246 Bethesda Ln (2)Davie County, NC � Tax Parcel Report Wednesday, October 12, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parce) Number: B300000044 Township: Clarksville
NCPIN Number: 5823271420 Municipality:
Account Number: 69960000 Census Tract: 37059-801
Listed Owner 1: SPILLMAN RICKY LEE Voting Precinct: CLARKSVILLE
Mailing Address 1: 246 BETHESDA LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE
State:
Zoning Class: DAVIE COUNTY R-A
NC Zoning Overlay:
Zip Code: 2702&6105 Voluntary Ag. District: No
Legal Description: 35.60 AC BETHESDA LANE(30.560 AC) Fire Response District: COURTNEY
Assessed Acreage: 30.56 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 1/1990 Middle Schooi 2one: NORTH DAVIE
Deed Book / Page: 001520500 Soil Types: AaA,MnC2,MnB2,ChA,MdC,MsD,WATER
Piat Book: 11 Flood Zone:
Plat Page: 376 Watershed Overlay: DAVIE COUNTY
Buiiding Value: 101890.00 Outbuilding 8 Extra 28300.00
Freatures Value:
Land Value: 188730.00 Total Market Value: 318920.00
Total Assessed Value: 318920.00
°"�'�' Davie County,
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A'�TyC��t�ZATI�� �vo. � •� � �� DAVIE COUNTY HEALTH DEPARTMENT a 4� � �:���; � �=' ��J `
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- ' > Environmental Health Section PROPERTY.INFORMATION ��
Permittee ti -, "�, ��} r? P.O. Box 848 ���•� Y
Name: " �..-� �il� � c: `�+ � �-�-n'� � "� , . . Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: ���� ��L ��� Section: Lot:
� (� � AUTHORIZATION FOR
�I �>�r� l�i`t:yrJ 1 ��--G��"l'���`, i�-+� WASTEWATER
' SYSTF,M CONSTRUCTION Tax Office PIN:#
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**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior
to issuance of any Building Perrruts. This Fom�/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Buildjng Permits..
(In complian�with Articl�l l of �'r.S.�, C�h1ap,ter 130A, Wastewater Systems, Section .1900Sewage Treatment and Disposal Systems)
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�-��-- /�'" {_ ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,! < r � �-= C IS VALm FOR A PERIOD OF FIVE YEARS.
ENVIRO _-�� , I�XZTH SPECjt �LIST,' DA E I�SUED
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' � ���{ _v:-Y , � f % � �w J �' DAVIE COUNTY HEALTH DEPARTMENT ` ` `- �,� # ' � � ' �._ � j
' �� `_ - '' �__ „ ; . � TMPROVEMENT AND OPERATION,PERMITS PROPERTY INFORMATION� � , ":�`i
� Permittee's- -. � c _ , � � :
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Name: l�_ �` p..` �`-i �� t? t�� t� tr> �
Subdivision Name: �
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� Directions to property: r'� �`� �� -' � Section: Lot:
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IIVIPROVEMENT
? � ', i ���.: _ � �' � ' _ 1 t � ' , PERMIT Tax Office PIN:#
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**NOTE** This Impmvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AiJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained from this Department prior to the
construction/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)
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� ,I ***NOTICE*** THIS PERMIT LS SUBJECT TO REVOCATION IF SITE
�`f'�`-� •'. . r�"� 1� :;+. � PLANS OR TI-IE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMEI+ITAL-HEALTH SPECJALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTf BEFORE
t. _ .. INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFTCATION: BUILDING TYPE i'H H_ # BEDROOMS �_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
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COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ��L�-� DESIGN WASTEWATER FLOW (GPD) �" E�� NEW SITE REPAIR SITE �""
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH I Z LINEAR FT.2U;J
nTHFu 1 "� � �Te� ��J'(��� ��c.,XL 1� r.Jo�J[�. ��.1 ���.-bc..�= )
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMEI�T PERMIT LAYOUT
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**CONTACT A REPRESENTATIVE OF THE DAVIE CJOUNTY 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.
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I OPERATION PERMIT
' SYSTEM INSTALLED BY: f—�V G,S ��-�v S
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AUTHORIZATION NO. ��_ ER�1T�0N PERMIT : DATE: `��
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**THE ISSUANCE OF THIS OPERAT N'�ERMIT SHALL INDICATE TH TEM S IBED OV AS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CH�4 R 130A, SECTION .1900 "SEWAGE TREA M AN ISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR AN GIVEN PERIOD OF TIME. '
DCHD OS/96 (Revised) t'
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
�� `` ���� PHONE NUMBER / / � �� ��
ADDRESS � y� /��i`����]' r� ��. SUBDIVISION NAME
� �i C �� v� �l� ��(/ C� � %U s2 � LOT #
DIRECTIONS TO SITE /� �I /�r / U ��l a�Z'L� �-J . .��'� / U �G�G/j l�d'�'��
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DATE SYSTEM INSTALLED ��✓`� ��NAME SYSTEM INSTALLED UNDER�i/��i ���' u�
TYPE FACILITY �- y NUMBER BEDROOMS � NUMBER PEOPLE SERVED �
TYPE WATER SUPPLY �/�`/ SPECIFY PROBLEM OCCURRING D` ��� ���S "
_���� /���� �� d�� ���J �yo - ,�G��.�� � � y Q<%2
DATE REQUESTED ✓" l' � v INFORMATION TAKEN BY ���
Thia is to certify that the information provided is correct to the best of my knowledge, and that lyad�rstand I am
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev, i J93
tor all charges incurred irom this application.
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