175 Sam Cope RdDavie County, NC
(I
Tax Parcel Report 6694'19A, Thursday, October 6, 2016
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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 Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
N`' or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
G8130B000702
Township:
Shady Grove
NCPIN Number:
5789470534
Municipality:
Account Number:
82523711
Census Tract:
37059-804
Listed Owner 1:
FINNEY JEFFREY D
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
PO BOX 1332
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.373 AC E OFF HWY 801
Fire Response District:
ADVANCE
Assessed Acreage:
1.32 Elementary School Zone:
SHADY GROVE
Deed Date:
11/2004
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
005830403
Soil Types:
PaD,PcC2,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
50850.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
35400.00
Total Market Value:
86250.00
Total Assessed Value:
86250.00
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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 Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
N`' or arising out of the use or Inability to use the GIS data provided by this website.
.Perrnii_1111,1DAVIE COUNTY HEALTH DEPARTMENT d
Name: -{ t �� Environmental Health Section PROPERTY INFORMATION%j j gI
P.O. Box 848
Directions,4o property: 0(�1 !� � �� h4ocksville, NC 27028 Subdivision Name:
.��,��. c'i� Phone #: 336-751-8760 Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 002979 A Road Name: f ft((:) , �Zip: -:` /G ' fr
**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)
J
�► / t^,,***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
COMMERCIlAL SPECIFICATION: FACILITY TYPE f # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE `' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 366 6 V NEW SITE REPAIR SITE l /'
h�7
SYSTEM SPECIFICATIONS: TANK SIZE L ��1 GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. Y�G
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT 0
T 1161 rPOrf
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE C LL BETWE 8:30 - 9: A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT '� 0 j& _ h
SYST TALLED BY: �C� VV
tij
L1AUTHORIZATION NO. OPERATION PERMIT BY: DATE: 4
"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 02/02 (Revised) RAP" 337 'J -10-1,1
DAVIE COUNTY HEALTH DEPARTMENT(, q
Name:'.' ' ' i' ° i,. Environmental Health Sections kOPERTY INFORMATION U f f f
1 ::.' r f P.O. Box 848 00
Dicections/.to property:Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
AUTHORIZATION NO: 002979 A
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION- j -
Road Name: ` t t/ 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 Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pen -nits.
(In compliance with Article I 1 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
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 t' TYPE WATER SUPPLY ��� DESIGN WASTEWATER FLOW (GPD) � Cc' v NEW SITE REPAIR SITE VI
SYSTEM SPECIFICATIONS: TANK SIZE L ! f GAL. PUMP TANK -GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
rl �
i r
.. -1, 1 -7 rl.A-1,
t-? ` C
IIFOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 .9# A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 11
OPERATION PERMIT O L,04 d 1 SYSTEvk'ALLED BY:
N5)�o,4"- -),_,'t '
Zz i
i'
c
AUTHORIZATION NO. OPERATION PERMIT BY: / /r/ / r✓ DATE: v
**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 FUN47nON SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02M2 (Revised) Ro 5 3 -y / 1 �� � � •'� � � (
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME PHONE NUMBER
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO
0
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
f �' 0 /In
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY W \ SPECIFY PROBLEM OCCURRING
Vv-awS �(
DATE REQUESTED Fr 1 7 _0 l INFORMATION TAKEN BY r 1 JV d !gd ✓I.
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