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798 Sheffield RdDavie Countv, NC Tax Parcel Renort I Wk Thursday. October 6. 2016 WARNIING: TH15 1S IVU'1' A SURVEY Parcel Information Parcel Number: G20000002804 Township: Calahaln NCPIN Number: 5810127929 Municipality: Account Number: 42079500 Census Tract: 37059-801 Listed Owner 1: KALISH KRISTINE P Voting Precinct: NORTH CALAHALN Mailing Address 1: 798 SHEFFIELD ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-8408 Voluntary Ag. District: No Legal Description: 1.00 AC SHEFFIELD RD Fire Response District: CENTER Assessed Acreage: 0.96 Elementary School Zone: WILLIAM R DAVIE Deed Date: 3/1997 Middle School Zone: NORTH DAVIE Deed Book / Page: 001930337 Soil Types: MnC2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 105480.00 Outbuilding & Extra Freatures Value: 18430.00 Land Value: 20100.00 Total Market Value: 144010.00 Total Assessed Value: 144010.00 i 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 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. OGT 2 5 2000 t , NJa'f�71JiV! rj FL]0 THr ►_x•1.1:, "(./ 1-/- n o DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROV MENT PERMIT (REPAIR) J PHONE NUMBER__ _( DIRECTIONS TO SITE 'T7J1 UBDIVISION NAME LOT # DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER CJ TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY__ -SPECIFY SPECIFY PROBLEM OCCURRING b e r- 4 P1, -c � c C , o r L<< e .t rt , L'^r t s DATE REQUESTEINFORMATION TAKEN BY Lb - 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 AUTHORIZATION NO: I U 0 Permittee's NWne: ((/j FAI COUNTY HEALTH DEPARTMENT 7AVW ` Environmental Health Section PROPERTY INFORMATION P.O. Box 848 Mocksville, NC 27028 Subdivision Name: /f�' hone # 336 a:?l -751-8760 Directions to property: �% / T /f 0 Section:_ 1/ AUTHORIZATION FOR WASTEWATER Lot: - `S i✓ I /' SYSTEM CONSTRUCTION Tax Office PIN:# - - 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �', ! • ��1,�' ) v _ /% �F l G� IS VALID FOR A PERIOD OF FIVE YEARS. ENV RONMENTAL HEALTH SPECIALIST DATE ISSUED 30 PR AV COUNTY HEALTH DEPARTMENT �� _ �_ �� RM1 fJ (OVEMENT AND OPERATION PERMITS U O RT INFOATION r Permittees ,Y Name: Subdivision Name: y Directions to property: i `%. -f %fF + Section: Lot: IMPROVEMENT 2, %�"' . ;1. �' PERMIT Tax Office PIN:# - - f Road Name: 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 _ , • :' ,+'! ; "r 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 2 # OCCUPANTS —_,7 GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY YM DESIGN WASTEWATER FLOW (GPD) `h NEW SITE REPAIR SITE "?e4'SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH "ROCK DEPTH LINEAR Fr. C�6D OTHER 1& REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT 4'RPPMVED EFFLUZPJT FILTER�F2I��? (S) IF G" L�LfI:) FI1dI"i'�i) CRAPiI= a 'C r 'Ire r T "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 # IS4904y634=8760. xxxxxxxx:; I OPERATION PERMIT /ov SYSTEM INSTALLED B /Vd AUTHORIZATION NO. _&L OPERATION PERMIT BY: r 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) 1 AVIE COUNTY HEALTH DEPARTMENT- r{ 1 ., .ROVEMENT AND OPERATION PERMITS J PROPIik INFORMATION r ,-'Pefmgtee's ,Hartle:' Subdivision Name: . r ; d Directions to property: ' Section: Lot: IMPROVEMENT �'. PERMIT Tax Office PIN:# Road Name: 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 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 _„Z # OCCUPANTS GARBAGE DISPOSAL: Yes or No F COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY IV- , DESIGN WASTEWATER FLOW (GPD) ` l 1 , (� NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH I r ROCK DEPTH S/T"LINEAR FT. OTHER .�.� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT F1 5 '41 a IF 611 BELOIJ FINISHED Gt' DEi �fJo�ic1 "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. TELEPHON9-# IS4704y634-9760. OPERATION PERMIT /00 ( l SYSTEM INSTALLED BY: ------------------------------- /n J f 4 AUTHORIZATION NO. t 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)