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174 Buckingham Ln
Davie County, NC Tax Parcel Report Monday, September 26, 2016 f i 177 174 I tt f ------------------------- j t f 148 1� t WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E20000001601 Township: Clarksville NCPIN Number: 5801855278 Municipality: Account Number: 82530859 Census Tract: 37059-801 Listed Owner 1: CLINE ALLEN SR Voting Precinct: CLARKSVILLE Mailing Address 1: 174 BUCKINGHAM LN Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 1.000AC OFF DUKE WHITAKER Fire Response District: SHEFFIELD-CALAHALN Assessed Acreage: 0.97 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/2005 Middle School Zone: NORTH DAVIE Deed Book/Page: 006200910 Soil Types: MnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 7990.00 Outbuilding&Extra 4500.00 Freatures Value: Land Value: 12260.00 Total Market Value: 24750.00 Total Assessed Value: 24750.00 l.v r rocr-arlsing data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the F"`F Davie County, plied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the unty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to �a UNC; NC out of the use or inability to use the GIS data provided by this website. Fermit r~ 1rI DAVIE COUNTY EA�TH DEPARTMENT --•;1. bP: !•l (.�/� � Environmental Health Section PROPERTY INFORMATION // ` °-� ��' P.O. BDx 848 ~Iretions to property: �`''l` !"��7 �• �1 Mocksville,NC 27028 Subdivision Name: Phone#:336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax ,gym Office PIN:# n SYSTEM CONSTRUCTION IN �u�kiA / � O �k!JTHORIZATION NO: 0 Q 2 A Road Name: 9 zip: R70 ZX **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pennits.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:BUILDING TYPE,a_o #BEDROOMS Z #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)_3%V NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH Jy ROCK DEPTH LINEAR FT:� OTlifIR REQUIRED SITE MODIFICATIONS/CONDITIONS: w� ` IMPROVEMENT PERMIT LAYOUT l .�� aid- f, G __j FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: u PAXKAU-^—• At% t.� 1•�►� 1.1.Y,z 1CIt ' i 'A L AUTHORIZATION NO. OV Z�I V OPERATION PERMIT BY: !!F�`)D6.A- s 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. DCH002JO2(Re,.iW) �L'CT aro TNV 01 ee3 '•DAVIE COUNTY REATH MMTMENT, Environmental Heal h Sect �t kf16 t� PROPERTY INFORMATION 3 y t r , RO. EWt 844 Subdivision NameeioaFto zpperty: rsville,NC 27028Mok ,+ r' ; ,r,' /;/ Phone#:336-751-8760 Section: r: Lot: '+ AUTHORIZATION FOR _ WASTEWATER Tax Office PIN:# 0 SYSTEM CONSTRUCTION 175/ EUo kl/i /�il/ CU 11,e AUTHORIZATION NO: A Road Name: J Zip: �0 **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) .jl J\� l,J;/,�J �+'� / ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION t `t./ l r ` '? 5� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED r iN. RESIDENTIAL SPECIFICATION:BUILDING TYPE t7-"#BEDROOMS BATHS #OCCUPANTS —GARBAGE DISPOSAL:Yes` r No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) -yam` NEW SITE REPAIR SITE ); ��==-,i U SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr. OTHER 1 REQUIRED SITE MODIFICATIONS/CONDITIONS: j IMPROVEMENT PERMIT LAYOUT ( Id FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS✓(336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: F y.J It ►`� t LL13 YIk� Q V AUTHORIZATION NO. ��Z / OPERATION PERMIT BY: 'fE� )Iys9 DATE; / Z• A�`O E **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 SATISFACTORIIL�LYY FOR ANY GIVEN PERIOD OF TIME. V,6 Dcttn mroz(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION AP LICATION FOR IMPROVEMENT PERMIT(REPAIR) .NAME PHONE A/4-Aff A ADDRESS U �C�,A1 �� SUBDIVISION NAME LOT # DIRECTI NS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY / NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRIN DATE REQUESTED INFORMATION TAKEN BY This is to certify 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 P-*1,93 Y YJpolwie i ���� • COMPLAINT FORM DAVIE COUNTY HEALTH DEPARTMENT ' ENVIRONMENTAL HEALTH-SECTION Date Received ' Name of Complain nt ��5�Af Received By t c/ Address 11 M e— Telephone Complaint Person