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
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�'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 - ' —
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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
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' 1 ; � ��� ��?'� DAVIE COUNTY HEALTH DEPARTMENT �� /�-
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TMPROVEMENT AND OPERATION PERMITS PRO$ERTY INFORMATION
Permittee's�_� I . `"�
Name:% ^ �-.d , �v� f l !�, ' '`� � � �v' Subdivision Name:
�
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Directions to property: � '� .� � � : , �. � ' � /� � Section: Lot:
' IMPROVEMENT
,�' , ' f� �, PERMIT Tax Office PIN:#
Road Name: Zip:
**NOTE** This Improvement Pernut DOFS NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AU'I'HORIZAT'ION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtamed from this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
" ;' 7 .�-� � i��: ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SIT'E
� � =1k'� ��d'.; ,,r`ay <G��`f �,; � k ,,� ,� � . ' y . � �; PLANS OR TIIE INTENDED USE CHANGE. YOUR WASTEWATER
EN�IRONMENTALSHEALTH S�$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�
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**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 �
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/ �,
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°
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Ur��f f r' �� �'.
, . . .........
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**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