1075 Main Church RdDavie County, NC Tax Parcel Report I I ` D -A Friday, September 30, 2016
WARZNING: 'I'HIS 1S NOTA SURVEY
Parcel Information
Parcel Number:
G40000004102
Township:
Mocksville
NCPIN Number:
5739190805
Municipality:
Account Number:
72006000
Census Tract:
37059-806
Listed Owner 1:
SUMMERS ELSIE H
Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1:
1075 MAIN CHURCH ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-5871
Voluntary Ag. District:
No
Legal Description:
0.728 AC MAIN CHURCH RD LIFE ESTATE
Fire Response District:
WILLIAM R. DAVIE
Assessed Acreage:
0.68
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
11/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008120060
Soil Types:
GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
100930.00
Outbuilding & Extra
Freatures Value:
820.00
Land Value:
12420.00
Total Market Value:
114170.00
Total Assessed Value:
114170.00
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Davie County, Implied warranties of merchantability or fitness for a particular use. All 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
1
AUTHORIZATION NO: 194 DAVIE COUNTY HEALTH DEPARTMENT
' •'-::i E'�S7f /N"Sk.7I,oVgS Environmental Health Section PROPERTY' INFORMATION
Pertnjtee s ' // P.O. Box 848
Nems:' /If/ . -��' � Mocksville. NC 27028. Subdivision Name:
ivf� Phone # 336-751--8760
Directionstoproperty: -/� Section: Lot:
AUTHORIZATION FOR
�i / WASTEWATER
�% / i ,7�//f/.� SYSTEM CONSTRUCTIO\ Tax Office PlN:W-
-ArI►Z��
fes_
"NOTE" This Amhorixution for Wauewaer System Construction MUST BE ISSUED by the Davie Coumv Environmental Health Section prior
to issuance of an) Building Permits. This FOnndAulhOrilallon Numhershould be presented to the Davie County Building inspections
Office when applying for BuildingPemtits.
(In compliance witA Article 1 I int'G.S. Chapter 130A, Wastewater Systems. Section. 1900 Sewage Treatment and Disposal Systems)
z 7- ,rJ
F.NTAI. HEAL H OEIALIST DATE ISSUED
7 4 h DAVIE COUNTY HEALTH DEPARTT NT
oAPp .5 V iA,jH14P.FOVEMENTRND OPERATION PE IT51 PROPERTY INFORMATION
�Permjttlti s' ../
r�" Subdivision Name:
Directions to property:' t %i Section: Lot:
NIPROVEMENT
PERMIT Tax Office/PPIINN:# -
Road Natt(e:° sQ) N L Zip:
'*NOTE" This Improvement Permit DOES NOT authorize the construction or instillation of a Septic tank system or any Wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION most be obtained from this Department prior to the
constmcdon installation of a system or the issuance of a building permit.
(In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Secfion .1900 Sewage Treatment and Disposal Systems)
I
11
�............. DATE ISSUED
INSTALLING THE SYSTEM. '
RESIDENTIAL SPECIFICATION: BUILDING TYPE /�q� #BEDROOMS �# BATHS # OCCUPANTS _ GARBAGE DISPOSAL: Yes m No
COMMERCIAL SPECIFICATION: FACILITY TYPE"A?rS#PEOPLE_#pEOPLFISHIFT #SEATS_INDUSTRIAL WASTE: Ycsor No
LOT SIZE TYPE WATER SUPPLY
,- DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEd4W GAL. PUMP TANK/fOb GAL. TRENCH WIDTHROCK DEPTH LINEARFT,47�'
s` 3vo
REQUIRED
EFFLUENT FILTER* *RISER(S) IF 6r•
sySY�� 3071,/J�iso%(�
rFINISHED SRROES
F,t w 0412 .ve
10;1 /911M
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30A.M.OR1:00-1:30P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS
(336)751-0760
OPERATION PERMIT
PERMIT
SYSTEM
t,
C;11
DATE: ).- -10 0 )
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES .tfiBOVEHAS BEEN INSTALLED INCOMPLIANCE
WITH ARTICLE I I OFG.S. CHAPTER 130A. SECTION.1900 "SEWAGETREATME ISPOSAL SYSTEMS",BUT SHALL IN NO WAY RETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY Y GIVEN PERIOD OFTIME.
ADDRESS
DIRECTIONS TO SITE
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
12Z
PHONE NUMBER
UBDIVISION NAME
LOT #
DATE SYSTEM INSTALLED e, NAME SYSTEM INSTALLED UNDER
TYPE FACILITY ?`L NUMBER BEDROOMS �Z 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. 1/93 - ..>