1052 Sheffield RdDay.
to] C,
QAt'�E, 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 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.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
F200000043
Township:
Calahaln
NCPIN Number:
5810065032
Municipality:
Account Number:
82517491
Census Tract:
37059-801
Listed Owner 1:
ALLEN PHYLLIS R
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
1052 SHEFFIELD ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1 AC SHEFFIELD RD
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
0.78
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008130760
Soil Types:
MnC2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
63380.00
Outbuilding & Extra
Freatures Value:
2880.00
Land Value:
17980.00
Total Market Value:
84240.00
Total Assessed Value:
84240.00
QAt'�E, 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 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.
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AUTHORIZATION NO: 0 % 3 3 DAVIE COUNTY HEALTH DEPARTMENT ' s o -n
Environmental Health Section PROPERTY INFORMATION
Perm's P.O. Box 848
Name; FAQ\`1e'a Mocksville, NC 27028 Subdivision Name:
C Phone #: 704-634-8760
Directions to property: � Q'�(�- Section: Lo[:
AUTHORIZATION FOR
•,, j�* ;. — sr., ,;�� WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION IO-�a
Road Name: .` Zip:',b
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT~ .a�� . /
,s P
IMPROVEMENT AND OPERATION PERMITS = PROPERTY INFORMATION
,Pernu[teo'o�-
Name' "r • VA, e-tk - Subdivision Name:
Directions to property:-' s �)} `� " Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zip:
me:��1�•+� _!. �'lk
_ c_ _
**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)
-- i ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
t j PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER _
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
.4
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1410 0 1.9 # BEDROOMS — # BATHS t # OCCUPANTS I GARBAGE DISPOSAL: Yes or NA)
COMMERCIAL SPECIFICATION: FACILITY TYPE
# PEOPLE
# PEOPLEISHIFT
# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE ar ;,. TYPE WATER SUPPLY O
DESIGN ^�=' Cr (�
V
ti
WASTEWATER
FLOW (GPD)
NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL.
PUMP TANK
GAL. TRENCH WIDTH
ROCK DEPTH / LINEAR FT.
OTHER 5 CN/
L i -; t
? 'j ' a.
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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
AUTHORIZATION NO.0 l 33
SYSTEM INSTALLED BY:��-
U4-N
U 1F N \
17,
OPERATION PERMIT BY: ����-5�� DATE: 7 !
**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
" IMPROVEMENT AND OPERATION PERMITS), PROPERTY INFORMATION
,-Pe Pie's n
Name�,� Subdivision Name:
Directions to property: 4' ' Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road GName ;C? C1 ,�� 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/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
r4_
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
1INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE ` tJ # BEDROOMS � # BATHS i # OCCUPANTS GARBAGE DISPOSAL: Yes or'�of
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE S ' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ,> Lj NEW SITE REPAIR SITE �f
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -w' ROC{ DEPTH I Y' LINEAR FT. I ��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"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 C, r-._,
SYSTEM INSTALLED BY:=
LUIFN
jj7 UIFo C`
L
AUTHORIZATION NO. / OPERATION PERMIT BY: �'c— -.: s-` r �''—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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
N
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME �� I �I PHONE NUMBER `7 /� J�3T7-'
ADDRESS l o J�SUBDIVISION NAME
y'YI oc6s v .
,p -SUBDIVISION LOT #
DIRECTIONS TO SITE �?� , �h�-7 1 1 �. �c i\ ,_��. S 1 �a_- &V
--A _m I . B lz I "r
DATE SYSTEM INSTALLED .3�-DdS
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING �wiL
DATE RE ESTED I �1 q / INFORMATION TAKEN BY��