1284 Angell RdDavie County, NC , Tax Parcel Report Wednesday, October 12, 2016
WARNING: TffiS IS NOT A SURVEY
Parcel Information
Parcel Number: F400000058 Township:
NCPIN Number: 5831412779 Municipality:
Mocksville
Account Number: 82531499 Census Tract: 37059-806
Listed Owner 1: LABELL MARY POPE Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 1284 ANGELL ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 2702&0000 Voluntary Ag. District:
Legal Description: 2.992 AC ANGELL RD Fire Response District:
Assessed Acreage: 3.24 Elementary Schooi Zone:
Deed Date: 2/2010 Middle School Zone:
Deed Book / Page: 008170771 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overiay:
Bullding Value:
Land Value:
Total Assessed Value:
9"�'�' Davie County,
�o�„�� NC
118780.00 Outbuilding 8� Extra
Freatures Value:
26910.00 Total Market Value:
159580.00
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
EnB
DAVIE COUNTY
13890.00
159580.00
No
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AUTHORizATtoN rro. i���. DAVIE COUNTY HEALTH DEPARTMENT ,/��..�-����
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. � Environmental Health Section PROPERTY INFORMATION
Permittee': f ' P.O. Box 848
Name: ���%lI i1% ,�/�i�/ �� Mocksville NC 27028 Subdivision Name:
,t�;f;. ��:. ��/, f �l Phone # 336-751-8760
Directions to property�/ /"�/ ,- �%� Section: Lot:
i" � AUTHORIZATION FOR
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` ' ' - ' � �� '`�� `' Y�i ' �" �' J � SYSTF,M CONSTRUCTION Tax Office PIN:# - -
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Road Name: Zip: _
**NOTE** This Authorization for Wastewater System Construction MUST BE ISS[1ED 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.
(In com�liance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
i'���`�.:"��� _ - /.s ���?
NTAL HEALTH SPECfALIST DATE ISSUED
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
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� � . TMPROVEMENT AND OPERATION PERMITS PROPERTY NFORMATION
_. Percnittee's,�l t � � �
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Name: -`�d'��f��'.'f`•�� � ,�� ' SubdivisionName:
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' 'Directionstoproperty/ °�` ,�'' f,<< 'f'."'rf } %�� Section: Lot:
.. f% . �'' IlVIPROVEMENT
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' ti`�'l ;r �'' t'� PERMIT Tax Offce PIN:#
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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
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department, prior to the .
conshucUon/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)
.� ,, � °'' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SIT'E
. •-''f , r� � ; " '�` ,, .' "� ,; ' _ ;�' " PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SP�CIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE T'HIS PERMIT BEFORE
. . � INSTALLING TIIE SYSTEM.
RESIDENTIAL SPECIFICA'TION: BUILDING TYPE �# BEDROOMS� # BATHS �_ # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFISHIFT # 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 .��ROCK DEPTH 1-� �� LINEAR FT /�� �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENTPERMITLAYOi�'�p���UEU EFFLLI�t1T FILTER�� �RISER�S)
IF 6" �ELC3.d FItdI�"�'�D Gl�AD��'-
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 930 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS �3�tb31t=84K0.
(3�6)7�2-87E�
I OPERATION PERMIT
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. � �/ ' OPERATION PERMIT BY: � DATE: �/� �
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTfH ARTICLE 11 OF G.S. CHAP1'ER 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 GNEN PERIOD OF TIME.
DCHD OS/96 (Revised)
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- , # ;� ,� ���� DAVIE COUNTY HEALTH DEPARTMENT /'� `�r -- �'
' ` ", � u ` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perniittee's ' � � "
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�irections to property:'�
_ . - . IlNPROVEMENT
- . • PERMIT
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Subdivision Name:
Section:
Tax Office PIN:# -
Lot:
Road Name: Zip:
**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 CONSTRUCITON must be obtained from this Deparnnen� prior to the
consttvction/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)
- ***NU1'1C:E*** THLS PERMIT IS SUBJECT TO REVOCATION IF SIT'E .
_ ` PLANS OR Tf� INTENDED U5E CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE �'HIS PERMIT BEFORE
INSTALLING TI� SYSTEM.
" RESIDENTIAL SPECIFTCATION: BUILDING TYPE �# BEDROOMS �_ # BATHS _� # OCCUPANTS �' GARBAGE DISPOSAL: Yes or No
��
COMMERCIAL SPECIFICATION: FACILTTY 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 —� `l `ROCK DEPTH �-� H' LINEAR FI'�!r:) L>
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENTPERMITLAYOU�'���;����� � ������l�i� ���.iLi2'•'•� �RS��i���a3
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**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 # IB �0�)`6�3d�$��0. �
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I OPERATION PERMIT
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SYSTEM INSTALLED BY:
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AUTHORIZATION NO. � � , �/ ' OPERATION PERMIT BY: �� � ��=�✓! �� '�� � ! DATE: l � � ��
,1/�,� � y � , ;
**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 PERI6D OF TIME.
DCHD OS/96 (Revised)
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ADDRESS �°2
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
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DIRECTIONS TO SITE�
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PHONE NUMBER ✓ y�' �� ��
BDIVISION NAME
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LOT #
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DATE SYSTEM INSTALLED ���� �S NAME SYSTEM INSTALLED UNDER 1��//��/%i� 4��L� �J°�
TYPE FACILITY �`Se � NUMBER BEDROOMS � NUMBER PEOPLE SERVED �
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING �����-S ���'��
% �</�-�e . C� f- % 4� � �� =� e �.�/ / �/-� s%� � ��lE� .
DATE REQUESTED ��1����� INFORMATION TAKEN BY ��
Thia is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred irom this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
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