205 Dogwood Ln Davie County,NC Tax Parcel Report qa- Friday, September 23, 201E
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_ WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H5150B001601 Township: Mocksville
NCPIN Number: 5749318236 Municipality:
Account Number: . 8301318 Census Tract: 37059-805
Listed Owner 1: BOTTOMS CHANDRA M Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 205 DOGWOOD LANE Planning Jurisdiction: MOCKSVILLE
City: MOCKSVILLE Zoning Class: MOCKSVILLE GR
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: LOTS 120-123 WOODLAND 1.039 CALC AC Fire Response District: MOCKSVILLE
Assessed Acreage: 1.03 Elementary School Zone: MOCKSVILLE
Deed Date: 8/2012 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 009000270 Soil Types: PcC2,CeB2
Plat Book: 0004 Flood Zone:
Plat Page: 050 Watershed Overlay: MOCKSVILLE
Building Value: 180670.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 37500.00 Total Market Value: 218170.00
Total Assessed Value: 218170.00
9 t e acs mpAll data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Ilied 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
�O U53�t''' NC or arising out of the use or Inability to use the GIS data provided by this website.
HEALTH EPARTMENT RELEASE For office use only
*CDP File Number 228292- 1
sw� o Davie County Health'Deoartment
210 Hospital Street / County ID Number:
P.O. Box 848 For: HDRWC
'�• ,..,• �. Evaluated . . /W
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID 0 7 i a a i a 0 a 1
UNTIL:
Applicant: Chandra Crawford Property Owner. Chandra Crawford
Address: 205 Dogwood Lane Address: 205 Dogwood Lane
City: Mocksville City: Mocksville
State/Zip: NC 27028 State/Zip: NC 27028
Phone M (336)416-1982 Phone#: (336)416-1982
Property Location&Site Information
Address205 Dogwood Lane Subdivision: Woodlane Phase: Lot: 120
Road# Mocksville NC 27028
SINGLE FAMILY Township:
'Structure: Directions
#of Bedrooms' 3 #of People: Hwy 158 right on Dogwood
'Water Supply: PUBLIC
Basement: Yes❑No Type of Business:
- Total sq.Footage: No.Of Employees:
*Proposed Improvement:
Pool 36x18
*Release Conditions Rmainft
R���
Ensure that 15 ft setback to all parts of septic system are met-, 686
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps. Signature Required? O Yes '®No
Applicant/Legal Reps. Signature. *Date:
*Issued By: 2399-Eldridge,Tiffany *Date of Issue: 0 7 / a 1 / 2 0 1 6
Authorized State Agent:
*Site Plan/Drawing attached.**
'_ Hand Drawing 0 Import Drawing
HEALTH DEPARTMENT RELEASE
esrq�� Davie County Health Department CDP File Number: 228292 - 1 ,
210 Hospital Street
_ P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 0.y / .11 / a016.
n 17
O Inch
Scale: O Block = .ft.
Drawing Type: Health Department Release O N/A
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Page 2 of 2
HEALTH DEPARTMENT RELEASE
Gaya Davie County Health Department
210 Hospital Street CDP File Number: 228292 - 1
P.O.Box 848
Mocksville NC 27028 County File Number:
Date: .0.7./ `a 11 /�a 0�1166�0�11666
Drawing Type: Health Department Release
Page 2 of 2
JUN-29-2016 09:31 OP REGISTRATION P.01
Davie County Health Department
obis f Environmental Health Section <.
Not fl P.O. Box 818
co ' 210 Hospital,Street
O O ,�+ Courier# : 09-40-06 ^;
'� Mocksville, NC 27028
Phnom:(33G)—7.53-6780 Fax:(336)-753.1680
ON-SITE WASTEWATER CERTIFICATION
.(Check One) Replacement Remodeling Reconnection
Name: Chond r o Crag, 6r J Phone Number 33(0 q Ito l giEL (Home)
Mailing Address: 2.05 QQQ!wond Lgne—, (Work)
.Otv�t..
� Sdi tle._ 9c Z10G Email Address:_(''�yndTAlob-i f L=e �iahGb,coM
Detailed Directions To Site: 15B GLVJ2: Dl 7'mw-r, A ei Y�A qn Nw4ot)4 Lx-,Le/
W0CC1 Lw'C9 Owe_129n-ei\4 -air. S- -NQ Si0,:, ?As 0QWC'rsd is `{fie- Gl auS�
f i 4 ;k n a a
Property Address: O D-e -2._ t y, L
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under. Type Of Facility:
Date System Installed(Month/Date/Year): "` l Number Of Bedrooms:�_Number Of People:
Is The Facility Currently Vacant? Yes No If Yes,For How Long?
Any Known Problems? Yesto
If Yes,Explain:
Please Fill In The Fo win Information About The NEW Facility:
Type Of Facility: �� Number Of Bedrooms: Number of People
Pool Size: X Garage Size: Other:
Requested By: Date Requested: W�/ (o
(Signature)
For Environmental Health Office Use Only
Approved !Disapproved r
Comments I 06(A 'P �Al oil I €�QY45 Q 1�sQ C axe,
Environmental Health Specialist LjaDate:
*The signing of this form by the Environment I ealth Staff is in no way intended,nor should be taken as a guarantee
(extended or limited)that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$ Date:
Paid By: Received By:
Account#: p�2 �� invoice#:
JUN-29-2016 09:31 OP REGISTRATION P.02
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' DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERNAT
No of Bedrooms Date
This permit is granted to'j-u=f J-7,• 6e• for the installation of a septic ;tank
at the residence of Address
Building Contractor L..�f t ,2`a Address 2W
Septic Tank Specifications: Length Width Depth Capacity Gal. '5poo
Manufacturer's Name ,y S- f a' X / Addre s s
No of lines width in. Total,,,Length
--n-gth ft. No of Sq. Ft. �S �
Type of filter material Total tons used _ 3i
Minimum Requirements: House Trailer Tank Cap. 800 Sq. .-ft. line 400
Two-bedroom housc-- 800 600
Three-bedroom house 900 900
No one shall install a septic tank in 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 insta ed according to
specifications.
Signed• ' .�11
eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to. Health Center,
Mocksville.
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DAVIE COUNTY HEALTH DEPARV-1ENT SEPTIC TANK PERMIT
No of Bedrooms -3 Date l�
This permit is granted to 'T• for the ins allation of a septic tank
at the residence of ota& Address 4-er /A0
Building Contractor 6-.0-�, � Address P/f_ L .Qp
Septic Tank Specifications: Length Width Depth Capacity Gal. as
Manufacturer's Name x 5- /° X/V)A-9—Address
Address
No of lines width in. Total Length ft. No. of Sq. Ft. 9S
Type of filter material Q2.,�.Yr, _,cL Total tons used 3/
Minimum Requirements: House Trailer Tank Cap. 800 Sq. ft. line 400
Two-bedroom hous-- 800 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health
Officer or his agent.
Date of final approval Signed:
Sanitarian
I hereby certify that the above septie 'tank has been inst. ed according to
specifications.
Signed"
eptic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Health Center,
Mocksville.
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EXHIBIT A
(Deed from Smith,et al,to Jackie H.Hall,Trustee)
BEING KNOWN and designated as Lot Nos. 120,121,122,and 123,of Wood Land
I Subdivision,as set forth in Plat Book 4,Page 50,Davie County Registry,to which reference is
hereby made for a more particular description.
SUBJECT TO Restrictive Covenants in DB 78,PG 209,Davie County Registry,and any other
easements and restrictions of record.
FOR BACK TITLE,see DB 78,PG 209,Davie County Registry. See also part of Tax Map H-
5-15,Blk B,Pcl 16,located in Mocksville Township,Davie County,North Carolina.
TWAF
X:/My F{In/ReW Est DesdHaIL Sam,File No.16169.7