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173 Kelly Ave Davie County,NC • Tax Parcel Report ��`��' Tuesday, October 4,2016 - � j � � �,� _ 52i 537 , �,,,. 53 6 . '- _ _� _ , `-- �� f�r��i i 554 �. '.� . . A.� .� ... . � . . . � . . ^l�� . ��.�4 � 55 �N- .. � . . . . _ f ^�: I r � ti�. � � r� . '�y5 55 ',l.l 5�7 � � 7 1 rY1 '-- � i.� l t . 1�� . ��.' I ' � I 1 } Q, l,.._ ~ ~� �', �� ' � 173 5 79 5 78 i i � � �r ,J i ,'� `�i� 'ty , v _ 591 `590z�+ , ; r.� f; i,� +i FI /l' ( � � f f � r f i -�-118 1' ' 600'i � i � - ,`` - __ ,r ' . . ��: . . . . . . . l ` ---- . ,\ I r ---y`'-----' ---- -- — ------------'L1f''x------ ---------_ _-------_..J WARNING: TffiS IS NOT A SURVEY .__. .. . .. . .... . ,.. .. :... ,.. ,. ._,..., ,. . . : _ .. __ _ . : Parcel Information Parcel Number: J4050A0011 Township: Mocksville NCPIN Number. � 5738518685 Municipality: MOCKSVILLE Account Number: 8304575 Census Tract: 37059-806 Listed Owner 1: WALKER JOHN STEPHEN ETAL Voting Precinct: SOUTH MOCKSVILLE Mailing Address 7: 118 KELLY AVENUE Pianning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE NR State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: LOTS 9-21 KELLY ESTATE Fire Response District: MOCKSVILLE Assessed Acreage: 2.22 Elementary School Zone: MOCKSVILLE Deed Date: 12/2014 Middle School Zone: SOUTH DAVIE Deed Book/Page: 2014E0394 Soi)Types: PaD,CeB2 Plat Book: 0001 Flood Zone: Plat Page: 014 Watershed Overiay: MOCKSVILLE Building Value: 125660.00 Outbuilding&Extra 7560.00 Freatures Value: Land Value: 70000.00 Total Market Value: 203220.00 Total Assessed Value: 203220.00 9�.��, All dm Is provided u Is wkhout warrarRy or puanMee of any Id�d either expressed or implied including but not pmfted to the Davie County� ImpUed warraMlea of inerchaMabllity or fRness for a parficular usa All users oT Davie CouMy's GIS we6ske shall hdd harmless the CouMy oT Darle,North Grolina,Its agenta,conwihrrts,co�aetors or employees trom any and a9 dalms or uuses of actlon due W �O�ty�[ NC or arW ng out of the uu or Inablttty to use the GIS data provided by thts website. r r.-c.-f. 3,'y��s�'��i.=?i.y .-,..ii'a5-h.aj��*'C..✓.,.�.�...�., 1i'� ` ��Y�.-t ";,'t�•l.�rte�.�,� +u�,. ti's`-. �Y .jF� fAZ R -:7�: � "Y ti-,r :..Y�d .�:F��irrw�...¢�.;:�rt -.'��;,yy�. - : � ��.c:i��lr �.�� -AUTF30RIZATION NO: `"� � '� �A DAVIE COUNTY HEALTH DEPARTMENT �� ' �� Environmental Health Section �d �i'2 ROPERTY INFORMATION 8,,z 7•� : Permittee's � ; P.O.Box 848 -1:30 ' Name: b�� "-`��-��µ� Mocksville,NC 27028 Subdivision Name: ,�5�,, � - ,� Phone# 336-751-8760 Directions to propeRy: ��t'S��Q-Y r-�'C'� Section: Lot: � . ; AUTHORIZATION FOR ' w-i.;�tw`{ ' lh�� . L..A5T WASTEWATER Tax Office PIN:# _ _ . �'` �`' . SYSTF,M CONSTRUCTION � �'� Road Nam�� t�.. �Zi ��v?� ��U'��.c. (�^,.� �.F—�/ P� i **NOTE**This Authorization for Wastewater System Consfruction MUST BE 1SSUED by the Davie Counry Environmental Health Section prior to issuance of anyBuildingPermits.This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying forBuilding Pennits: (In compliance wiEh Article 11 f G.S.Chapter,130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) � ;/. ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION •4� � ,� � •�G/ �j IS VALm FOR A PERIOD OF FIVE YEARS. ENVIR°O � HEALT[�SP fA IST DA E IS ED ' � _. - � F. L� ' .d"' 'r-� . •f. '`9. =1'ik�, h +' .;2 ro 3.' `�}_�'.._ .'_ . ,._ �ti , ..,. +i'.'� •..�� 'e�,ia':'. .µy �`� ^ ; V j �r . � .. . .. . i` ' ' � , �'V��'F fF� �1�� . ��. 'Y ,�;�s� ,. ..:�� ; .::� ,�'.i�'� ��_C��A DAVIE�CbUNTY HEALTH�-DEP �T �..�iT� ��, .�� ..��,:` �...� . �... TMPROVEMENT AND OPERATION� I�'� �'KOPERTY INFORMATION g.��,� ,...Petinittee's ~.� �k �: ; ' � 3 I;� .Name:' � ti_ �(�I��u ��1�-��-; SubdivisioriName: :�.: , , Directions to property: �"`-�z.-t��"`'�� `''� Section: Lot: E , PE VEMENT _ �,� . IlNPRO �^�: �G:.�.r...�t ��.�� : �-A�,'i �T Tax Office PIN:# _ - �� .%``� c_� ��_ � _ RoadNa�m`�"''� ��:,i,l.`� �i�Zip: �°�:�v2,� **NOTE**This Improvement Pernut DOES NOT authorize the const�uction or installation of a sepdc tanlc system or any wastewater system.An � AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained frcim this Department prior to the construction/installation of a system or the issuance of a building pemut. (In compliance with Article l l�of G.S.Chapter;130A;�Vaste`water Systems,Section.i900 Sewage Treatmerit and Disposal Systems) ' ' . . _.,� f ''' j r.J� � � � . . . . - . . . -,. ,,•�,>��;` ` �''� , (:.� � ***NOTICE***THIS PERNIIT IS SUBJECT TO REVOCATION IF SITE ' ( `�,��,,� {.,., ,� �..�,,, ,,;,..,..-�'' ., �� j PLANS OR TIiE INTENDED USE CHANGE.YOUR WASTEWATER �``��---�' SYSTEM CONTRACTOR MUST SEE TfII.S PERNIIT BEFORE ENVIRO1�j1VIE•N'f' HEALTH SP��EIALIST DA ISS D .✓ �r. INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE L'�� #BEDROOMS,.-.� #BATHS {� �' #OCCUPANTS�_GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPH #PEOPLE #PEOPLFJSHIFf #SEATS INDUSTRIAL WASTE:Yes or No i LOT SIZE�•��`�'�"TYPE WATER SUPPLY�� *DESIGN WASTEWATER FLOW(GPD)� NEW SITE REPAIR SITE � 1' !1 , SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEP'TH �� LINEAR FT.'2Q0 OTHER ' ' �t_'S,'�(�J'T lt}.J L7D 1L . `. REQUIRED SITE MODIFICATIONS/CONDITIONS: 'iJs7AL�- O� �^h�� IMPROVEMENTPERMITLAYOUT,;x.p�}�VED EFFLU�I51T FILTER* '�RISERiS�� IF Gs� HELQ:�I FINISN� CRAI3E� , + `� ; ; , n , �l 'Pinl�=� . ��o, ��„�`�„ C�i�,� • � � _ ; , , � ; ._... � h,.. �:._._ .:.. . : F7 � �< �' �-�o� Q-on�T . . **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM - BETWEEN 8:30-9:30 A.M.OR 1:00-130 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS('tpat�4f�,'b6QX t33fi)751-87b0 • OPERATION PERMIT ' �1. SYSTEM INSTALLED BY:�^'r'�e�G�.K�. i o Z� 0 _ /� � ' AUTHORIZATION NO.._,.J(O f V OPERATION PERMIT BY:�/'Gfi(O 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 OS/96(Revised) ' , ?> ' _ � '% \,�^'i�' 1' ,� .. �, '�! � " � - 1, " -.. r '-+:If•,' "v` ,,, . :;E � »��+.�- ...'wt , �t _�'.�.:;,�r. �..�Ntt' r e�..iq e =��._' . ... .. ?..��.� . .." s ,`� .. _, -' , . «v _ ., . �: ,.,.., . � - ...:. �.' .s,�. , -. � . � ; . ' �. r � _.... • ' .-- �a.:. �'=� �:� ' DAVIE COUNTY HEALTH DEPART T � � ��t ��y� �. M (� . �, �`�'� � �� , , �`A` i�/ �»,,,,,..,�.,•.w..,�...�,.�:,..,, ._�...._.,., , IMPROVEMENT AND OPERATION�' �� YKOPERTY INFORMATION < Per'�mittee's ."+ z � , 1 =� ' ��7 k� ' : v �"Name: '� ��°1��?r�� '"��l�-� � Subdivision Name: �^ r Directions to property: �`'r•z{..t`wf'"^c� - � ��"""� r Section: Lot: IlbIPROVEMENT ��,.