112 Main Church Rd Davie County, NC Tax Parcel Report kbbo p Friday, September 23, 201 E
146 j
I
—140
14 r`
149
C
112
JJf1
........ __ _ . _
WARNING: THIS IS NOT A SURVEY
®_ Parcel Information
Parcel Number: G50000013305 Township: Mocksville
NCPIN Number: 5749282302 Municipality:
Account Number: 8305721 Census Tract: 37059-806
Listed Owner 1: RHODES KIMBERLY Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 112 MAIN CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 1 LOT HWY 158 Fire Response District: MOCKSVILLE
Assessed Acreage: 0.82 Elementary School Zone: MOCKSVILLE
Deed Date: 11/2015 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 010040545 Soil Types: WeB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 47870.00 Outbuilding&Extra 14190.00
Freatures Value:
Land Value: 21140.00 Total Market Value: 83200.00
Total Assessed Value: 83200.00
All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
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
rpUNq NC or arising out of the use or inability to use the GIS data provided by this website.
Permittee's , f ,},� ' VIELINTY HEALTH DEPARTMENT �----- ~--
Name: '1'� �"``�� "U � � F,,Environmental Health Section PROPERTY INFORMATION
Wil` �i `fO P.O. Box 848
Direct* to property: Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
I f Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION117A - ^
rCll
AUTHORIZATION NO: 0.02606 A Road Name: 1Z 1 'n! e /� 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 Building Permits.
.(Incompliance-ith—A tic le 1 I of G.S.Ch p 5 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
1 ,
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR014MEIYTAI:H !TH SPECIA�ST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE OV #BEDROOMS #BATHS rZ- #OCCUPANTSy`L GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE �/ #PEOPLE #PEOPLE/SHIFi'�j�j #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY/ DESIGN WASTEWATER FLOW(GPDY "'_ NEW SITE REPAIR SITE ✓
SYSTEM SPECIFICATIONS: TANK SIZJXO GAL. PUMP TANK GAL. TRENCH WIDTH 4r/ ROCK DEPTH �Z r LINEAR FT. O
OTHER c�-1 a4&--I I O-j Te XaS
r
REQUIRED SITE MODIFICATIONS/CONDITIONS: �.^�t�`� �D �J
f� � � g 4-zP s OIFir
IMPROVEMENT PERMIT LAYOUTr Qa O
O
O
�-IoJS�
20
s
T
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-Q:30&M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT ,
----"7SYSTt �.
�v r
AUTHORIZATIONN v �OPERATION PERMIT BY: � 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 TTIMME.
DCHD 02/02(Revised) 4l.eto 31 W q v--d 570 r
Pend iftee's , ,;, 4 1�fir,' I�,Q►YY4E FOUNTY HEALTH DEPARTi1�1&i ----4--
Name:- `� ! ", "�Environmental Health Section PROPERTY INFORMATION
7e P.O. Box 848
Duec[' ns to property: Mocksville,NC 27028 Subdivision Name:
/J n t,^( 'l1 i ,/ � )c y f'G't!cile Phone#:336-751-8760
�^ Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002606 A Road Name: Zip: r/c;
**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 wit}i Aificle 11 of G.S.Chapt 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
,r
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�•...._ _----'4�t)
f�fww r IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIROI`& tffH SPECT/LIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE dV #BEDROOMS 'S #BATHS 2 #OCCUPANTS _GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFI #SEATS INDUSTRIAL WASTE:Yes or No
A v
LOT SIZE TYPE WATER SUPPLY-. 71!/DESIGN WASTEWATER FLOW(GPD}�t NEW SITE REPAIR SITE_t/'
SYSTEM SPECIFICATIONS: TANK SIZLa'Q GAL. PUMP TANK GAL. TRENCH WIDTH: ROCK DEPTH JL LINEAR FT.330
OTHER d- cS I (�•,� 1�lGS ter^ `-
/ F 'REQUIRED SITE MODIFICATIONS/CONDITIONS: � r"I�
IMPROVEMENT PERMIT LAYOUT r� A a
;1 lot)
Fco�jT o
t
s
ZO'
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30- C�-.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SYS'r-A
106
f
t
1
•F. Y .
l
AUTHORIZATION N . 412 OPERATION PERMIT BY: G�!/� DATE: Z_Z,
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THtSYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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 P/E/R�IOD OF TIME.
DCHD 07102(Revised) V—d 5Z0
7 AA
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME ILS ld etlllh M/Ila PHONE NUMBER �i5�' /?2Z
ADDRESS //?- 01/III 0'hu" ?t1QG1 g A10CJ"-S SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED ' NAME SYSTEM INSTALLED UNDER
)
TYPE FACILITY C'5a►7NUMBER BEDROOMS 2- NUMBER PEOPLE SERVED
TYPE WATER SUPPLY CaN-T SPECIFY PROBLEM OCCURRING BCW JAN-C
DATE REQUESTED 2- OW INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowled s d at i d stand I am responsible for all es incurred from this application.
M
SIGNATURE OF OWNER OR AUTHORIZED AGENT � y,
` 1/9' �R. s is reawsled h e af sde e,yioM
r
`+ -�,