261 N Pino RdDavie County, NC
h C, r,
Tax Parcel Report I W N
Thursday, September 29, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
WARNING: THIS IS NOT A SURVEY
Parcel Information
C400000033 Township: Clarksville
5833221932 Municipality:
8302137 Census Tract: 37059-802
KIRK STEVEN B Voting Precinct: FARMINGTON
261 N PINO ROAD Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R -A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag. District:
Legal Description: 8.300AC NORTH PINO ROAD Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
Davie County,
NC
8.05 Elementary School Zone:
5/2006 Middle School Zone:
2006EO174 Soil Types:
Flood Zone:
Watershed Overlay:
60820.00 Outbuilding 8r Extra
Freatures Value:
FARMINGTON
PINEBROOK
NORTH DAVIE
SeB,EnB
DAVIE COUNTY
13100.00
No
74100.00 Total Market Value: 148020.00
148020.00
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.
q .na.-. t ._.: ,.. .. l ,i _. ,.. r.a Y- .: _ .Ml.:.•"' .r w t:�.F+.yn..�.;F�. i+ y.'-..
AUTHORIZATION NO: AVIE COUNTY HEALTH DEPARTMENT % .�-Oct
Environmental Health Section PROPERTY INFORMATION
' Permittee'tiP.O. Box 848
Name:
CAO , nLG
� Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to propertySection: Lot:
AUTHORIZATION FOR
7^}ItJU�-t�% �(1��� WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
rL .,i �.J• C', av Road Nam: 1 Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPermits, This Form/Authorization Number should be presented to the Davie County Building Inspections .
Office when applying for Building Permits.
(In compliance with Article I1 f G.S: Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
j , ***NOTICE*,** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A' PERIOD OF FIVE YEARS.
1R N1�INTAL HEALTH P ALIST DA E 1S UED
( �,
•- q DAVIE COUNTY HEALTH DEPARTMENT
_ ` IMPROVEMENT AND OPERATION kRWPROPERTY INFORMATION
Prrmrttee's
a� Name`£�L=' t��- Subdivision Name:
4 - ,
Dir,ctions to property: t��'1+ t r t l•J I z , Section:• Lot:
IMPROVEMENT
#. 1 t.�'L: �,i A—r w first.; 1'"i t x PERMIT Tax Office PIN:#
!.Ct Road Name �J zip: l
**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 1 l�pf 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
�--ENVIRO NMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS 2 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ���"1 DESIGN WASTEWATER FLOW (GPD) _7F�NEW SITE - REPAIR SITE
r1• (1 L
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH a LINEAR Fr. 1 (DC
OTHER i �L I f`=11T1 C�1z,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*AFFRQVED EFFLUENT FILTERS *RISER(S) IF 61' BELOW FINISHED GRADE*
41
-511
**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 DA OF INSTALLATION. TELEPHONE # ISQ}j{t`�l71i
n
OPERATION PERMIT S1)
SYS INSTALLED BY:
G1
z -g 2� `o
_ 8
AUTHORIZATION NO.
IZOPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SAMI
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.
DCHD 05/96 (Revised)
1 DAVIE COUNTY HEALTH DEPARTMENT
.� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
-,,.Perm iee's a �, -�
dame: _ ' ' t " �-~ -» Subdivision Name:
Directions to property: r '`1 t. lM 3 + Section: Lot:
h IMPROVEMENT
PERMIT Tax Office PIN•#
r' Road Name.:'r, �+ `i I. - 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)
***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 # BEDROOMS _5—# 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 ��-L DESIGN WASTEWATER FLOW (GPD) rt i NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH w% ROCK DEPTH LINEAR FT. `�-
OTHER �T.tna 1�-Vl1C 41 %?� �r.��`�QL1�. l ►r«` a U.'�' ,
REQUIRED SITE MODIFICATIONS/CONDITIONS: YL �' �^`• 1'�. 1- �-"
IMPROVEMENT PERMIT LAYOUT rAPPROVED EFFLUENT FILTER* *RISER (S) IFt'6" BELOW FR41S ED 6AADE*
41
**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.J. OjTHj DAI OF INSTALLATION. TELEPHONE # IS I;7%)hj4j37h0,. ;
(33(,)751-6760
3 OPERATION PERMIT
SY INSTALLED BY: --"'
0 o
AUTHORIZATION NO. 111 -n A— OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT. HALL INDICATE THAT THE SYS M 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.
DCHD 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760
le D
`, 7 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT ❑ y
Name: a
MailingAddress:
C/'
❑ RECONNECTION ❑
Number: (Home)
(Work)
I
Property Address:
""60
Please Fill In The Following Information About The Existing Dwelling: )
Name System Installed Under: lI2 Type Of Dwelling:
Date System Installed(Month/Day/Year): 7/ /97.2 Number Of Bedrooms: n=�Number Of People:_
Is The Dwelling Currently Vacant? Yes No ❑ If Yes, For How Long?
Any Known Problems? Yes ❑ No P"� If Yes, Explain:
Please Fill In The
Following Information About The New Dwelling:
Type Of Dwelling: O ' ' �, �"., Number Of Bedrooms: Number Of People: -
Requested
For Environmental Health Office Use Only
Requested' /'
Approved ❑ Disapproved ❑
Comments:
Environmental Health
*Me signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a
euarantee(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ Check ❑ Money Order ❑ # Amount: $ Date:
Paid By: In Received By:
Account #• '2 Invoice #: FIZZ