123 Random RdDavie County, NC
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Tax Parcel Report 009J64 C1 De Monday. October 10. 2016
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Davie County,
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
Parcel Information
NCor
Parcel Number:
K502OA0003
Township:
Mocksville
NCPIN Number:
5747152708
Municipality:
Account Number:
77101750
Census Tract:
37059-805
Listed Owner 1:
WATSON JAMES C
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
123 RANDOM ROAD
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE GR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
0.82 AC RANDOM RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.83 Elementary School Zone:
MOCKSVILLE
Deed Date:
11/1987
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001410063
Soil Types:
GnB2,GnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
107810.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
20500.00
Total Market Value:
128310.00
Total Assessed Value:
128310.00
j
Davie County,
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
iCounty
NCor
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.
Permittee's �',, ;� ,_ . DAVIE COUNTY HEALTH DEPARTMENT
Name: i(.t 14`+.3-'"Z�'{'` Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions_�toproperty: Mocksville, NC 7028 Subdivision Name:�CJ,Mh
u)ood 1 t
,�,) c1� • i t. r Phone #: 336-751-8760
? Section: Lot:
ff { t 1 AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 0 0 ' � A 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 Permits.
(In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
. •'l'"�- C i.ta !' tai, ��L`4'�'l �i f i ;' t� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH�$PECIALIST 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 TYPE WATER SUPPLY �C'' DESIGN WASTEWATER FLOW (GPD) -�f' ✓ NEW SITE REPAIR SITE X
SYSTEM SPECIFICATIONS: TANK SIZE !�"• + I �GA�. PUMP TANK GAL. TRENCH WIDTH /- ROCK DEPTH � LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
j! �� ��� �� C�.C•iFrn�t+n-C �r�l!'�I��
I CL .
If 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. 0
OPERATION PERMIT�
`111 _ SYSTEM INSTALLED BY:
t
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i
boy,
AUTHORIZATION NO.---) °' OPERATION PERMIT BY: �`�{'t t,- + ' DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DE CRIBED 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 02102 (Revised) i�'U f- �, �7�
Peim`ittee s --- DAVIE COUNTY HEALTH DEPA�.RTN T
Name: I E ! I i Environmental Health Section` `') V �� PROPERTY INFORMATION
:r
P.O. Box 848 l bfa
Dlreetjonsfo property: 1 �'1;, + t1�locksville, NC 27028 Subdivision Name::1/ �((1(�DPS
..
j t Phone #: 336-751-8760
AUTHORIZATION FOR
t t ,, .�•. `i t t'. `'01 !;t A WASTEWATER
SYSTEM CONSTRUCTION
AUTHORIZATION NO: OHM"` A
Section:
Lot:
Tax Office PIN:# - -
• � 1
Road Name: i" C . +. , %E 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)
'. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
r,
RESIDENTIAL SPECIFICATION: BUILDING TYPE . # BEDROOMS ._. # BATHS 2 # 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) j (J NEW SITE REPAIR SITE %f
t,
SYSTEM SPECIFICATIONS: TANK SIZE ,A�. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. Z
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
3
I
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
SYSTEM INSTALLED BY:
4
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AUTHORIZATION NO. f 1' 4 OPERATION PERMIT BY: " l t 'ti 1 /��_ ��C• /.({ (� t'` DATE:
"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, SEk7RON .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.
DCHo ovoz (Revised) #1 1/0
. DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
• / APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) /� /�
NAME. _ A'rYl ai W� AJ PHONE NUMBER % �7 / V07
ADDRESS 13 kOcndniYlSV/SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE 620/
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING AIV D ( (?
DATE REQUESTED / iZ �� INFORMATION TAKEN
This is to certify that the information provided is correct to the best of my knowledge, and that
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93 D. n .,-1 - . .✓/
I am responsible for all charges incurred from this application.
DAVIE COUNTY HEALTH DEPARTMENT
• (Septic Tank) Improvements Permit and Certificate of Completion
.(Ground Absorpt:ipn Sewage Disposal System - G.S. Chapter 130 -Article 13C)
1NER OR CONTRACTOR DATE •'f PERMIT
N° 19 0
LOCATION
S.R. NO.
SUBDIVISION NAME ' LPs' UjjoQ4 F� ✓0.5 LOT NO. SECTION OR BLOCK NO.
