1445 Junction RdDavie County, NC
Tax Parcel Report 1611 K Thursday, September 29, 2016
WARNING: THIS 1S NOTA SURVEY
Parcel Informatl.on
Parcel Number:
M400000014
Township:
Jerusalem
NCPIN Number:
5735190662
Municipality:
Account Number:
82521620
Census Tract:
37059-807
Listed Owner 1:
MILLER THOMAS
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 636
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0636
Voluntary Ag. District:
No
Legal Description:
8.49 AC JUNCTION RD P/O LOT 2
Fire Response District:
COOLEEMEE
Assessed Acreage:
6.35
Elementary School Zone: COOLEEMEE
Deed Date:
10/2003
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
005170888
Soil Types: MrC2,PaD,GnB2,MsD
Plat Book:
0003
Flood Zone:
Plat Page:
025
Watershed Overlay:
DAVIE COUNTY
Building Value:
89270.00
Outbuilding & Extra
Freatures Value:
10290.00
Land Value:
43550.00
Total Market Value:
143110.00
Total Assessed Value: 143110.00
161
Davie County,
NC
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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
or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO: l DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Pennittee-'�j� ,�p/f / % P.O.' Box 848
Name: .+� ir. � /� /•"�� % Mocksville, NC 27028 Subdivision Name:
a,,;.
Phone # 336-751-8760
Directions toP P Y� ro ert �r ��f��' ��" f! AUTHORIZATION FOR Section: Lot:
WASTEWATER
/a� �iI IrJ7�•`,j�v"� "f rF%i i i�'!� ,� 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/AuthorizationNumber 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
' ' `✓�,Ij . %r: }/. i. j i' i �' ''/�' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST. DATE ISSUED'
o
-�" 1 4 � DAME COUNTY HEALTH DEP�A�ITt4tNT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pe6ittee' i
Name:- f.`:`'% rx !• 'f Subdivision Name:
Directions to property: f I it,l a, �'- - - + Section: Lot:`
IMPROVEMENT
.? •a d �>... % {' , ,; ",t' f t` PERMIT Tax Office PIN:#
�• r s d'. f "Y , r 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 4-1 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_
41 '
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr.��%
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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 fM4)X3=6X
(336)751-8760.
DCHD 05/96 (Revised)
s '
_rr�p,r,�k�!,j � ��•�u#�'�nn��,�, «''tr;+}r»v'�aif rwvixt �y.�_ n� ,.,.�.�: yv:,y.;'.C"� .. r, :f..,.� �::iC � ,. -: t.4i>. '.�.. . +..,f y-. .' � ��-,. .,/-�,::�n-.-'_. � ,-, ,-r- r� .�.
1A
DAVIE COUNTY HEALTH DEPARTNENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perm
ittee7.s—.,
fName:-- w �„f { +�. Subdivision Name:
Directio s to property: j`' ! 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
constructionfinstallation 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
a PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM. ,tom
T
RESIDENTjAL SPECIFICATION: BUILDING TYPE � #BEDROOMS -..� #BATHS �_ #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 i �y
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH IV ROCK DEPTH 6 LINEAR
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: _
IIMPROVEMENT PERMIT LAYOUT*APPRLIVED EFFLUENT FILTER* *RISER(S) IF 6" BEL.MI FINISHED GRADE*
It
i
**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 t1b4jy03 1VO
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. ll/ illv4 OPERATION PERMIT BY: � DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
NAME d
ADDRESS
DIRECTIONS TO
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
.►� �l Uyll� ,19�,. J
PHONE NUMBER �/v ?yl
0
UBDIVISION NAME
al -I
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY %7" ! NUMBER 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 QF OWNER OR AUTHORIZED AGENT
Ray. I(1 a �.
9900 'j5�N- 0 o