROVEMENT PERMIT
.1,
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. 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 B.S. Chapter 13OA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
✓a'o
LOCATION 15 Ss V --
SUBDIVISION
SUBDIVISION NAME �. ¢�W co LOT NUMBER `i� SEC./BLOCK NUMBER Z
RESIDENTAL SPECIFICATION: "BUILDING TYPE 03*3 N BEDROOMS A BATHS - 2L A OCCUPANTS y GARBAGE DISPOSAL: Yesv
COMMERCIAL SPECIFICATION: FACILITY TYPE` ` Y PEOPLE _ N PEOPLE/SHIFT �'"-x N�SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE)e D 6d TYPE WATER.SUPPLY ',G? • DtSIbN WASTEWATER FLOW (GPD) r7 -
TAW
SITE REPAIR SITE 1%
SYSTEM SPECIFICATIONS: TANK SIZE _ GAL. PUNP TRMlIK 6AL. TRENCH WIDTH "''_ IIDCN DEPTH ^L— L`1NEAA FF.
OTHER 4
REDUIRED SITE MODIFICATIANS/CONDITIONS
***THIS PERMIT IS SUB7ECT'TO REVOCATION IF SITE'PLANS OR THE INTENDED USE CHANGE. YObR WASTEAWATER SYSTEM CONTRACTORMUST
SEE THIS PERMIT BEFORE INSTALLING THEISYSTEM. y
a Wage , k
1-, F
W
DERMIT BBY�ao
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENTTOR-,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 M IS (704) 634-8760.
OPERATION PERMIT
11 S STEM NSTALLED BY
017
LD1'
u
AUTHORIZATION NO. IY3 OPERATION PERMIT BY. ---L BATE —T -Q6
**THE.ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE It OF G.S. CHAPTER 13OA, 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 10/95
m. DAVIE COUNTY HEALTH DEPARTMENT
8 IMP)MUDENT PERMIT and OPERATION PERMIT �y
IMP[iDVEMENT PERMIT
**NOTE** This improvement permit DOES NOT authorize the construction or instaljfation of a septic tank system or any wastewater
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constructionlinstallation of a system or the issuance of a building permit.
(ln compliance with Article 11 of 6.6. Chapter 1308, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME C a �. �—� o e w S� PROPERTY ADDRESS 01e �Re\♦r Cry��. 6 c, Q DATE —? 0
LOCATION 5 'J6 ��'c� 5k� N (ln \(\Qtl�-x>Jtt tJE. �Qr .normal AU�m� i
SUBDIVISION NAME LOT NUMBER �' SEC./BLOCK NUMBER 2-
RESIDENTAL SPECIFICATION- 'BUILDING TYPE # BEDROOMS # BATHS ^ 2 # OCCUPANTS y GARBAGE`DISPOSRL,'Yia@
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE 100 k 2tr% TYPE WATER SUPPLY -G3• '. DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK 512E SAL. PUMP TANK _ GAL. TRENCH WIDTH_Z ROCK DEPTH 4"',',L'INEAR FT. 01
t
1 OTHER
REQUIRED SITE MODIFICATIONS/DOIDIITIDNS: "
`w.
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE.PLANS OR THE'INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
F
i. .
1
- TMDPnurmFwT orNft AY
d'
OPERATION PEAMIT Ij INSTRLLED BY aCil
Lj
o,�� '6`$� 0111 µp'
I r
;AUTHORIZATION NO. /`/3 OPERATION pFJMIITfBY DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE 11 OF B.S. CHAPTER 130A, SECTION .1900 'SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT.GHALL IN NO WAY BE TAKEN AS A
- GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
SY
T, 1
DCHD 10/95
Davie County Health Department �•l�
t ENVIRONMENTAL HEALTH SECTION T
P.O. Box 665
Mocksville, N.C.4,27029
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION,
w,
(Issued in compliance with Article 11" of
O.S. Chapter 130A, Wastewater Systems)'•
***This Authorization For Wastewater System Construction must he 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.***
NAME O\ G a � rA \ 2 w S� \ DATE �o ��As AMRWIIRIZATION N4 3
1-30'96
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATIOfi
ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
t;
14^
*HNOTICEmm* THIS AUUARIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIM OF FIVE (5) YEARS.
4
EWVIRONEIRAL WEALTH SPECIALIST " .. DATE
DCHD 10/95
If �
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
•� I APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
DIRECTIONS TO SITE
d' iarA�to_ 71. ems- Aeeh oe<aL.
3ER '/Y/JK-l%"7"1'Z
NAME C.f"GE�Gt�Odcl
OT #
Wk
0
II
�!/e Cour-~f-�
DATE SYSTEM INSTALLED ��NAME SYSTEM INSTALLED UNDER
TYPE FACILITY= NUMBER BEDROOMS NUMBER PEOPLE SERVED 7
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING wig . CX- Q
DATE REQUESTED �� !' % % INFORMATION TAKEN BY Lid
This is to certily that the Information provided is correct to the best of my knowledge, end that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENTy