119 Drexel Ln 2016Pavie County,NC Tax Parcel Report Monday, September 26,
10 515
426 RL)
4 66
4J Ljj
129
29
176
6 73
6 81
66
WARNING: THIS IS NOTA SURVEY
::Parcel Informa ion
Parcel Number: K600000008 Township: Jerusalem
0CPIN0umhen 5757052798 Municipality:
Account Number: 20584000 Census Tract: 37059-807
Listed Owner 1: DAVIS ROBERT C Voting Precinct: GOUTHK8OCKOV|LLE
Mailing Address 1: 119DREXELLANE Planning Jurisdiction: Davie County
City: K0OCKOV|LLE Zoning Class: D/Y/|ECOUNTY R+A
State: NC Zoning Overlay:
Zip Code: 27028'5201 Voluntary Ag.District: No
Legal Description: 2OACTURRENT|NECHURCH Fire Response District: JERUSALEM
Assessed Acreage: 18.57 Elementary School Zone: CORNATZER
Deed Date: 4/1976 Middle School Zone: WILLIAM ELL|8
Deed Book/Page: 000880386 Soil Types: 8eB.PcC2.CoB2.CuA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAV|ECOUNTY
i|din�—�
Building Value: 181510.00 FreaOuth~remu:Extra 27600.00
Land Value: 114590.00 Total Market Value: 323700.00
Total Assessed Value: 230220.00
,tT.- 7_ d
Permit e'sr}' j '11 DAVIE COUNTY HEALTH DEPARTMENT /
Name:' y"` �'/9 /7L/" Environmental Health Section PROPERTY INFORMATION
r� n P.O. Box 848
Directions to property:,/Y1Ft',t"� � ,:/L' Mocksville,NC 21028 Subdivision Name:
Phone#: 336-751=8760
Section: Lot:
AUTHORIZATION FOR '
WASTEWATER
' f SYSTEM CONSTRUCTION Tax OfficePIN:#
AUTHORIZATION NO: 4 A - Road Name Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv'Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
01 Office when applying for Building Permits.
(In compliance ff with Article 11 of G.S.Chapter 130A,'Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
} _. �;i
***NOTICE*?'*THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
'tf r yI� �i;� ,f :, 1 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE_ #BEDROOMS ' l #BATHS #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 SITE
Ii
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH CROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
Ila/4,
4�
C
Y
**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:
AUTHORIZATION NO. 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.
ncHn ovoz(Revised)