636 Ijames Church Rd }
Davie County, NC ' Tax Parcel Report Thursday, September 29, 2016
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ParcelInformation
Parcel Number: G30000000701 Township: Clarksville
NCPIN Number: 5810805999 Municipality:
Account Number: 82523314 Census Tract: 37059-801
Listed Owner 1: HOCKADAY DEXTER LEE Voting Precinct: NORTH CALAHALN
Mailing Address 1: 1162 YADKIN VALLEY ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-8710 Voluntary Ag.District: No
Legal Description: 1.612 AC IJAMES CHURCH RD Fire Response District: CENTER
Assessed Acreage: 1.21 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 9/2004 Middle School Zone: NORTH DAVIE
Deed Book/Page: 005720519 Soil Types: PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 113940.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 21800.00 Total Market Value: 135740.00
Total Assessed Value: 135740.00
161
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County of Davie,North Carolina,its 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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AUTH`JRI2:ATION r � DAVIE COUNTY HEALTH DEPARTMEN
' NCO: .
_ { Environmental Health Section PROPERTY INFORMATION
Permittee tip` P.O. Box 848
Name:_ !,� 1 �1yC•Iln�%�� Mocksville,NC 27028 Subdivision Name:
Phone# 336-751-8760
Directions to property: `��t'��-Y! t.} `l C� Section: Lot:
/ AUTHORIZATION FOR
G11 iLp / �' /3JLG' WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION -
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Road Name: \tAlC CP► ZiP 'j1%C r
*.*NOTE**,This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Sectt6n'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.
(Incompliance wi Article 1 I:of G.S.Chaqr 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
�DATI ***NOTICE***THI$AUTHORIZATION FOR WASTEWATER CONSTRUCTION
/1 17IS VALID FOR A PERIOD OF FIVE YEARS.ON L H LTH SPECIALI ISSUE
4 j DAVIE COUNTY HEALTH DEPARTMEN
t IMPROVEMENT AND OPERATION PERMif S PROPERTY INFORMATION
.1 �!` �l(. ( to A,jAY Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
is Y� :: s'};t.> } PERMIT Tax Office PIN:#
y"�t Road Name: Zip•= r '
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater systefA: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+1 l of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION)F SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
�--ENVIRONMENTAL HEALTH SPECI IST r DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
} RESIDENTIAL SPECIFICATION:BUILDING TYPE 0 %#BEDROOMS #BATHS ( �r#OCCUPANTS GARBAGE DISPOSAL:Yes or No
1
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
j.
LOT SIZE TYPE WATER SUPPLYY DESIGN WASTEWATER FLOW(GPD)« DC7 NEW SITE REPAIR SITE
{ate r+ �T,Df
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 12 LINEAR FT.
OTHER 'T�I }1 io"� ��c7kii5
REQUIRED SITE MODIFICATIONS/CONDITIONS: I tQ0�5WL L- O'") C-ECJS ' - �Q�
IMPROVEMENT PERMIT LAYOUT*AppRpVED EFFLHEf1T FILTER• *RISER(S) IF '6" BELEM FINI&ED GRADE* LI
t
**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(IMY )AW
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY: 44
1
AUTHORIZATION NO. �Vfr ATIO PERMIT BY: DATE:
**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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j DAVIE COUNTY HEALTH DEPARTMEN
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
— Permittee' i
amen Subdivision Name:
- Directions to property:.,'F�'' ' ' r 4 At Section: Lot:
x IMPROVEMENT
a.: iV PERMIT Tax Office PIN:# -
Road Name: '"''°!'' 1 Zip:
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater syste "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 JF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER.,,,-
ENVIRONMENTAL HEALTH SPECIALIST.. DATED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE 16,USL #BEDROOMS � > #BATHS I• #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 WASTEWATER FLOW(GPD)� �`' NEW SITE REPAIR SITE "V 11r
SYSTEM SPECIFICATIONS: TANK SIZE L GAL. PUMP TANK GAL. TRENCH WIDTH M �,r ROCK DEPTH AZL LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: I N1t 2.��'�.L_L... C,3 C' s"A'h!(:,.ot<t � -i-;i��' or(,• fa,C. L, k3!& V--.L ) ?
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER* *RISER(S) IF 6*' BELOI,I FINIMED GRADE*
<,y:�
4 E
y
"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(16 934 P8�/6�Sx
(336375]-07610 `
OPERATION PERMIT
SYSTEM INSTALLED BY:
viol
AUTHORIZATION NO. � OPERATIO PERMIT BY: DATE:
"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)
Ca4W A0+ P,--Ce Pti rv,:+ 7 1-12 l - l
�rcQ ,,�,a,,�y►a' ��` DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION 7��l2/y ,,,c A
��, }, �,•+r' APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME Deyle/L AzZgebg 'ozena .P,t.•+O&Aes* PHONE NUMBER
ADDRESS 122-'? VaA&2;ya/1,e(e A SUBDIVISION NAME
Adel- AC Z70o4- LOT#
DIRECTIONS TO SITET•&Pl qoe d /- ze"X '6ej 4 t4=
�,/� � !.3!e iia nlroa. C.l�✓�
I-Ara cas
DATE SYSTEM INSTALLED 7 NAME SYSTEM INSTALLED UNDER f9 641&
TYPE FACILITY lam" NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY Lar t, SPECIFY PROBLEM OCCURRING / 3 �.�►
DATE REQUESTEINFORMATION 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.1/93