233 Farmland Road Lot 10s
Davie County, NC Tax Parcel Report Wednesday. December 21. 2016
WARNING: THIS IS NUT A SURVEY
Parcel Information
Parcel Number:
H500000209
Township:
Mocksville
NCPIN Number:
5739865222
Municipality:
Account Number:
2317000
Census Tract:
37059-806
Listed Owner 1:
ANGELL RICHARD L
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
233 FARMLAND ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description: LOT
10 FARMLAND ACRES SECTION TWO
Fire Response District:
c
MOCKSVILLE
Assessed Acreage:
4.52
Elementary School Zone: MOCKSVILLE
Deed Date:
3/1981
Middle School Zone:
SOUTH DAVIE
Deed Book I Page:
001130166
Soil Types:
GnB2,GnC2,ChA
Plat Book:
0005
Flood Zone:
Plat Page:
041
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
County,
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161
NC
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all daims or causes of action due to
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.'� DAVIE COUNTY HEALTH DEPARTMENT -
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name ='� .; / �s v Date __r_� ; ''%f"�;.`,�:y9
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size 'j%!' -► �' �— House ��`� Mobile Home _ Business Speculation
No. Bedrooms— "_� No. Baths i SJ No. in Family
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer YES NO ❑
Auto Wash Machine YES NO ❑
Type Water Supply `�,__? � --- x4V `
'This permit Void if sewage systeFndescribed below is not installed within 36 months from date of issue.
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:
+1I
W 3-f 1)1/110
TL C( - i (- -K
System Installed by S 'tit am 14- �k',..N ( EIS U).tVER)
Certificate of Completion INA( Date
The signing of this certificate shall indicate that the system de cribA 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.
E
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone-? ('!K- a 91,r
1. Permit Requested B Rte AR Cil L w4 t It Business Phone 6 3 a�S�
2. Address /37` x Y73 �J1a�.P�s �•!At /r✓. C. Z,>dZdr'
3. Property Owner if Different than Above _24 — e -
Address k( -c*e,-Q ; 1--t '119 Fi9�T.�llt.v� �c,ios �.�.�9 �� Cac.YR2
4. Permit To: a) Install Alter Repair /Oe''4s."
b) Privy Conventional V Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people 4
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 3d X -53
Bed Rooms 44 Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes .3 urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes '!fNo
9. a) Property DimensionsAb�dPR-w o? 00 X 16-0,0
b) Land area designated to building site les
c) Sewage Disposal Contractor 014...0 £ 2
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? NO
What type?
This is to certify that the information is correct to the best of my knowledge.
1
Date Own Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-82)
# le
/101.-S A C r Y\ C14-..Ti�-)