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1339 Sheffield RdDavie Countv. NC Tax Parcel Report 66;;0,660 Thursday. October 6. 2016 WARNING: THIS 15 NUT A SURVEY Parcel Information Parcel Number: F200000038 Township: Calahaln NCPIN Number: 5800761291 Municipality: Account Number: 62385750 Census Tract: 37059-801 Listed Owner 1: ROGERS PAUL Voting Precinct: NORTH CALAHALN Mailing Address 1: 1339 SHEFFIELD ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 12.13 AC SHEFFIELD RD Fire Response District: SHEFFIELD - CALAHALN Assessed Acreage: 12.79 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/1993 Middle School Zone: NORTH DAVIE Deed Book / Page: 001670792 Soil Types: ApB,MnC2,WeC,PcC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 120020.00 Outbuilding & Extra Freatures Value: 7750.00 Land Value: 110590.00 Total Market Value: 238360.00 Total Assessed Value: 238360.00 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 N, 1. County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to or arlsing out of the use or Inability to use the GIS data provided by this website. Permittee's- DAVIE COUNTY HEALTH DEPARTMENT Naine:­ ` r r Environmental Health Section PROPERTY INFORMATION ' ' 1 P.O. Box 848 Directions to property: Lf �� -� Mocksville, NC 27028 Subdivision Name: < . Phone #: 336-751-8760 AUTHORIZATION FOR Section:_ f WASTEWATER Lot: I SYSTEM CONSTRUCTION Tax Office PIN:# AUTHORIZATION NO: 002956 A Road Name. **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) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALH) FOR A PERIOD OF FIVE YEARS. IRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: B6LDING TYPE # BEDROOMS _ # BATHS �, # OCCUPANTS _D 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)3 6 c� NEW SITE REPAIR SITE T 11 / �� SYSTEM SPECIFICATIONS: TANK SIZE �� 1 AL. PUMP TANK"GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. .z 7, OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT t 14 � t r, 11 14 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 1_ °� SYSTEM INSTALLE BY: V O - Ls cc .r ► _ I irony r C V < i 1 i%/ . / l/ y AUTHORIZATION NO. c�� � 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. 002102 (Revised) ¢ 6 V. �q 3l s I DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION/ 170,63S-1000 APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) / ! NAME �� I Kme/es PHONE NUMBER T?z'Zl�I3 ADDRESS�Tjj ��, je"_ e1d, fi10dA5V11e_ tv SUBD VISION NAME DIRECTIONS TO S t J / r LOT # %bbl s Ok e's ear a. Z Duh I DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDERP'nf /qq 3 o Pdi�1 TYPE FACILITY4400— NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY % Lfl SPECIFY PROBLEM OCCURRING1;1 J 441// DATE REQUESTED 51/8/09 INFORMATION TAKEN BY 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 Re,,.,�Q�� �, �� .� �; �S� ark f"�� K of 6 y 0�� if I o a p Fvkw►) ° Nam a Improvements permit by *Contact a representative of the Davie' 66' my Health,,Pepartment for final inspection of this system between 8:30- 9:30 AM. or 1:00-1:30 P.M.' on day of completion. elephone Number 704-634-5985. Final Installation Diagram: System Installed by _E�S� \ 13 ; w 9 � a � V 4 'JOS F 2 y'► � �—� k 1/ Certificate of Completion �' Date *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the aboveregulation, but shall in NO'way be taken as a guarantee that the system will function satisfactorily for any given period of time. 4"X0 ` DAME COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION '*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage SysteT� _ Permit Number, Name �l \ cr rm � Date a3 -� 3 NO 7066 Location � ` , �� Q�y, ��1 "pA � � o c�.s � ��\ � � � •L . _ , x s' Subdivision Name ?J Wed l Lot No. Sec. or Block No. Lot Size ,House Mobile Home Business _— Speculation s � No. Bedrooms No. Baths No. in Family _ Garbage Disposal YES ❑ NO E!r Specifications for System: Auto Dish Washer YES �7� NO ❑ G U I k 3 I �i Auto Wash Ma^hine YES [� NO M Type Water Supply 103__— 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Improvements permit by '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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by O 1`1 :,-- a�OJ< Certificate of Completion Date - 2� Qf 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. �- DAVIE COUNTY HEALTH DEPARTMENT PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a -Sanitary Sewage Systems - Permit -Number Name Date No Location Subdivision Name �"" `��'d Lot No. Sec. or Block No. Lot Size , House 1 Mobile Home _� Business -- Speculation No. Bedrooms .No. Baths _ No. in Family Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES p NO E]r " ' Auto Wash Ma^hine YES p NO ❑ Type Water Supply _ 'This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change. Improvements permit by '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 day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by "� V.J...,' h L ` 1 60 Ll Certificate of Completion Date 'The signing'of'this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation- but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of -time:' --. f .r� �- DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME � �.�\ Q PHONE NUMBER 49 ADDRESS \, - SUBDIVISION NAME DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY \k o 0 s NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED 2 TYPE WATER SUPPLY \Q SPECIFY PROBLEM OCCURRING DATE REQUESTED3 -1' - cI_'� INFORMATION TAKEN BY 1 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 i ` LOT# DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY \k o 0 s NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED 2 TYPE WATER SUPPLY \Q SPECIFY PROBLEM OCCURRING DATE REQUESTED3 -1' - cI_'� INFORMATION TAKEN BY 1 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 i `