138 Roberson DrDavie Countv. NC
Tax Parcel Report b6 )-o Thursday. October 6. 2016
WAK1VllNli: 1111N IN iNUI A NUKVLY
Parcel Information
Parcel Number:
1400000047
Township:
Mocksville
NCPIN Number:
5728868558
Municipality:
Account Number:
61796000
Census Tract:
37059-806
Listed Owner 1:
ROBERSON JAMES C
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
271 SMOOT FARM LN
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.77 AC TUTTEROW ST TUTTEROW
Fire Response District:
CENTER,MOCKSVILLE
Assessed Acreage:
1.75
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/1977
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001010900
Soil Types:
GnB2,MsC
Plat Book:
0003
Flood Zone:
Plat Page:
034
Watershed Overlay:
MOCKSVILLE
Building Value:
127620.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
24170.00
Total Market Value:
151790.00
Total Assessed Value:
151790.00
1:01
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Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
AUTHORIZATION NO: 0820 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Penrfntee's j / P.O. Box 848
Name:_�;t. tri .��'<G. Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: �� J �j�c'' Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - - —
Road
**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 FormlAuthorization 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
j ,;;`� ✓ i rGi'�cr>C'i �//,IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION kIWITS PROPERTY INFORMATION
Perm&iee's
Name: Subdivision Name:
Directions to property: 4-,
IMPROVEMENT
PERMIT
Section: Lot:
Tax Office PIN:#
Road Name:- 17'r, 1:�e- 1'5011 `%Zip: A 70 A W
**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.
(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 — 4 # BEDROOMS S' # BATHS -`� # OCCUPANTS --' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLYZQ P /Z DESIGN WASTEWATER FLOW (GPD) . / ' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH, ---S ROCK DEPTH ,/ 0 LINEAR F`k.; d
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
r
"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 (704) 634-8760.
OPERATION PERMIT x �11� O SYSTEM INSTALLED BY:
C
_
0
AUTHORIZATION NO. dCb%D OPERATION PERMIT BY: 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, 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
,.T, .. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
>„
Pernfittee's ---
Name: ti �. n + <" ; ! Subdivision Name:
Directions to property: '+ - _ }: Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:,'
**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.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
r ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
s 4 f 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 4 # OCCUPANTS `�~' GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) -7l e�? NEW SITE.—REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH C r ROCK DEPTH. n LINEAR FT. � ; %�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
A
Old
s
"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 (704) 634-8760.
OPERATION PERMIT )
i1J�0 SYSTEM INSTALLED BY:rzc-�s•—
C
,CC �
O I7�Vjq A .
AUTHORIZATION NO. -D OPERATION PERMIT BY: �� �- DATE: C�l
"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, 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 ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME _Z77a, , f1�be so PHONE NUMBER
ADDRESS .���0`Sn✓�C��.S'fin� SUBDIVISION NAME
BDIVISION LOT #
DIRECTIONS TO SITE 6 'f'W — /z'-
DATE
C
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED/ INFORMATION TAKEN BY
Tsermittee''s�V t\ DAVIE COUNTY HEALTH DEPARTMENT
Name: I it` obe q, UA) Environmental Health Section PROPERTY INFORMATION
41-1 ,. 1 1h P.O. Box 848
D'ctions to property: Mocksville, NC 27028 Subdivision Name:
e :
Ob 66uv\, 3 Un Q Phone #: 336-751-8760
'\ Section: Lot:
AUTHORIZATION NO: 002.071 A
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#s7�.R%� �d
SYSTEM CONSTRUCTION r,
J. ,
Road Name: Zip. "' x
**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 ry ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE S F • # BEDROOMS -3 # BATHS .2- # OCCUPANTS a_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICt-tATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY well.DESIGN WASTEWATER FLOW (GPD) 240 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL..
L. PUMP TANK -?!��GAL. TRENCH WIDTH 310 ROCK DEPTH LINEAR Fr. 337 it
OTHER C i�'� AvaellIF
C4) I
REQUIRED SITE MODIFICATIONS/CONDITIONS' V I b� k( d— C * '� � NSA ` Rep
IMPROVEMENT PERMIT LAYOUT
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F, - Stated in '1L�r, r %/',i; C,":.1Cc.�(5
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twe1v
it 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. p
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY:
DATE: v�
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES IBED ABOVE HAS
BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS",
BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) # ,-7,5- �7
Fre rirutfee'g r\ DAVIE COUNTY HEALTH DEPARTMENT
Name: b 1� r b Er U N Environmental Health Section PROPERTY INFORMATION
• t ! �� P.O. Box 848
D* cctions to property: "' Mocksville, NC 27028 Subdivision Name:
►'� �� x. _ C� U t� Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#`�
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 0 0-2 T7 I 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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
i ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST 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 DESIGN WASTEWATER FLOW (GPD) ��°+ � � NEW SITE REPAIR SITE
I
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL._ TRENCH WIDTH " ( ROCK DEPTH �' '%� LINEAR FT.,"') �/,
OTHER 0P F 1 �'�� S1 r: _ i, !r ;s e `s i- ICCGaU P ���; �f f-..
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REQUIRED SITE MODIFICATIONS/CONDITIONS oy CA I: V � it �cl �' � j L s ,
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IMPROVEMENT PERMIT LAYOUT
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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:
I
AUTHORIZATION NO. 7/ OPERATION PERMIT BY: %� /� i t' /ice �i/� 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, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) --/} --
, / 5.G
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
✓`5
PHONE NUMBER 6 3(*) X317 8OCC
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE W Ii` �1�-O �"p✓ Sy n t0 11�
/S' 4r• Scza'-
DATE SYSTEM INSTALLED S NAME SYSTEM INSTALLED UNDER
TYPE FACILITY '6 F NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY Wilk SPECIFY PROBLEM OCCURRING Sc4 f / u C ytC
A
CLT I .e r
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oo
DATE REQUESTED t,1— - !O INFORMATION TAKEN BY 16f 6 ���X
This is to certify 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. 1193
QoMaps GIS
Page 1 of 6
http://maps.co.davie.nc.us/gomaps/map/map.cfm?CFID=73662&CFTOKEN=10602933 12/21/2010
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AUTHORIZATION NO: ® 8 2 Q DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Pe ee's P.O. Box 848
Name: '1AMocksville, NC 27028 Subdivision Name:
r? .' Phone #: 704-634-8760
Directions to property: azz 'L 1 !" Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax .Office PIN:#
SYSTEM CONSTRUCTION
Road Name: i50YW��Lip: '7daX
**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
'� ,� - <d° { to ✓ f /!IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST 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 DESIGN WASTEWATER FLOW (GPD) , 4' ✓ NEW SITE REPAIR SITE
/ �K;/
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 71%a ROCK DEPTH % t LINEAR Fr:,
REQUIRED SITE MODIFICATIONS/CONDITIONS: _
IMPROVEMENT PERMIT LAYOUT
if
f
"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 (704) 634-8760.
OPERATION PERMIT g
O 'I SYSTEM INSTALLED BY:
0 1=
-
0
AUTHORIZATION NO. d %'P OPERATION PERMIT BY: DATE: 1 -CV �_l
"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, 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)