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WARNING: THIS IS NOT A SURVEY
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
or arising out of the use or inability to use the GIS data provided by this website.
a Parcel Information
Parcel Number:
F400000019
Township:
Clarksville
NCPIN Number:
5830191077
Municipality:
Account Number:
82532571
Census Tract:
37059-801
Listed Owner 1:
TAYLOR GRACE W
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
847 CANA ROAD
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:
1.24 AC CANA RD LIFE ESTATE
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.08
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/2010
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008470935
Soil Types:
EnB,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
79000.00
Outbuilding & Extra
760.00
Freatures Value:
Land Value:
20200.00
Total Market Value:
99960.00
Total Assessed Value:
99960.00
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Davie County,
NC
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
or arising out of the use or inability to use the GIS data provided by this website.
AUTIiORIZATIONNO: 4 ' DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section PROPERTY INFORMATION
Permittee's r" P.O. Box 848
Name: a Mocksville, NC 27028 Subdivision Name: r
�.�� / Phone # 336-751-8760
Directions to property: Ts ' i zl�e �` r�" Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name: Zip:
**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
� • e&W,64 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
o
A DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee s
Name:
Directions to property:.�`r
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name: Zip:
**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)
� r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
iti✓f r ` y�,? r ; �. �'�t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS s2 # BATHS _/_ # OCCUPANTS 'moi 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) 9<4/ NEW SITE REPAIR SITE---,/----'
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUEMT FILTER* *RISER(S) IF 6" BELO'l FI111EXED G7ADE
F
"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 (?U4)51XV69.x
(335)751-0760
OPERATION PERMIT
SYSTEM INSTALLED BY:
�fo4el
r -
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 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 SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
t
t - " ta- ; DAVIE COUNTY HEALTH DEPARTMENT ��f • "` � f
01 IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Name: Subdivision Name:
Directions to property: .' """ Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zip:
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
`. ,r' ; w pg °i PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER -
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS .ate # BATHS --/— # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT
LOT SIZE TYPE WATER SUPPLY 1' i�DESIGN WASTEWATER FLOW (GPD)
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH
REQUIRED SITE MODIFICATIONS/CONDITIONS:
# SEATS INDUSTRIAL WASTE: Yes or No
NEW SITE REPAIR SITE
ROCK DEPTH % PLINEAR FT. /"V
IMPROVEMENT PERMIT LAYOUT -Xrp ptiVE1j EFFLUENT FILTERix- *FISER(S) IF 611 PE"L011 FR41SHEI) GRfIDc9,
0
F
t
"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 ('fC4Y64-N& K
(33G)751-8760
I OPERATION PERMIT
SYSTEM INSTALLED BY:
0 1 Cti1�ii
r -
AUTHORIZATION NO. OPERATION PERMIT BY: /-
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I1 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 05/96 (Revised)
a
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME 4 PHONE NUMBER
ADDRESS r% SUBDIVISION NAME
SUBDIVISION LOT #,
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
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