Responsible forC mplaint /W ZI e �� d Address Z 2V Telephone Directions to Comp aint L IV 0 41 'r& 6/1 e r e/ 121) tj '& ,4-Y11 . Silw /•e wide OA) &d av4 v Date Investigated Investigated By— Complaint y Complaint Justified 7 Complaint Not Justified Action Taken - G —3 d -'DIve 71 S, Gi G 0,C� �JSS[t.r Date Environmental Health Staff Signature (DCHD 1/85) 1, r DAVIE-COUNTY ,HEALTH DEPARTMENT - -= 3 IMI?ROUEMENTS':PERMIT AND .CERTIFICATE ;AF COMPLETION ; Issued in, ompliance with G.S of North Carolina Chapter X130 Article 13c` ' l " 'Sewage Treatment andl Disposal ,Rules (10 NCA,C 10A 1934= 1968) Permit NumberG 'Na es,_ t� Date . �A 7` f , dat/ : �Rt�k� { Location � > Subdivisign Name +` - 3 Lot„No. - Sec.”or"BIocK`No. _ ..,., _ 1. Lot.'Size House,, Mobile Home Business —� _ Speculation 0. i. No.`Bedrooms No'Baths, No in Fa`mil Y Garbage Disposal r YES .❑ NO ❑ Specifications for. System: Auto Dish Washer YES,p NO ❑ Auto Wash Machine YES ❑ . NO ❑, Do o j �• TMeWater Supply.,: YP ' ... .. _. ; _ _ ..._. *This permit Void if sewage system described`below is-not installed within 36 months from date of issue. VA Improvements 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 daV'of;completion. Telephone Number-704-634-59 85 "• = � �,, Final Installation.Diagram: System Installed by ^f - ' 1r \ Y�i'�K 1• i Certificate of Completion - Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation; but shall in NO,way be taken as a guarantee that.the system will-function satisfactorily for any given period of time. ;; Permltt DAVdE COUNT^Y HEALTH DEPARTMENT a°} r �ax,z3 b y PROPERTY"'INF©RIvIATION .EhVlronmentBlpHe�alth�fSectlon )"T Dlrectlons�o propert r1 Mdcksullle NC.27028 S1bdlvlston Name v Phoney#x,336„75�1`�8760> WASTEW<ATFR n y q +'SYSTFM,CONSTRUCTI©N Trax;Ofific,e�PlN#' 1 ` z �.t' � :',.v .. ..,�r.a - t:#' i � �•F .ite,..ri s q' ,.r,. ,., *pNOTE**+Th s,aAuthonzatlon for Was'tewatec:S stem::.Construcilon MUST BE°ISSUEp b theyffi- CountvxEnvlronmentall Health=S:eatlon .t;,y ,i .�'i� _;, �,3;'.;', Y ;:`.. , 'l.:y;: ., q rrk 3 s .:�-_•,. .��v ” '' ' du ., ' 'toslscuancefot an,;-Bulldln 13 Pu ThISMFomI/sAuthbnzdtln "umher should be retiented tothe=Dade Coun. ?sBurldan "dns ettom ty g 1 Pe Officetwhepi.applytna for Bu1ldlne Permltc (1n�colnpll nCe with Article`11 cif3G S>Chapter T30A W astewater Systems Section 1900 Sewa e Treatment and DIS oral S stem AUTHORI7ATION°FOR�WASTEWATER+CONSTRUCTION } .. ..� ? c dS4VALID FOR A PERIOD OF`FIVE YEARSI 4 r ENVIRONMENTAL HEALTH SPECIALIST - DATE ISSIED r RESIDENTIAL SPECIFICATION,BUILDING TYPE i#BEllROOMS, ''#BATHS kq#OCCUPANTS GARBAGEaDISPOSAL Yes or No COMMERCIAL SPECIFI/ATION FACILITrY TYPE' s r #PEOPLE' ,#PEOPLE/SHIFi #SEATS INDUSTRIAC=WASTE Yes onN6 ��� '� ? 1 r C } k �.. �5 ..;� { '. > a, a d e ,q t �•+ 4 i;" Uzi 5 4 �f 'wa F" ' s F r.. 54 1 i �,'t�-,tr If t�> ,'^�,d r. I � ` ;LOT SIZE r W TYPE WATER SUPPLY DESIGN WASTEWATERL OW(GPD) sNEW SITE REPAIR SITE_ �� , SYSTEM SPECIFICATIONS`TANK SIZE GAL rP,UNIP£TANK GAL TRENCH WIDTH ROCK DEPTH r,�LINEAR`FT CC�'t t ! G 1 T ;REQUIRED SITE MODIFICATIONS/CONDITIONSa IMPROYEMENT_PERMITLAYOUTa�( c ,'` cs , r x 4 t k ♦ ` } t�� t y 1 '� y FORIFIIAL INSPECTION OF THIS SYSTEM PLEASE°CALL BETWEEN 8 30 9 30 A M ON THE DAY OF'INSTALLATION TELEPIiONEt#ISa(336)751'8760 OPERATIONTERMIT .t 3 � `` SYSTEM INSTALLED BY { r f 4 A r i ,�, }Sy S: t ted f } 4x f,+, � 1 k ':t•q` 1tr F �', Y 1 F;P � } ��f T � k 7 1 X ` S mI 1107 kt .� a''t as .xF t ,p S' ° AUTHORIZATIgN NO � OPERATION PERMIT BY 5 ` , DATE � 'a ,� t ;: ' k- f r ::, x:� .: i i •; - C at s :{ tr c+ ,I p. u , "*THEdISSUANCE OF THISrOPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN•COMPE ANCE WITH ARTICLE 11 OF G'�S CHAPTER 130A SECTION 1900' SRWAGE TREATMENT SAND DISPOSAL�SYSTEMS' BUT SHALL IN-NO WAY�BE TAKEN AS A, GUARAiNTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANYrGIVEN PERIOD OF TIME pi.'. �- ,�' r :�. .. ., a.,{�a.v;"_.uk.✓"1x�/�Ir//_� - �' �.�...,_i.a...,:..-t�-.i.uTw� 1/a w_l,� .�✓1�I� ya�.Z�a,aLi..".W.n� :,u�r,'.�i.i.<r,a� .v_._._..._.:��.t,..'....w.�...x...t�.v•.,.a�t..w...:,w+.u.ir......�.Lx/A.. .f� ...ro...