480 Bonkin Lake Rd Davie County,NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: B40000002103 Township: Clarksville
NCPIN Number: 5833090153 Municipality:
Account Number: 51056000 Census Tract: 37059-802
Listed Owner 1: MILLER ROGER ALLEN Voting Precinct: FARMINGTON
Mailing Address 1: 480 BONKIN LAKE ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-6115 Voluntary Ag.District: No
Legal Description: 2.000 AC BONKIN LAKE RD Fire Response District: COURTNEY
Assessed Acreage: 1.73 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 5/2003 Middle School Zone: NORTH DAVIE
Deed Book/Page: 004830311 Soil Types: EnB,EnC,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 74210.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 30910.00 Total Market Value: 105120.00
Total Assessed Value: 105120.00
t v All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
O ine F Davie County, 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
ACU N� NC or arising out of the use or Inability to use the GIS data provided by this websRe.
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". Pernuttee's, rt /°�� ,DAVIE COUNTY HEALTH DEPARTMENT
Ni%ie: 's 1 '�='� �' -`��=- 'Environmental Health Section PROP RTY INFORMATION
,. P.O. Box 848 f--2 d s
Directions to property: -� `tom' Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 03 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 Davie County Building Inspections
Office when applying for Building Permits.
(In compliants wi ' Articl 11 of .S.Cha ter 130A,'Wastewater Systems,Section.:1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
[ IS VALID FOR A PERIOD OF.FIVE YEARS.
`-"E RO M 43WEALYh S LIST DAT ISSU D
. RESIDENTIAL SPECIFICATION:BUILDING TYPE r #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No'
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE �-PPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK'SIZE GAL. PUMP TANK—GA L. TRENCH WIDTH ROCK DEPTH 17- LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: ���T��.l. OJ CX, -XX j K.t=
IMPROVEMENT PERMIT LAYOUT
I�► ' N`t NC—T.-111 t
� •- r �� 'r�2 , ��,,j1y' int
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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.
I OPERATION PERMIT - - �(��
T�L �� Ta"�,1� SYSTEM INSTALLED BY: 1_'1fC.tN��
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AUTHORIZATION N OPERATION PERMIT BY.
UTHO CI;� DATE:
i
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES IBED ABOVE HA EN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S..CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BE TAKEN AS A"
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DC HD 02102(Revised / -.
07 - 1.15'3 Nei✓ -p-f'i� .�c�5�"��� fie
` DAVIE COUNTY HEALTH DEPARTMENT ' 'n f2l'
' Environmental Health Section / b r ,-�,�,,. t-
PO Box 848/210 Hospital Street
Mocksville,NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT❑ REMODELING RECONNECTION ❑
Name: 2 'l Phone Number: I i, (Home
Mailing Address: q 9j &.1 k,.��. O`1`) L 7 i q (Wierk
t. 7 d�;Sl
Detailed Directions To Site: 611 61/ /u 6 #i. q 8111 111� 2--3
Property Address: ��
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: , Kt 4- Type Of Dwelling:_ 0ts
Date System Installed(Month/Day/Year) 4,04-Vfe-5 Number Of Bedrooms: 3 _Number Of People: o _
Is The Dwelling Currently Vacant? Yes❑ No G-l"' 4 Yes,For How Long?
Any Known Problems?Yes❑ NmV If Yes,Explain:
�J a►-r�4s 5 y 5-kr- t-o� ��'s ��,(�{;-�i ern, 1��--f'���� �'�- P'"'u-�°�
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: dzl,4 4� -x Ak ta!, Number Of Bedrooms: Number Of People:
Requested By: , _�. .=,lam Date Requested:_
(Signature)
For Environmental Health Office Use Only
Approved 0 Disapproved 0
Comments: 1 c l s �A tL P&L� ,,%T- 1 �it joj Pege.Q4
r
Environmental Health Specialist Date a�
'"The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a
guarantee(extended or limited)that the on-site wastewater system will function properly for any given period of time.
Payment: Cash❑ Check❑ Money Order❑ # Amount: $ Date:
Paid By: Received By:
Account #: Invoice #: