150 Fernwood Lane Lot 24Davie County, NC I Tax Parcel Report Friday, November 18, 2016
WARNMG: TWS 1S NOT A SURVEY
Parcel Information
Parcel Number: H414OA0007 Township:
NCPIN Number: 5739416595 Municipality:
Mocksville
Account Number:
OIC
18340000
Census Tract:
37059-806
Listed Owner 1:
COZART LESTER D
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
150 FERNWOOD LANE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE GR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 24 COUNTRY LANE EST
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.64
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/1998
Middle School Zone:
SOUTH DAME
Deed Book / Page:
002030454
Soil Types:
Gn132
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
137470.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
25000.00
Total Market Value:
162470.00
Total Assessed Value:
162470.00
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 warran es of merchantability or fitness for a particular use. AN users of Dade County's GIS websfte shall hold harmless the
County of Dade, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
�T
l� C or arising out of the use or inability to use the GIS data prodded by this website.
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A11`•-IORIZa1TION NO. i' 4 3#DAVIE COUNTY HEALTH DEPARTMENT
a Environmental Health Section PROPERTY INFORMATION
Permittee's P.O: Box 848
Name: %S` �!`�. n ���. Mocksville, NC 27028 Subdivision Name:
,tom ^/ Phone # 336-751-8760
Directions to property: /-C�j;, Section: Lot:
AUTHORIZATION FOR
/ WASTEWATER
Tax Office PIN:# - -
SYSTEM CONSTRUCTION
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 -Permits: This Form/Authorization Number should be presented to the Davie County, Building Inspections '
Office when applying for Building Permits.
(in compliance, with Article 11 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:
ENVIRONM NTAL HEALTH SPECIALIST DATE ISSUED
9 4" DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pet tee s ,r r
Name"` �'r.�f,. Subdivision Name:
Directions to property: .+iP" r'ff /!r ,+tti .; , Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# -
Road Name: 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 I I 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_ # BEDROOMS_ # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITYNYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY- DESIGN WASTEWATER FLOW (GPD, NEW SITE_REPAIR SITE v
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH Jho ROCK DEPTH(QYq "LINEAR Fr../--,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**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 (RW)(W t-X7fflX
(336)751-8760
DCHD 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
-(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNEk OR CONTRACTOR �`:w' �` i ';,- ,'!�'�W f�.- DATE PERMIT
--LOCATION'
N° 1957
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE I;L.--•`•' MOBILE HOME ❑ BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
N0. BEDROOMS N0. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 3— Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES 0" NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES 2-' NO ❑ J/,,: ,t.
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.1 /�`� 1 �(/(j( '�}' j/:,;c(� '� f
" �ir.d ✓ 3 aw* L 6.P
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY<: INSTALLED BY 6
CERTIFICATE OF COMPLETION By — I'i I A /' /.l [
(8/16/73) *Construction must comply with
LOT AREA
t tr f – Date 1- ,1 1' 4
1 other applicable State and local regulations
OUNTY HEALTH DEPARTMENT
P. 0. BOX 57
KSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
-,
NAIVE ��/j ��"/�� � DATE ISSUED -n//
ADDRESS 4 � ."Ti's j?/`� PERMIT N0.
/y
Explanation of charge �%i7�J,yfJyPi�lL��� .5 ��°� / 74
AMOUNT DUE SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.