109 Hickory Tree Road Lot 1Davie County, NC Tax Parcel Report Wednesday, January 11, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book I Page:
Plat Book:
Plat Page:
Building Value:
WAICIVI1NG: 'I'MN IS 1NU'I' A SURVEY
Parcel Information
J701 OA0001 Township: Fulton
5768321792 Municipality:
30480000 Census Tract: 37059-804
GREENE DANIEL C Voting Precinct: FULTON
109 HICKORY TREE ROAD Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 1 HICKORY TREE SECTION ONE
0.50
3/1981
001130261
0004
170
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
Gn132
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
npp Nq�
Davie County,
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l� C
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 orfitness for a particular use. All users of Davie County's GIS website shall hold harmless the
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 webstta
DCHD07J02;(Revised)
7.
Pernutteb 60!7 .q4 � ._. DAVIE COUNTY HEALTH DEPARTMENT "I/ ✓�
Il Environmental Health Section ;,-PROPERTY INFORMATION
- r_•Js._ � -�i
` X 1P.O. Box 848
Directions to property: t` I t t `" (Vlocksville, NC 27028 Subdivision Name: t ` ' I kA " a e
�CPhone4:336-751-8760
/',I, Jr ►. Vit: : E F .r k, ;I Ll Section: Lot:
9 ; f pp AUTHORIZATION FOR
WASTEWATER
d Tax Office PIN:#
SYSTEM CONSTRUCTION t
AUTHORIZATION NO: 002735, I A Road Name: Zip: �` "•= t ",
vi
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pennits. This Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Pennits.
(In compliance with Article I I of G.S. Chapter) 130A, Wastewater Systems. Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
r Ij✓ "4 �+` IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS :3 GARBAGE DISPOSAL: Yes or No ,•r
i�
COMMERCIAL SPECIFICATION: FACILITY TYPEi # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 4/� NEW SITE REPAIR SITE ►°�
SYSTEM SPECIFICATIONS: TANK SIZE �I GAL. PUMP TANK GAL. TRENCH WIDTH 34 ROCK DEPTH LINEAR FT.
OTHER f h
r
REQUIRED SITE MODIFICATIONS/CONDITIONS:
,T-LAYOUT----------------
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FOR FINAL INSPECTION OF THIS SYSTEM P (EASE CALL BETWEEN 8:30 - 9:
OPERATION PERMIT
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S
IiA.NI. ON.THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
SYSTEM INSTALLED BY: l kP if m a vx .rU YL n I
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AUTHORIZATION NO. _ O 3 OPERATION PERMIT BY: 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 NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised)
&1011161 ' ../VU. die' �f �
�_ �-
Permittees DAVIpE COAUN�T�Y HIE1,A�LT�H OEdPA�RTIVIENT
Enwtronmental Health Section PROPERTY INFO.RMfATION
P P y�,�,r' ; , ; ,.` �l�E.:;, F Mocksulllle. NC
j, P O. Box -848 .:F
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Directions to' .ro ert Y, ;I �70�,g Subdivision Name. f�
vj{ - ..
Phone #: 336-754-8760
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Section: Lot:
AUTtHORI7.ATION'.FOR
WASTE�WATFR Tax Of`ic PIN:# -
SYSTF,M CONSTRUCTION
�f CQl�c%kb�y �reye
AUTHOREIZATION NO: o 2 7 0'i °a ! �j
A Road Name ZI
**NOTE** This Authorization for Wastewater System Construction MUST BE -ISSUED by the Davie County Env ironmentalffl, &' h Section prior
to- ssuance:of any (Building Permits. This Fonn/Authonzation Number should be presented to the Davie County BuildingFlnspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. ChapterP 130A, Wastewater Systems Section .1900 Sewage Treatment and Disposal Systems)
**NOT'ICE***YT S RUTH(<)R17ATI®N�F aOR WASTEWp`AaTER€CONSaTRUCTION
0,4 , 3IS VkLIn FOR A PERI®D OF FIV.: I EA' RS:
ENVIRONMENTANEA'LTH SPECIALIST DATE ISSUED
Lj
RESIDENTIAL SPECIFICATION: BUILDING TYPE ^ - #BEDROOMS #BAT
HS # OCCUPANTS GARBAGE<DISPOSAL-: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEjI # PEOPLE # PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE: Yes or No
e
LOT SIZE TYPE WATER SUPPLY i DESIGN WASTEWATER FLOW (GPD), 7 NEW SITE REPA+IR:SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH'WIDTH U ROCK DEPTH oL3 `f LINEAR FT/- ?
