132 Becktown Rd Davie County,NC Tax Parcel Report 3�' Monday, September 26, 2016
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Parcel Informat-T
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Parcel Number: N6010A0005 Township: Jerusalem
NCPIN Number: 5755145224 Municipality:
Account Number: 82518511 Census Tract: 37059-807
Listed Owner 1: BOXWOOD LLC Voting Precinct: JERUSALEM
Mailing Address 1: PO BOX 4283 Planning Jurisdiction: Davie County
City: SALISBURY Zoning Class: DAVIE COUNTY H-B-S
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 28145-4283 Voluntary Ag.District: No
Legal Description: LOT 5 BOXWOOD LODGE EST Fire Response District: JERUSALEM
Assessed Acreage: 5.08 Elementary School Zone: COOLEEMEE
Deed Date: 4/2002 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 004160226 Soil Types: PcB2
Plat Book: 0007 Flood Zone:
Plat Page: 220 Watershed Overlay: DAVIE COUNTY
Building Value: 772080.00 Outbuilding&Extra 21980.00
Freatures Value:
Land Value: 50830.00 Total Market Value: 844890.00
Total Assessed Value: 844890.00
161 All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's 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.
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AUTHORIZATION NO; 1 3 4 6 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section. PROPERTY INFORMATION
1?ermitteg cAzkhn!%
,/� P.O.Box 848
Name: Mocksville,NC 27028 Subdivision Name:
r ( L Phone#:704-634-8760
Directions to property: lf�/ �`' .� Section: Lot:
/ AUTHORIZATION FOR
WASTEWATER
/ 1,Imi SYSTEM CONSTRUCTION Tax Office PIN:# -
Road Name:- . Zip: Toa g
**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.
an compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
l ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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rr - -�' �Y�.' f IMPROVEMENT AND OPERATION�P Jf SS PROPERTY INFORMATION
dame; Yf. Subdivision Name:
Directions to property: Section: Lot:
II�IPROVEMENT
.� �'t1,1,c/ "` r ,If'�1� PERMIT
Tax Office PIN:#
117
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Road Name:-/
**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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTTCE***TICS PERMIT IS SUBJECT TO REVOCATION IF SITE
1� tJ rn t (�j G' '` f.✓.s ,? PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
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INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE_J41 #BEDROOMS _*2 #BATHS__L_#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE OF it A( TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) ,IVEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE eL�/O GAL. PUMP TANK GAL. TRENCH WIDTH ^ ROCK DEPTH LINEAR Fr.
OTHER J �O
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
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. � OPERATION PERMIT BY: &_ DATE: \1
**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 05/96(Revised)
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z`�'. DAVIE COUNTY HEALTH DEPORT T
' IMPROVEMENT AND OPERATION PI'rRMI S PROPERTY INFORMATION
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•flame:` ",t :a �' ...✓� Er,, r � ,{ ,`.�` Subdivision Name:
,� F,.�` -✓f,
g °Directions to property: �'4 ` �^ Section: Lot:
"
IMPROVEMENT '
PERMIT Tax Office PIN:# \
}
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 CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit. i
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
r; r ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE q #BEDROOMS tee' _#BATHS _#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE / TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE Y
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ^ ROCK DEPTH � ' LINEAR FT.
OTHER__ Y,_l
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
i
SYSTEM INS LLED BY.
5 ;
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+ �Y •
AUTHORIZATION NO. .�1� OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 05/96(Revised)
' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME -'�q PHONE NUMBER
ADDRESS /Y.2 .6-10 ZDry i,/ j SUBDIVISION NAME
SUBDIVISION LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED /- INFORMATION TAKEN BY