192 Mocks Church RdDavie County, NC
T
Tax Parcel Report 1 f X2A Friday. September 30. 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARNIA T: TH15 lS 1VUT A NUKVLY
Parcel Information
F80000003701 Township: Shady Grove
5870872805
Municipality:
82519286
Census Tract:
TKACH ALBERT GENE
Voting Precinct:
PO BOX 94
Planning Jurisdiction:
ADVANCE
Zoning Class:
Land Value:
Total Assessed Value:
NC
Zoning Overlay:
27006-0000
Voluntary Ag. District:
1.61 AC MOCKS CHURCH RD
Fire Response District:
1.55
Elementary School Zone
9/2007
Middle School Zone:
007290476
Soil Types:
Flood Zone:
Watershed Overlay:
142040.00
Outbuilding & Extra
Freatures Value:
27550.00
Total Market Value:
181560.00
37059-803
EAST SHADY GROVE
Davie County
DAVIE COUNTY R -A
No
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
11970.00
181560.00
Davie County,
All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
161
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO. I 0 8 %t„ DAVIE COUNTY HEALTH DEPARTMENT _
{� Environmental Health Section PROPERTY INFORMATIONP&mit1
tee's Llf 5z -1L j -FiL Q Cid P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Directions to property: 1 t �' v 1 ! t -O !'J Phone # 336-751-8760 Section: Lot:
AUTHORIZATION FOR
H{ WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - '
12 C
Road Name: 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 Fom-dAuthorization Number should be presented to the Davie County Building Inspections
Officq when applying for Building Permits.
(In_comphanc 1 '� 11 SiG.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
' L O IS VALID FOR A PERIOD OF FIVE YEARS.
�NVIRO M ALTH Sk0 LIT DA E ISSUED
US ,DAVIE COUNTY HEALTH DEPARTMENT
` IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
r P6rmittee's ,
Name: � . s�, _;.:. T' r 14 C1- .i-1
Directions to property: 1 ;
IMPROVEMENT
t i N.,,) ::� /•", �. ,, f.� PERMIT
Subdivision Name:
Section: Lot:
Tax Office PIN:#
Road Name:i'IF. 2 Zip:" 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)
� l ***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
r INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE :-{l7lJ59; # 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�� i -- r DESIGN WASTEWATER FLOW (GPD) 7F-iD NEW SITE REPAIR SITE f
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH *3(--" ROCK DEPTH 12-- LINEAR FT.2yy '
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUFU4T FILTERS USE I (S) IF 6" BID O�I FI IISHED GRADE*
Z fi7 �
G V
n C
c�s
1
"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 INSTALLkTION. TELEPHONE # IS (7(OtVi O.x x
1 (336)751-0764
OPERATION PERMIT '
SYSTEM INSTALLED BY:
--• 0&
/CC
AS S t�
�Vv CLAV SD 1 (2
F7VTOt, 0 __4A. t\LV,,)0
AUTHORIZATION NO. ��-N1 OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY ESCRIBED ABOVE EEN INSTALLED IJCOtMPLIANCE
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)
AVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS' PROPERTY INFORMATION
Krmittee's _
Name: �� a ! i' `' "' 1 " Subdivision Name:
p Directions to property:
, � r
Section:
Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name: ` `' `' 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
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 f"11X^4 # BEDROOMS --S—# BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYL'N), DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE/
.J •LINEARr6 Gif_l ,
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ic' ROCK DEPTH FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS: �z k. r '' ' E ► �' `" i " + S ""
1
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION t I4)511STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INiTALLITION. TELEPHONE # IS (7�i0.�7��
OPERATION PERMIT �� _
SYSTEM INSTALLED BY: cc�----��)4 �) ITA 1_t e
f
i
AS S1�Mr\) (F_Y_C;LPT
AUTHORIZATION NO. OPERATION PERMIT BY: J .�/ DATE:
V.
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY TEM'DESCRIBED ABOVE EEN INSTALLED dCOMPLIANCE
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)
IMPROVEMENT PERMIT LAYOUT �KSPP O0 IVE.?
EFFMENT FILTERK
IF 611 EE L014 FINIGIRM GRADE:#—
21
Vic:
z
�CJ
1
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION t I4)511STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INiTALLITION. TELEPHONE # IS (7�i0.�7��
OPERATION PERMIT �� _
SYSTEM INSTALLED BY: cc�----��)4 �) ITA 1_t e
f
i
AS S1�Mr\) (F_Y_C;LPT
AUTHORIZATION NO. OPERATION PERMIT BY: J .�/ DATE:
V.
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY TEM'DESCRIBED ABOVE EEN INSTALLED dCOMPLIANCE
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 ENVIRONMENTAL HEALTH SECTION
(� ,. APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME ! ILSELL 1 V-AU1 PHONE NUMBER
ADDRESS M S �iJ t ��Cz SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED 'r I o NAME SYSTEM INSTALLED UNDER )-)V10A)A
TYPE FACILITY 4005 NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY CAD>JrJI'l? SPECIFY PROBLEM OCCURRING t5d1YIA.Cc 136 A.-1' 0-0
DATE REQUESTED 5
NFORMATION 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]✓Iy'
Rev. 1193