163 Ridge RdDavie Countv. NC
Tax Parcel Renort l il'�9 tk Thursday. October 6. 2016
WAMNIi U: 1111) IN 1VU1 A ;!lUKVI.' Y
Parcel Information
Parcel Number:
K200000055
Township:
Calahaln
NCPIN Number:
5717337362
Municipality:
No
Account Number:
63812000
Census Tract:
37059-801
Listed Owner 1:
SEAFORD JACK A
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
163 RIDGE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
001400702
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
161
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
35 AC RIDGE & MR HENRY RD
Fire Response District:
COUNTY LINE
Assessed Acreage:
37.05
Elementary School Zone:
COOLEEMEE
Deed Date:
11/1987
Middle School Zone:
SOUTH DAVIE
Deed Book I Page:
001400702
Soil Types:
EnB,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
175450.00
Outbuilding & Extra
Freatures Value:
94160.00
Land Value:
237900.00
Total Market Value:
507510.00
Total Assessed Value:
302480.00
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
161
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.
UTHORIXATION NO: 4 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
PermitteP.O. Box 848
Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directiong to property: �/ Section: Lot:
', ��. AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - —
Road Name: `d�'�' / 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., corppliance with,�U•ticle 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' �: ~\ . • .� - a, ;. ,.��'e' DAVIE COUNTY HEALTH DEPARTMENT A
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Prrmittee'r
Name: Subdivision Name:
Directions to property: V OVEMENTIMPR Section: Lot:
PERMIT Tax Office P—IN:#S
- Road Name:-- t C—yr:..- P"A - 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/mstallation of a system or the issuance of a building permit.
(In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
# BATHS 1 # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE->—�� # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY l- c> DESIGN WASTEWATER FLOW (GPD)_'' NEW SITE REPAIR SITE+~
SYSTEM SPECIFICATIONS: TANK SIZE&W GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH'LINEAR FT.-.) O
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLU214T FILTER*
)I•tryt'�
(S) IF 6" EELMI FIt1IEl::1D GRADE*
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF { 'STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS
(36)751— 760
OPERATION PERMIT
SYSTEM
BY:
AUTHORIZATION NO. 'OPERATION PERMIT BY: DATE:
"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)
r' '' ' • ` . _ e ritE DAVIE COUNTY HEALTH DEPARTMENT
►' : IMPROVEMENT AND OPERATION PERMITSPROPERTY IORMATION
"Permitfee's { -
Na r le: ' w. Subdivision Name:
-.N 4
Directions property: � �
erections to Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:—t k- • Zip:
**NOTE** This Improvement Permit DOES NOT authorize the constriction 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 —,L=4t OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE -S j # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY1 t' DESIGN WASTEWATER FLOW (GPD) "' �S NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE4 �'C%' GAL. PUMP TANK GAL. TRENCH WIDTH i" ROCK DEPTH j k LINEAR FT. CJ 1
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT *AP lIZOV D EFFLUE14T 1= I LTEW
!rd'f
(S) IF 611 P.-EL00 1=INISsIaU 6,t4 i
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTI �y¢F TFI STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 2 . ) G� -876
+Ll76 00
OPERATION PERMIT
SYSTEM NSTALLED BY: [ L{
AUTHORIZATION NO. _� �rERATION TERMIT BY: � DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
DAVIE COUNTY HEALTH DEPARTMENT
` - _ Environmental Health Section
DEC 3' Uui PO Box 848/210 Hospital Street
Mocksville, NC 27028
--- ---;- rpt ucA,Tu Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑
Name: T a l k s om a- y d Phone Number: 9 Z— a—d d a (Home)
Mailing Address: l �-'S Q 1 A 2 PA. 9 �'� �3 1 S (Work)
My c_ -s A) c_
Detailed Directions To Site: p4 "`� ���Q $ e Rd . �'►� �✓
Property Address: 6 6�tAR� RA
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: �'- G �� `� �''� Type Of Dwelling: e.
Date System Installed(Month/Day/Year): S Number Of Bedrooms: Number Of People:_
Is The Dwelling Currently Vacant? Yes ❑ No ❑vIf Yes, For How Long?
Any Known Problems? Yes ❑ No es, Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: t -ti Ld f S Number Of Bedrooms: Number Of People:
Requested By:
For Environmental Health Office Use Only
Approved ❑ Disapproved ❑
Requested:
Environmental Health Specialist Date
*The signing of this form by th Environmental Health Staff is in no way intended, nor should be taken as a
guarantee(extended or limite that the on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ Check Money Order ❑ #�1S� Amount: $ 50'v Date: l v o.1 U
Paid By: Received By:
Account #: (0 Invoice #: �