__ �t.�,..�.t_�� :�� . �-,^� PERMIT Tax Office PIN:# - - f a R:..; � kr _ '�j� � ��''*, tE 3 w'• �" '`wy - <. ��.� .�..., '� Road Name. ��»�.:_+ •,f° .�a;,.;Zip: � a L•�_.�, ,**NOTE**This Improvement Pernut DOFS NOT authorize the construcrion or installation of a septic tank system or any wastewater system.An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUC'TION must be obtained fn�m this Department prior to the construc6o�nstallation of a system or the issuance of a building pernut. (In compliance with Article 11�of G.S.Chapter 130A,.Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ,+` � � ,f"'^�, .r ' ,�' """"�"`"'-� ,�, i ' ***NOTICE***TI-IIS PERMIT IS SUBJECT TO REVOCATION IF STI'E �� M �"� /`��. `�. ,'�.��.. _..�-•.�' � "'.,� '�t' PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIROIyI�iENTA'L HEALTH S ECIALIST DAfiE IS D SYSTEM CONTRAGTOR MUST SEE THIS PERMIT BEFORE . �...a..- INSTALLING Tf�SYSTEM. RESIDENTIAL SPECIFTCATION:BUILDING T'YPE''1�� #BEDROOMS T� #BATHS i, '�"' #OCCUPANTS�GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFISHIFT #SEATS INDUSTRIAL WASTE:Yes or No , LOT SIZE��n _`�TYPE WATER SUPPLY��W DESIGN WASTEWATER FLOW(GPD)`�� NEW SITE REPAIR SITE � _; � . +�, � �� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH<--�-% ROCK DEPTH t� 5 LINEAR Ff.�vv, �. . a OTI-IER � 1�1_�,'�•(?'t�►� -��..-'U 1,C , ni • REQUIREDSITEMODIFICATIONS/CONDITIONS: �h��L�- (?� ��'��^ ' ;F l � �, i�,,,. � �a� `i �:�. . .: r � ,� � �,�, - r' IMPROVEMENTPERMIT"L Y6UT.�Ar�'I�EdC1U�A EFFLLS�I��FILTEtiR��'��.,E�YSER�$ IF�6" S'�L �! INISH�I? GRRD�� fi''`',( . ,�.�,.�.�.�,-.,.�-..--.,-..-.-..,.,-I-�•�� ( /�a�� G� � -, + � A � t �� ' ' ,� r" ' r�„ '� _.�" _. _... ' 1 ca�i ,�?�,� `,�„ _ _ � �, �f;�:—t' ._._____� v ' .�.. ; �.� �� i �� , . � � � � � �� ':, ��, �� . : � c��, f ,u�� .. ; ir� . � �f'anJT .., 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(7U4)�3�$7W3.x • t336�751-97b�h OPERATION PERMIT SYSTEM INSTALLED BY:�h��e LG�{C E� a . _.____..�.� _ , �o n ....– ` ;+ • � . ,. � � ::, _ _ � �, " �'`>_,.-- .. � , ___ �. :; - +r . � ; � � �F /� � � AUTHORI2ATION NO.�OPERATION PERMTT BY: �L/ DATE ,.0 � ,. **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAP'TER 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 OS/96(Revised) "" t � r, �' � f. � , _ � - . : � . ,. , : ,` -� - .._ ._. . , � /v:� 7t,t�S �'�� 't �°M � DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) NAME JO�n��l �Na (I�- PHONE NUMBER �ISI- Z��G ADDRESS I� 3 �t I I�/ l�tUG SUBDIVISION NAME ' rY1.c Glf3�� Y1 C Z?�Z� LOT# DIRECTIONS TO SITE Sc��s�nnN S�• i'swdkA S•�1 f}v�- 1� ��• f�^�LIti 1�U� (.juld � � �o u s.e.. «�-- r�9 Gt �-'�l 1 H Av• rr+�• '��'• DATE SYSTEM INSTALLED 19�e Iq73'� NAME SYSTEM INSTALLED UNDER Sohh„�� 1�IX�- TYPE FACILITY N'M�- NUMBER BEDROOMS -� NUMBER PEOPLE SERVED / TYPE WATER SUPPLY � SPECIFY PROBLEM OCCURRING Ca ►m t�+�, a'° �P � R t'du+�• DATE REQUESTED g'Z��°l� INFORMATION TAKEN BY Th(s ts to certity that the intormation provided is corcect to the best of my knowledge,and that I understand I am responsible for aIl charges incurred irom this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1/93 � /�iti� ao-�� /�«�� y.2 ..�n�� 9