297 Deadmon Rd Davie County, NC Tax Parcel Report �� (� �1' Monday, September 26, 2016
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k Parcel Information
Parcel Number: K510OA0008 Township: Mocksville
NCPIN Number: 5747323441 Municipality:
Account Number: 33708000 Census Tract: 37059-805
Listed Owner 1: HAYES ELLIS W Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 297 DEADMON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5140 Voluntary Ag.District: No
Legal Description: LOT 8 SOUTHWOOD ACRES Fire Response District: JERUSALEM
Assessed Acreage: 0.58 Elementary School Zone: CORNATZER
Deed Date: 3/1979 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001070303 Soil Types: Gn62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 80120.00 Outbuilding&Extra 3060.00
Freatures Value:
Land Value: 19000.00 Total Market Value: 102180.00
Total Assessed Value: 102180.00
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
1°"F 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
NC or arising out of the use or Inability to use the GIS data provided by this website,
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AU_THORIZATION NO. " 1 9.p 74 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATIOI
Permittee's P.O. Box 8487—X2
Name: �-�-�% `�"' �'. Mocksville;NC 27028 Subdivision.Name
Phone#'336-751-8760
Directions to property: Section: Lot-
. AUTHORIZATION FOR
WASTEWATER
Ld #='� Tax Office PIN:# - -
SYSTEM CONSTRUCTION' n
Road.Na e / at A►) t7 ip;
**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 complianco-with-JArticle I of ter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
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***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 L IS VALID FOR A PERIOD OF FIVE YEARS:
ENV 1}t EALTH P ALI DA ISSUED
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9 1714 DAVIE•COUNTY HEALTH DEP ,T Yg[T
_
IMPROVEMENT AND OPEItATIO P PROPERTY INFORMATION
�ermittee's, .
Name:::, ..L 1. "� f� SubdivisionName 7, -71
Directions to property:. Section: Lot:
- IMPROVEMENT ,
O
PERMIT.- Tax Office PIN:# ,�
Road Na e:L_ t t.
**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/mstallation of a system or the issuance of a building permit.
(In compliance with Article 1 of G-S-Cbapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
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***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE, /; PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENV ONM JHEALTH,SPECIAL IST SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
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RESIDENTIAL SPECIFICATION:BUILDING TYPE-fl(X)
#BEDROOMS _#BATHS ,• #OCCUPANTS 'Z GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE t�#PEOPLE #PEOPLE/SHIFT /,�'�#SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY( ` L 'DESIGN WASTEWATER FLOW(GPD)" �%`—' NEW SITE REPAIR SITE
� 1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH — "0 ROCKTIEP`ITr!! LINEAR FT.
OTHER G !)t S 1�{Q V 1 ��" .i�c> Z� 7y C E:N CTt J3
REQUIRED SITE MODIFICATIONS/CONDITIONS: LJ�Aa- U,j u I Two ,14 )dtyf:f- � o ` L"ti`�S
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IMPROVEMENT PERMIT LAYOUT
'APPROVED EF 'ENT FILTER* RISER(5) IF 6" BELOW FINISHED GRADE
15 ID
VIE ` INSTALL77
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"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(V0)6Mj87"x
330 751--87fi
OPERATION PERMIT..
SYSTEM INSTALLED BY: �J
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AUTHORIZATIOWkhTqTTAF OPERATION PERMIT BY
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DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALLIND SY TE D IBED A AS BEEN INSTALLED IN
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900,'SEWAGE TREAD DISPOSYS S",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD IME.
DCHD 05/96(Revised)
SIU Io�no
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
. NAME.f-)t;5 kUe S PHONE NUMBER 7-r,3I - 31 j7n
ADDRESS C9q 7 1>(�9dftl) KGI.
SUBDIVISION NAME v
LOT#
DIRECTIONS TO SITE 6 n
Le
1° 7
DATE SYSTEM INSTALLE &Y NAME SYSTEM INSTALLED UNDER (-6 Pjz"e-R-
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED —]
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING L
DATE REQUESTED -7/0)D a INFORMATION TAKEN BY (y)
This Is to certifythat the information provided is correct to the best of m knowledge,and that I understand I am responsible for all charges incurred from this
P Y 9 Po p application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93