132 Cable Ln Davie County, NC Tax Parcel Report —,dFriday, September 23, 201163E
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p _ _ Parcel.Information _
Parcel Number: L40000003409 Township: Jerusalem
NCPIN Number: 5736539433 Municipality:
Account Number: 8302330 Census Tract: 37059-807
Listed Owner 1: JAMES SHARON THOMPSON TRSTEE Voting Precinct: COOLEEMEE
Mailing Address 1: 169 TURRENTINE CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 3.52 AC DANIEL RD Fire Response District: JERUSALEM
Assessed Acreage: 2.69 Elementary School Zone: COOLEEMEE
Deed Date: 6/2013 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009290891 Soil Types: MrC2,GnB2,EnB,MsC
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 19920.00
Freatures Value:
Land Value: 31400.00 Total Market Value: 51320.00
Total Assessed Value: 51320.00
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
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NOUN S NC or arising out of the use or Inability to use the GIS data provided by this website.
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Perm,�ttee' :r..,
DAVIE COUNTY HEALTH DEPARTMENT "
Name: Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 _ _ S
Directions to property: ULA' �� -I-b �c�x�J i Mocksville,NC 27028 Subdivision Name:' L/ �� O
t" � Phone#:336-751-8760
t?� ...c�� -���1 1 1, '-1 t? j Section: Lot:
AUTHORIZATION FOR
60 tam p, � 1(Q- > WASTEWATER Tax Office PIN:# - -
L L SYSTEM CONSTRUCTION
_
AUTHORIZATION NO: 2491 A Road Name: ,=`+- ip: �:'�.V,
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance ith Article 11 of S.Chapter A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
/l ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
EI�IRONME V E FOPECI LIST YPATE I SUE
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS:----53--5-''5 #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TY�P1E�� #PEOPLE #PEOPLE/SHIFT /� #SEATS INDUSTRIAL WASTE:Yes or No
2• S �1Jy ?`t� NEW SITE REPAIR SITE ✓
LOT SIZE TYPE WATER SUPPLY Y DESIGN WASTEWATER FLOW(GPD)
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH o ROCK DEPTH I Z- LINEAR FT.7"">
OTHER �� P1 OT 10 J 'C'--OcL
REQUIRED SITE MODIFICATIONS/CONDITIONS:
t tam
IMPROVEMENT PERMIT LAYOUT
��t t,JS1Dt 4�tt�-�JCf•
CD2 t_.ti�.K S
W
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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 4 nn
SYSTEM INSTALLED BY: .
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 I I 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.
awn 02102 tRevisea) 3
r:Pe.pttee s --,r_ .D�WIE COUNTY;HEALTH DEPAk&.-w q )' �-
me• E._ NLr+J N"'L. Environmental Health Section PROPERTY INFORMATION
P.O. Box 848'
Directions to property: 1 �c Mocksville;NC 27028 Subdivision Name: d/
R..a t t.'� Section:r, 't t ; ,� ._ Phone#:336-751,=8760
Lot:
" AUTHORIZATION FOR
�
WASTEWATER�J`�` ) Tax Office PIN:# -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: A Road Name. ✓, LL L p
**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/Auth6rization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S.Chapter-130A,,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
�,, ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
X, IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM)`NTAI IEEAUIjSPI3SPECIALIST( "DATE I SUE
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS`r 5 #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE `' �rTYPE WATER SUPPLYDESIGN WASTEWATER FLOW(GPD) "' �' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHROCK DEPTH I LINEAR FT.
OTHER ~�, I� y ,[ .i r` I 1 a ? k�
REQUIRED SITE MODIFICATIONS/CONDITIONS: i °'T -� I' - -^�iG C 1 7 ..t, F .is ,WNtLU.
IMPROVEMENT PERMIT LAYOUT
' $ 1.
t t
r} j
"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 /• 11 /� �'
SYSTEM INSTALLED BY:
� g
AUTHORIZATION NO. OPERA IO
J� T N 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.
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME '"`�� PHONE NUMBER
ADDRESS Z >✓ Uv �2haL� SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INST LED UNDER
TYPE FACILITY � NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY ��Te? SPECIFY PROBLEM OCCURRING
DATE REQUESTEINFORMATION TAKEN BY nn
This is to certify that the information provided is correct to the best of my knowledge,and that I understand 1 am responsible for all charges incurred from this application. M
SIGNATURE OF OWNER OR AUTHORIZED AGENT
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