1492 Bear Creek Church Rd Dayie County,NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: D100000013 Township: Clarksville
NCPIN Number: 4892956971 Municipality:
Account Number: 77748000 Census Tract: 37059-801
Listed Owner 1: WHALEY CHARLIE A Voting Precinct: CLARKSVILLE
Mailing Address 1: 1492 BEAR CREEK CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5631 Voluntary Ag.District: No
Legal Description: 6 AC BEAR CREEK CHURCH RD Fire Response District: SHEFFIELD-CALAHALN
Assessed Acreage: 5.82 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 2/1977 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001000845 Soil Types: PaD,PcC2,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 113270.00 Outbuilding&Extra 7240.00
Freatures Value:
Land Value: 48110.00 Total Market Value: 168620.00
Total Assessed Value: 168620.00
161
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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
NC or arising out of the use or Inability to use the GIS data provided by this webs@e.
Permittee s , DAVIE COUNTY HEALTH DEPARTMENT ``' „�
Name `� �- L �La�I Ai-t: Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 d S”
Directions to property: Ce-1- P3 1Mocksville,NC 27028 Subdivision Name:
'r Phone#:336-751-8760
T k` Section: Lot:
AUTHORIZATION FOR
, : .L t i' i: C.t��14(,.+ � WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
AUTHORIZATION NO: 24,92 A Road Name ' ip: t�
**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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 �Jci' IS VALID FOR A PERIOD OF FIVE YEARS.
(-EN'W96NA H SPECDATE DATE IS UED
RESIDENTIAL,SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS:-Z GARBAGE DISPOSAL:Yes or No
COMMERCIA1L SPECIFICATION: FACILITY TYPE
�', ' #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No.
LOT SIZE 7� PE WATER SUPPLY "�'�"' DESIGN WASTEWATER FLOW(GPD)
' NEW SITE REPAIR SITE '•'""�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1 LINEAR FT.
OTHER ; b1S 1 P--&0 T 1 0�3
REQUIRED SITE MODIFICATIONS/CONDITIONS:�In..aS-t",�,...1..�-'t7►� C..�.•,y"1.Ot��, K.1'-u-+
IMPROVEMENT PERMIT LAYOUT p
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**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:
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AUTHORIZATION NO. OPERATION PERMIT BY: ATE:
**THE ISSUANCE.OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM D CRIBED 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) -
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'Permiitee's. DAVIE COUNTY HEALTH DEPA T T 1 '
ATe .. } wt�;. a (. Ips l_ _. ► Environmental Health Sectio PROPERTY INFORMATION
P.O. Box 848 C` /.7 v 5
Direcdpns to prflperty: ti `? �1 7 h4ocksville,NC 27028 Subdivision Name: ' f
Phone#:336-75178760
Section: Lot:
AUTHORIZATION FOR
.. :L?' +� < I t - $ i, t �. ^� ;;:ttr ,+ WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
AUTHORIZATION NO: ,9 2 A Road Name: 44jjO� p
t"1. Zl a
**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.Chester 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
,,.****NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. `
N":ENVIRON tNT� AL fHEALTH SPECIAeI -F DATE IS UED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS *'? #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
^ro
LOT SIZE 5t�C�,
+ " " �YPE WATER SUPPLY t"' DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ` ROCK DEPTHf LINEAR FT. {
OTHER ==� I !1 ^"ji �F-V 1 L-3
REQUIRED SITE MODIFICATIONS/CONDITIONS:_ ��,3. 1 -I-- t ^ `��`Jy"�'�"
IMPROVEMENT PERMIT LAYOUT t
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-8:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
► jL
YAM
r
AUTHORIZATION NO. ` ' �PERATION PERMIT BY: ATE: I
**THE ISSUANCE OF THIS'OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED 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.
�""IiCHD 07/02(Revised)
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
. (Ground Absorptin Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR C \ tl t (- �_d1� Cr.. DATE PERMIT
LOCATION Ire)f IV- N� 1367
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
House Trailer '800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑ 0
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY -C "-.4N6 INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must co ply with all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT
f - (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Di posal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR DATE /2Z--17 PERMIT 1367 LOCATION -- �a//�- �cA , �'f ,� ,�a�. N� 13 6 1
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME E3 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gala 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑ �
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: ' Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
CERTIFICATE OF COMPLETION ByS)PQe Date
(8/16/73) *Construction must colyplywith all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT
-- '. (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorpti n Sewage Dirosal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR C 'CDATE /9 -:17 PERMIT
14
LOCATION lvO/A�- t3lA,P a.Al. N? 1367
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE X3 MOBILE HOME BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES [3," NO ❑ �t
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑
IMPROVEMENTS PERMIT BY S��(VV,,AtN INSTALLED BY •llg,.�Q w$}L
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must co ly with:all other applicable State and local regulations
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• DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) �1
NAME- -� C� PHONE NUMBER 9 �' 3 G (V
ADDRESS / y 9 a �e� r{ Gl���� CkASUBDIVISION NAME
c OILS ✓ .!/W Iv LOT # IL
DIRECTIONS TO SITE AJ � O N �-� L---3 f✓4'ej .
ord
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER!� I�
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
SPECIFY PROBLEM OCCURRING
TYPE WATER SUPPLY -- '�'�-
DATE REQUESTED a S 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
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