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154 Cane Mill Dri Davie County, NC Tax Parcel Report Tuesday, October 11, 2016 WARNING: TI-IIS IS NOT A SURVEY _ _ __ _ Parcel Information Parcel Number• J200000023 A Township: Calahaln NCPIN Number: 5707468873 Municipality: Account Number: 34516000 Census Tract: 37059-801 Listed Owner 1: HENDRICKS JAMES G Voting Precinct: SOUTH CALAHALN Mailing Address 1: 154 CANE MILL DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-8122 Voluntary Ag. District: No Legal Description: 24.717 AC STAGE COACH RD Fire Response District: COUNTY LINE Assessed Acreage: 24.73 Elementary School Zone: COOLEEMEE Deed Date: 4/1994 Middle School Zone: SOUTH DAVIE Deed Book I Page: 001730651 Soil Types: ApB,WeC,PcC2,MsC,CeB2,ChA,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 107530.00 Outbuilding & Extra 6610.00 Freatures Value: Land Value: 102690.00 Total Market Value: 216830.00 Total Assessed Value: 126900.00 9p° `'� Davie County, �o �, K4� NC . ...: . ...q �. ..�-»en��, :r-�,t:::.-: .a�e :�:.�- .�_ - `•'.i.�. .�;+.�.. -.:;,, »_ ..� a'�- ... - . . .... . , � � - :s�•., . ,,r.: ; , .; r>� i.. � : .: .-.. .-„- . ._ ..� .� _. . . . � ' . . . . . . - . .' . .' . . ,; �.'-�, . � .. „ � . -.' � � � � �� ,► �'T auTxoRtzATiorv rro: 'x �, �. � f� DAVIE COUNTY HEALTH DEPARTMENT �� . /���� �9� Environmental Health Section PRO$ERTY INFORMATION Permittee's� • / . P.O. Box 848 Name: �/ J ry� f��':, � 1$' ,` f� r Mocksville, NG 27028 Subdivision Name: ` t�/ � , Phone # 336-751-8760 ' Directions to property: �� /��`%;.� %}.�.�%/ v, �f�%� Section: Lot: ,,� , AUTHORIZATION FOR � WASTEWATER Tax Office PIN:# � � � a ���i ����'� � '� ' ' � � ° `�� "� � SYSTEM CONSTRUCTION - ' — � i ' Road Name: Zip; **NOTE** This Authorization for Wastewater System Conswction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernvts. This Form/Authorization Number should be pre�ented to the Davie Counry Building Inspections Office when applying for Building Permits. (ln compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) �,,✓ ��j. _ �i'('' ..: ***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION �.,,�-� �.1 ,a! ar'� ) �j /j ' jl IS VALm FOR A PERIOD OF FIVE YEARS. —� EN IRONMENTAL HEALTH S ECIALIST DATE ISSUED . . - �, , ... :. . ..:,. ... � �, ; ; �G 91 � �: � ' 1 ; � ��� ��?'� DAVIE COUNTY HEALTH DEPARTMENT �� /�- � TMPROVEMENT AND OPERATION PERMITS PRO$ERTY INFORMATION Permittee's�_� I . `"� Name:% ^ �-.d , �v� f l !�, ' '`� � � �v' Subdivision Name: � � � f � , ; ��` Directions to property: � '� .� � � : , �. � ' � /� � Section: Lot: ' IMPROVEMENT ,�' , ' f� �, PERMIT Tax Office PIN:# Road Name: Zip: **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An AU'I'HORIZAT'ION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtamed from this Department prior to the construction/installation of a system or the issuance of a building pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) " ;' 7 .�-� � i��: ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SIT'E � � =1k'� ��d'.; ,,r`ay <G��`f �,; � k ,,� ,� � . ' y . � �; PLANS OR TIIE INTENDED USE CHANGE. YOUR WASTEWATER EN�IRONMENTALSHEALTH S�$CIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE _�� # BEDROOMS "`T # BATHS �# OCCUPANTS �s, GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No -.