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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. v., -t-W -- — _ __ ___ _ __ _ _ ,�.� � � �-�,,, • ;_ a •. 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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. ` T , �It 74"- C., n UNA r,11TAT9 -TAI TAX T,