204 Mocks Church RdDavie County, NC
Tax Parcel Report 1 [1 i A Friday. September 30. 2016
WAtC Mki: ltll,S IN 1VUl A 6UKVL1 Y
Parcel Information
Parcel Number:
F800000040
Township:
Shady Grove
NCPIN Number:
5870873987
Municipality:
Account Number:
8305808
Census Tract:
37059-803
Listed Owner 1:
PATTON JAMES FRANKLIN
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
204 MOCKS CHURCH ROAD
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
1.42 AC MOCKS CHURCH RD
Fire Response District:
ADVANCE
Assessed Acreage:
1.30
Elementary School Zone:
SHADY GROVE
Deed Date:
2/2012
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
2012E0207
Soil Types:
GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
152380.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
33410.00
Total Market Value:
185790.00
Total Assessed Value:
185790.00
Davie County,
NC
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
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
A «� ,ter -,TF., .a., — F .. . _ ... - . .. _, .. , .�•'
AUTHORIZATION NO.
7
t j4A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permin--t's' -- ,�� -_ �' P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
,t
Directions to property-4�/ rT Phone # 336-751-8760 Section: Lot:
AUTHORIZATION FOR
i C , WASTEWATER
(f ' .4, J� SYSTEM CONSTRUCTION Tax Office PIN:# - -
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 Form/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.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
`V IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
°�Permitiee's t ` ..-�-•
Name::
Directions to property:,
j r
Subdivision Name:
' 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
rry4.'-' t'F f 1 '' /� 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 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
f
SYSTEM SPECIFICATIONS: TANK SIZE -GAL.
/PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH LINEAR FT._ �
OTHER :; Jn 2/ �'1C
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYotiTAPpnOVED EFFLUZ-NT FILTER* *RISERiS1 IF 611 BEL0:; FI USHED GRADE*
0
"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 # 11- 7%4;�' }634 6Qa
OPERATION PERMIT
SYSTEM INSTALLED BY:
i
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 05/96 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTIOI-CL,"-
' APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) yU/
NAME (��%'yI �4�c2� PHONE NUMBER
ADDRESS 2-�'c S ( hul-c "GL- Ifal. SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE .--/— ''U T U 6T U/ j (/y ' '��✓� �` Glt, �/sem
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
.rfkyf
DATE REQUESTED 1 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
c1la-/o �L)4 3- 3 -oIa-;b