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159 Parker RdDavie County, NC Tax Parcel Report ;` 01 q & Wednesday, October 5, 2016 WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: H300000011 Township: Calahaln NCPIN Number: 5719656189 Municipality: Account Number: 8303660 Census Tract: 37059-801 Listed Owner 1: CLEMENT GROVE CH OF GOD 7TH DAY Voting Precinct: NORTH CALAHALN Mailing Address 1: 159 PARKER ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: Legal Description: 5.01 AC PARKER RD(1.00 AC) Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 1.00 Elementary School Zone: 6/1998 Middle School Zone: 1998EO136 Soil Types: Flood Zone: Watershed Overlay: 372970.00 Outbuilding & Extra Freatures Value: 17880.00 Total Market Value: 392710.00 12r.. CENTER WILLIAM R DAVIE NORTH DAVIE Ce132 DAVIE COUNTY 1860.00 392710.00 �O NQS Davie County, �T 1\ C All data is provided as is without warranty or guarantee of any Idnd 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. 'Permittee's } DAVIE COUNTY HEALTH DEPARTMENT Name: 'F,t,i:Environmental Health Section P.O. Box 848 PROPERTY INFORMATION Directions to property: Mocksville, NC 27028 Subdivision Name: t I. Phone #: 336-751-8760 r1-1 t. *I �-Section: Lot: / AUTHORIZATION FOR l " j WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION AUTHORIZATION NO: ` �s�' A Road Name: (IJ.- � (4Zip:�yi' **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. LTH SPECIALIST 'DATE RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECJJIFICATION: FACILITY T�YP�E�)AT j EOPLE SD(# PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE: Yes /or No LOT SIZE ' � .0 PW ATER SUPPLY`"CA ATVDESIGN WASTEWATER FLOW (GPD) 1f NEW SITE REPAIR SITE t� SYSTEM SPECIFICATIONS: TANK SIZE t D� GAL. (PUMP TANK GAL. TRENCH WIDTH' ~--�ROCK DEPTH -i LINEAR FT.f_�C OTHER 1 ', � �Y i I il"{ I l Uz 7 REQUIRED SITE MODIFICATIONS/CONDITIONS: a IMPROVEMENT PERMIT LAYOUT i' t'J N� ASC 1 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 THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT 22 ��'L.7t��lu�t`►I.�l11:\1111�i]3it i fav 1 I-3 1�— AUTHORIZATION NO. IA OPERATION PERMIT Y: 21 L17 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL IN ICATE THAT HE S TEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 ' EWAGE TRE TME AND DISPAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF ANY OF TIME. DCHD 02102 (Revised) A+ _ 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street % Mocksville, NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR LUJ (Check One) REPLACEMENT,,❑L REMODELING ❑ REC 11 C / J Name: em e,, Ye, nurcA 9F AAA Phone Number: Vc�l " 1 / a Mailing Address: e n� aro (Work) Detailed Directions To Site: o �l _ W. 7m/' /' leS) A% /�°LY 1664 AS, E:Z� ✓U( 7 9 Property Address: /.,3' q PG rhe O 4c4 ✓ r 1 e'�alll % 0122 Please Fill In The Following Informatio�nl About The Existing Dwelling. Name System Installed Under: "e 06ue-C ype Of Dwelling:EF- / S�/ Date System Installed(Month/Day/Yeaz): umber Of Bedrooms: Number Of People: � Is The Dwelling Currently Vacant? Yes ❑ Not If Yes, For How Long? Any Known Problems? Yes ❑ No)( If Yes, Please Fill In The Following Information About The New Dwelling. Type Of Dwelling: (16 S11019I S d Z) /$' 6Anber Of Bedrooms: Number Of People: S b Requested By:. (Signature) For Environmental Health Office Use Only Approved ❑ Diss(a�pproved ❑ C'nmmPnta ISS•'o—) �' j+ UW -OT Environmental Health Requested: 7-- 7--�— *The signing of this form by the EnvironmentallTealth Staff is in no way intended, nor should be taken as a guazantee(extended or limited) that the on-site wastewater system will function properly for any given period of time. `_' . 3" Payment: Cash ❑ Check ❑ Money Order ❑ # unt: $ Z* Date: Paid By: Received By: Account #: aa -7 g Invoice #: 0 �� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING r (Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑ Name: C/ e,mel) v� 6urcL) 0 F (itJ4Phone Number: "( cic� - S S (Home) Mailing Address: L0 �,< W I*/ k S b /7 y- 0- 2,!52 — �,�d (Work) Detailed Directions fTo c 4 /1��, (din bs) 4, -z) A/-fft; y. PvG,4 � J Property Address:_�Gc/ x ,l O� • Please Fill In The Following Information About The Existing Dwelling: t -a Name System Installed Under: 1 pirn e n y U �(' �) f c- ype Of Dwelling: f 1 U a Date System Installed(Month/Day/Year): Y umber Of Bedrooms: Number Of People- Is The Dwelling Currently Vacant? Yes ❑ Noo If Yes, For How Long? Any Known Problems? Yes ❑ No;K If Yes, Explain: Please Fill In The Following Information About The New Dwelling. Type Of Dwelling: � � a SS /0 0/n -v Z)41(11�lJ ber Of Bedrooms: Number Of People: / Requested By: ��r /eyl�m/ Date Requested: (Signature) For Environmental Health Office Use Only Approved 0 Disapproved F1C'nmmPnta- lsoo0-) C_,i, -VJ1 �LG Vvo-y CJ_ � O`"7 � Pr `7)Environmental Health Speci cast �t "The signing of this form by the Environmental ealth Staff is in no way intended, nor should .be takeri as a guarantee(extended or limited) that the on=site wastewater system will function properly for any•giVen*riod of.time. 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