504 Davie Academy Rd Dai ie County, NC Tax Parcel Report 14 D Monday, September 26, 2016
by
r �
} 510
535 ',
I
5 04
' t 5
4� S
t 5
DAME ACADEMY RD
I
1 i
-541 -_--�
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J30000000902 Township: Mocksville
NCPIN Number: 5727067373 Municipality:
Account Number: 82522325 Census Tract: 37059-801
Listed Owner 1: EDGERTON MARY W Voting Precinct: NORTH CALAHALN
Mailing Address 1: 504 DAVIE ACEDEMY RD 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: 0.736 AC DAVIE ACADEMY RD Fire Response District: CENTER
Assessed Acreage: 0.65 Elementary School Zone: COOLEEMEE
Deed Date: 3/2004 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 005390557 Soil Types: EnB,MsC,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 104960.00 Outbuilding&Extra 24570.00
Freatures Value:
Land Value: 13990.00 Total Market Value: 143520.00
Total Assessed Value: 143520.00
9!•��F 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, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
nCU N�; NC or arising out of the use or Inability to use the GIS data provided by this website.
„ q, ,,. s •-s... i.,".'•v .#`..L y'.yf fr'. .._ L C r�+. r I” -ft`a �[ -' ! F+.,�. • �. -.� t F .v .,
, s. i.z r �.4 v,J$ �;' it�r � wi � �•`L•i•�.q�,"JS'"tt�:�``n.�� .. + f`..+y,-,:��r.F-at.���,�7 r. t_w7:t 5�y,{f ..+k�
"•AUTHORIZATION NO: 1609 'DAVIE C LINTY HEALTH DEPARTMENT
Environmental,Health Section PROPERTY INFORMATION
Permee's " P.O.Box 84$
Name: I7 r Mocksville,NC 27028 Subdivision'Name:
�—� /f
/,Phone# 336-751-8760Directions to property: •`7rli( cSection: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name. V/,— C�
**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 l I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment'and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 �GG� 7 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SP 1ALIST DATE ISSUED
-7
.i,.,4v"''•f�'IY;rr'+ Tw�-4'r^w 'AY-`t.."a ``•'r'` .�N�.. -`� J•� ! ;.r}�Y .+ t 1 �; h. .r-., r .,+, f }' w� � jT^
.16
Q ; DAVIE COUNTY HEALTH DEP RT ENT j1
*
IMPROVEMENT AND:OPERATIObA4TS
PROPERTY INFORMATION
' -Pefrtiht€2i�s ;
Name ' Subdivision Name:
Directions to property: Zl' 1ie, Section Lot:
IMPROVEMENT
PERMTT.. Tax Office PIN:# - -
�L t
Road Name: °��Vi 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 CONSTRUCITON must be obtained from this Department prior to the
construction/mstallation of asystem 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
f`/ {.,�r, G, r t�t•> PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER `.
ENVIRONMENTAL HEALTH SPECIALIST DXfE ISSUED
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS -S #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY ( d DESIGN WASTEWATER FLOW(GPD) J6 d NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH�iZ ROCK DEPTH Y LINEAR FT.ew J
i OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT �^
! 0
�l�!Cl r
"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
SYSTE ALLED BY: _.
l� •
Qop
• .��v� u s�., eke d. h
AUTHORIZATION NO. OPERATION PERMIT BY: DATE: v"000
**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 BETAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised).
1609 DAVIE C OUNTY HEALTH DEPARTMENT
IMPRO EMENT AND OPERATIO lk, PAkMITS PROPERTY INFORMATION
..PArthit; s r
Name: h `� J Subdivision Name:
Directions to property: ��` ::.`. f t< Section: Lot:
IMPROVEMENT
�� ;:f"�•.'��v PERMIT Tax Office PIN:# _ _---,--
Road Name:`ti Vl i"�'r� `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
constructionrnstallation 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 A E ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS -T #OCCUPANTS S GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY ( d DESIGN WASTEWATER FLOW(GPD) 1T,19 NEW SITE REPAIR SITE r___0
SYSTEM SPECIFICATIONS:.TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH L.� LINEAR FT
OTHER -
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT-LAYOUT ---�""
y °
,A
�j o r— ;
"*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)7x51-8760.
i.
OPERATION PERMIT a n
1 SYS Nt ALLED BY: .I/ifiU1
t
IAV
f
JIM d 1
6t.-f ��� a ani
AUTHORIZATION NO. :>l=t---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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
• DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME Zla/ PHONE NUMBER
ADDRESS SUBDIVISION NAME
SUBDIVISION LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY