906 Country LnDavie County, NC Tax Parcel ReportO 1 j Tuesday, September 27, 2016
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All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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
Parcel Numbers:
H400000025
Township:
Mocksvilie
NCPIN Number:
5739838737
Municipality:
Account Number:
2212000
Census Tract:
37059-806
Listed Owner 1:
P
ANGELL DAVID MITCHEL
Voting Precinct:
NORTH MOCKSVILLE COUNTY
Mailing Address 1:
906 COUNTRY LANE
Planning Jurisdiction:
MOCKSVILLE
City:
MOCKSVILLE
Zoning Class:
MOCKSVILLE FP,OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
16 AC COUNTRY LANE(14.730 AC)
Fire Response District:
MOCKSVILLE
I
Assessed Acreage:
I`
14.73
Elementary School Zone:
MOCKSVILLE
Deed Date:
/
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
Soil Types:
WeB,RnD,MsD
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
172160.00
Outbuilding & Extra
560.00
Freatures Valuer
Land Value:
109430.00
Total Market Value:
282150.00
Total Assessed Value:
282150.00
10:::
All data Is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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.
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`�AUTHC�_ ZIZATION NO: '� , %r / ��
DAVIE COUNTY HEALTH DEPARTMENT
- Environmental Health Section" PROPERTY INFORMATION
Permittee's P.O. Box 848 s .
Name: U Mocksville, NC 27028 Subdivisi6n Name:
Phone # 336-751-8760
Directions to property; 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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�1
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH S CIALIST DATE ISSUED
�(� �.�_ }i Zfi - ° t .f �.' °-'.^. .f �y. +�•4-1 V '7P'i l "s���. �i��;.N 4`�+( t r t .:,._ �'F ` +y-:.. ,. i r t +
• �' ��! HEALTH _ ,� � %� DAVIE COUNTY HE TH DEP R
IMPROVEMENT AND ()PERATION PERMITS PROPERTY INFORMATION
:Permittee's'
Name: Jlr'',l. . F �% Subdivision Name:
Directions to property:'` a�, r ~~ Section:
IMPROVEMENT
PERMIT Tax Office PIN:#
t.
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 frim 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
'1, • y ; :r a 'J �'. �xi - PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH S CIALI$T .DATE ISSUED 'SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS_ # BATHS _ Z # OCCUPANTS 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) NEW SITE REPAIR SITEy `
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH47S' LINEAR Frq---��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
L •
*.*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 fit" if3+4i MQ.*'
(3361751- '
DCHD 05/96 (Revised),
N.- -rl
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8 7A DAVIE COUNTY HEALTH DEPARTMENT A
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittei? s
4
Narne: 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
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#BEDROOM&.?—# BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEt— #PEOPLE_ #PEOPLEISHIFT_ #SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
�,
SYSTEM SPECIFICATIONS: TANK SIZE -----GAL. PUMP TANK 4
----2GAL. TRENCH WIDTH — ROCK DEPTH40 LINEAR Frvt
REQUIRED SITE MODIFICATIONS/CONDITIONS:.
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF
"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 ( 'IR 0441ifO
(336) 751-8760,,',
OPERATION PERMIT SYSTEM INSTALLED BY:
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AUTHORIZATION NO. 9 OPERATION PERMIT BY: 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 05/96 (Revised)
NAME
ADDRESS
DIRECTIONS TO SITE
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER ;FS_/ -&/L?
IVISION NAME
LOT #
DATE SYSTEM INSTALLED ? NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMSNUMBER 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
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