195 Random RdDavie County, NC Tax Parcel Report
1 �y
Monday. October 10. 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
J516000003
Township:
NCPIN Number:
5747068574
Municipality:
Account Number:
75820000
Census Tract:
Listed Owner 1:
WALKER BAILEY R
Voting Precinct:
Mailing Address 1:
195 RANDOM ROAD
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
Legal Description:
LOT 5 SOUTHWOOD ACRES
Fire Response District:
Assessed Acreage:
0.67
Elementary School Zone
Deed Date:
8/1969
Middle School Zone:
Deed Book/ Page:
000820279
Soil Types:
Plat Book:
0004
Flood Zone:
Plat Page:
055
Watershed Overlay:
Building Value: 142930.00 Outbuilding & Extra
Freatures Value:
Land Value: 20500.00 Total Market Value:
Total Assessed Value: 165290.00
Mocksville
37059-805
SOUTH MOCKSVILLE
MOCKSVILLE
MOCKSVILLE CI,GR
MOCKSVILLE
MOCKSVILLE
SOUTH DAVIE
GnB2,GnC2,Ud
MOCKSVILLE
1860.00
165290.00
No
9 Pr'iF
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
NC
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.
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AUTHORIZ,:,TION NO:: 173
73 DAVIE TUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee 's ^
P.O. Box 848
Name:
Mocksville, NC 27028
Directions to property:
Phone # 336-751-8760
,iy7/tt)r)r`,It}�, %l��!l� t`�
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Subdivision Name: L(rwwab-i) A
rx
Section: A Lot: S
Tax Office PIN:# - -
85r
Road Name: �` �� �' 'M Ir,) Zip: 2")o7 S
**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)
--__.-----— I-.
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
I 1 n m IS VALID FOR A PERIOD OF FIVE YEARS.
ALIST DATE ISSUED
%CO
17 3 6 ' DAVIE QOUNTY HEALTH DEPART M�NT
TMPRO'�)�EEMENT AND OPERATION 'ITS PROPERTY INFORMATION
_Permittee_
Narn_e L UAL g Subdivision Name: ,SA&(rRb_),)0o
Directions to property:> /":� Section: A Lot:
IMPROVEMENT
-PERMIT
Tax Office PIN:# - -
ti.
F r . �` •'',�f� ,) �_i j ,.I ` t 7 1: Road Name: {`-+A' )'" �t, Zip: t'-
n ; �
**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
N, construction/installation of a system or the issuance of a building permit.
(Incompliance 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
61~! I l PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMEI AL 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 #PEOPLE # PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY/DESIGN WASTEWATER FLOW (GPD)30 NEW SITE REPAIR SITE f�
SYSTEM SPECIFICATIONS: TANK SIZLriwY'�" GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 0 LINEAR FT.
OTHER 1 1-� r �t :moi/ 10 .✓
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
IS s
EI o vs, t-ZTOx.
r
M ,Ap L.•. �,�{ O
pD kiL"err $ ��
**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.
I OPERATION PERMIT
SYSTEM INSTALLED BY:
' %% D !
O <go
r t
AUTHORIZATION NO. V OPERATION PERMIT BY: DATE: "
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED4ZVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I OF G.S. CHAPTER 130A, SEC'UON .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)
i4
r , DAVIE COUNTY HEALTH DEPARTMENT
IMPRO , EMENT AND OPERATION ITS PROPERTY INFORMATION
Permittee
Name "' Y Subdivision Name: (� �-�lt)✓�-
Directions to property: r' ` Section: A Lot: --
IMPROVEMENT
PERMIT Tax Office PIN:#
Roa Name:' �K` t 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.
(Incompliance 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
�; . <__,• _ t i h 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 --2!� # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY Tif');r # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPL n- YDESIGN WASTEWATER FLOW (GPD) ,��o NEW SITE REPAIR SITE f/
�YSTEM SPECIFICATIONS: TANK SIZA�y"'' GAL. PUMP TANK GAL. TRENCH WIDTHO-6:1 ROCK DEPTH SCJ =LINEAR Fr.—
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: /A ),S -TALL Cm e t'r\L)2 i
IMPROVEMENT PERMIT LAYOUT
T
i
/4��Uf[.
L` �4 G� nr�
MAP
MX"Lt
010 k
"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
SYSTEM INSTALLED BY:
� 10)
(-eo,4 r
' 1 O
a t
AUTHORIZATION NO. OPERATION PERMIT BY: / DATE:
r
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE OVE 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)
i
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I-%
NAM
1%6 3z-33 16.0
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER Is/, �f30e
ADDRESS I�"I� 2�'�'��'S SUBDIVISION NAME 50L)T)4'(-JCi>
LOT #
DIRECTIONS TO SITE
►4✓Vb0_ ol a- cxrf-e-i �r�.-
DATE SYSTEM INSTALLED C f) NAME SYSTEM INSTALLED UNDER
TYPE FACILITY N�L)56 NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED 2—
TYPE
TYPE WATER SUPPLY �&^Wf SPECIFY PROBLEM OCCURRING AMW 1457 y2
5I)af-AC'4(7 0,09AIJ
DATE REQUESTED KE 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
SIGNATURE OF OWNER OR AUTHORIZED AGENTL2
Rev. 1/93 h'/"o
for all charges incurred from this application.
'')4'V' 301