475 Buck Seaford Rd (2) Davie County, NC Tax Parcel Report alMonday, September 26, 201 t
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- WARNING: THIS IS NOT A SURVEY
}�lE _ Parcel Information
Parcel Number: K400000043 Township: Jerusalem
NCPIN Number 5726991477 Municipality:
Account Number: - 67477000 Census Tract: 37059-807
Listed Owner 1: - SMITH JEFFREY R Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 454 BUCK SEAFORD ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-4123 Voluntary Ag.District: No
Legal Description: - 61.363 AC BUCK SEAFORD RD(28.51 AC)' Fire Response District: JERUSALEM,MOCKSVILLE
Assessed Acreage: 28.51 Elementary School Zone: MOCKSVILLE
Deed Date: 1/2016 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 010090035 Soil Types: GnB2,GnC2,PcC2,ChA
Plat Book: 12 Flood Zone:
Plat Page: 28 Watershed Overlay: DAVIE COUNTY
Building Value: 86000.00 Outbuilding 8r Extra 5360.00
Freatures Value:
Land Value: 210520.00 Total Market Value: 301880.00
Total Assessed Value: 116930.00
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
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County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�o pN4� NC or arising out of the use or Inability to use the GIS data provided by this website.
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6.Pe-rrninee's DAVIE.COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 �2'
Directions to property: -r�16Mocksville,NC 27028 Subdivision Name.
Phone#:336-751-8760
Section: Lot:
AUTHORIZATION,FOR
.-- WASTEWATER Tax jq
Offi PIN:#
_ ��/j{� SYSTEM CO�iSTRUCTION
AUTHORIZATION ISO:' A '' Road am�✓U
**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 I I 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 _ #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
c ,
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLYDESIGN WASTEWATER FLOW(GPD NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE' GAL. PUMP TANK GAL. TRENCH WIDT '�' 7 ROCK DEPTH'S LINEAR F�2
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: L AA A
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0 po1,js
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 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 02/02(Revised)
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f: pQ.VIE COUNTY HEALTH DEPART1Vt�Nlr ,
Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 C) .
_'DeceCUo�is fo property: �+': ✓' rz ;�'•t�J �')(9ocksville,NC 27028 Subdivision Name:
-✓~ J. .� �.. Phone#:336-751-8760
ti re v'' Section: Lot:
xh ;AUTHORIZATION FOR
WASTEWATER21
Tax Off' P N:#
- SYSTEM CONSTRUCTION -
47 t � �((
AUTHORIZATION NO. w� ✓ A = ' Road amyl' 6
**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)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDIN,G TYPE // #BEDROOMS #,BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No 1
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or o
LOT SIZE,, TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD)— `/t' J NEW SITE -- REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH'S t-' ROCK DEPTH f LINEAR FTS-1�
OTHER .
REQUIRED SITE MODIFICATIONS/CONDITIONS:"
i s
IMPROVEMENT PERMIT LAYOUT I "
3 `
Pot m t4 A
**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 (336)751-8760.:
OPERATION PERMIT L \A �
SYSTEM INSTALLED BY: >
4r '
/G c '
AUTHORIZATION NO OPERATION PERMIT BY: DATE:
**THE ISSUANCOF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE-11 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 WII L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DC7 15 02/02(Revised }' .
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME• -JI'AI�721 PHONE NUMBER
ADDRESS �u . SUBDIVISION NAME
12 LOT#
DIRECTIONS TO SITE
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DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS _ NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED �' INFORMATION TAKEN BY
This is to car*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