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779 Junction RdDavie County, NC Tax Parcel Report 01 b N Thursday, September 29, 2016 WARNING: THIS IS NOT A SURVEY All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the r TParcelInformahon CountyofDavie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to Parcel Number: L400000001 Township: Mocksville NCPIN Number: 5726765581 Municipality: Account Number: 82526998 Census Tract: 37059-801 Listed Owner 1: AMICK ROGER L Voting Precinct: SOUTH CALAHALN Mailing Address 1: 779 JUNCTION ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 2 AC JUNCTION RD LOT 7 Fire Response District: COOLEEMEE Assessed Acreage: 1.89 Elementary School Zone: COOLEEMEE Deed Date: 9/2006 Middle School Zone: SOUTH DAVIE Deed Book/ Page: 006810080 Soil Types: MrC2,GnB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 67310.00 Outbuilding & Extra Freatures Value: 110.00 Land Value: 25400.00 Total Market Value: 92820.00 Total Assessed Value: 92820.00 Davie County, All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the 161 CountyofDavie, 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. DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION �- APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) E -C���i �. �'_ T��<z PHONE NUMBER r ADDRESS = J u .•j C SUBDIVISION NAME Cfe_�' 1�/ ll LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER 0 TYPE FACILITY 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 OF OWNER OR AUTHORIZED AGENT Rev. 1193 /--? �OA- . , � . . `+ ' :-l"�' ^ �i. Y = T �, ,1. i, ?� �t J. � yF.w l y --'t'p � ' 1 - _ . , �- ,'�;r��: r „� ;• . . ..�� `} � � , � � , � �tit AUTHORIZATION NO ��'�;� �DAVI COUNTY, HEALTH DEPARTMENT j��,,� , �� �/�� � ��q�mental Health Section PROPERTY INFORMATION ,Permittee' , �� :{ � '�P.O. Box 848 . Name: -S ....�ti .;Mocksville, NG 27028 , Subdivision Name: ? : �, Phone # �336-751-8760 ' ' Directions to property: ��� <�L.�r?G`� /l�� '. Sect�on: Lot: AUTHORIZATION FOR f�t� ��C, �i, f �,.. ����v ' '��/' WASTEWATER Tax Office PIN:# - - t ', ---� ,.. � ' SYSTF.M CONSTRUCTION ' � Road Name:.TU.riC�'�- '� Zip; �ZO� **NOTE** This Authorization for.Wastewater System Consuuction MUST BE ISSCJED by the Davie County,Environmental Health Section prior to'issuance of any BuildingPermits; This Fomi/Authorization Number should be presented to the Davie Counry Building Inspections '� Office when applying for Building Permits. ; `� � � (In compliance with Article 11 of G.S: Chapter 130A, Wastewater Systems, Section ;19b0 Sewage Treatment and Disposal Systems) ., f , \, ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �. ,.�� / �w+ �' Q." . IS VALm FOR A PERIOD OF FIVE YEARS.. ' ENVIRONMENTAL HEALTH SPECIALIST; , DATE ISSUED , , " ` ` ' � � ! ' F. , . � _ . _ 1790, DAVI COUNTY HEALTH DEPARTMENT .5 ;4 t g YE 11E2 AND OPERATION I�E�t1VIIT� PROPERTY INFORMATION Y A Permittee +� .. 'Name: Subdivision Name .. Directions to property: f ems/ s - f/f�l.�I Section: Lot: �� IMPROVEMENT /R (;�: �'..' ',�' f✓ PERMIT.,Tax Office PIN:# - - Road Name--Tj n(4',c &tP Zip: 27o Zi **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. an compliance "with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) f • , ' 7 ***NOTICE*** THIS PERMITIS SUBJECT TO REVOCATION IF SITE p t `Y11 PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST " DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTTALiLIlV THE SYSTEM. RESIDE , . ,• , ,' :: NTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS `r ,# BATHS t-_ # 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 SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH f U LINEAR FT. OTHER✓/ 1!/JC y . - ' 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 (704) 634-8760. xxxxxxxxx DCHD 05/96 (Revised)