HOUSE
BUSINESS
NO. BEDROOMS N0. BATHROOMS s
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO.
DISHWASHER
YES 0 NO
❑
AUTO.
WASH. MACHINE
YES Er— NO
❑
SITE
SUITABLE
YES ❑ NO
❑
SIZE
OF TANK
gal.
Ft.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION
By
(8/16/73) *Construction must c
I,OT AREA
1 1
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
ell
INSTALLED
800 Gal.
Sq,
Ft.
��--0...
0
Sq.
Ft.
1.900 Gal.,
900
Sq.
Ft.
1000 G 1.
1200
Sq.
Ft.
Date
with all other applicable State and local regulations
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http://maps.co.davie.nc.us/GoMaps/map/map.cfm?CFID=4129&CFTOKEN=61640881 10/11/2010
,... DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Art}cle 13C)
OWNER OR CONTRACTOR!` ;�,!�'f"�` 1 ,'f:;7 '�'t r' �',i DATE f�',� % j PERMIT
/ % N°
LOCATION 190 _ l ��/ I YI n ��, �j{'�
S.R. NO.
SUBDIVISION NAME ✓C.5 LOT NO. SECTION OR BLOCK NO.
HOUSE X]t MOBILE HOME ❑ BUSINESS ❑
NO. BEDROOMS NO. BATHROOMScz
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES 0' NO ❑
AUTO. WASH. MACHINE YES Lam"' NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public =
IMPROVEMENTS PERMIT BY 4�,"..4.
CERTIFICATE OF COMPLETION
By.
(8/16/73) *Construction must c
SOT AREA
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
800 Gal. 0 $g. Ft.
,, 0 Sq. Ft.
0�.9 0 900 Sq. Ft.
1000 Gal. 1200 Sq. Ft.
INSTALLED
.,_ j -
Date
with all other applicable State and local regulations
DAVIE COUNTY HEALTH DEPARTMENT
Tank) Improvements Permit and Certificate of Completion
(6round Absorption Sewa a Disposal System - G.S. Chapter 130 -Art' le 13C)
OWNER OR CONTRACTOR e- n DATE PERMIT
4 •171
LOCATION
S.R. NO.
SUBDIVISION NAME X-3-10gAwc) at/ RC reS LOT NO. SECTION OR BLOCK NO.
HOUSE [A MOBILE HOME [I BUSINESS 0
/--N
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO. BATHROOMS
Two Bedroom Houser4QQ-C,-a, 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES 0 NO 0
Three Bedroom House .900
Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑
Four Bedroom House 1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES D NO rl
SITE SUITABLE YES [3 NO [3
SIZE OF TANK !2bo gal.
NITRIFICATION FIELD ) - sq. ft.
DEPTH OF STONE IN LINES: A7(
400
WATER SUPPLY: Individual Public
IMPROVEMENTS PERMIT BY,ae'a�=r
-- 44
INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA,
fit -v, r
TIM
J&D X 'T
Perk e k
.!.- . 4, -
V /Wr- f
�.`. DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion ,
. (Ground Absorption Sewage Disposal System -/ G.S. Chapter 130-Arti le 13C)
OWNER .OR CONTRACTOR J�� 6 e r! ? r r -IS DATE ,9/—z -)4 -PERMIT
O
j� N
LOCATION %c� 'i �: Yr�� ` "� f, f (';�,.
I
/`' ,$ ra »►�:q /� , • ,pi's
- --"� S.R. NO.
,�+
SUBDIVISION NAME%j,9tty/)got)ac//Rc LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400
Sq. Ft.
NO. BEDROOMS NO. .BATHROOMS
Two Bedroom House-800...GaL*% 600
Sq. Ft.
GARBAGE DISPOSAL UNIT". YES ❑ NO ❑
Three Bedroom House t,9,QO Ggl,i .900
Sq. Ft.
AUTO. DISHWASHER YES ,❑ NO ❑
Four Bedroom House 1000 Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES. ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK !2cniln, gal.
NITRIFICATION FIELD..... sq. ft.
DEPTH OF STONE IN LINES: ' •: 's,r
WATER SUPPLY: Individual ❑ JPublic.,
IMPROVEMENTS PERMIT BY }-'' ) ; y,
INSTALLED : BY
CERTIFICATE OF COMPLETION
BY Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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