185 Feed Mill Rdnnvip Cnunty NC _ i Tax Parnpl Rpnnrt I.,� 14 Warinaeriav Ronfamhar 9R gn1R
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Parcellnfomiation
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
Parcel Number:
G800000044
Township:
Shady Grove
NCPIN Number:
5880105372
Municipality:
Account Number:
51656000
Census Tract:
37059-804
Listed Owner 1:
MOONEYHAM DAVID WAYNE
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
185 FEED MILL ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
2.16 AC FEED MILL RD
Fire Response District:
ADVANCE
Assessed Acreage:
1.86
Elementary School Zone:
SHADY GROVE
Deed Date:
112000
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
003250103
Soil Types:
PaD,WeC,PcB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
120130.00
Outbuilding & Extra
1560.00
Freatures Value:
Land Value:
40960.00
Total Market Value:
162650.00
Total Assessed Value:
162650.00
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Davie County, NC
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
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causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
AUTHORIZATION NO: '3 IA DAVIE COUNTY HEALTH DEPARTMENTp
Environmental Health Section PROPERTY INFORMATION ' .
Permittee'~--.� . P.O. Box 848
Name:Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: ("lY+ ' 1 d `= •T Section: Lot:
AUTHORIZATION FOR
rr ! WASTEWATER
,�.� 5`�:.�..._., �� �►�-�-- t��Tax Office PIN:# _
SYSTEM CONSTRUCTION
f, �► l I til l._ Road Name: �? ►:;,.aid 'Z�p:� �. ,,
**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 11 of GOS. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems).
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENV SPECIALIST ISSUED
053 j DAVIE COUNTY HEALTH DEPARTMENT �' �FA",
f . ".
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permjttee's ..,
..
Name: i !':`�.1 i' -. ! 4!''+: Subdivision Name:
Directions to property: �`` } - `(' I
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: 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
construction/installation 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
f J PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIROISMENTAI. 49ALTH SPECIALIST DATt ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
r INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE [ )S" # BEDROOMS # BATHS -^ # OCCUPANTS_ GARBAGE DISPOSAL: Yes
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE' '�'r'TYPE WATER SUPPLYT ! 'r.1�iY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEI UL�-O-GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH '` LINEAR FT.
OTHER 5 �!
REQUIRED SITE MODIFICATIONS/CONDITIONS: IrlSTZ", h "-Sloes / 14 -l:4 -f,
IMPROVEMENT PERMIT LAYOUT *APPROVED Er FLUEP.T FILTER* x-RISER(S) IF 611 BEL00 FIi1ISHED GRADE*
1 jc7
r '
LU
f
"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 (10X;W4:9X(XX
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY. 1' l — MAIa^J Ses-Ti iL
AUTHORIZATION NO. A OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA H S S M DESCRIBED ABOV H 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 05/96 (Revised)
C
n�
" `14, DAVIE COUNTY HEALTH DEPARTMENTf 1 �'' I f'' -1
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
1?errrljttee' S
"Name: ' '• '''r Subdivision Name:
Directions to property:
IMPROVEMENT
PERMIT
Section:
Lot:
Tax Office PIN:#
i
Road Name: s 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
construction/installation 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)
- - - -i\vaaa.L- - aaliJaa:auua iJ oarLJa.a.a 1V 1LLi♦ V�.ta 11V1\ u' oaaL'
PLANS OR THE IN'T'ENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1, .,.3 ,- # BEDROOMS # BATHS `% `# OCCUPANTS „r
_ GARBAGE DISPOSAL: Yes urNol
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE
# PEOPLE/SHIFT
# SEATS
INDUSTRIAL WASTE: Yes or No
LOT SIZE '� "�`C TYPE WATER SUPPLY', DESIGN WASTEWATER FLOW (GPD) '— 4
-J NEW SITE
REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE �{ `� "GAL. PUMP TANK
GAL. TRENCH WIDTH
'G ROCK DEPTH � " LINEAR
OTHER
REQUIRED SITE MODIFICATIONS/CONDTIIONS: i� �K=1tL� i%
<<-r,��s:U' I L
t'-- 3�
>� - /"" ~" '
IMPROVEMENT PERMIT LAYOUTi!APPP%iWED EFFLUE11' FILT'Er *RISEP(S) IF 611 DELU-4 FRUSKED 6P11rE1
"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 (704)'610.9166.Y
OPERATION PERMIT
`ll
SYSTEM INSTALLED BY:
T
AUTHORIZATION NO. 1 (iS I A OPERATION PERMIT BY: DATE:
�.f' -; 1.
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA TH�SX M_ 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 05/96 (Revised)
�s .
