2173 Hwy 64W Lot 6 Davie County,NC, Tax Parcel Report Wednesday,January 11, 2017
LL U 3
2180
2197
2189
21-70
2183 / 2164
2173
2152
2171
2167
J IN/
I
QOM
107
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number. H300000026 Township: Calahaln
NCPIN Number: 5719734805 Municipality:
Account Number: 43181500 Census Tract: 37059-801
Listed Owner 1: KNIGHT LARRY DEAN Voting Precinct: NORTH CALAHALN
Mailing Address 1: 2173 US HIGHWAY 64 WEST Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-8439 Voluntary Ag.District: No
Legal Description: LOT 6 GREENE WILLOW Fire Response District: CENTER
Assessed Acreage: 0.50 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 7/1977 Middle School Zone: NORTH DAVIE
Deed Book I Page: 001020231 Soil Types: CeI32
Plat Book: 0005 Flood Zone:
Plat Page: 010 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
All data In provided as Is without warranty or guarantee of any ldnd 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 Countys GIS websfte shall hold harmless the
County of Davie,North Carolina,its agents,consultants,contractors or employees hoe. any and all claims or causes of action due to
161 NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028 `��11
(336)753-6780/Fax#(336)753-1680 lot"
REPAIR OPERATION PERMIT
Account #: 990005957 Tax PIN/1=H#: H300000026
Billed To: Maria Knight Subdivisiowinfo: Qreerte''le 41J-u) Lof'"&
Reference Name: REPAIR PERMIT LocationiAddress:; '2173 US Highway 64 W-27028
Proposed Facility: Residential Repair Property Sizb ; :50 Acres -
ATC Number: 5987
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type: Manufacturer Tank Date_ Tank Size
Pump Tank Size / Bedrooms_ _
System Installed By: r&1 IJRC1_ hoC Installer#: Date:
R
GPS Coordinate:
T p ih
I
l
i
i
1 Health Specialist: Date: 2 20 ?�
Environmental p Q(L "
DCHD 11/06(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005957 Tax PINIEH#: H300000026
Billed To: Maria-Knight Subdivisiaiz Info,
Reference Name: REPAIR PERMIT LocationiAddress:1:2173 US Highway 64 W-27028
Proposed Facility'. Residential Repair Property Size '.50 Acres
Site Type: ONew WRepair DExpansion
ATG Number: 5987
**NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental
Health Section prior to.issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A
Wastewater Systems, Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Specifications: #Bedrooms #Bathrooms 2 4 People BasementZ Basement plumbingg
Non-Residential Specifications: Facility Type # People #Seats
Square Footage(or Dimensions of Facility)
Lot Size Q c Type of Water Supply: V County/City DWell DCommunity Well
System Specifications: Design Wastewater Flow (GPD) 3�Tank Size IQ kL Pump Tank GAL.
Trench Width Max. Trench Depth a w" Rock DepUUth Linear Ft. OI!alis°Jv
Site Modifications/Conditions/Other:
Contact the Davie Counq I Environmental HeAlth Section for final inspection of this system between
8:30—9:30 i.m.on the day of installation. 79 dephone#(336)751-8760.
ug
V Environmental Health Specialist Date:
DCHD 11/06(Revised)
`T _rA lW k 2)01VAlJe
DAVIE COUNTY ENVIRONMENTAL HEALTH SERVICE REQUEST
APPLICATION IP/ATC OSWW REPAIR (-�23
Name MOITZia kmaja- Telephone Number
AddressD Cf<S Ville
Mailing Address (if different from above)
Email Address: e-(-
Subdivision Name e e W80to Lot#
Directions M4I' 0 A1/ �� -� nii "-p5 O
9 5 0066 00
Date System Installed Ift Name System Installed Under kNiq h.�
Type Facility LGSM Number Bedrooms 3 Number People Served 3
T e Water Supply Specific Problem Occurring �MOIVM5 ezgo
c2C� is /G iAJ
M-44,VNAJQf Use
Date Requested /0'/0-/'L Info Taken By t.
THIS IS TO CERTIFY THAT THE INFORMATION PROVIDED IS CORRECT TO THE BEST OF MY
KNOWLEDGE,AND THAT I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL CHARGES INCURRED
FROM THIS APPLICATION.
Signature of owner or Authorized Agent
Initial Fee Date REHS
Revisit Charge Date Reason
Revised 2-2011 —
� 5q51
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028 `��11
(336)753-6780/Fax#(336)753-1680 lot"
REPAIR OPERATION PERMIT
Account #: 990005957 Tax PIN/1=H#: H300000026
Billed To: Maria Knight Subdivisiowinfo: Qreerte''le 41J-u) Lof'"&
Reference Name: REPAIR PERMIT LocationiAddress:; '2173 US Highway 64 W-27028
Proposed Facility: Residential Repair Property Sizb ; :50 Acres -
ATC Number: 5987
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type: Manufacturer Tank Date_ Tank Size
Pump Tank Size / Bedrooms_ _
System Installed By: r&1 IJRC1_ hoC Installer#: Date:
R
GPS Coordinate:
T p ih
I
l
i
i
1 Health Specialist: Date: 2 20 ?�
Environmental p Q(L "
DCHD 11/06(Revised)
t, ,rr r 44,qvAkm
•_ i �: . : �,,, DAVIEttl
NTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
' (Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR :, , ! ,r. DATE -' PERMIT
LOCATION NO 1'O30
/ S..R. NO.
SUBDIVISION NAME C9JaMf, /IO,J LOT NO. SECTION OR BLOCK NO.
HOUSE ( MOBILE HOME E3 BUSINESS ❑
I House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ®' Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES . ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES [Er NO ❑
SITE SUITABLE ,- YES [3 NO C3SIZE OF TANK ���L-, gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: /Q rrl�Slel
WATER SUPPLY: Individual ❑ Public doUnTv 4,0dic'- -'.'V`�4—'"
IMPROVEMENTS PERMIT BY •:s : .,r `:' INSTALLED BY
„
CERTIFICATE OF COMPLETION By Q. a � Date 3- 27`77
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA pr.,' '
Lu�d C-