122 Huffman RdDav
ME.,
101
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, 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, hs agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
L405OA0006
Township:
Jerusalem
NCPIN Number:
5736854744
Municipality:
Account Number:
82519933
Census Tract:
37059-807
Listed Owner 1:
BAILEY REBECCA
Voting Precinct:
COOLEEMEE
Mailing Address 1:
122 HUFFMAN ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay: DAVIE COUNTY CZOD
Zip Code:
27028-5366
Voluntary Ag. District:
No
Legal Description:
LOT 6 JOY LINN ESTATES SECTION ONE
Fire Response District:
JERUSALEM
Assessed Acreage:
0.46
Elementary School Zone:
COOLEEMEE
Deed Date:
2/2009
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
007810925
Soil Types:
PcC2,CeB2
Plat Book:
0005
Flood Zone:
Plat Page:
091
Watershed Overlay:
DAVIE COUNTY
Building Value:
5070.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
10070.00
Total Market Value:
15140.00
Total Assessed Value:
15140.00
101
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, 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, hs agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
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A LIORMATION NO: 0924 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permuttee's f P.O. Box. 848:
Name: --Mocksville, NC 27028 - Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
, LZ / WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION
Road fame: V
**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 G.S. 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.
ENVIRONMENTAL HEALTH SPECIALIST- DATE ISSUED
�'T.,l4.nj YG 4, ' .k.; c:Ftir„7 ` N 'ir_ x if ,i .4a i Sr YY �.i r;.:,' ar. s4:p'�r 71i'%'i i:."*. fr�r -'•yi�..o E ,..� :x".L+`' wrl2�sF .vQ
,+
DAME COUNTY HEALTH DEP IfTSY NT r 30
"-ROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
e
Pernuttee�s .1 , -
NameF . �G/� %/ �L! Subdivision Name:
Directions to property: Section: Lot:
IlVIPROVEMENT
PERMIT Tax Office PIN:# f
RoAa
aa 1, b y
ame: Zip: 7 D O
**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
,r' 0''Z 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 X- GARBAGE DISPOSAL: -Yes or No .
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFI` # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ., --Y (J NEW SITE - REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE AMOGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH��, LINEAR F ra?A�L
OTHER
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) 6348760.
"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.
DCHD 05/96 (Revised)
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- ► DAVIE COUNTY HEALTH DEPARTMENT
ROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's'�•�
�,;F.
Name; a/ Subdivision Name:
Directions to property: 7 Section: Lot:
EUPROVEMENT
PERMIT Tax Office PIN:# -
y
RoaR e if7Ylr' Zip:
**NOTE** This Improvement Perniit 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 tothe
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)
r ***NOTICE*** TILS 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 011 # BEDROOMS _ # BATHS # OCCUPANTS -f-- GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No 7
LOT SIZE TYPE WATER SUPPLY ��� DESIGN WASTEWATER FLOW (GPD)..' r,SL NEW SITE REPAIR SITE I/f
SYSTEM SPECIFICATIONS: TANK SIZE /:�✓0GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTII LINEAR F4' r �_
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
j
C3 the j/
"CONTACT A REPRESENTATI F THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30tC M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 6348760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
F
0
(,'ti
F_ VE T
AUTHORIZATION NO. �'Q OPERATION PERMIT BY: t r' DATE:
"THE ISSUANCE OF THIS OPERATION PkRMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE' HAS BEEN INSTALLED INCOMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAC BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIPFACTORILY"FOR ANY GIVEN PERIOD OF TIME.
DCHD 05196 (Revised)
y T
r ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) earls -
NAM
PHONE NUMBER 2-g4'-WdbW
ADDRESS I a Z H u fT vht, a SUBDIVISION NAME
IM d GIL. V1t L Z 2 o Z V LOT
DIRECTIONS TO SITE 1,0 IS - C1a&4a,-e_
- 'T • R-4-
Un- -P0
- I kn't c _ +o lt,4
ch Uu npw�td.. U
- %bc.Y- I
le, a, -g4-
Lo -,vi_ Pec, aA r ..V.-,
DATE SYSTEM INSTALLED - NAME SYSTEM INSTALLED UNDER
TYPE FACILITY N, M► NUMBER BEDROOMS 4 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY WO SPECIFY PROBLEM OCCURRING Ruh,,,, Kc C,, 40 P O P
at -o u YJ -- N 4 to Co n c A4,. 4_ P o.e0 - n e ecQ S n e,..2 -Va y- e -
DATE REQUESTED L -.2 3 - y 7 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am relponsible for all charges Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AG
Rev. 1193