113 Cedar Ridge Road Lot 6-7 + P/O 5Davie Countv. NC
Tax Parcel Report Tuesday, January 24, 2017
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F-O7
WARNING: THIS IS NOT A SURVEY
All datais provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness 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 artsing out of the use or Inability to use the GIS data provided by this website.
Parcel Information
Parcel Number:
J6050DO013
Township:
Fulton
NCPIN Number:
5758900204
Municipality:
Account Number:
52519000
Census Tract:
37059-804
Listed Owner 1:
MUSSELMAN PERCE ALBERT
Voting Precinct:
FULTON
Mailing Address 1:
113 CEDAR RIDGE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7120
Voluntary Ag. District:
No
Legal Description:
LOTS 6-7+ P/O 5 HICKORY HILL
Fire Response District:
FORK
Assessed Acreage:
1.62
Elementary School Zone:
CORNATZER
Deed Date:
6/1978
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001050199
Soil Types:
GnB2,GnC2
Plat Book:
0004
Flood Zone:
Plat Page:
105
Watershed Overlay:
DAVIE COUNTY
& Extra
Building Value:
FO eatulres Va ue:
Land Value:
Total Market Value:
Total Assessed Value:
F-O7
Davie County,
NC
All datais provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness 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 artsing out of the use or Inability to use the GIS data provided by this website.
P"ttee'n DAVIE COUNTY HEALTH DEPARTMENT l/�J
Name: C''P� '"f_1`L,0%i,, :' Environmental Health Section PROPERTY INFORMATION
f P.O. Box 848 /
Directions to property: /.S' 'f /''%' r ^t' d C/Mocksville, NC 27028 Subdivision Name: /� ,�G; `.j / /, /
f3 Phone #: 336-751-8760
Gt � _0L,; L/ Section: Lot: �!..
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#.
SYSTEM CONSTRUCTION
AUTHORIZATION NO:
A
Road Name: C ,,
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 bavie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 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.
ENVIRONMEN'rAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE L # BEDROOMS # BATHS # OCCUPANTS C:? 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) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH <f LINEAR FT. %%?
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
sr..
r
�rPry �-_.._..___....
**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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: WV
1`
-- ewe
I
501
6 K—sca #1 I
AUTHORIZATION NO. ISWN OPERATION PERMIT BY:TE: -/ /`'� v&
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESC J ABO HAS BEE STALLED 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 THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 0= (Revised)
�Pettnif's "; DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 ,
Directions to property: fr (' ;' Mocksville, NC 27028 Subdivision Name:
r' r n
Phone #: 336-751-8760 f'
,r Section:Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: ` A 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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
I / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DA E ISSUED
f'
RESIDENTIAL SPECIFICATION: BUILDING TYPE IV # 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� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH t" 3 ROCK DEPTH" LINEAR FT. J
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**CONTACT A REPRESENTATIVE OF THE DAN IE 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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: V N�j la
i
AUTHORIZATION NO. I ON OPERATION PERMIT BY: 1 DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESC B ABO E HAS BEE1V fNSTALLED IN COMPLIANCE
11
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 02/02 (Revised) , /"
i,. PPP
�. "—DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewa a Dispose System - G.S. Chapter 130 -Article 13C)
OWNER OR CQ1�ITRAC,TO R DATE PERMIT
._�-- 187
LOCATION w f) 4 �`;` 1..1 •::� tom++ l:'i', ... ._
S.R. NO.
SUBDIVISION NAME 'r ,�f �� r' frr �./,{ LOT NO. j SECTION OR BLOCK NO.
HOUSE A MOBILE HOME ❑ BUSINESS ❑
NO. BEDROOMS _ _ NO. BATHROOMS �
GARBAGE DISPOSAL UNIT YES LJ NO ❑
AUTO. DISHWASHER YES NO ❑
AUTO. WASH. MACHINE YES NO ❑
SITE SUITABLE YES C NO ❑
SIZE OF TANK /617rb gal .
NITRIFICATION FIELD i'o sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ �Public
IMPROVEMENTS PERMIT BYC.
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
rSq
t
INSTALLED BY ,F//:S . Z-17, CO,
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction must cfmply with all other applicable State and local regulations
LOT AREA /
�u-�^DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewa Disposal System - G.S. Chapter 130 -Article 13C)
;;b..r
OWNER OR CONTRACTOR P. � � A .� DATE /-Jt''� PERMIT
-No 18 7
LOCATION J 0 4 SS.R. NO.
SUBDIVISION NAME -� �< r' f f /� LOT NO. j'. SECTION OR BLOCK NO.
HOUSE FS1 MOBILE HOME ❑ BUSINESS
NO. BEDROOMS _ NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES 12T' NO ❑
AUTO. DISHWASHER YES [_ , 0- NO ❑
AUTO. WASH. MACHINE YES ld NO ❑
SITE SUITABLE YES & NO ❑
SIZE OF TANK / 67-b gal.
NITRIFICATION FIELD 6 Y'6,7 sq. ft.
DEPTH OF STONE IN LINES: s*�
WATER SUPPLY: Individual Public
IMPROVEMENTS PERMIT BY r4
CERTIFICATE OF COMPLETION
BY—
(8/16/73) *Construction must
LOT AREA
House Trailer
800
Gal.
460 Sq.
Ft.
Two Bedroom House
800
Gal.
600 Sq.
Ft.
Three Bedroom House
900
Gal.
900 Sq
Ft.
r1`;2'00
Four Bedroom House
1000
Ga1.I
S
Fit]
INSTALLED BY/�� •% Czar
!r.. 01 Date .-- -2o"7Y-
ly with all other applicable State and local regulations
l�,�,ia G.� / �'f t"� / c.7 t%�� `moi � `♦ � ,� %�'�j C fi'
,R, / / ->,
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) �j G
NAME C /'C 2 %h K-aS�//►�-.tJ PHONE NUMBER < �O 157y
ADDRESS % ( 3 C 4^-� /`-�` SUBDIVISION NAME
DIRECTIONS TO SITE Y cc 1-12_
LOT #,
��
/s.74- *-'-
DATE SYSTEM INSTALLED / NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS 417 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY U�� GI SPECIFY PROBLEM OCCURRING .e
�U
DATE REQUESTED b S INFORMA'
This is to mortify that the information provided is correct to the best of my kr
SIGNATURE OF OWNER OR AUTHORIZED AGENT_
Rev. 1193
BY A—
I
erstand I am re a or all charges incurred from this application.
�r N
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
HOCKSVILLE, N.- C. 27028
(704) 634-5985.
Statement for Septic Tank Improvement Permits
and/or Site Evaluations.
NAME % DATE ISSUED I
ADDRESS PERMIT NO.
Explanation, of charge_j,,,,�_
t.
AMOUNT DUE SANITARIAN��i't�
PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.