-, ,^ LOT SIZE TYPE WATER SUPPLY �✓ e DESIGN WASTEWATER FI,OW (GPD)---s� E=' �� NEW SITE REPAIR SI1'E :1� // • .� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH `�� ROCK DEPTH � LINEAR Ff. �lJn OTHER �_1 �� � REQUIRED SITE MODIFICATIONS/CONDITIONS: r"� IMPROVEMENT PERMIT LAYOUT ����DUED EF�Ll1'�"JT FIL ) I�' 6" �ELC3C1 FIFJTS�4� 6C�;D�� r ) � 5����d 1-'IJ� ���f ( ��� v, **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEIjARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF IN�TALLATION. TELEPHONE # IS (�7{��,(�3� �8�byq�� OPERATION PERMIT SYSTEM INS 'ED Y: 1'%� � �D � .�� �-- , / �, 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 OSH6 (Revised) .. .: , . : � . . ,., . , ��'��� DAVIE COU . ,.., , .r «.. : ` :. . �' �� fJ ��/ , � '� NTY HEALTH DEPARTMENT J�� � /� ` � �`' TMPROVEMENT AND OPERATION PERMITS PRO�ERTY INFORMATION Permittee's .,, t 1 : ,. s. . . � � , , • Name;' ^ *, � � � �` ' . � � ' a Subdivision Name: x. __ Directions to property: '� � � Section: IMPROVEMENT PERMIT Tax Office PIN:# Road N _ Lot: Zip:_ **NOTE** This Improvement Pernut DOFS 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 pemut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ' ";._�- � � ***NOTICE*** THLS PERNIIT LS SUBJECT TO REVOCATION IF SITE �' "'� PLANS OR TI� INTENDED USE CHANGE. YOUR WASTEWATER � �, ,, l ; ; ,, : . ,� ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMTI' BEFORE INSTALLING THE SYSTEM. � RESIDENTIAL SPECIFTCATION: BUILDING TYPE _�_� # BEDROOMS "`� # BATHS -K�! # OCCUPANTS'�� GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No i .... , LOT SIZE TYPE WATER SUPPLY f'".%,_J� � DESIGN WASTEWATER FLOW (GPD}-_.s"� �-� ��% NEW SITE REPAIR STfE 1�'r. • .f SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ` Z� � ROCK DEPTH ,.-�S� LINEAR Ff. .-.. �'� � ,.�� � ,,�j�� OTHER x: . t�J ` ,a 1 REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ��.,��f ����VCI3 EF�Li.�L+Jl" Fit. : '......'�'" % i . r / Fr� (�1,:' ' Y I� 6" L�i.�'-�.LC�1 Fit�ISti�t} f-iF�L�'h° �,, c',; i , �:� ��'�• � Ur��f f r' �� �'. , . . ......... �.., **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH I BETWEEN 830 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF OPERATION PERMIT FOR FINAL INSPECTION OF THIS SYSTEM N. TELEPHONE # IS (�g4�C�t3,4�$]60g� SYSTEM INS'I�}Ti�L/ED BY: .✓ti�;�"�=f''✓ d t�b . �.- 5� . , ,--�,/ � �� � /' r� � � j��—�i �,� , � a,. � �, . / , . f. AUTHORIZATION NO. �' OPERATION PERMIT BY: f�" L�-� •!`�x %)( i..�-� � i i DATE: �! ;�, C/ � \•____. ,j - . **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) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ' WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT NAME ^t �lY1 !�'1� ��i � S PHONE NUMBER ADDRESS ��� �i �f>.�i �� /r' SUBDIVISION NAME ���6�'���i./� --/l/��� SUBDIVISION LOT #, DIRECTIONS TO SITE DATE SYSTEM INSTALLED �/ ,�� (S NAME SYSTEM INSTALLED UNDER SPECIFY PROBLEMS OCCURRING ���'f� � �� DATE REQUESTED INFORMATION TAKEN BY �ir�/� 99�� -�l�- a 9v� ,����� 90� �� j�� 3