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214 Vineyard LnDavie County, NC � T� Parcel Report Tuesday, October 11, 2016 WARNING: Tffi5 IS NOT A SURVEY Parcel Information Parcel Number: H60000002401A Township: Shady Grove NCPIN Number: 5759664062 Municipality: Account Number: 67846000 Census Tract: 37059-803 Listed Owner 1: SMITH NATHAN F Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 214 VINEYARD LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 2702&7444 Voluntary Ag. District: No Legal Description: 46.794 AC OFF MILLING RD Fire Response District: CORNATZER - DULIN Assessed Acreage: 47.01 Elementary School Zone: CORNATZER Deed Date: 4/1981 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001130458 Soil Types: WeC,WeB,PcB2,PcC2,EnC,ChA,WATER Plat Book: Flood 2one: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Land Value: Total Assessed Value: 103850.00 Outbuilding � Extra 11550.00 Freatures Value: 199360.00 Totai Market Value: 314760.00 155360.00 9"�'�' Davie County, °��N�� NC a _ _ >... ..�,. . : .J .: ,_� � � �„ ..�..a♦ .-..G�.yJ� . � f ..u=r . `�.. 't, . . . .:�-... , . � .. cr _. , _ . . ,. V . . , . ... � . .. - , . , � Y� � 4 ; �t ..� �-se� ��`Y' �I� :}. i "'-r' �.� .,;_ . . _ ,Yt, ;; ,,,; r ; : , ., ..; �,�- 3-0 � . � AUTHORIZATION NO: �1 �� DAVIE COUNTY HEALTH DEPARTMENT . Environmental Health Section PROPERTY INFORMATION Permittee's „ r� J�� I .�J� P.O. Box 848 Name: �tf / T •. Mocksville, NC 27028 Subdivision Name: �� j/, � � j� � hone # 336-751-8760 Directions to property: ��i,� /,,�,�' �'� Section: Lot: AUTHORIZATION FOR /'`,�� - �G, f ��. WASTEWATER Tax Office P1N:# - - SYSTF,M CONSTRUCTION �, ✓�� ✓`�' /� il� /'O �%''(C`!�<',..�C.�`� �%�f� �'� l..�l.c-� �� k"�(�/ 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 �ermits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Perrnits. � � (ln compliance with Artide 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ENVIRONMENT .,..-��..i-�, HEALTH SPECIALIST �%r � �,'�`,- .l�l'�� DATE ISSUED ( ***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF F7VE YEARS. A � ... - ...e�.,..., , .♦ -♦. a . . _ _ ._ - _ .. . .. . . . . . . . . ...vs N .i . . .. : ...:. �.., r'... �: p. � .�..r'�" . .,�q ..+...s:..,.. � .' -. '.. . . } �� '��.M,. �� ,� A� ��'� D VIE COUNTY HEALTH DEPARTMENT �� - �> - U � �, t x � '' p :.•'` TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's ,+ ��'''" .�l,/ Name: '' �� /.� � t r} 1`-•'/� •�/ h , Subdivision Name: ^ Directions to property: �� W'' � - r` < _ �';'� ��J ✓� Section: Lot: , IMPROVEMENT; .�";��";'F�, p' �`,�i, %/�,� PERMIT Tax Office PIN:# ''� % ; - ;;' r �` , f� ,�Gf �.0�.�� 1'��" ,��. 'C,; l:.a�� r r :fr ° .i ',{`� ,,�„�,i� ��`� �. rf= Road Name: Zi ,r'°!� ,,,� ` , P: **NOTE** This Improvement Pernut DOES NO'T' authorize the"construction or installation of a sepGc 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 pernut. