812 Eaton's Church RdDavie Coanty, NC Tax Parcel Report Wednesday, October 12, 2016
WARNING: THIS IS NOT A SURV�Y
Parcel Information
Parcel Number: E400000007 Township:
NCPIN Number: 5821868915 Municipality:
Clarksville
Account Number: 23525000 Census Tract: 37059-801
Listed Owner 1: EATONS BAPTIST CHURCH Voting Precinct: CLARKSVILLE
Mailing Address 1: 430 EATONS CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overiay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 17.08 AC EATONS CHURCH RD Fire Response District:
Assessed Acreage: 13.26 Elementary School Zone:
Deed Date: 11/1991 Middle School Zone:
Deed Book / Page: 001610520 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
9�^�'F Davie County,
�o�;�,��' NC
571630.00 Outbuilding & Extra
Freatures Value:
96450.00 Total Market Value:
668080.00
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
MrB2,ChA,MsD
DAVIE COUNTY
668080.00
No
0.00
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AUTHO.R�I �I�i KI�%�','r�'��,� .•����OUNTY HEALTH DEPARTMENT �
•" � Environmental Health Section PROPERTY INFORMATION
�
Perr,littee's . � � / P.O. Box 848
Name: — �� -✓� ��`!� Mocksville, NC 27028 Subdivision Name:
.�/ � % � Phone # 336-751-8760
Directions to property: '" ✓i �� � f Section: Lot:
AUTHORIZATION F'OR
/y1/> J �'�v, `1�' �� � WASTEWATER Tax Office PIN:# 71-'�:! - .f_ �� - 7�r.i
�LL� SYSTF,M CONSTRUCTION
Road Name: ,G��`i^/� �! � � Zip: � %s, c �'
**NOT'E** This Authonzation 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 ro the Davie Counry Building Inspections
Office when applying for Building Permits.
(ln com�liance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f/ �� �l,,�' ,.. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
-�%"'' . ���5 - ���% ' I �; — � " �J� IS VALID FOR A PERIOD OF FIVE YEARS.
20NMENTAL EALTH SP CIALIST DATE ISSUED
, : � � �� / � 1'�'�f�"��"I.�, <, ' , - .- • �" �//� �_ �
� , . ,� a�,,,,/r;, �.. /� � y � ..,� . � ��.- DA��� L�OUNTY HEALTH DEPARTMENT /
�, �.' �� ,_ ' . TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
--Perr�lltfee's , ,:L ,✓., � � - ,
w: �
- Name: �.-`: ,j ' ` '� 6.""J P F� 'r �,�fi,� % , �`,� Subdivision Name:
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Directioris to property:;����r ,f'� "'.✓,? r'<'� t r t` /.� �(� � . Section: Lot:
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Il14PROVEMENT
_._ _ �,!��r,r �. �.-�,, ,���' ./i:/• � PERMTI' Tax Of�ce PIN:# r ,� � - 1 �`.�.�..
F , l` Road Name: ,�� � ,� �. f Zip: �: '�"'
**NOT'E** This Improvement Pernut 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/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�,,� '`= ,�,,y '��" ***NOTICE*** TEIIS PERNIIT IS SUBJECT TO REVOCATION IF SI1'E
' �; , y ; '` ;; �, '�_'� w . „�' ;�',�f ,- � � .. fi - �i��J PLANS OR TIIE IlVTENDED USE CHANGE. YOUR WASTEWATER
ENIfIRONMENTAL HEALTH SP�CIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE
INSTALLING TI-IE SYSTEM.
, i ,,,..,
RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEDROOMS ._�!"� # BATHS �# OCCUPANTS ��' GARBAGE DISPOSAL: Yes or No
C.�'si�1�`�`i'
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes ot�10
LOT SIZE TYPE WATER SUPPLY _C�,t� DESIGN WASTEWATER FLOW (GPD)���Q11/ NEW SITE REPAIR SITE �
SYSTEM SPECIFICATIONS: TANK SIZE, ��GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH �/LINEAR FI'. �"t ��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
�R`�'r'�F�EIV�If EFFLI�.;.t'T'
'ERk �RI��R(S> IF 6� � �El.G:1 F'It:T . � GR►�I}�'�
�
**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 (76�4yk�r3,43g1��lQ1tM
( :'�� t 7 ,i —A7�t�
OPERATION PERMIT
� ���1 � -
�a �' YS M INSTALLED BY:
fGCI
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AUTHORIZATION NO. __��<�1;7 /�PERATION PERMIT BY: DATE: �
' 4 .
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS 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.
DCHD OS/96 (Revised)
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
�� �� �
PHONE NUMBER
ADDRESS �� �4.�v�.S �- R� SUBDIVISION NAME
ma cX8'�% �� LOT #
DIRECTIONS TO SITE__Lti1 N� �1 ��' �A�,-. C�.. `�D- �a.�oti•C G�.u,+-*-�- �a►� a��„
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY �i NUMBER BEDROOMS � NUMBER PEOPLE SERVED 3
TYPE WATER SUPPLY W��I SPECIFY PROBLEM OCCURRING
DATE REQUESTED G'�-�/ INFORMATION TAKEN BY ��
This is to certify that the in}ormation provided is correct to the best of my knowledge, and fhat I understand I am responsible for all charges incurred irom this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT �
Rev. 1/93