122 Yankee LnDavie County, NC
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Tax Parcel Report
Wednesday, October 12, 2016
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WARNING: TIIIS IS NOT A SURVEY
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Parcel Information
Parcel Number: M400000075 Township:
NCPIN Number: 5736405379 Municipality:
Account Number: 81227000 Census Tract:
Listed Owner 1: WYRICK WILLIAM D Voting Precinct:
Mailing Address 1: PO BOX 738 Planning Jurisdiction:
City: COOLEEMEE Zoning Class:
State: NC Zoning Overlay:
Zip Code: 27014-0000 Voluntary Ag. District:
Legal Description: 0.933 AC CRAWFORD RD Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.93 Elementary School Zone
8/2001 Middle School Zone:
003810757 SoilTypes:
Flood Zone:
Watershed Overlay:
0.00 Outbuilding & Extra
Freatures Value:
10670.00 Total Market Value:
o" °'F Davie County, �
�o�,x�i NC �
15170.00
Jerusalem
37059-807
COOLEEMEE
Davie County
DAVIE COUNTY R-A
DAVIE COUNTY CZOD
COOLEEMEE
COOLEEMEE
SOUTH DAVIE
MrB2,CeB2
DAVIE COUNTY
4500.00
15170.00
No
All data Is provided as Is without warranty or guaranteo of any kfnd eithor expressed or Implied Including but not limited to tha
Implied warranties of inerchantability or fitness for a particular use. All users of Davie County's G�S websita shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or emp�oyees from any and all claims or causes of action due to
o� arising out o( the use or inability to use the GIS data provided by thls webslte.
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Ai�THORIZATION NO: ��� r DAVIE OCOUNTY HEALTH DEPARTMENT � N
� � Environmental Health Section PROPERTY INFORM TION �c�/�' y�
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Permittee's � �/ ' � P.O. Box 848 ,,.�� ��� E LV��
Nam�: �� ' J :� / /i'�1 . :� ��`� ` �•�' `,
Mocksville, NC 2702E Subdivision Name: . P i1
`�� / � Phone #: 704-634-8760 �� 5E! � A
' Directions to property: ,�"1/G��v� �- � Section:__�� Lot:
,... ,� ,/� , ,/ / AUTHORIZATION FOR J� �t ,� /
I!.� ���';�.!�" f�'r r� .�`.`i',+i WASTEWATER �����+ '��U _ f�! c�f,�
SYSTEM CONSTRUCTION Tax Office PIN:# d �
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Road Name: � ��� ��•Zip: � r �r`;� Gl
**NOT'E** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Envuonmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to [he Davie County Building Inspections
O�ce when applying for Building Pernuts.
(In compliance wi[h Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
TAL HEALTH SPECI
� r„ _, y,,... ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�; F' �.:� �,�� �j IS VALm FOR A PERIOD OF FIVE YEARS.
DATE ]SSUED
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� • �� `�� DAVIE COUNTY HEALTH DEPARTMENT � �
�" J� �' ' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ���d"����
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Perri�ittee's �' ..r' .� ~" ` , ,
Name: `'a �`,�;-T p"A'.a ,� P,% �.: i,� �; k'
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Directions to property: x``'� �"� ��''� � /� ��� �'�
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IMPROVEMENT
PERNIIT
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Subdivision Name. ��..=f'�"�' �<�``='�.�� �ly �►`�..-��
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Section: % Lot: '">"' l.�)t�,�,�
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Tax Office PIN:# "=' /�=" �" �' � ' _ � � �'��''
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Road Name• ����r 1:'`'�) i�.:d•Zip, ..; r� �`? �'T� �,r
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**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHOWZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
conshvction/installation of a system or the issuance of a building pernut �
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �
�' , �,l � , ; ' �,. �, ;;. •-- . ***NOTICE*** THI.S PERNIIT IS SUBJECT TO REVOCATION IF SITE
� '�,� :(. , P ;,`' � :,�. �"F ,,� - n, `�.s .�: � _, ;;��"'�p PLANS OR TI� INT'ENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTf BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE .�I�* ,+� # BEDROOMS � # BATHS � # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
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LOT SIZE � 7� TYPE WATER SUPPLY C DESIGN WASTEWATER FLOW (GPD��,� �"J �� NEW SITE (� REPAIR SITE
' � ��� , ROCK DEPTH ��LINEAR Ff.- ` /
SYSTEM SPECIFICATIONS: TANK SIZ fF ,-'�GAL. PUMP TANK GAL. TRENCH WIDTH �r�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR 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 # IS (704) 634-8760.
OPERATION PERMIT
AUTHORIZATION NO. ��� OPERATION PERMIT BY: DATE: ��
**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 OS/96 (Revised)
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APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &� AT,�,,,,�,.,.�..
Davie County Health Department
` Environmental Health Section �
� P.O. Box 848 � i ��
Mocksville, NC 27028
(704) 634-8760 ..._,,,,,,t.rt,,, H�
**�'�IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSEI�PQL�SS ALL
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Bilied ���-� ���,L��a'N Contact Person ��G��
Mailing Address �0 ��3S Home Phone a. $�� a� `�" �
City/State/Zip ��i�� �-�rn � N ��7 o i Business Phone �� �`�'��� �
2. Name on PermidATC if Different than Above
MailingAddress Q''�/ /� ' City/State/Zip
3. Applicadon For: Site Evaluation (/rImprovement Permit & ATC [] Both
4. System to Serve: [] House [] Mobile Home [] Business [] Industry [] Other
5. If Residence: # People # Bedrooms dS # Bathrooms�. [] Dishwasher [] Garbage Disposal
[ ] Washing Machine [ ] Basement/Plumbing [ ] BasemenUNo Plumbing �� �
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [� unty/City [] Well [] Community
8. Do you anticipate addidons or expansions of the facility this system is intended to serve? [) Yes [] No
If yes, what type?
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PROPERTY INFORMATION REQUIRED: *** IMPORTANT **';+C1��F�T' OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
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Property Dimensions: � WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Ta�c Office PIN: # 5'� �J �0 _ �}-0 � �' � �p �
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Property Address: Road l�Tame 0� l`�1� � �
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If in Subdivision provide information, as follows: �
Name: 1"C- �. �/V �'`� �ii h�� ,
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�Y �
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Secdon: Lot #: � �
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocadon, if the site plans or intended use change, or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all chazges incurred from this application. I, hereby, give consent to the Authorized
Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned
by I.JK.U. L' �� rT � C.i,`�+•
DATE �-" � '� � �
Revised DCHD (06-96)
SIGN
all testing �cedure,� a,� necessary to determine the site suitability.
THIS rtIZEA Al�tl� L�E USE-b �OR 1�IZsltVINC7 I�UUIt SZTE 1'1_,tN:
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