512 Country LnDavie County, NC Tax Parcel Report d� Tuesday, September 27, 2016
Nj
J j r
2 ._
C
t '
4.32 x''`-,>. ' •`'~�-rr ��' 16 p ! •. ; ,
a -75j--
ry j4�6 �l
r cv�,
�
3§78,
f t 159`' ` .rr
' 3p` I /
$445
3787 1` ,,-o �.--
i 3 -' .—_.. COUNIRYLN �...... fi
-� 7281
5os
101
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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.
WARNING: THIS IS NOT A SURVEY
�... ; -,
,,:,- •,:._.
a�cei nforinafwn
Parcel Number:
H4140B0013
Township:
Mocksviile
NCPIN Number:
5739513878
Municipality:
Account Number:
8305021
Census Tract:
37059-806
Listed Owner 1:
MORGAN C ANDREW
Voting Precinct:
NORTH MOCKSVILLE COUNTY
Mailing Address 1:
512 COUNTRY LANE
Planning Jurisdiction:
MOCKSVILLE
City:
MOCKSVILLE
Zoning Class:
MOCKSVILLE GR,OSR
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
LOT 1 COUNTRY LN ESTATE
Fire Response District:
MOCKSVILLE
Assessed Acreage:
I
0.74
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/2002
Middle School Zone:
SOUTH DAVIE
Deed Book f Page:
2002E0182
Soil Types:
GnB2,MsD
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
142840.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
25000.00
Total Market Value:
167840.00
Total Assessed Value:
167840.00
101
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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.
yaa. y.fii:k
AUTHORIZATION NO: • 1' 6 5A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's -~ rl / P.O.-Box 848
Name:'' �• 41410 Mocksville,NC„27028 Subdivision Name:
.,
Phone# 336-751-8760,
Directions to property: �✓� 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-Pernuts..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
JS,VALID FOR A PERIOD OF FIVE YEARS.,
E VIRONMENTAL HEALTH,SPE IALIST'.. .DATE ISSUED
_...ter_ -r
6 2 5 A DAVIE COUNTY HEALT11 DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
-Permittee
1
Name:l % I Subdivision Name:
Directions to property: � +- •� ✓ -° .f 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 orany wastewater system. -An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must.be obtained from this Department prior io the
construction/mstallation 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)
ft ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
j a ` y ;u�";y ( •s rr PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
IRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THISPERMIT BEFORE .
INSTALLING THE.SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE H # BEDROOMS P # BATHS _ ,� # OCCUPANTS._ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE/ # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or Nam''
LOT SIZE 'TYPE WATER SUPPLY r "O DESIGN WASTEWATER FLOW (GPD) cy� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �G ROCK DEPTH 'LINEAR FT.
OTHER
REQUIRED SI'('E MODIFICATIONS/CONDITIONS:
**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 (RAW* ;'*q,
l ��f�) 751-876Q�
DCHD 05/96 (Revised)
'v+.,w'Wr�s Y; �•� r <t -^. ✓�.-'P<c^.c.. .e>*rr €�`tz v-+�rvr:p '>'�, y:.: •.a.h'b"S° - �,,,,,�._
,t,,,,h't'; .>.^•� :+ y .. tW:,{. �-:� i ^c-"�;;f `'"ayK•: �r : a .,w a� � ,, i 9 ....a._, t � y :� .. . �:rt w7 .. ..o
1 6 0 A DAVIE COUNTY HEALTH ,DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
" Name: r� r r r 1 .d t r Subdivision Name:
Directions to property: x" Section: Lot:
_ - 4 Y 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
M ' PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPE IALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS # BATHS # OCCUPANTS .2_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/S;HIFT # SEATS INDUSTRIAL. WASTE: Yes or Na
LOT SIM TYPE WATER SUPPLY ► i'f DESIGN WASTEWATER FLOW (GPD). -lad NEW SITE REPAIR SITE
SYSTEM SPECI�CATIONS: TANK SIZE, GAL. PUMP TANIV_ GAL. TRENCH WIDTH ROCK DEPTH _ LINEAR FT.
V
I OTHER
iM1 ..
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUE-11T FILTER* IRISER(S) IF 6" BELOW FIPdMt D GRADE•
:: i4l
ell
............
"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 ('api j4jVA0: )t
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
t`
AUTHORIZATION NO. -L�- OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITjj ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GU 2ANI_E THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
' APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME
ADDRESS --.�
G/
V
PHONE NUMBER
BDIVISION NAME
Y, /l�./ LOT #
DIRECTIONS TO SITE--C�4u� �/1�-i �ih•-c.
DATE SYSTEM INSTALLED S NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
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 from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
i
I i