1630 Jericho Church RdDavie` ounty, NC
Tax Parcel Report 1 � ut Monday, October 10, 2016
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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, 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,
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
K400000014
Township:
Mocksville
NCPIN Number:
5727955211
Municipality:
Account Number:
32605000
Census Tract:
37059-801
Listed Owner 1:
HARDISON METHODIST CHURCH
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
PO BOX 157
Planning Jurisdiction:
MOCKSVILLE
City: COOLEEMEE
Zoning Class:
MOCKSVILLE OSR
State:
NC
Zoning Overlay:
Zip Code:
27014-0000
Voluntary Ag. District:
No
Legal Description:
2.88 AC JERICHO CHURCH RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
2.69
Elementary School Zone: MOCKSVILLE
Deed Date:
8/1991
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001600585
Soil Types:
WeB,RnD,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
1444940.00
Outbuilding & Extra
Freatures Value:
13500.00
Land Value:
33310.00
Total Market Value:
1491750.00
Total Assessed Value:
1491750.00
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, 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,
AUTHbRIZATION NO. j ry I IA DAVIE OU ,Y If ,LT ,DEPARTMENT 0 62
t�6>r`r�ie talWeM -Section PROPERTY INFORMATION
Permittees- / % /1 P.O. Box 848
:_'
Name��'�r'(',1d(� Mocksville, NC 27028 Subdivision Name:
Directions to property:Phone # 336-751-8760�� `%, /t�, �� Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - - —
Road Name: Zip:
**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
y } - !CJ -' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SP IALIST DATE ISSUED
DAVIE CO _
C COUNTY DEPARTMENT
IP QVEMENT AIT PERM)IS PROPERTY INFORMATION
M
n. • f .. )% ND OPERATIO
Permittee-s / I
Name: 1'-==� �`/��rr'� >_� {'�%%� Subdivision Name:
Directions to property: ? Section: Lot:
IMPROVEMENT
PERMIT
Tax Office PIN:#
l
Road Name: Zip:
**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 1 I 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 TYP #PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY p DESIGN WASTEWATER FLOW (GPD) 137�1' 6 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE "GAL. PUMP TANK GAL. TRENCH WID��T►H ROCK DEPTHQ/ , ` LINEAR FT.. 0Cy
OTHER �OD� (��'/q.rr -Jrr< 4 ILCIr 2/_ ,�2/' 6P �c ,7 v2
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*11PPRSVE EFFLUENT FILTER* -r-RISER(S) IF 611 13EL011 FIt4ISHEI) G.—MDEr
� s
<r
r
"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 X.7"khU8760,
(336)751—V60
I OPERATION PERMIT
SYSTEM INSTALLED BY:
loll Ya k l y " JrAv/
AUTHORIZATION NO. v OPERATION PERMIT BY: DATE:
-�'� �a
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 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.
DCHD 05/96 (Revised)
w .`5
6 £ j }A DAVIE COUNTY HEALTH DEPARTMENT � � ~7 � d� 0o
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee'' -s
Name: �; =-- W . �'. r r ' : i Subdivision Name:
Directions to property:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:
Zip:
**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)
r ***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 ! ±f r # PEOPLE ''/ # PEOPLE/SHIFT i j # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) _'Q" /, NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE Z: `-'�GAL. PUMP TANK GAL. TRENCH WIDTH ' . ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT 11PPRO }EY) EFFLiIETIT FILTErc*-01SEII(S) IF 611 1 L(3FIh11Si�: B I,fx€) c
lr
"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 M. 4)434 47G0i
t ;sura) 'i i 1—t)7'Cri_t
OPERATION PERMIT -
SYSTEM INSTALLED BY: A, -,-K14
41-1 AUTHORIZATION NO. OPERATION PERMIT BY:
DATE: l
"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)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME /�JL��C PHONE NUMBER
ADDR S� 3rC cZC/SeC% �{ �_ SUBDIVISION NAME
LOT #
IRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY �Gf�Jc�4l NUMBER BEDROOMS NUMBER PEOPLE SERVED/�%7'-
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 1 understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
/N q* )ko-�#-X91:5--y 'z4-0�-L/v/