1107 Calahaln RdDavie Coun'ty, NC
Tax Parcel Report Wednesday, October 12, 2016
WARNING: TI-IIS IS NOT A SURV�Y
' Parcel Information
Parcel Number: G200000002 Township:
NCPIN Number: 5800449989 Municipality:
Calahaln
Account Number: 37740000 Census Tract: 37059-801
Listed Owner 1: HOWARD WILLIAM N Voting Precinct: NORTH CALAHALN
Mailing Address 1: 1107 CALAHAN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 6.97 AC CALAHAN RD Fire Response District:
Assessed Acreage: 6.78 Elementary School Zone:
Deed Date: 5/1990 Middle School Zone:
Deed Book I Page: 001540278 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
9���°'F Davie County,
�'o�,N�j NC
105700.00 Outbuilding & Extra
Freatures Value:
65590.00 Total Market Value:
181310.00
SHEFFIELD - CALAHALN
WILLIAM R DAVIE
NORTH DAVIE
PaD,ApB,PcC2
DAVIE COUNTY
10020.00
181310.00
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AufixOxi� TioN No: O 9 6 9 DAVIE COUNTY HEALTH DEPARTMENT
- - Environmental Health Section
PermittPe's � � P.O. Box 848
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PROPERTY INFORMATION
Name:�,'�� ���� o:r.�, �• U�' 'Q�'� . Mocksville, NC 27028 Subdivision Name:
! Phone #: 704-634-8760
Directions to property: C�� �� ' �� S�:r�- Section: Lot:
AUTHORIZATION FOR
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SYSTEM CONSTRUCTION
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**NOT'E** This Authorization for Wastewater System Construction MUST BE ISSLTED 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 Pernuts. '
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
``• �."� � -��p ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�.._ �`�. -;."'r= ��`� :=��."w�-.�3-- ��,� �� f IS VALID FOR A PERIOD OF FIVE YEARS. '
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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�'" ��"� -� �'td ' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
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-- Directions to property: � ��Z ��.� "'':� �'�*:-� ' Section: Lot: t
� �:�,. IMPROVEMENT
_ . -. -- � ;� .;�,,,_- ,z x_'> <�r•.. PERNIIT Tax Office PIN:#
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**NOTE** This Impmvement Pemut DOFS NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An
AiTTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
__ construction/'mstallation 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)
� , , ***NOTTCE*** TIIIS PERNIIT LS SUBJECT TO REVOCATION IF STTE
,'^�:: ,::�- • � M j�, ,. ��� PLANS OR THE IlVTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE R�-f # BEDROOMS �_ # BATHS _� # OCCUPANTS `+�. GARBAGE DISPOSAL: Yes or 10
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFI' # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE Cu'�� TYPE WATER SUPPLY uJ DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE +""
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SYSTEM SPECIFICATIONS: TANK SIZE Q� GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH 1�- LINEAR FT. �UO
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 (704) 634-8760.
OPERATION PERMIT
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AUTHORIZATION NO. �% OPERATION PERMIT BY: �/1 G�� 'L '
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 OS/96 (Revised)
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�`"� ' � DAVIE COUNTY HEALTH DEPARTMENT •
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"'`�r�.=-: _'; �` IMPROVEMENT'AND OPERATION PERMITS PROPERTY INFORMATION
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Directions to property: � t �'� ' D - " ' - �
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Il�IPROVEMENT
PERMIT
Subdivision Name:
Section: Lot:
Tax Office PIN:#
Road Name: � Zip: � � ` '
**NOT'E** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
ALJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUGTION must be obtained from this Department prior to the
conshuction/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)
� ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SiTE
�� f� �•, :�; t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTI' BEFORE
INSTALLING Tf� SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �_ # BEDROOMS �_ # BAT'HS �_ # OCCUPANTS r* GARBAGE DISPOSAL: Yes or 10 ti
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WAS1'E: Yes or No
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LOT SIZE i�>���-'-r=' TYpE WATER SUPPLY `�-�> DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
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SYSTEM SPECIFICATIONS: TANK SIZE ~t f�� GAL. PUMP TANK GAL. TRENCH WIDTH "� ROCK DEPTH � 1+ LINEAR FT. �-�-��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I 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 TI-IE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
A .
OPERATION PERMTT
SYSTEM INS ALLED BY
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AUTHORIZATION NO. � n OPERATION PERMIT BY: � r�"�� DATE: � 1� i'�~
**TF� ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTTH ARTICLE 11 OF G.S. CHAP'TER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFACTORII.Y FOR ANY GIVEN PERIOD OF TIME.
DCHD OS/96 (Revised)
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER ��'l Z ss�3
BDIVISION NAME
LOT #
DIRECTIONSTOSITE ��i � � � �,�4 �ct �,ta� Td �3� ��,��P
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DATE SYSTEM INSTALLED �' � d NAME SYSTEM INSTALLED UNDER S�t_� e_
TYPE FACILITY �In �.�5� NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY u SPECIFY PROBLEM OCCURRING � j n e S f� �� �
`� er "' i v� o �a �� he `
DATE REQUESTED rI '' 2-3 '� `� INFORMATION TAKEN BY ��1'�4�
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 irom this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
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