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494 Bethel Church Rd t Davie County,NC Tax Parcel Report Tuesday,November 8, 2016 430; ' f,. - 474 494 500 r �' 1518 524Wi�r m ___--------..._....................................__....:................_..._...:_..:.._.._.........__.._......!..__..__.........................:....1...............e........:....................__......,.......:.................................................................................................................................................................... WARNING: THIS IS NOT A SURVEY Parc el Inforn matio Parcel Number: 'J500000002 Township: Mocksville NCPIN Number: 5748421853 Municipality: Account Number: 82518576 Census Tract: 37059-805 Listed Owner 1: RATLEDGE RICHARD R Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: - 159 STONY FIELD TRAIL f Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE GI,OSR Stater NC Zoning Overlay: Zip Code: 27028-4341 Voluntary Ag.District: No Legal Description: 1 LOT BETHEL CHURCH RD '. Fire Response District: MOCKSVILLE Assessed Acreage: 2.38 Elementary School Zone: MOCKSVILLE Deed Date: 11/2011 Middle School Zone: SOUTH DAVIE Deed Book/Page: 2011 E1111 Soil Types: PcC2,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: MOCKSVILLE Building Value: 48040.00 Outbuilding&Extra 6080.00 Freatures Value: Land Value: 26570.00 Total Market Value: 80690.00 Total Assessed Value: 80690.00 161 Alldataisprovided 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,Its agents,consultants,contractors or employees from any and ail claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. Per mittee'c_ DAVIE COUNTY HEALTH DEPARTMENT 4-' � •�Tame: '` Environmental.Health Section PROPERTY INFORMATION P.O. Box 848 d(z: 2o3 birect'ons_to property: �- `^— � Mocksville,NC 27028 Subdivision Name: Phone#:336-751-8760 CIL—.f Ci�3 Section: Lot AUTHORIZATION FOR WASTEWATER Tax Office PIN:# " SYSTEM CONSTRUCTION - AUTHORIZATION NO: A Road Name: ' � ,�' ' }��t .# �p.� �7 **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 ni i fljAicle I 1 of G.S.Chapter 130A;Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION sus i .,.•-'` �� �� (� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTA H ALTH SPECIALIST DAYE ISSUED rD yx'� RESIDENTIAL SPECIFICATION:BUILDING TYPE—IW#BEDROOMS--�L#BATHS #OCCUPANTS / GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATSSION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT� #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE�' A(TYPE WATER SUPPLY t/Y�-DESIGN WASTEWATER FLOW(GPD) �� NEW SITE ` REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ' LINEAR FT., � OTHER iJ(S 1 lril ht�T O� l� r REQUIRED SITE MODIFICATIONS/CONDITIONS: `� _ �- � A � Rfi1"Aloz `'`�"� R.p-i> ALWr.i) SYSTC r� IMPROVEMENT PERMIT LAYOUT %. tom+ ary o� **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: •�. �r " r 7- Rob P obLA-14--rtc AUTHORIZATION NO. Z2$4�OPERATION PERMIT B . DATE: �� J **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE DESCRIBED ABOVE H BEEN INSTALLED IN COMPLIANCE ao WITH ARTICLE I I 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. DMD 01J02(Revised) � �� Z.(31/le- �Q DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLI TION FOR IMPROVEMENT PERMIT(REPAIR) NAME PHONE NUMBER ADDRESS LA94 C)t*'j C-�bqS " > SUBDIVISION NAME LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY S% NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING n1 �� C> DATE REQUESTED INFORMATION TAKEN BY K, i This is to certify that the information provided is correct to the best of my knowledge,and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT R.V.1/9 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION � © ✓ d APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) . �w� -r NAME / PHONE NUMBER ADDRESS G � SUBDIVISION NAME LOT# DIRECTIONS TO SITE z b DATE SYSTEM INSTALLED fs NAME SYSTEM INSTALLED UNDER TYPE FACILITY 4� MBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED 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 responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1193