292 Buck Seaford 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: K40000004006 Township: Mocksville
NCPIN Number: 5727823325 Municipality:
Account Number: 28144000 Census Tract: 37059-801
Listed Owner 1: FULLER PHILLIP EDWIN JR Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 292 BUCK SEAFORD ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-4121 Voluntary Ag.District: No
Legal Description: 41.08 AC BUCK SEAFORD RD Fire Response District: COOLEEMEE,MOCKSVILLE
Assessed Acreage: 40.97 Elementary School Zone: COOLEEMEE,MOCKSVILLE
Deed Date: 2/1993 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001670252 Soil Types: MrC2,MrB2,PcC2,EnB,EnC,MsC,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 412280.00 Outbuilding&Extra 23630.00
Freatures Value:
Land Value: 258580.00 Total Market Value: 694490.00
Total Assessed Value: 468560.00
9 NH'F All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie Counys 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
no UN�� NC or arising out of the use or Inability to use the GIS data provided by this website.
. rPerti tee DAVIE COUNTY HEALTH DEPARTMENT
;,Name� � /; Jw /'� Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property: 451 �4e&cksville,NC 27028 Subdivision Name:
Phone#: 336-751-8760
/'iC Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION
AUTHORIZATION NO: P 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
I 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)
w . �" !" �' ,i r• _ ', ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
f, k G•rX� ''f . ,,� u l 4 IS VALID FORA PERIOD OF FIVE YEARS.,
ENVIRONMENTAL,HEALTH SPEOIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE Al #BEDROOMS #BATHS ,4,fi#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE G /t TYPE WATER SUPPLY-J -J DESIGN WASTEWATER FLOW(GPD NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE_Z&jLGAL. PUMP TANK GAL'F NC IDTH ROCK DEPTH l 7 'LINEAR FT.1_1:�14
OTHER ,
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
�ejrj
ST �%S"�6��c°c
**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: 1J IfL;
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A ORIZATION NO. PERATION PERMIT BY: TE:
**THE ISSUANCE OF IS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABO A EN S LLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT S IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
Dcxn 02102(Revised)
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P�rcilrtee s DAVIE COUNTY HEALTH DEPAT
Environmental Health'Sectio� PROPERTY INFORMATION
, N .1�
P.O. Box 848
:Directions to property �n � 4ocksville,NC 27028 ' ' Subdivision Name:T
F Phone#:336-751-8760
Section: Lot:
^' AUTHORIZATION FOR
r WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 2494 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)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. -,
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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
LOT SIZE ` TYPE WATER SUPPLY > DESIGN WASTEWATER FLOW(G NEW SITE REPAIR SITE L,
SYSTEM SPECIFICATIONS: TANK SIZE "��:GAL. PUMP TANK GAL. NC IDTH ��L ROCK DEPTH�L, LINEAR FT., 74 Q
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT r
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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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A ORIZATION NO. A-OPERATION PERMIT BY: TEE` II
**THE ISSUANCE OF JIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABO EH S-BEEN) S.ALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SH�C IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
-
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
`
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME % • PHONE NUMBER yds�2 2
ADDRESS 4 C, e a l-'e,kn � SUBDIVISION NAME
f� ,LLOT #
DIRECTIONS TO SITE //LSC Z< .�'-e 4 1�rc� y� iS z.Y 011 Azc
DATE SYSTEM INSTALLED—-Z NAME SYSTEM INSTALLED UNDER -
TYPE FACILITY NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING &VA C.oy► ,
C
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,a ersta I n nsi Is fo incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193