163 Bare Ln (2)Parcel #: G50000008601
Davie County, NC - Basic Estate Search
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Parcei #: G50000008601
Account #:82529118
Owner Information Tax Codes
DOWNING MICHELLE BROCK ADVLTAX - COUNTY T
25 ANSLEY COURT FIREADVLTAX - FIRE TAX
INSTON SALEM NC 27107
Pro e Information Townshi
Wnd (Units/Type): 15.220 AC MOCKSVILLE
ddress: 163 BARE LN
Deed Information r-Local Zoning
Date: 01/2008 Book: 00742 Page: 0493
Plat Book: Pa e:
Le al Descri tion PIN
15.22 AC OFF HWY 158 5840519549
Pro e Values
Buildin : 70 94
BXF: 8 21
Land• 81 00
Market: 160 15
ssessed: 160 15
Deferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00192 0203 O1 1997 WD Unqualified Vacant 30,000
>_ 00742 0493 01 2008 OC Unaualified Imoroved 0
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of inerchantability and fitness for a particular use.
If you have any questions about the data dispiayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1469456 10/12/2016
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AUTHORIZATION NO: �,� �j �� DAVIE COUNTY HEALTH DEPARTMENT �� �����
- " Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: , i� ��"%�f ° y�>�2±rT ... ,. Mocksville, NC 27028 Subdivision Name:
/S�. � � Phone # 336-751-8760
Directions to property: !J�-� Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
)��I�.i ,1f1,� (' ;% ��� C� SYSTF,M CONSTRUCTION ' ' —
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE 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.
(ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
i � lL,�:4��E� • ����' � i� r=!�r
ENVIROIYMENTAL HEALTH SPECIALIST
,� �{{rvu i i���={ i t�is wu rtfuxiGA'1'luN FUR WASTEWATER CONSTRUCTION
- t�"�L' IS VALID FOR A PERIOD OF FIVE YEARS.
DATE ISSUED
._ . ,, . ... . ,-._. . , ..
, �� , : . . , , _
, ,� � �,�/ �,? //-c�
. �, _ , �.,;� � ��_�, DAVIE COUNTY HEALTH DEPARTMENT ,/� �.
_.. TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Name: �-/.%'� ff' ,�'y-�� e`� - Subdivision Name:
' ,,}
Directions to property: �"� %'y "" `� \� 1-`` Section: Lot:
IMPROVEMENT
:; " tj�� Y: ;,;' ;/ PERNIIT Tax Office PIN:#
Road
_ Zip:
**NOTE** This Improvement Pernut DOFS NOT authorize the construction or installa6on of a septic tank system or any wastewater system. An
AUTHORIZAT'ION FOR WAST'EWATER SYSTEM CONSTRUCTTON must be obtained fram this Deparnnent prior to the
construction/installation of a system or the issuance of a building pemut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
'"" �"'' •, ***NOTICE*** TI-IIS PERMIT IS SUBJECT TO REVOCATION IF SITE
. - ;` y? , ,; � , � . : , ' ,; .. � . ,�' � , � � PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE Tf�.S PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �,� # BEDROOMS '3 # BATHS �_ # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
/%
LOT SIZE TYPE WATER SUPPLY ( G DESIGN WASTEWATER FLOW (GPD) .s GD NEW SITE REPAIR SITE 4/�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3� ,, ROCK DEPTH /,� � LINEAR FT. /f_S r'i
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
----- _ __
IMPROVEMENTPERMITLAYOUT��p�OVEU EFFLI��I`ST FILTER� �PTS�RtSi IF Gy s B�LC3i� FII`lISS��LI GFi�I3i=�'
, _ _ _ __ _ . ., � ��� �y�
���is��,��
**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 �i� ��ay8��E�'
( 33E� ) 751-876Q
OPERATION PERMIT
SYSTEM INSTALLED BY: � Tl.-� �[�t"� A'� � U/J �
„�_� lnt�� ���, � k! Z ` i
�LIST�.JE, � �5 ���Q�
� s 4�
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� IY I /1 �
AUTHORIZATION NO. ' �O � OPERATION PERMIT�Y:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT`�HE SYS'I�i'I
WITH ARTICLE 11 OF G.S. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN
DCHD OS/96 (Revised)
DATE: Z
AS BEEN INSTALLED IN COMPLIANCE
, BUT SHALL IN NO WAY BE TAKEN AS A
.Y. �. ��..F.-. , _. ;S'..�� . .� F .. .�.... .0 - ... : ., ' . . . . ' .. .. . . . .
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w.�_���'` � � ,._ � ��
A;;` ���� ��.�, DAVIE COUNTY HEALTH DEPARTMENT /��"��'� �� �'� `�
- IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
� ,.
