125 Spry LnDa
I
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
WARNING: THIS IS NOT A SURVEY
Parcel Information
G700000023 Township: Shady Grove
5769781843 Municipality:
82533076 Census Tract: 37059-804
KNAPP LETTY F Voting Precinct: WEST SHADY GROVE
125 SPRY LANE Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-A,R-20,1-3
)16
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.67 AC OFF CORNATZER RD LOT 3
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
1.59
Elementary School Zone:
CORNATZER
Deed Date:
11/2011
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
008750337
Soil Types:
Gn62
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
60210.00
Outbuilding & Extra
Freatures Value:
770.00
Land Value:
22710.00
Total Market Value:
83690.00
Total Assessed Value:
83690.00
Davie County,
All data is provided as Is without warranty or guarantee of any Idnd 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
+
�7C
1\
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.
LAUTH» RIZATION No: .i 6 Q `� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY 07RMATION
Permittee's -� > �' P.O. Box 848
Name: 1 t� �"� Mocksville, NC 27028 Subdivision Name:
92 Phone # 336-751-8760
Directions to ro ert TZ"'
vt'l 5 f A y r'
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Section:
Lot:
Tax Office PIN:# -
175'
Road Name: S} � Y Lt -4 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 ) 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.
ENVIR N AL HEALT6 S CIALIST DATE 1 SUED
Permittee'"
Name:
DAVIE COUNTY HEALTH DEW�iMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
v L -A
Directions to property: �`�/ , `' �< i::r4Ni'�..
—' IMPROVEMENT
t PERMIT
tA%,l,Liu i`It
Subdivision Name:
Section: Lot:
Tax Office PIN:# - -
1
Road Name:..,** ! ( Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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)
ENVIRONMENTAL HEALTH SPECIALIST
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1`'1 M # BEDROOMS _,1_j # BATHS ;2 . S # OCCUPANTS 4-1 GARBAGE DISPOSAL: Yes gr N' o
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
/ t ^
b,.:j � PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
COMMERIAL SPECIFICATION: FACILITY TYPE` # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE/ TYPE WATER SUPPLY w DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE .-�GA,L. PUMPTANKGAL. TRENCH WIDTH3151 ROCK DEPTH LINEAR FT.�D
nTHFR / �G" �/�f_,/ ' Dj �c'x
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUE t4T FILTCR't- *RISER(S) IF G" BELO'-,! FItHSHED GMADE*
"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 (704yb3"760)
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
T
•" nn 44
_ jj� towPLcrz
nvr ijs?a;�%ncJ
J
AUTHORIZATION NO. OPERATION PERMIT BY: ATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM f5E ED ABOVE HA&dEEN INSTALLED I 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.
C-X,I
DCHD 05/96 (Revised)
�f
��,�. , / • ' j°aZ ADAVIE COUNTY HEALTH DEPAR'1'ME1VT''%rr` 1 j
IMPROVEMENT AND OPERATION PERMITS PROPERTY`' INFORMATION
Permittee"s t
t i � 1
Name:%t': �� �
Directions to property: 4``lf+
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name i L "I 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 M HH # BEDROOMS # BATHS,:;; . Ste# OCCUPANTS 41 GARBAGE DISPOSAL: Yes gfNo
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE` '5f G� TYPE WATER SUPPLY �N '"" DESIGN WASTEWATER FLOW (GPD) > NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT -I3jDPF )El) EFFLU IJT FILTERt KRIEER(S) IF 671 13E1_13",$ t=lt-ll6li%•i? GRAI)E*
**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 (14a) 6YVA i;6Y
(336)751-6760
OPERATION PERMIT
, Ie ",;p
SYSTEM INSTALLED BY:
t-
�?
AT
AUTHORIZATION NO.1 OPERATION PERMIT BY: �� '�� --DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM E C-RIBED ABOVE 11 t BEEN INSTALLED I 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 05/96 (Revised)
f
fy
o�
` a ! DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name Date.No 7092
,.r % t. � /i-/: ' r % •- /oar,.- . I ry ��� i�'�_r /..[ .
Location
Subdivision Na a Lot No. Sec. or Block No.
4 C,
Lot Size HouseMobile Home _,,7—Business Speculation
No. Bedrooms
Garbage Disposal
Auto Dish Washer
Auto Wash Ma^.hine
Type Water Supply
_.No. Baths _�_ No. in Family
YES ❑ NO ❑
YES NO ❑
YES NO ❑
Specific;ionsqystern:
"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
0
Certificate of Completion 1�`t-� 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.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
C d WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME a-bDiC, 31L AtL__ PHONE NUMBER
ADDRESS I a s- S PAS La, SUBDIVISION NAME
jrn
V.
SUBDIVISION LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED 93
NAME SYSTEM INSTALLED UNDER Gr���� S14,f L
SPECIFY PROBLEMS OCCURRING Nr&-/ ab 2 IA-kl
DATE REQUESTED l� INFORMATION TAKEN BY (lY
%6 l