205 Dalton Rd141
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, 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
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fnformatior�
Parcel Number:
J600000015
Township:
Mocksville
NCPIN Number.
5757197239
Municipality:
Account Number:
70836000
Census Tract:
37059-807
Listed Owner 1:
STEELE MARSHALL A
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
205 DALTON 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:
.77 AC DALTON RD
Fire Response District:
FORK
Assessed Acreage:
0.76
Elementary School Zone:
CORNATZER
Deed Date:
3/1971
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
000830532
Soll Types:
WeB,MsD
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
60480.00
Outbuilding & Extra
14110.00
Freatures Value:
Land Value:
14680.00
Total Market Value:
89270.00
Total Assessed Value:
89270.00
141
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, 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.
Permittee's� % ,�AVIE COUNTY HEALTH DEPARTMENT V`'
Na:n 1^''t<'t''ff Environmental Health Section PROPERTY INFORMATION
� P.O.. Box 848:
Directions to property .• •� -.'% a L ' Mocksville, NC 27028 Subdivision Name:
iA.-(Phone #: 336-751-8760
r'S
'4�i �I r a� Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION -
AUTHORIZATION NO:2547
A Road Name"'Zip: 0702.9
**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
L'/ 1 ,� ✓'L✓ IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR MhNTAL HEALTH -SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS_ # BATHS �_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEE# PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)NEW SITE REPAIR SITE P'
nc
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANKGAL. TRENCH WIDTH�1� ROCK DEPTH NEAR FT,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
&A\
**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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:,
;��
4
AUTHORIZATION NO. � � OPERATION PERMIT DA
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL I. A T E Y M I D A HAS EN INST LLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAG ISP AL S MS B SHALL I NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF ME.
DCHD 02/02 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
R-cS 16,61 f e e- �- PHONE NUMBER . Iref
ADDRESS ,�a'L SUBDIVISION NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER 0& edoL�
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY E L- e -e % SPECIFY PROBLEM OCCURRING10,
A% e -e -d f-- 7"-'� Ji ti
DATE REQUESTED `" / S/"
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. 1193
7.2-- /✓0
DAVIE COUNTY HEALTH DEPARn-1ENT SEPTIC TANK PERMIT
No of Bedrooms
Date I- ,-?-Z— W
This permit is grantAd to
4Dr for the ins allation of a septic tank
at the residence of 4
Address '
Building Contractor
/
Address ��4
Septic Tank SpecificatioC: Length
Width Depth Capacity Gal.
Manufacturer's Name ,Z,� y /l i
Address
No of lines_ o widthJT in. Total
Length�j,5 ft. No. of Sq. Ft. 900
Type of filter material_Total
aY�
tons used
Minimum Requirements: Hous a Trailer
Tank Cap. 800 Sq. ft. line 400
Two-bedroom Nous t 800 600
Three-bedroom house 900 900
No one shall install a septic tank in
I
Davie County without a permit from the Health
Officer or his agent.
Date of final approval
Signed: _
Sanitarian
I hereby certify that the above septic
tank has been installed according to
specifications.
Signed:
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
to
j i, r y . r
7 1