128 Parks LnDavie Countv. NC
Tax Parcel Report 'Ol U` Q, Wednesday, October 5, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
C300000009
Township:
Clarksville
NCPIN Number:
5823230932
Municipality:
27028-0000
Account Number:
82528627
Census Tract:
37059-801
Listed Owner 1:
PARKS JUANITA B
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
128 PARKS LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
16.738 AC HWY 601
Fire Response District:
COURTNEY
Assessed Acreage:
17.45
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
8/2007
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
007270863
Soil Types: Mr62,MnC2,Mn62,EnB,MdD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
93330.00
Outbuilding & Extra
Freatures Value:
8370.00
Land Value:
145880.00
Total Market Value:
247580.00
Total Assessed Value:
247580.00
Davie County,
NCor
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or inability to use the GIS data provided by this website.
AUTHORIZATI NO , � 6 4A)AVIE COUNTY HEALTH DEPARTMENT v
9a • �l , i E 'ron a tal Health Section PROPERTY INFORMATION
—a 1'ermittee s �^ 70 � p. Box 848
Name: / Mocksville, NC 27028 Subdivision Name:
o i Phone # 336-751-8760
Directions to property: %3 r�`fl� ,�`lj�, Section: Lot:
�J7 / / AUTHORIZATION FOR
WASTEWATER
L,r SYSTEM CONSTRUCTION Tax Office PIN:# - -
7 �.
Road Name: Zi
�l ;• p:
**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 1 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.
,ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
ce
DAVIE COUNTY HEALTH DEPARTM NT t�
IMPROVE FNTAAND OPERATION I Eft1�IITS PROPERTY INFORMATION
f� t
.Permittee's f�
Name: ) r'; r /
Subdivision Name:
Direct ions to property: Section: Lot:
IMPROVEMENT
( f 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 lV d # BEDROOMS y # 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
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH • �' ROCK DEPTH . �`� LINEAR
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUSt�T FILTERr, *RISER(S) IF 611 B LO'1 FIHIM E -D G ALF
"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
(335)751—B760
OPERATION PERMIT -/—//,Y, ' ��,ee
SYSTEM INSTALLED BY:—/—//,Y,&
45---)oww
A5"
v 1 V
AUTHORIZATION NO. ? � OPERATION PERMIT BY: 1,6 DATE•
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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 [ r
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) M
NAME PHONE NUMBER (�
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO SITEits--
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED V.20 ~ 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. 1193