374 Davie Academy Rd Lot 2 Davie County,NC Tax Parcel Report Wednesday, December 28, 2016
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WARNING: THIS IS NOT A SURVEY
H _. . Parcel Information _ _ ,.
Parcel Number: K300000027 Township: Mocksville
NCPIN Number: 5727263172 Municipality:
Account Number: 82529850 Census Tract: 37059-801
Listed Owner 1: HONEYCUTT DON R Voting Precinct: NORTH CALAHALN
Mailing Address 1: 374 DAVIE ACADEMY RD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOT 2 FORREST HILLS Fire Response District: CENTER
Assessed Acreage: 0.56 Elementary School Zone: COOLEEMEE
Deed Date: 6/2008 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 007630346 Soil Types: EnB,MsD
Plat Book: 0003 Flood Zone:
Plat Page: 126 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
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.All users of Davie Countys GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and an 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.
• . Per:aittee's \1 DAME COUNTY HEALTH DEPARTMENT .
Name: `�'cIC3�� t -e nvironmental Health Section PROPERTY INFORMATIC) 7
S f% P.O. Box 848 .�[
Directions to property: l ` �VLMocksville,NC 27028 Subdivision Name: F -r e 5�
Phone#:336-751-8760
� ` `Cis�' Section: Lot:
� AUTHORIZATION FOR
( ( WASTEWATER ION
*1 (,e
�('P�P f�[ h r J �G�ySTF.M CONSTRUCTION Tax Office PIN:# � e�.
AUTHORIZATION NO: 002908 A to -0 an Road m Z,
**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
IS VALID FOR A PERIOD OF FIVE YEARS. (� -
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED �� bc�c m p livti n�(�`tltT .Fp(1�• TW ')
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$z ''ZiPer�ittee�[.''�� ` DAVIE COUNTY HEALTH DEPARTMENT p�
Name:1j�OA JC���n� e' d C`' l✓nvironmental Health Section PROPERTY INFORMATION'
l�� 1'S/ L' F P.O. Box 848
Directions to property: l� Mocksville;NC 27028 Subdivision Name:
(S b u y lt! �� (�UK( (A U t Phone#: 336-751-8760
Section: Lot:
` AUTHORIZATION FOR � 'liti'\• O w I j� G 5'S, C�{ P Gl I WASTEWATER Tax Office PIN# - G
SYSTEM CONSTRUCTION -7 t--�
002900 t �� otik 3 9 . � .•^YYd �
AUTHORIZATION NO: t� C� P Road Name: T) ��� e° Zip: p
**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 with Article l l.o G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
Af
^� ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE#BEDROOMS #BATHS #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) �y NEW SITE REPAIR SITE.
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SYSTEM SPECIFICATIONS: TANK SIZE c v v GAL. PUMP TANK-.4-'ZE AL TRENCH WIDTH ROCK DEPTH�o LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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LIPsP fir• ..
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F R FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATICIN PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM 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 PERIOD OF TIME.
DCHD 02/02(Revised)
erlhitt DAVIE CQIJNTY HEALTH DEPARTMENT t)
Name:f '�� JG�1��n� C._ �� 0 sk �M C`' nvironmental Health Section PROPERTY INFORMATION G
5 I� P.O. Box 848 ` I
Directions to property: �s , l��� Mocksville,NC 27028 Subdivision Name: $
-t Phone#:336-751-8760
j � �5 �J 4+� '/ ) ri /'G i•1 �. 6 t �� t Section: Lot:
AUTHORIZATION FOR
l' 4 WASTEWATER Tax Office PIN:# 7 Z '
SYSTEM CONSTRUCTION
� � N� ZiAUTHORIZATION NO: Q A Road Name:- I � nrp?1
**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 Pen-nits.
(In compliance with Article 1 I o 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.
ENVIJZONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE v' TYPE WATER SUPPLY o DESIGN WASTEWATER FLOW(GPD) C Q NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMTANK—A GAL. TRENCH WIDTH G ROCK DEPTH LINEAR Fr.36C7
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
as�
�t
rp �
10
F R FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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 0=2(Revised)
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DAVIE COUNTY HEALTH DEPARTMENT
Name: 0i;*.'',% ( " Vnvironmental Health Section PROPERTY INFORMATION tf
k5/�,Ll P.O. Box 848
Directions to property: Mocksville,NC 27028 Subdivision Name:
Phone#: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# Ia
YSTEM CONSTRUCTION
r
AUTHORIZATION NO: 002908 A ic j- Road Name:Ytxir Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pen-nits.This Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I I 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
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS � GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE— #PEOPLE #PEOPLE/SHIFT #SEATS_ INDUSTRIAL WASTE:Yes or No
-7
0 DESIGN WASTE NEW SITE— REPAIR SITE
LOT SIZE TYPE WATER SUPPLY WATER FLOW(GPD,
SYSTEM SPECIFICATIONS: TANK SIZE TANK
M 6 GAL. PUMP —"GAL. TRENCH WIDTH l ROCK DEPTH LINEAR Fr.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
.......................................................
t7
VA'
2-
+FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. 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 TIME.
Dail)07102(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME u.1 PHONE.NUMBER
ADDRESS 371-1 SUBDIVISION-NAME
LOT#
DIRECTIONS TO SITE -2
Cre-C&A �i �� hd
DATE SYSTEM �J�
INSSTTALLED_ NAME SYSTEM INSTALLED UNDER
TYPE FACILITY lT- f l LLz ->NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING C� s - `�`" A jC
DATE REQUESTED 13 6R INFORMATION TAKEN BY tr C h
This is to certify that the information provided is correct to the best of my knowledge,and that nde tand f am responsible for all the incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193
C) �✓ C1�—Yk �r r f cA-