149 Hawthorne Road Section 1 Lot 6Davie County. IZC
i
Tax Pnrnel R Pnnrt
Tuesday, January 17, 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: TIIIS IS NOT A SURVEY
Parcel Information
J6050F0006 Township:
5758803089 Municipality:
Fulton
45127000 Census Tract: 37059-804
LEDFORD JAMES LARRY Voting Precinct: FULTON
149 HAWTHORNE ROAD Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27028-7221 Voluntary Ag. District:
LOT 6 HICKORY HILL SECTION 1 Fire Response District:
Land Value:
Total Assessed Value:
0.60 Elementary School Zone:
7/1979 Middle School Zone:
001080469 Soil Types:
0004 Flood Zone:
105 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
No
FORK
CORNATZER
WILLIAM ELLIS
Gn62
DAVIE COUNTY
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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
r'o tyt'� NC or arising out of the use or Inability to use the GIS data provided by this website
F ttee's•-----' j � DAVIE COUNTY HEALTH DEPARTMENT
Name , !J e�i7 : 1- 4:"!wI Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 ,� j /'
-Directions to prod/t./�. 1�±�5 �",t','a, '�.� Mocksville, NC 27028 Subdivision Name: f/•r .� t•I�� I f
! r Phone #: 336-751-8760
,', , ✓, i // Section: _ Lot:
AUTHORIZATION FOR
AUTHORIZATION NO: " A
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 I I 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.
AL HEALTH SPECIALISTDATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS Y # BATHS 15F # OCCUPANTS —,I 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 r! ROCK DEPTH
—Y .,
LINEAR FT
OTHER �TJGI
/
& AA YaSf�e " KJ 4
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
"*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.
SYSTEM INSTALLED BY:
AUTHORIZATION NO. S WOPERATION 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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised)
NAME
ADDRESS
DIRECTIONS TO S
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
BDIVISION NAME
DATE SYSTEM INSTALLED H71 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY -NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY �'d SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN
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. 1193
. ^ DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
^
°NOTE: |oouod inCompliance with G.G. of North Con]|}na Chapter 130 Article 13o
Sewage Treatment and Oinpnuo| Rules (10 NCAC 10A .1934`1968) Permit Number
Name / ' � ' � � ''' --___— Dote--.�'
Location
Subdivision Name -T -Lot No. Sec. or Block No.
Lot Size House Mobile Home ____ Business ____Speculation
__�
No. Bodrooma_______
No. Baths_-_
Garbage Disposal
YES [] NO []
Auto Dish Washer
YES [] NO []
Auto Wash Machine
YES [] NO -E]
Type Water Supply
'
No. inFamily
_-_____
Specifications for System:
*This permit Void if sewage system described below is not installed within 36 months from date of issue..
---
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Improvements pannd by
°Contacta 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. Telephone Number: 7O4'S34'5S85.
Final Installation Diagram:
System Installed by
ME
Certificate cfCompletion DoUa
'The signing ofthis 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 nftime.