149 Fireside Ln141
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
Parcel Number:
L5070A001701
Township:
Jerusalem
NCPIN Number:
5746169505
Municipality:
Account Number:
26736450
Census Tract:
37059-807
Listed Owner 1:
FOSTER KATHY ARNOLD
Voting Precinct:
JERUSALEM
Mailing Address 1:
126 FIRESIDE LANE
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
0.62 AC OFF FAIRFIELD RD
Fire Response District:
JERUSALEM
Assessed Acreage:
0.62
Elementary School Zone:
COOLEEMEE
Deed Date:
8/1995
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001820406
Soil Types:
CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
Building Value:
0.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
7720.00
Total Market Value:
7720.00
Total Assessed Value:
7720.00
141
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
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
AU" 11ORI4ATION NO. � � 0 Jr DAVIE COUNTY HEALTH DEPARTMENT
t Environmental Health Section PROPERTY INFORMATION
PermitteesP.O. Box 848
Name: %rwI&
E�r�d� Mocksville, NC 27028 Subdivision Name:
.- Phone #:704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# �1 I
SYSTEM CONSTRUCTION - f '
R Zd Name: Z,5 I p�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pen -nits. 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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
r / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
4 ; •f f :4< S r l 1 � . 1 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
D
_ � __ ;,- ,,, Wit•%; C
AVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
'4 rt11
Permittee's"��c;+" ���.
Name: �`1�1 `���-a •'" �'
Directions to property:
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:
**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
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # 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 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE, GAL. PUMP TANK GAL. TRENCH WIDTH--r� ROCK DEPTH /+` LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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) 634-8760.
OPERATION PERMIT '" A�n_�
SYSTEM INSTALLED BY: Qty= y`1
AUTHORIZATION NO. 116f --
OPERATION PERMIT BY: 46� DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
1� ,To
N
ES
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NE NUMBER
BDIVISION NAME
eNrTO
SUBDIVISION LOT#
DIRECTSITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED .-o INFORMATION TAKEN BY