1331 Liberty Church RdDav
>.016
9 h� Iyp All data is provided as is without warranty or guarantee of any idnd either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. Ali 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
np tl t3� 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
D200000031
Township:
Clarksville
NCPIN Number:
5812163214
Municipality:
Account Number.
82517586
Census Tract:
37059-801
Listed Owner 1:
ALLISON ANTHONY RAY
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
1331 LIBERTY CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R -AR -20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.000AC LIBERTY CHURCH RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
0.87
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
1/1989
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
014740100
Soil Types:
Mn132
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAME COUNTY
Building Value:
40190.00
Outbuilding 8r Extra
1610.00
Freatures Value:
Land Value:
14630.00
Total Market Value:
56430.00
Total Assessed Value:
56430.00
9 h� Iyp All data is provided as is without warranty or guarantee of any idnd either expressed or implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. Ali 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
np tl t3� NC or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO: Q %3 6 „ DAVIE COUNTY HEALTH DEPARTMENT b
Environmental Health Section PROPERTY INFORMATION
Permittee's 1;Z P.O. Box 848
Name: �f •S , i w Mocksvia, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property:' 0 la \ u r� Section: Lot:
AUTHORIZATION FOR
y. �.. WASTEWATER
x Office PIp�,.# '
'SYSTEM CONSTRUCTION Ta�
Road Name" - —ter=� ,, �: 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 $uilding 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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permi �e�'s • �'' {r , �
Name: s� ,! . a t'ti ...°.�;. t ' Subdivision Name:
Directions to property:J. C� t "_W`� .': ;
� Section: Lot:
IMPROVEMENT
"NN'.k` r _s PERMIT Tax Office P�# -
Tee:
p t �1 2A ar-44
-Rea V p5
lTe.al� iT14— • Road Names Zip: "'10,.,
**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 beobtained 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 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 o -,)M . # BEDROOMS ia. # BATHS # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
t
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 I g 4 LINEAR FT.
..
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 (704) 634-8760.
SYSTEM INSTALLED BY:
AUTHORIZATION NO..0 OPERATION PERMIT BY: DATE: ' l 1
**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 HEALTH DEPARTMENT b
.'' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Penrutliee's �
Name: +' ; Vit', : ; ? " # + Subdivision Name:
Directions to property: i f ' `S Section: Lot:
— IMPROVEMENT
,, :. ; ...,... PERMIT Tax Office PI#
• i � -� ,' tl,... �... 1 �Pn .., .�►'c- � _1 i ��l ,_,_ u ark. "��. v�l�..
tcoaa
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
constructionfmstallation,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.erwr�mrnra:rr m[Trro rrronw,nm m caro n+nm m� rn�r<r�n � mr�wr n+ arrmr.
•.:;,' .., =w i ..., �' ' , r 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: BUELDING TYPE In ,)M # BEDROOMS # BATHS —# OCCUPANTS _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE_ TYPE WATER SUPPLY Q0 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
L)
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
J
. ` 4
1l ?
"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.
OPERATION PERMIT
SYSTEM INSTALLED BY: ✓�-�b A�S�3' "
I )c Y
P O US R
,...» ......,...-. .............mow+" C.
AUTHORIZATION NO OV) VQ OPERATION PERMIT B,Y.1: y—^'`" DATE: l L1
*w 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 NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
NAME_
ADDRE&
Qaz'� JWA a% z�
DAVIE COUNTY ENVIRONMENTAL HEALTH SEWON
APPLICATION FOR IMPROVEMENT PER EPAIR)
ONE NUMBER
BDIVISION NAME
/8o ca U).
��Cv\ 11@ LOT#
DIRECTIONS TO SITE 10 ( N - 0 vl� - O) C
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY � � g� NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY----C,-SPECIFY PROBLEM OCCURRING
DATE REQUESTED -�u " 91 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
for all charges incurred from this application.