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Zravlj_ CS Date 7 26- - <?3-
Location R:W Ad ► zzee- v rj,,,d4 UL-, Zi► -,LL l07- 1,fiSl-
3� _ -lt'fr — �—
Subdivision Name
Lot No
Sec. or Block No.
Lot Size &T , 6 9E' House Mobile Home _ A-" Business __ Speculation
No. Bedrooms No. Baths— No. in Family _
Garbage Disposal YES ❑ NO E) Specifications for System:
Auto Dish Washer YES NO ❑ I r
Auto Wash Machine YES NO ❑ Z�� �! y
Type Water Supply mita/ ___ `D Banc
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
J �
Improvements permit by
*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 day of completion. Telephone Number: 704-634-5985.
�`'
Final Installation Diagram: System Installed by v,-�
9
A
Certificate of Completion�t %r11�' Date 7
*The signing of this certificate shall indicate that the system describ6d above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
10/22/99 FRI 13:11 FAX 3369402664 BER)IUDA RUN
10/04/99 . 09:22 DAVIE TAX ADM --,� 3369402664
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NO -08? Oat
Oatobor 04,1999 9:36 AM
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
\ W �„�? • �� r err' Mocksville, NC 27028
Phone: (336)751-8760
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M� a� n'• \ ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
a; (Check One) REPLACEMENT REMODELING ❑ RECONNECTION ❑
igiv�ra-
Mailing Address: 1 u s
Number: 0M r - loa 13 (Home)
(Work)
as y"e, ✓ t- 7,7 00(,
Detailed Directions To Site: 2,01 `%ti' Ajua w,,- - Pe "Q Vl% : L1
Rd ' 6 t'� 61waI Ls S ov, Lt P S AnAra. •, S F►%'nc us a meL Alet e,.A-c.-
T
Property Address:
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under:.. Y% m as 2. TK1 mc -3 Type Of Dwelling: M . �6rnC_
Date System Installed(Month/Day/Year): i --1s-W3 Number Of Bedrooms: 2• Number Of People: ;?-
Is The Dwelling Currently Vacant? Yes ❑ No 9
If Yes, For How Long?.
Any Known Problems? Yes ❑ No ❑ If Yes, Explain:
{zeplac.'r--.g - �bw� -." ck:F-4�-
Please Fill In The Following Information About The New Dwelling: oct � c j, Vk L �,�
lr—
Type Of Dwelling: M JJ - l 6yvk t- Number Of Bedrooms: 3 Number Of People: 3
Requested By: X -off Date Requested: _10
(Signature)
For Environmental Health Office Use Only
Approved ❑ Disapproved ❑
C'nmmonte• ! �S�V7 f�7✓�a'V) `�
CA Q 1— &CT J:4LI.-f—u c)w Qi�k�� � "�� 7y�M � t Tit "TLS �i� 15•T r�C� S`�S r ��-�
Environmental Health
/v.
'I'he signing of this form by the Environmental Health 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: $ l% Date:�� .2 l
Paid By: Received By: /
Account #: '3% Invoice #: / �J`—
Y - ' - • .
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
,,,� � - ( Mocksville, NC 27028
Phone: (336)751-8760
QJ ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT V( REMODELING ❑ RECONNECTION ❑
Name: _T_) A v, b 1't\ o o o t j\ a mA Phone Number: C1 c1 e- b R *73 (Home)
Mailing Address: I u S- FP r rP r�ti', I 1 t�ti! u- t -�- S 1� GZ r ��) (Work)
�� Uli qtr. ,fit 2 7 c�c�Z.
Detailed Directions 1To Site: r,)2 S r 0: s l 2 r e c9
F " CcX•'�
C n �1 U t. r r�_t ,� -5.� `(1\ • �i v. -c. f �P.
Property Address:
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: -1, m r.\ L9 9 ,,T u on t_ 1 Type Of Dwelling: n) . 14 r r ri C_
Date System Installed(Month/Day/Year): Number Of Bedrooms:' F=C ' Number Of People:
Is The Dwelling Currently Vacant? Yes ❑ No 7 "If Yes, For How Long?
t•
Any Known Problems? Yes ❑ No ❑ If Yes, Explain:
Please Fill In The Following Information About The New Dwelling: a
Type Of Dwelling: n \ O � b i . 4' 1 U ri� c - Number Of Bedrooms: Number Of People: •3 - .
Requested By:Date Requested: J c1
(Signature)
For Environmental Health Office Use Only
Approved ❑ Disapproved ❑ �-
C'nmml.n ' CJr✓7 k-���)� Ply �l��l� it��G" � % \"i.
1 � t� ►��J 5�.�.� Com...•-
�' " l aJ • ► &kj f -/n'1._1_-
Paid By: Received By:
Account #: u,,3; Invoice #: ��