243 Random RdDavie County, NC
Tax Parcel Renort a'iI A, Monday. October 10. 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
WAIKLV11rlT: 11113 13 IN 1 A JUIN L' Y
MOCKSVILLE
Parcel Information
NC
Zip Code:
J516000008
Township:
Mocksville
5747075287
Municipality:
MOCKSVILLE
8303802
Census Tract:
37059-805
WILKINSON JOSHUA E
Voting Precinct: SOUTH MOCKSVILLE
243 RANDOM ROAD
Planning Jurisdiction:
MOCKSVILLE
City:
MOCKSVILLE
State:
NC
Zip Code:
27028
Legal Description:
LOT 3+P/0 4 SOUTHWOOD AC SECTION 2
Assessed Acreage:
2.65
Deed Date:
7/2014
Deed Book/Page:
009630104
Plat Book:
0004
Plat Page:
108
Building Value:
156610.00
Land Value:
30750.00
Total Assessed Value: 187440.00
Zoning Class: MOCKSVILLE HC,GR
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
MOCKSVILLE
Elementary School Zone:
MOCKSVILLE
Middle School Zone:
SOUTH DAVIE
Soil Types: GnB2,GnC2
Flood Zone:
Watershed Overlay:
MOCKSVILLE
Outbuilding & Extra
80.00
Freatures Value:
Total Market Value:
187440.00
kt, i
F
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
r'pL Nei
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.
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
NVIRONM NTALHEAL H SPECIALIST :: DATE ISAJE6
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS Z # OCCUPANTS /_/ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYfPE 'l # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Y,�ess or
No
, LoLOT SIZE�' AGTY E WATER SUPPLY ` _- JT -1 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �` , ROCK DEPTH , Z LINEAR FT. IL'/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: �"� �'� Gt;�,J 1C;�?2 . / t 1 • 1 OFF RLC A
IMPROVEMENT PERMIT LAYOUT
1 �►. Jc� ,....
T1 E, Ovo
UIA
1`I,i
C _ta-.PST TIA
`'r c
"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 1 Cf
SYSTEM INSTALLED BY:
I—
J `1� \i
� R 1
Y
s7 - --_04S'4�
rA '�
AUTHORIZATION NO. �` OPERATION PERMIT BY: :;?DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSR 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 02/02 (Revised)
DAVIE
COUNTY HEALTH DEPARTMENT
�f_
Petmitteg's
�,�
1'dame: T' �- -=' E- `- =
Environmental Health Section
PROPERTY
INFORMATION
<,
Directions to property:
P.O. Box 848
Mocksville, NC 27028
Subdivision Name:
Phone #: 336-751-8760
Section:
Lot: 'T
AUTHORIZATION FOR
l t-- •' ?...� �.._lr--� 1'c �:1 . t .:.) i s s;
t , L_ WASTEWATER
Tax Office PIN:#
- -
F
N
SYSTEM CONSTRUCTIO17
AUTHORIZATION NO: 4
A
Road Name
1;.`",' ' °" y p: " `eVZi' M°• ti.
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
NVIRONM NTALHEAL H SPECIALIST :: DATE ISAJE6
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS Z # OCCUPANTS /_/ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYfPE 'l # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Y,�ess or
No
, LoLOT SIZE�' AGTY E WATER SUPPLY ` _- JT -1 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �` , ROCK DEPTH , Z LINEAR FT. IL'/
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: �"� �'� Gt;�,J 1C;�?2 . / t 1 • 1 OFF RLC A
IMPROVEMENT PERMIT LAYOUT
1 �►. Jc� ,....
T1 E, Ovo
UIA
1`I,i
C _ta-.PST TIA
`'r c
"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 1 Cf
SYSTEM INSTALLED BY:
I—
J `1� \i
� R 1
Y
s7 - --_04S'4�
rA '�
AUTHORIZATION NO. �` OPERATION PERMIT BY: :;?DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSR 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 02/02 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION -7 zo y
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
�
NAME C PHONE NUMBER �q 7s� SfoS k y�
=be 6
ADDRESS o'� �3�na�d !� %20� SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE ca
A2�a
(2D
DATE SYSTEM INSTALLED -7(- NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY yFr SPECIFY PROBLEM OCCURRINGeac :)P
DATE REQUESTED INFORMATION TAKEN BY
✓L -
This is to mortify 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. 1199
vel -*" 'cz
� ) ( Ld 41, 31 Ste
• DAVIE COUNTY hiALTH DEPARTMENT SEPTIC TANK PERMIT Date
Jtimer/OccupantPs►',Py I7 u�/ ! r To:
Address u-7� w o o d' /?c'%'PS Address -v
Building Contractor t', (2^00 � Address �%t
Cal. Manufacturer's Name c9/11 P Address
No. of lines _�_ Width __ain. Total length 0o ft. No. sq. ft.
Type of filter material 'j'7—off P Total tons used D_
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specificatioT
Signed:
qe�p_�ticadnk Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
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Mag To:
WARRANTY DEED—Form WD401 Printed and for sale by James Williams do Co., Inc., Yadkinville, N. C.
STATE OF NORTH CAROLINA, Davie— County.
THIS DEED, made this- 20th - day of Februar 119 1R. -Hendrix. Sr. and, wife.p
Aivvd� �,orrfner
ModlIng F.-Hendrix-lind Jack Q. Corriher and wife, _ of Dwde county
and state of North Carolina, hereinafter callec! Grantor. and Carl Henry Hunt, Sr. and wife.- Lain F� HMt
of Davie —County and State of North Carolina, hereinafter
called Grantee, whom permanent mailing address is Mqrkaville, N. C,
WrIWUSEM. That the Grantor, for and In consideration of the sum of *********WNE HUNDREV*************L*DoUsr%
wA odw good and valuable considerations to him in hand paid by the Grantee, the receipt whereof is hereby acknowlcd gegen, granted, bargained, add
ad om"I and by them presents does give, giant, bargain, sell, convey and confirm unto the Grantee, his heirs andlor succcis4ri ind walps, prialsts in
V411A ]Davie described as follofti
Mat ks —Township. 'County. North Carolina, dem
BEGINNING at an iron stake on the West side of Random Road, a
common cornet for -Lots 3 and 4 of Southwood Acres Section U..
as shown in Map Book 4,' page 108; runs thence with the lines of
Lots 3 and. . 4 South 85 degs. 42 min. West 455.77 ft. to an iron
stake; thence North 5 degs. 52 min.. -East 101.59 ft. to -an iron stakes.
a new corner; thence a new line North 85 degs. 42 min. East 437.84
ft. to an iron stake on the Western side of Random Road; thence. S.
4 degs. 18 min. East 100 ft. to the- beginning, containing*. li 03 acres,
'-,.'*
more -or -loss, and being the Southern portion of Lot #4, -Southwood
%.:
Acres, Section 11. an shown in Map Book 4. page 108, DiVie,
County Registry,
The above land* are subject to certain restrictive covenants as
appear and are fully set forth in Book 92, page.315. Davie County
Registry, to .which reference is. hereby made.
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