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT,PERMIT LAYOUT
LLL riC'—,1�—W/CC1V 8; JU. 7 JU'H�NL ' V1V "sA'�ttC I
SYSTEM INSTALLED BY:
it
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AUTHORIZATION NO. OPERATION IICPERMIT BY:
**THE ISSUANCE OF THIS OPERATIONPERMTr SHALL INDICATE THAT TH
WITH ARTICLE I I OF G:$ CHAPTER 130A, SECTION .1900 "SEWAGE TREAT
z GUARANTEE THAT THE'SY.ST.EM WILL FUNCTION SATISFACTORILY FOR: -'i
DCHD 02/02 s�
(Revised) a '
y�am.LL4� �1�/h-
AY OF INSTALLATION.TELE
DATE
ED ABOVE HAS BEEN INSTALLED INWCOMPLIANCE
L SYSTEMS", BUT SHALL IN NO WAY'BEyTAKEN=A$ A
OF TIME.
:.DCHD 02J02'(Revised)
' $ y1•.Y.y°r
Permi•-tam . 6' DAVIE
716
COUNTY HEALTH DEPARTMENT
*`"� a �'%�f�
aNae -
Environmental'Health Section �;b PROPERTY INFORMATION
P.O. Box 848 M
'` C.
Directions to property. `
Nlocksville NC 27028 . Subdivision Name:
Phone #'. �� 1,.
336 751',-8760
141i`'
Section: Lot:
AUTHORIZATION FOR'
f WASTEWATER ; Tax Of is PIN:#
SYSTEM CONSTRUCTION
re
AUTHORIZATION NO:
I .AP Read Name:e-koty
Zip:_
**NOTE** This Authorization for Wastewaterj,System
Construction MUST BE ISS 1 ED by the Davie County Environmental Health Section prior -
to issuance of any Building Permit.
This Fonn/Authorization Number"should be presented to the Davie County Building Inspections :
Office when applying for Building
Pen -nits. r,
(In compliance with Article 1' 1 of G. S. Chapter�f
130A, Wastewater Systems, Section .'1900 Sewage Treatment and Disposal Systems)
II
**'*NOTICE*** TH18 AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,.I -VALID FOR A PERIOD OF FIVE YEARS.
ISSUED
ENVIRONMENTAL HEALTH SPECIALIST DATE
RESIDENTIAL SPECIFICATION: BUILDING TYPE
# BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
# PEOPLE # PEOPL " - # SEATS INDUSTRIAL WASTE: Yes or No
TYPE WATER
I/SHIFT
_ n..
ILS WASTEWATER (GPD) REPAIR
LOT SIZE SUPPLY
DESIGN FLOW , NEW SITE SITE`
SYSTEM, SPECIFICATIONS: TANK SIZE' GAL.
PUMP TANK GAL., TRENCH WIDTH � 3 ROCK DEPTH aG LINEAR FTA
�
OTHER
REQUIRED SITEMOIJIFICATIONS/CONDITIONS:
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IMPROVEMENT PERMIT LAYOUT {
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Par*.
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FOR FINAL INSPECTION OF THIS SYSTEM lip
LEASE CALL BETWEEN 8:30 - 9:30 A.M. ON
THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760 =
OPERATION`PERMIT'
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Iti r ; . f SYSTEM INSTAL`LE'D BY ti r Cs. t'if,
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AUTHORIZATION NO. ;OPERATIONLLP6RMITBY
<.' DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT
SHALL INDICATE THAT THEI 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 THESYSTEM WILL FUNCTION
SATISFACTORILY FOR ANY GIVENJkPERIOD OF TIME.
:.DCHD 02J02'(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number'
Name Date 5
Location 00 G F If
Subdivision Name1��C'(' l' e— ,Lot,No„ Sec. or Block No.
Lot Size�0 o �--
.— House Mgbile Home _ Business Speculation
No. Bedrooms _ No. Baths No. in -Family
Garbage Disposal YES 1,L]- 'NO :Q— Specifications for System:_ q" �q
Auto Dish Washer YES p' NO p
�� ,•,1 is ( r ;� yj')' +l , tf &
Auto Wash Machine YES NO
Type.Water'Supply Comit4h_ r_�q
*This permit V,oi'd if sewage system described below is not installed within 36 months from date of issue.
li
Improvements permit by
V
*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. Tel ephone-Number-: 704-634-5985.
Final Installation Diagram:
d
System ln:stalled by
Certificate o pletion , Date
*The signing of this certificate s all indicate that the system described ab9 a 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.
t
Improvements permit by
V
*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. Tel ephone-Number-: 704-634-5985.
Final Installation Diagram:
d
System ln:stalled by
Certificate o pletion , Date
*The signing of this certificate s all indicate that the system described ab9 a 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 COMITY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
P. 0. BOX 57
MOCKSVILLE, N.C. 27028
(704) 634-5985
Statement for Septic Tank Improvements Permits and/or Site Evaluations
NAME_ On t . �, . C- 4 `cth..-.'S DATE
ADDRESS a . P, �tt 11 3�t , PER14IT NO.
Y'ncrlL3�'11G
EXPLANATION OF CHARGE
AI.70UNT DUE .A SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.
*NOTICE: Evaluation(s) can not be completed until payment is received.
Improvements Permit(s) can not be issued until payment is received.