263 Bear Creek Church Rd Davie County,NC Tax Parcel Report Monday, September 26, 2016
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Parcel Information.. . _ T. .... .,
Parcel Number: E20000002807 Township: Clarksville
NCPIN Number: 5811376941 Municipality:
Account Number: 24412000 Census Tract: 37059-801
Listed Owner 1: ENGLAND HAROLD Voting Precinct: CLARKSVILLE
Mailing Address 1: 263 BEAR CREEK CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal,Description: 2.00 AC BEAR CREEK CHURCH Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 1.88 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 2/1987 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001350397 Soil Types: MnC2,MnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 59010.00 Outbuilding&Extra 8790.00
Freatures Value:
Land Value: 26350.00 Total Market Value: 94150.00
Total Assessed Value: 94150.00
161
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Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie County9 GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
Permittee';'r /� QI DAVIE COUNTY HEALTH DEPARTMENT
Name: / Environmental Health Section PROPERTY INFORMATION
Directions to ro (''-'(---� ; ':'�r C�. ;'l ,��f
P.O. Box 848 3\
PertY� Mocksville,NC 27028 Subdivision Name:
!AA�j� /� y Phone#:336-751-8760
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AUTHORIZATION FOR Section: Lot*
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION f-1 Q ��/
AUTHORIZATION NO: a 2 �' A Road NamAn/Z d2�k��'I Zip:Z-70 21
**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.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
�q/ ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�r" f-'/ 1 k IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS,,,�#BATHS—�- #OCCUPANTS` GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE�� #�PEEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
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LOT SIZE TYPE WATER SUPPLY / (? DESIGN WASTEWATER FLOW(GPD)tU��`''NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR F'��v
OTHER % ) �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL 31 rWEFC8:10-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT /]
S SI EM INSTALLED BY: /' !L /
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AUTHORIZATION NOPERATION 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 NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WIILLL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
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Peniitc --y r7U DAVIE COUNTY HEALTH D�� M. j (�( 04
Name: - --� /"f ` Environmental Health Section PROPERTY INFORMATION
.:. ° P.O. Box 848
- Di;r c.w to property Mocksville,NC 27028 -_ Subdivision Name:
I WKS 6/X?`% �f 7O Z Phone#:336-751-8760
1 7 is Section: Ldtt:
�^ AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
002623 3 , ��,,zCaE�k dol
AUTHORIZATION NO: A Road Name Zip:
**NOTE**Tis Authorization for Wastewater System Construction MUST BE ISSUED by the Davie.County Environmental Health Section prior
to issiiance�of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE�F— #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
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COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #.PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN W "T/ W TER FLOW(GPD) �% C`''` NEW SITE - REPAIR SITE +`
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ��l ROCK DEPTHLINEAR FTN
OTHER "�_ "✓��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
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IMPROVEMENT PERMIT LAYOUT
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL E N 8 0-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMITS S EM'INSTALLED BY:VO 1
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 AR'T'ICLE I I 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.
DCnD02/02(Revised) ��-�. �38g3 �.. Auv0 ie e 5a9}
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
r' APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME �l�iZOIC� s l�gclm/ tivalwA161 PHONE NUMBER 9Z`ti87�
ADDRESS ��0,3 13��tiZ('lZ�c=<< (�/1 Addsv;1le CS1UB;D'J1V ISION NAME
LOT #
DIRECTIONS TO SITE tea uIAI 0 6Nfo Ll bor 4 Ch R • U!N nz, olylo
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DATE SYSTEM INSTALLED Ift NAME SYSTEM INSTALLED UNDER
TYPE FACILITY a NUMBER BEDROOMS NUMBER PEOPLE SERVED -3
TYPE WATER YiZAq
PLY N SPECIFY PROBLEM OCCURRING
. � e- s -ed h% , e_ 411 N N -
DATE REQUESTED o2 a3 lv INFORMATION TAKEN BY do-
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This is to artily that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93
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