Permittee's ' `
Name: �-�
Directions to property: > ` ~ "'"
Il17PROVEMENT
�,'r �, _ PERNIIT
Subdivision Name:
Section: Lot:
T� Offce PIN:#
Road Name:
Zip:
**NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An
AUTHORIZATION 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)
.:
`' <' '�, ***NOTICE*** THLS PERNIIT IS SUBJECT TO REVOCATION IF STI'E
- PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTI' BEFORE
INSTALLING TI� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE i.�1 �'�'/ # BEDROOMS �� # BATHS v�. # OCCUPANTS s� GARBAGE DISPOSA�: Yeg or No
s
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFf # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY � � DESIGN WASTEWATER FLOW GPD ✓ r��'
( ) NEW SITE REPAIR STI'E L�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH .�� ROCK DEPTH,�,-� LINEAR FT. �I %-'
OTHER
REQUIRED SITE MODIFICATIONS/CONDI'TIONS:
IMPROVEMENTPERMITLAYOUT��r-'r �Qv�F� i'F�L.I���'�T ��L�T�Fi�' ��3i,�.a��"FiiS) I� �,f � ��L(�id �Ii3I��'i::�17 �:'s.=�'t��li='�.
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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 # IS �'1 ��j�h=�$7�0}'
, (3,.u1751—�7E�Q
OPERATION PERMIT
SYSTEM INSTALLED BY: C i�� L���^� J l.in} �
�tc7 �OJ k'3v' ic� Z . �
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ri,�l7 L� '
AUTHORIZATION NO. I`� OPERATION PERMIT �Y:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT��HE SYSTEtM DESG�IE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPdS�
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD
DCHD OS/96 (Revised)
DATE: Z~
AS BEEN INSTALLED IN COMPLIANCE
, BUT SHALL IN NO WAY BE TAKEN AS A
�.. t
J
Name•
Mailing A
Detailed. D
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Property A
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT.� REMODELING ❑ RECONNE � � ❑
�� '�,/� O
/ C `3 ���� �" vW�� % �' Phone Number: 1/ � 5� (Home)
ddress: ��� 'L � • '�- / �y"t�� ���% (Work)
�/�
�tions To Sit •�
l�S� �a�,� �
�
i� N .�l' � � ��i' /
�/'/vG(,C� � Y Un_
Please Fill In The Following Informati Abo�t ,Th�. Existin Dwelling.
G� /�/s L /i E'/le�
Name System Installed Under: C-��% � �Gw/�/ �iJ Type Of Dwelling: •�
Date System Installed(Month/Day/Year): 1��.� Number Of Bedrooms: �- Number Of People: �
Is T'he Dwelling Currently Vacant? Yes ❑ Nb �Y lf Yes, For How Long? �
Any Known Problems? Yes ❑ No 8� Yes, Explain: —
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling• 0=� � Number Of Bedrooms: Number Of People: /
Requested By:.
(Signature)
For Environmental Health Office Use Only
Requested:X.��- 3t� � % (
Approved ❑ Disapproved ❑
('�mmPnts� �%.., r / Gf /� Q.I"/�NF /O � ���� � Lls��l'$1 � SC
Environmental Health
��
L
'YThe signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a
Quazantee(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ Check ❑ Money Order ❑# Amount: $ Date:
Paid By: Received By:
Account #: �`r Invoice #: / '
�D j_ � :.. y; rv�.a , ,.y. r.�t1»��'� rwtt`f°2f'f�f�!.;«a� � , ••�i. ,��.„,r�,;� ..�.. . j:..r: . .. .� 'a � � „ ,� � ; , .
i � � 1� :,� r .• �- .� f . ;�,� v.
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. ��.,, DAVIE COUNTY HEALTH DEPAqTMENT .
_' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
• NOTE: Issued in Compliance With�'Article I I of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name/�i; r'�r� /,�� �.l.�n�r•�� ,.<:i :'_?� ✓�• `� J.. '�Date �— � _ ��� N� 6 � � 5
, ` ,, -
Location �� � �'��.✓ f�i .%� ��a : • ��o ��J� /r?�/> i�?�� ��� _. �:,,•L� �Ar /� ,/JR� fi�
�
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _� Business Speculation ,
No. Bedrooms �.No. Baths _�_ No. in Family �-? _
Garbage Disposal YES p NO [�}-"'" Specifications for System:
Auto Dish Washer YES p O��'"� � ,. � ,� J,•'� ;;
Auto Wash Ma:hine YES �O ❑ /GPUy�c>�v��:
� - l ii
Type Water Supply /,' --- :-.{��'� .����(�
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
�-._______._�
This permit is subject to revocation if site p7ans or the intended-us�.ch�n�e.
�
Improvements permit by _�� ��/
'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 day of comptetion. Telephone Number 704-634-5985.
Final Installation Diagram:
System Installed by
. 1 _
�/ � �/ � J
Certificat� of Completion ,- �f'�G,.:� Date �" � � �� `�
•The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.