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269 Oak Grove Church RdParcel #: G50000014303 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search 6 U: JJ% A Sales Search 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: G50000014303 Account #:15370900 Owner Information Tax Codes ADVLTAX - COUNTY TA FIREADVLTAX - FIRE TAX LARK JEFFREY D & CLARK MELISSA A 95 CANYON RD MOCKVILLE NC 27028 BXF: Property Information Township Land (Units/Type): 1.230 [Address: 269 OAK GROVE CHURCH RD MOCKSVILLE ssessed• 89,75 Deferred: Deed Information Local tonin ate: 07/2015 Book: 00995 Page: 0183 Plat Book: 11 Page: 185 Le al Description PIN 1.230 AC OAK GROVE CH RD 5749472760 Property Values Buildin 62,88 01 BXF: Land: 26,87 Market: 89 75 ssessed• 89,75 Deferred: Sales Information No. Book Page Month Year Instrument Qual/Ungual Improved Price 1 00995 0183 07 2015 WD Unqualified Improved 65,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 ZO U R� Davie County Web Site All information on this site is prepared for the inventory of real property found within Davie County. All data Is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnet/View.aspx?prid=1455136 10/5/2016 �-'l - tj Permittee's ' DAVIE COUNTY HEALTH DEPARTMENT i1r V1 Environmental Health Section PROPERTY INFORMATION t i— P.O. Box 848 Directions to property: - l% Mocksville, NC 27028 Subdivision Name: j' ,�� 1 t j.0 �. a.'' ( < " `'l G Phone #: 336-751-8760 Section: Lot: f -L AUTHORIZATION FOR WASTEWATER r' SYSTEM CONSTRUCTION Tax Office PIN:# t; i-, r i '1' l AUTHORIZATION NO: 002"M A lis I (v) t11 Road Name: Zip: ^ rt **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) /* _ r✓ ***NnTI('F.*** THIS ATIT14OR17ATION F(1R WA.CTFWATFR (`nNCTV1TrT1(N ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS IS VALID FOR A PERIOD OF FIVE YEARS. # BATHS' I # OCCUPANTS ' GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No ( air 5 /. LOT SIZE /•' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) "+ NEW SITE REPAIR SITE l SYSTEM SPECIFICA'T'IONS: TANK -SIZE GAL. PUMP TANK 7 -GAL. TRENCH WIDTH �' ROCK DEPTH LINEAR FT. "' f t6 stated in 155 !`X"C OTHER accepted -Iy�,-itcrno i"nay alt., -o b I.IStiC - REQUIRED SITE MODIFI�AT(ONS/CONDITIONS: �A �G t f' k r �� _ 1-- "t om �C • �� r' /C� r -/' IMPROVEMENT PERMIf LA 0f �L�j S -C } r X00 at'? M li FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. it OPERATION PERMIT 1 SYSTEM INSTALLED BY: D r **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICSkTEn WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION .1900 "SEWA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORIL DCHD 02/02 (Revised) . V DATE: /j 1) T THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE '.L�TMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A OR NY GIVEN PERIOD OF TIME. 176 �,►rr f +,L!'`l1(��it tJ�. PJ '1 `�. . J -Pemuttee's irts -Name: ` ` i { .,'Vt. DAVIE COUNTY HEALTH DEPARTMENT L) j I �� `� -' Environmental Health Section PROPERTY INFORMATION ed �T, I ' �- I J. ` r e/ P.O. Box 848 Directions to property: - Mocksville, NC 27028 Subdivision Name: " Phone #: 336-7514761 Section: Lot: AUTHORIZATION FOR WASTEWATER - SYSTEM CONSTRUCTION Tax Office PIN:# a AUTHORIZATION NO: ��G:�;�� A t.Cei.i"';r1.,.�: 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 Pennits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) I ***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 r TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ( NEW SITE REPAIR SITE (! Cl 5 SYSTEM SPECIFICATIONS: TANK zE GAL. PUMP TANK L� GAL. TRENCH WIDTH L ROCK DEPTH LINEAR FT. ), /6 REQUIRED SITE MODIFI ATtONS/CONDITIONS: r r IMPROVEMENT PERMI LA OUT A Ld u l �L C 0 061 Ct FOR 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 r SYSTEM INSTALLED BY: Ll fir �c b AAe � V AUTHORIZATION jV/ ! f� OPERATION EMI�T BY',-/ �s "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATT`E'�I WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGI< GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORIL rrun (»rm rv. ;—ii J / U / a /✓ /" // �/ G� //�" DATE: I) — J� ( T THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE 1ATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN ASA AOR ANY GIVEN PERIOD OF TIME. I1 r j f I g go eO(,(yAld - pl11, . ~ DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) f NAME �'�/���✓�?rllrY►¢%S PHONE NUMBER ���/✓ ZZ�%/ ADDRESS (y� 6-/d ve 1, A I?e,(- SUBDIVISION NAME LOT # DIRECTIONS TO SITE PAST SAg/ uVILU • /V P_LL 0 21,4 eti /eP-( DATE SYSTEM INSTALLED 14?JrZ NAME SYSTEM INSTALLED UNDER 9 Ste M aiel- TYPE FACILITY UV NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY �� SPECIFY PROBLEM OCCURRING h aa Aq 4,1117a, UA" DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand 1 am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 GoMAPS - Davie CQunty NC Public Access Davie County, NC - GIS/Mapping System Click Here To Start Over Active LQyz:r. PARCELS (Map Tips Available) V �VHITAF: R THhMAS DAVID JR �. G50000 025 7.18 ACiHL"lY�158 >` { _ T_J Page 1 of 1 Omc Search:(Counts' ID or Owner Ni F9• Addre 1 http://maps. co.davie.nc.usIGoMaps/map/Index. cfm?mainmapservice=gomaps&CFID=412... 12/7/2009 1 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION "NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name ' a s'. �, :a , 5 Date `j Location Subdivision Name f.f " Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business _— Speculation No. Bedrooms No. Baths _ No. in Family _ Garbage Disposal YES ❑ NO ❑ Specifications for System:"% Auto Dish Washer YES ❑ NO ❑ r 4. Auto Wash Machine YES ❑ NO ❑ Type Water Supply "This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements permit by "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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by ­"Vi 1 I -A" 4 - Certificate of Completion Date `Z C(A "The signing of this certificate shall indicate that the system describe above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) _ Permit Number Name I 1 1. r, Date I ► - s Location ( r,c C_C f { Subdivision Name I Lot No. Sec. or Block No. Lot Size House — Mobile Home _ _ Business __ Speculation No. Bedrooms _ No. Baths _ No. in Family _ Garbage Disposal YES ❑ NO ❑ S Specifications for stem: Auto Dish Washer YES E] NO F -1p y I Auto Wash Machine YES ❑ NO ❑ ' Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. 1 i ' ll i I I I i I I Improvements permit by t ` t *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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by -1`` - Certificate of Completion Date *The signing of this certificate shall indicate that the system describe above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time.