110 Brown Dr (2) Davie County,NC Tax Parcel Report U J 0 Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parce111
formation
Parcel Number: K400000019 Township: Mocksville
NCPIN Number: 5737059371 Municipality:
Account Number: 30116192 Census Tract: 37059-801
Listed Owner 1: MCCLAMROCK JAMES RONALD Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 263 WILKESBORO STREET Planning Jurisdiction: MOCKSVILLE
City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR
State: NC Zoning Overlay:
Zip Code: 27028-2323 Voluntary Ag.District: No
Legal Description: 1.18 AC JERICHO CHURCH RD Fire Response District: MOCKSVILLE
Assessed Acreage: 1.75 Elementary School Zone: MOCKSVILLE
Deed Date: 11/2000 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 003520431 Soil Types: WeB,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: MOCKSVILLE
Building Value: 20040.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 20970.00 Total Market Value: 41010.00
Total Assessed Value: 41010.00
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 harmlessthe
County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
NCor arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NTE** 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME !/fy rA RC1 �'QU/J� PROPERTY ADDRESS II D� /"�• �D�B DATE
LOCATION ) Ad
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE 1��lISC' # BEDROOMS 12-- # BATHS /� # OCCUPANT5
GARBAGE DISPOSAL: Yes/ o�
COMMERCIAL SPECIFICATION: FACILITY TYPE #;PEOPLE,i r:. # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE L,---
SYSTEM
/SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ff ILINEAR FT. /3.5/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
r
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FIM. INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:38 A.M. OR 1:0 -1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704)634-8760.
i
OPERATION PERMIT SYSTEM INSTALLED BYC
Zo
AUTHORIZATION NO. OPERATION PERMIT BY DATE 31
**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 10/95
t
DAVIE COUNTY HEALTH DEPARTMEN&' 1 �j
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPR04EME6 PERMIT
**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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME 1/yf%et w,� PROPERTY ADDRESS II D� ��-y��,� . a �" DATE j-',
LOCATION
SUBDIVISION NSE LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS 2 # BATHS _I # OCCUPANTS , GARBAGE DISPOSAL: Yes/No�
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH !2 � 'ROCK DEPTH /r /LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
� 1
' - V
t
IMPROVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8768.
OPERATIOV PERMIT SYSTEM INSTALLED BY Ric
?4
AUTHORIZATION NO. OPERATION PERMIT BY DATE
.4
**THE ISSUANCE OF•THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED.IN CORPLIANCE WITH
ARTICLE 11 OF G.S. CHAPTER 136A, SECTION .1908 '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. b
DCHD 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
` Mocksville, N.C. 27028
t AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
AUTHORIZATION_NUMBER
NAME 4 1 4 �ro(�l DATE '/is! 9,� Nb `
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***MOTICE*** THIS AUTHORIZATION FDR TER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRDN ENTAL HEALTH SPECIALIST DATE
DCHD 10/95 .
,i. r
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
Xe-12-4
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME X-,nuzz2 PHONE NUMBER
//O if r. - �i � /
ADDRESS�.y -�'f�i - a1 SUBDIVISION NAME
LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED c2?- - �S INFORMATION TAKEN BY—
This is to certify that the information provided is correct to the best of my knowledge,and that nderstand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT '
Rev.1193