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326 Pino RdDavie County, NC - Tax Parcel Report 66 '�l Wednesday. October 5. 2016 WARNING: TINS 1S NOTA SURVEY Parcel Information Parcel Number: C400000027 Township: NCPIN Number: 5833213312 Municipality: Account Number: 37191000 Census Tract: Listed Owner 1: HORTON WILLIAM T Voting Precinct: Mailing Address 1: 326 PINO ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-4920 Voluntary Ag. District: Legal Description: 3 AC PINO RD Fire Response District: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 2.84 Elementary School Zone: 8/1984 Middle School Zone: 001240081 Soil Types: Flood Zone: arising out of the use or Inability to use the GIS data provided by this website. Watershed Overlay: 76460.00 Outbuilding & Extra Freatures Value: 40430.00 Total Market Value: 122860.00 Clarksville 37059-802 FARMINGTON Davie County DAVIE COUNTY R -A FARMINGTON PINEBROOK NORTH DAVIE En13 17 N1*016111>; G 5970.00 122860.00 No Davie County, All data Is provided as Is withoutwarranty 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 o County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: Q 5 3 4 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee �,� P.O. Box 848 Name: , �?.21 '//6' /r, Mocksville NC 27028 Subdivision Name: �� Phone #: 704-634-8760 Directions to property: 0 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - Road Name: ,� n/ o 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. �r DAVIE COUNTY HEALTH DEPARTENT IMPROVEMENT AND OPERATIONPERIVIITS PROPERTY INFORMATION Permute Name:` . , Directions to property:--j�r_x`! /f?o ,-1 Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PINI Road Name:, L. r n 44 . 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. i 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 I /X TYPE WATER SUPPLY ate! DESIGN WASTEWATER FLOW (GPD) n�Z P NEW SITE REPAIR SITE 4---' SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP GgA�L. TRENCH WIDTH . + ROCK DEPTH / �t LINEAR FT, OTHER_ �TANK REOUIRED SITE MODIFICATIONS/CONDITIONS: "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 (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: S gA t.,, 9tk Z -t DIS F AUTHORIZATION NO. OPERATION PERMIT BY: DATE: /d -2 z "%+L "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM 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) w DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS Perk ttee's Name:; Directions to property: -- ,. / 1d1� 12 l PROPERTY INFORMATION Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# n 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 �/¢ �" #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 I ZI `11 DESIGN WASTEWATER FLOW (GPD) —24"P NEW SITE REPAIR SITE 4 --- SYSTEM SPECIFICATIONS: TANK SIZE %LS(�� GAL. PUMP TANK GAL. TRENCH WIDTH T� ROCK DEPTH LINEAR Fr. `6 w OTHER 4 Ott /> Ll v-0 ",��� ' REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT • � f � �j'[a � /1:11 "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 (704) 634-8760. OPERATION PERMIT nom„ Z lir<-s 4Z SYSTEM INSTALLED BY: SCALA' OuxJ ^ j. AUTHORIZATION NO.D s-% it OPERATION PERMIT BY: �`A I ' `G�� i DATE: /d -.Z Z — 7, "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) S� DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION • APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME rel Z1,,2,-21'2 ,ter PHONE NUMBER V�Zf `'�f WO ADDRESSc 76 L 4 s /,� SUBDIVISION NAME L/l . �� L Z LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLED � � eNAME SYSTEM INSTALLED U M TYPE FACILITY NUMBER BEDROOMS 6Z NUMBER PEOPLE SERVED �C TYPE WATER SUPPLY 4 e�SPECIFY PROBLEM OCCURRING DATE REQUESTED /b/�A,� INFORMATION TAKEN BY, This is to certify that the information provided is correct to the best of my SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1193 and that I understand I am responsible for all charges incurred from this application. DAVIE COUNTY HEALTH DEPARTMENT (Septic`Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)-- 0WNER.OR CONTRACTOR - r" i iy;> DATE PERMIT LOCATION . { N? 18 5 8 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE p MOBILE HOME U BUSINESS NO. BEDROOMS NO. BATHROOMS 600 GARBAGE DISPOSAL UNIT YES ❑ NO ❑� AUTO. DISHWASHER YES ❑ NO ❑ `� AUTO. WASH. MACHINE YES CQ' NO ❑ SITE SUITABLE YES ©' NO ❑ SIZE OF TANK _ _ gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual FP C/(/�/� r ❑ Publ�i/cJ ❑ IMPROVEMENTS PERMIT BY //%y� / House Trailer Two Bedroom House Three Bedroom House Four Bedroom House 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. 1000 Gal. 1200 Sq. Ft. INSTALLED BYS"�'° �.li �_✓ CERTIFICATE OF COMPLETION By Date 7 / 7� (8/16/73) *Construction must comply with a other applicable State and local regulations LOT AREA As DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 HOCKSVILLE, N. C. 27028 (704) 634-5985 VP;�Y'p�g1° Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME,%i/ � DATE ISSUED ADDRESS PERMIT NO. N,� Explanation of charge AMOUNT DUE �. SANITARIAN PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.