1858 Jericho Church Road Lot 11-12Davie County, NC Tax Parcel Report Tuesday, November 29, 2016
WARNhN T: 'PHIS 15140'1' A SURVEY
Parcel Information
Parcel Number:
K4010A0001
Township: Mocksville
NCPIN Number:
5727648702
Municipality:
Account Number.
82525924
Census Tract: 37059-801
Listed Owner 1:
FOSTER MARGARET C
Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1:
6236 PARKFIELD LN
Planning Jurisdiction: Davie County
City: CLEMMONS
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27012-0000
Voluntary Ag. District: No
Legal Description:
LOTS 11-12 COUNTRY ESTATE LIFE ESTATE
Fire Response District: MOCKSVILLE
Assessed Acreage:
9.50
Elementary School Zone: MOCKSVILLE
Deed Date:
2/2006
Middle School Zone: SOUTH DAVIE
Deed Book / Page:
006500740
Soil Types: SeB,EnB,IrB,EnC
Plat Book:
0004
Flood Zone:
Plat Page:
057
Watershed Overlay: DAVIE COUNTY
Outbuilding& Extra
Building Value:
FO eatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
161 All data Is provided as Is without warranty or guarantee of any Idnd 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 Countys GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
REPAIR OPERATION PERMIT
0005680 Tax PIN/EH #; 5727-64-8702
argaret Foster Subdivision Info: Country Estates Lot # 11-12
RE
PERMIT LocationiAddress: 1858 Jericho Church Road -27028
Re
Permit Property Size: 9.501 Acres
Account #:
99
Billed To:
M
Reference Name:
R
Proposed Facility:
R
ATC Number: 5776
**NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. -)�/.//
f System Type: ,ii— S.T. Manufacturer —110W Tank Date %0 Z6 Tank Size
Pump Tank S
kS
System Installed By: E.H. Specialist- Dater 1//
GPS
GPS Coordinate:
DCHD 11/06 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
- P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)75376780 / Fax # (336)753-1680
REPAIR IMPROVEMENT PERMIT
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #:
990005680
Tax PINI H #:
5727-64-8702
Billed To:
Margaret Foster
Subdivision info:
Country Estates Lot # 11-12
Reference Name:
REPAIR PERMIT
LocationiAddress:
1858 Jericho Church Road -27028
Proposed Facility:
Repair Permit
Property Size:
9.501 Acres
ATW%is IP/6Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (incompliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS IP/ AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat
otr the intended use change.
Residential Specifications: # Bedrooms # Bathrooms # People Basement A- Basement plumbing❑
Non -Residential Specifications: Facility Type # People # Seats
Square Footage(or Dimensions of Facility)
Lot Size _ Type of Water Supply: ELCounty/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow (GPD) -360 Size I(X GAL. � Pump Tank GAL..
h
Trench Width Max. Trench I)epthRock Depth Linear Ft. SCO Z�
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Health Section for final inspection of this system between
8:30 — 9:30a.m. on the day of installation. Telephone # 336 753-6780.
bQlh Ole U►i-e, wl(jm
1
A '/
Environmental Health Specialist
DCHD 11/06 (Revised)
4 Liz S/'�(
Dater t�
,:Tv �# 77 9
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date
Dumer/Occupant p� e° iQ To: -T -- �
.`;Address --, Q re,
F' -� Address
Building Contractor C. C,QcPild clCS Address
Cal. g�� Manufacturer's Name7Wui C' � Address
No. of lines Width �in. Total length ft. No. sq. ft. q O d
Type of filter material s`i n!P Total tons used 31
Minimum REquirements.: House Trailer . Tank cap. 800 ,Sq. ft. line 400
Two-bedroom house 800. 600
Three-bedroom house 90
No one shall install a septic tank'in Davie County without a permit from the Fealth Offic
or his agent.
' Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed accordin to specificatior
Signed:
?SEPIe /",q d Septi ank Contractor
A.
2 Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
4.if