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) . �'" '^"' ***NOTICE*** TFIIS PERNIIT IS SUBJECT TO REVOCAITON IF SITE � � �'" ; . , � r,. • f .. : ,> . ;' t - �'' "r f r��Cz'. �� • } � . F �� %''�'r' �';r'�1 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 _�_ # OCCUPANTS,�� 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) '='� //r f� NEW SITE REPAIR SITE ' � �j � � �J /r !� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTIa[� �' LINEAR Ff./ �� REQUIRED SITE MODIFICATIONS/CONDITIONS: I IMPROVEMENT PERMIT LAYOUT i.�iT�PE?LIVED EFF1l�:!'!T FIL'iER� �FtI��i��5} IF 6' ��0�-! FIP3I8{�=�D Gi�RDE�� d �_.----'"� ��y w i �� .�. � - • -, _ • �. - . . . _ ,.... _. _ **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. XS{)iH?SMK1t3: I OPERATION PERMIT SYSTEM INSTALLED BY: � � � 1 .� � QQ��y � ,� ` .� ` . � . ..-� '�J ,, �' ✓ c� AUTHORIZATION NO. /�� OPERATION PERMIT BY: DATE: � �`va **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 GNEN PERIOD OF TIME. DCHD OS/96 (Revised) .q x . F v:.. t—fwrr'�:a./va ° .... .. �:. .—. . . . .: =�.d�.�i ... � . .. , . . ,. . • � : . �,,. + �'� � " r � ,, � �..,,: � � . �� % �., ��`. DAVIE COUNTY HEALTH DEPARTMENT ' ' ,� TMPROVEMENT AND OPERATION PERMITS Permittee's .--� , `� � '�"`�, —' r i, d- �� J , . ,,_ � ` i � "� „ '�� :.r it PROPERTY INFORMATION _ Name: �r .f`-' %•" •`�,� � •--`./�. � . Subdivision Name: . ,,,� ,.� ,�, ; ._ Directions toproperty: ��".�'� 'r"' �r � f:'�,;� f�° Section: Lot: `�,�' IlVIPROVEMENT �� ` • PE�T Tax Office PIN:# . , '%� ��' '".. r r �"�°.1 :� . ,-�' ,� `;� , r,�` Road Name: Zip: ; **NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tanlc 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 pernut. / (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systertis) N � ,.� -,;�" ***NOTICE*** THIS PERMIT LS SUBJECT TO REVOCATION IF SITE � ! ^� N }�, �,r • . , ,' , # �,; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING TI� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE ',/�-;7l,� # BEDROOMS �_ # BATHS �# OCCUPANTS � GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILITY 1'YPE # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) ��I %/� NEW SI'I'� REPAIR SITE �� .-. . � � %, �j � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ��-' ROCK DEPTH�' �'' L-INEAR FT/ _t� ~ , , OTHER ' 1 REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMTf LAYOUT - ' �.i�r��l�tlV�A �F�il.�cP3T 6�IL.TCl�a: �'RI��:f2t,�-�? ZF 6�� 1r3��.�1.�d FYC3I.�.�s3�ii C�f�I�� ..-� � � . �-' �� 1 Y i� ��.�� **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. 7�(XiCXk.{?Sh � I OPERATION PERMIT SYSTEM INSTALLED BY: � � ,i 1 �� , /�' �!� ~1 ' � �� %% r-, � AUTHORIZATION NO. `( OPERATION PERMIT BY: DATE: �� " �d **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 OS/96 (Revised) • ' �� O ��` `q\� � � �Ol$ �O � �� d ��y,o��`•0�� b�� , o�y� ,��aJ�� o�y5 o�� 'Qse 6 � � y��d ,SaQs��l�0' �s �� /'� � � O,M�°�"�y�� aa � � (/ .e�e �� VV �g'aQJ��¢�'QJ8 �y�o�yd . � ' �dys�� Joa59,�$�Q� ��,�,� ��aS ��, o,,� , o�e�Qg ��°aa �� o°ao�� ,� $u,°8' : ,�,,0� �,� S� �d� s,�'�'°'"p9''� `��o �% �y��5� f 't � ! •oop�'��aag ��\ .�� ,.-�dyS�\� � ��111