123 Cedar Ridge Road Section 1 Lot 4 + P/O 5Davie County, NC Tax Parcel Report Tuesday, January 24, 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 / Page:
Plat Book:
Plat Page:
Building Value:
WARNING: THIS IS NOT A SURVEY
Parcel Information
J6050DO014 Township: Fulton
5758808158 Municipality:
8305781 Census Tract: 37059-804
LANKFORD G C Voting Precinct: FULTON
123 CEDAR RIDGE ROAD Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
Land Value:
Total Assessed Value:
NC
27028
LOT 4+P/O 5 HICKORY HILL SECTION 1
0.57
10/2014
2014E1018
0004
105
Zoning Overlay:
Voluntary Ag. District:
elf,
9h
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
GnB2,GnC2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
Davie County,
All data is 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
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
or out of the Inability to the GIS data by this
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arising use or use provided website.
NAM
ADDI
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
•.APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
DIRECTIONS TO SITE `� '0;(kory l l57 49
_Izo 4uy� auy'�1'9_ &JMLA60 . do
ONE NUMBER 11 O - 77 73
BDIVISION NAME
LOT #
A4h mNe'
DATE SYSTEM INSTALLED % -40 T1AME SYSTEM INSTALLED UNDER offfr�'Icb "f"ffGY�
TYPE FACILITY /b 5' NUMBER BEDROOMS NUMBER PEOPLE SERVED 2
TYPE WATER SUPPLY�i SPECIFY PROBLEM OCCURRING :1 �� Gf e
1 • _ �. _ w r1 L. —/n n . i L. /. • _ ..
DATE REQUESTED IDrY"`('GI INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT,
Rev. 1/93
M
;.Permittge'sn AVIE COUNTY HEALTH DEPARTMENT
Name: 0- La�'d o r I Environmental Health Section
Pd
, - 109
rn
PROPERTY INFORMATION "�
/ P.O. Box 848I�E r
Directions to property: G Mocksville, NC 27028 Subdivision Name:, rG 0 1/
, G
`_ _ Phone #: 336-751-8760
yaw A � 1(l - \ 0 '� U Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
--r SYSTEM CONSTRUCTION �)'3
AUTHORIZATION NO: 002958 A Road Name: g 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)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
—//-47 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
Permi;tr�e's / 1DAVIE COUNTY HEALTH DEPARTMENT {�(i '
Name: - � �- �t (^ j c, ✓ Environmental Health Section PROPERTY INFORMATION I n D
-
�� 1 r P.O. Box 848 / 1;
Directions to property: (�- Mocksville, NC 27028 Subdivision Name:/mss`
` tPhone #: 336-751-8760 Z�
4 Y Section: Lot: T
1 AUTHORIZATION FOR
C ` WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002958 A Road Nam/" ' ' �`-1`%p:
**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)
01_ ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
""' ; <!� ` ,/jam,%r✓ =a j� '' �' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIkONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS --q# OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFIC TION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY �o DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE ``
SYSTEM SPECIFICATIONS: TANK SIZE — xrGAL F PUMP TANK�GAL. TRENCH WIDTH J r ROCK DEPTH LINEAR!FT. / S(.� '
r ]] r— l �,
OTHER // /T) �% t Idle (4rk
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROV.EIMENT PERMIT LAYOUT
Locc,,- E k -A
t�l
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
V
4- ',
s �
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1 v _Vj
61 Q
AUTHORIZATION NO. OPERATION PERMIT BY: `� DATE: (l — 3
**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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
1300 02102 (Revised) ,.tt 5 Z7
-i'err> t< 's ,` DAVIE COUNTY HEALTH DEPARTMENT )
Name: f r � �' t`` 1.l l r r' Environmental Health Section PROPERTY INFORMATION j iJ9
3.' J
t J P.O. Box 848
Directions to property: t. ,' �'"1 (�) Mocksville, NC 27028 Subdivision Name:
I Phone #: 336-751-8760
Section: ( Lot: t
7 AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 002958 A Road ame: ` "f
**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)
,, _ ' Pte's✓ _, ,-***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIkONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE -' # BEDROOMS # BATHS __qI# 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) / 6; y NEW SITE REPAIR SITE '
SYSTEM SPECIFICATIONS: TANK SIZE J GAIL L. PUMP TANK %� GAL. TRENCH WIDTH s ff ROCK DEPTH LINEAR FT.
� J /
OTHER -14' +� "C��t_�/.Go
REQUIRED SITE MODIFICATIONS/CONDITIONS:
t I�
IMPROVEMENT PERMIT I AX01IT ,
LL}CCc,.I
SYSTEM INSTALLED BY:
{
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S
4
`
IIFOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
S
4
`
�p
I�
_
yy
G
DATE:
AUTHORIZATION NO. OPERATION PERMIT BY:
**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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07/02 (Revised) —t� ✓ 7j I � -
DA'�IE CO�IIINT�IF H'E�ALTHs 'DEPi4R�TM'EaRIT
L . Y a a
eMPR®a%ENIiE9VTS P`ERIVIVIIITu AND CERTI;F9t#0 OF 06MIPLETION
Note: Issued in Compliance with G.S. of North Carolina Chapter 130 " A'rticl'e 13e:
Per 'tTDrriber
Name Date
} Y
Location ,,,ter
x L 1. Y
Subdivision ,Name_ t� -- Lot No. „tee Sec ordB ock, N®}
Lot Size, _ House Mobi e. Home. — Business Speculation
No. -Bedrooms No. Baths _--- No. in. Family —
Garbage Disposal YES ❑ NO ❑S?peci fications_ for System: uit A � k_
Auto Dish Washer YES -F]. NO
Auto Wash Machine' YES ❑. NO - LCL
Type Water Supply
— t
.
`This permit Void if sewage system described below-is.,notwinstalled-.w;ittain-36-.months_fromi-d:ate of issue. .
t f !
.k
Improvements permit by {—`�—
r
*Contact a representative of the -Davie County Health Departments fors final inspection of this system between -8:30-
9:30 A. M, or 1:0071:30 R.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by—�'-3``'r��
t 3
1 �
S
£ i Ot r'
r b,
Certificate of C.ompletio,nDate
The signing, of, this certificate shall indicate that the system described _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.
a
DAME CLTH`'�DEPARTiVI�ENT '�_• _:-,
:-:-
(Septic Tank)'Improvements Permit and Certificate of Completion -
(�nd�bsorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER ;ORONTRACTOR DATE. ,' i
jC
K PERMIT
„ LOCATION'..l t i ° i t 4N� ,;�
-
NO 553 -
_.,
a.;
S.R. NO. ,
SUBDIVISION NAME �;.�, •_- �i�t LOT.NO. SECTION OR BLOCK NO.
HOUSE t, MOBILEHOME 0 BUSINESS ❑
House Trailer
800 Gal. 400 Sq. Ft
NO.' BEDROOMS NO. BATHROOMSTwo
Bedroom House
q:. . F
800: ;Gal. 600 -S ,t�_.
GARBAGE DISPOSAh UNIT YES ❑ N0. ❑
Three Bedroom House
:•',900 Gal y '"`900
AUTO .^DISHWASHER= YES ❑ NO ❑
Four Bedroom House
11000:-Gal. .12'0'0 Sq. Ft.
AUTO., . MACHINE, YES ❑ NO ❑
SITE, SUITABLE YES N0 ❑
_
SIZE OF TANK gal.
NITRIFICATION ' FIELD . ' sq:. ft.
DEPTH,OFSTONE IN LINES:r::.
WATER, SUPPLY: Individual ❑ Public
-� • - ; - .�: , , zVis..
IMPROVEMENTS PERMIT BY{'
INSTALLED BY ,e /%. -5.-�`
'CERTIFICATE OF �"'�'"'t8�4 t`� 0 `
tal
. .
gy � .
Date
*Construction must com 1 with
(8/16/73) , *Co p y i other applicable State and local' regulations
LOT AREA
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