476 Liberty Church RdDavie County, NC
Tax Parcel Renort 6 140 Monday. October 3. 2016
WARNING: THIS 15 NUT A SURVEY
Parcel Information
Parcel Number:
E300000010
Township:
Clarksville
NCPIN Number:
5811677344
Municipality:
Account Number:
82521733
Census Tract:
37059-801
Listed Owner 1:
CARTER JIMMY R
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
476 LIBERTY CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.34 AC LIBERTY CHURCH RD
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
1.18
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
5/1999
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
002120413
Soil Types:
MnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
108920.00
Outbuilding & Extra
Freatures Value:
3220.00
Land Value:
20550.00
Total Market Value:
132690.00
Total Assessed Value:
132690.00
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
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AUTHORIZATION NO: 0840 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Permittee's P.O. Box 848
oa TvXa
PROPERTY INFORMATION
Name: 1 '/9i�f Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property,
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Section: Lot:
Tax Offrri��cellPIN:# - -
Road Namee:
**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
l I.'';,,.• :%"�/f %''% i %/ -.'.•'r'4%'"%'' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPkIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS
Permute m, s 4 1
,
Name
'Directions to property: �
E%IPROVEMENT
PERMIT
I I
PROPERTY INFORMATIQN
I
Subdivision Name:
Section: Lot:
Tax Office PIN:#! S
RoadName :�1� e,r%k t
Ch. p o 3
**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)
***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 �T• # BEDROOMS_ # BATHS •- s'? # 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 �/ LINEAR FF. �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
0 0� 1, G
"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) 6348760.
OPERATION PERMIT c�
SYSTEM INSTALLED BY:
A 1 V •k-
AUTHORIZATION NO. U 'jy 0 OPERATION PERMIT BY:
C.
?,3��V"J,
DATE:
S-i`i-r�I
"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
IMPROVEMENT AND OPERATION PERMITS
.1erwltfee's—,_
Name:
-Directions to property:
IMPROVEMENT
` PERMIT
t
PROPERTY INFORMATION
I
Subdivision Name:
Section: Lot:
Tax OfficePIN:#
Roal a ,
r /f e: !
p�
r�� �.
i
**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)
***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 _3E— 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 .� �d LINEAR Fr. 'S`�
OTHER
{
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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.
I OPERATION PERMIT
P
SYSTEM INSTALLED BY:��>
AUTHORIZATION NO. O 4 D OPERATION PERMIT BY: DATE: J 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 190A, 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)
J �:
N
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME -,/i/� �//�`y/,��1' PHONE NUMBER
ADDRESS �! �• !� /_� Q� SUBDIVISION NAME
Ile
SUBDIVISION LOT #
DIRECTIONS TO SITE ., !- / /i /cls' 42./l A-11- /y./1S- ,7 /�u7`r r✓J
o�jALE,��
oC�92),�`� el�r
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY