260 Southwood Drive Lots 5-6Davie Countv. NC
Tax Parcel Report
III ( Monday. October 10. 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J5150D0004 Township:
NCPIN Number: 5747168401 Municipality:
Mocksville
Account Number:
13540000
Census Tract:
37059-805
Listed Owner 1:
CARTER LAWRENCE R
Voting Precinct:
SOUTH MOCKSVILLE
Mailing Address 1:
PO BOX 401
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE GR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 5-6 SOUTHWOOD ACRES
Fire Response District:
MOCKSVILLE
Assessed Acreage:
1.49
Elementary School Zone: MOCKSVILLE
Deed Date:
5/1972
Middle School Zone:
SOUTH DAVIE
Deed Book/ Page:
000870311
Soil Types:
GnB2,GnC2
Plat Book:
0004
Flood Zone:
Plat Page:
055
Watershed Overlay:
MOCKSVILLE
Building Value:
119900.00
Outbuilding & Extra
2980.00
Freatures Value:
Land Value:
20500.00
Total Market Value:
143380.00
Total Assessed Value:
143380.00
Off: �FAll 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
NCC 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.
Permittee's 1 DAVIE COUNTY HEALTH DEPARTMENT
1"tamw: ,;�,, /`�` i :•' r" -i % ,' ' ,. Environmental Health Section PROPERTY INFORMATION
- / P.O. Box 848
Directions to property:,� 1Vlocksville, NC 27,028 Subdivision Name:
Phone #: 336-751-8760
Section:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
AUTHORIZATION NU. r1 1 A ' Road Name:
Lot:
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 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/ f TLLIC A 1 TTLTAD17 A "n%J C!\D W A CTC\x/ A TCD f'llA1CTDL il�TllA11
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH -SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE & # BEDROOMS r� # BATHS -9 # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE- # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ! 1_��a DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH(� C/ LINEAR FTI/
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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. ` Z( -OPERATION PERMIT BY: Aa DATE: 75-/ % ` C/
++THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 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 02102 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) LG "` `� `' M SSS-•
NAME 14 G� �-T Z PHONE NUMBER 7!
ADDRESS c -S-e 'A u,) Owd p►e SUBDIVISION NAME 5. W •
� .S Iq- 1J G LOT #
DIRECTIONS TO SITE (Q d l S (�` e D •ran f` /'moi a LJ -S
DATE SYSTEM INSTALLED-?
�Y7LNAME SYSTEM INSTALLED UNDER 79_7-eoe-
TYPE FACILITY NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED _2"
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
IV If
DATE REQUESTED 103 INFORMATION TAKEN BY uL- 4 -
This is to certify that the information provided is correct to the best of my knowledge, and that I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
DAVIE COUNTY HEALTH DEPARTMENT
SEPTIC TANK PERMIT Date L
)TAmer/Occupantl !Jcu rem e- e
_ �o
To�-c�—
f
Address G
Building Contractor �% !�(` �d
Address '
Cal. oto ManufacturerIsName
,J, �� Address
DAVIE COUNTY HEALTH DEPARTMENT
SEPTIC TANK PERMIT Date L
)TAmer/Occupantl !Jcu rem e- e
_ �o
To�-c�—
Address'f2��6&2:2, 1(2!�
Address G
Building Contractor �% !�(` �d
Address '
Cal. oto ManufacturerIsName
,J, �� Address
No. of lines /T- �Z Width;Y/-)i-in. Total
length ft. No. sq. ft. g s�
Type of filter materialy/Dc?" Szz
Total tons used 3/
Minimum P.Equirements: House Trailer Tank
cap. 800 Sq. ft. line 400
Two-bedroom house
800 600
Three-bedroom house
, 900 % ' 900
No one shall install a septic tank in Davie
County without a permit from the Health Offic
or his agent.
Date of Final Approval
Signed:
Sanitarian
I hereby certify that the above septic tank
has been installed according to specificatior
Signed:
Septic TarK Contractor
Note: Make sketch of disposal system on back
of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina
27028.
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DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PEWIT Date T L
JHmer/Occupant1 Ocu ren c e To.
`-c�—
rtddress„4 /��� _ Address
Building Contractor �u �� Address
Cal. oz> Manufacturer's Namec2�� ,/. �ji Address 22 ¢, It
'1o. of lines % �, Widthjos�j
'-�-in. Total length / p ft. No. sq. ft. 9 s -Z
Type of filter material 7z/ao?.�a.S Total tons used 3/
Minimum REquirements: House Trailer Tank can. 800 Sq. ft., line 400
Two-bedroom house 800 600
Three-bedroom house 900 - ` 900
No one shall install a septic tank in Davie County without a_permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specification,
Signed: A T �D,,72�
Septic TanK Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
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