318 Cain Reavis RdDavie County, NC Tax Parcel Report Tuesday, October 11, 2016
WARNING: '1'I3IS IS NOT A SURV�Y
Parcel Information
Parcel Number: C20000002801 Township:
NCPIN Number: 5803807871 Municipality:
Clarksville
Account Number: 82515369 Census Tract: 37059-801
Listed Owner 1: BEAUCHAMP JEFFREY G Voting Precinct: CLARKSVILLE
Mailing Address 1: 318 CAIN REAVIS ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-4638 Voluntary Ag. District:
Legal Description: 2.191 AC CAIN REAVIS RD Fire Response District:
Assessed Acreage: 2.19 Elementary School Zone:
Deed Date: 3/2010 Middle School Zone:
Deed Book I Page: 008210811 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value:
Land Value:
Total Assessed Value:
°�°'F Davie County,
`'°uN�c; NC
65640.00 Outbuilding 8� Extra
Freatures Value:
21920.00 Total Market Value:
92700.00
WILLIAM R. DAVIE
WILLIAM R DAVIE
NORTH DAVIE
MnB2
DAVIE COUNTY
5140.00
92700.00
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1'hone: (33fi) - 753 - fi78U
Davie County Health DepaY-tmen
F.nvironmental Health Section
P.O. Box 848
21 U Hospital Street
Cotuier # : 09-40-06
Mocksville, NC 27028
ON-SITE WASTEW �ER� CE � IFICATION
(Check One) Replacement Remo eling Reconnection
r�:: c33s> - �.53-1fi80
Name: v � ' I��� ""� Phone Number `�'6(�j �p � (Home)
Mailing Address: � ��d1 •J Q'� �1�15 � (Work
VLI�'��'� t �. t'� L���maii Address: ` t% � i, i1 t��
Detailed Directions To Site: � 1�.3 `—i�� �� ��� F" .�� � j( �-'/ �112 �� +�
Q�-.Q.�/ t 5� 4 i i�..1�
Property Address: �..wl.t.%
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: ��^� ��1!il�.l����'�N Type Of Facility: ��-�
Date System Installed (Month/Date/Year): ��9� Number Of Bedrooms: 3 Number Of People: �
Is The Facility Currently Vacant? Yes
Any Known Problems? Yes No
� If Yes, For How Long?,
if Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: ��:. _ Number Of Bedrooms: � Number of People �
Pool
Requested
Approve Disapproved
a
Environmental Health
Other:
_Date Requested: �
For Environmental Health Office Use Only
/
.S Py
*'The signing of this form by the Environmental Health 5taff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function
Payment: Cash Check Money Order #
Paid By: Received�3
Account#: �dk � Invoice
given period of time.
OP�r�F
n�U ��
Printed:May 21, 2014
All data is provided as is without warranry or guarantee of any kind either expressed or impUed including but not Iimited to the impfled warranties
oi merchantabiliry or fitness Tor a particular use. All users ot Davie Counry's GIS website shati hoid harmless the County of Davle, North Carolina,
Its agents, consuitants, contractors or employees trom any and all claims or causes ot actlon due to or arising out af the use or lnablliry to use
the GIS data provided by this website.
. � . UAVIE COLINTY F�ALTH DEPARTMENT
`' ' , . , IMPROVEMENT PEAMIT and �ERATIQN PERMIT
IP�ADVEMENT PERMIT
7•
"�(°
+�*I�TE+�� This i�prove�ent per�it DDES NOT authorize the construction or installation of a septic tank syste� or any Naste►+ater
syste�. AN RUTHORIZATIDN FDR NR5TEWATER 5Y5TEM CDNSTRUCTI�1 �ust be obtained fro� this Depart�ent prior to the
- � construction/installation of a syste� or the issuance of a building per�it. ��
iIn co�pliance Nith Article il of 6.5. Chapter 1�A, NasteNater Syste�s, 5ection .19@0 Sewage Treat�ent and Disposal Syste�s)
� c' � -/ , r� d
MA1� .� .� . i� . PRDRERTV ADDRES5/ a �,a�" �V , � � < DATE � /l� _
.�' � � .�f,� � ��-- �� �
LOCATION �J�� �: /> ��s�`��'i� .f.�ii.v t /`"/%�.,� .�'� P�'7
SUBDIVISIDM MAME LOT NtAdBER � 5EC. /BLOCK NLq�iBER
RESIDENTAL SPECIFICATION: BUILDING TYPE _1� � BEDROOMS �# BATHS � # OCCUF'ANT5 6ARBf�E DISPOSAL: YesANo
C�RCIi� SPECIFICATION: F�ILITY TYPE � PEORLE # PEDF'LE/SNIFT # SERT5 INDUSTRIRI. WASTE: YeslNo
LOT SIZE TYPE WATER SII�LY �/�`'// DESI6N 1#�5TEWATEA FLOW (GPD) ,3� � NEN SITE REPAIR SITE �
5YSTEM S�CIFICATIDMS: TANK SIIE 6AL. F�pIP TAF�( 6RL. TAENCH WIDTH ..3 i�� R�K DEPTH �� LIt�AR FT. ,�'l ?�
OTFIER
REQUIRED 5ITE MODIFICATI�JS/t�NNDITIDNS:
��}THIS PERMIT IS Sl1BJECT TO REVOCATIDN IF SITE �ANS OR THE IN7ENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRRCTOR�h�1ST
SEE THIS PERMIT BEFORE INSTALLIN6 THE SYSTEM.
IMRRDVEMENT PERMIT BY �,�"� / /
�*CONTACT A REPRESQJTATIVE � THE DAVIE C�NJTY NEALTH DEPAATt�NT FOA FINAI INSRECTION � THIS SYSTEM AETWEEN
8:30-9:3@ A.M. DR 1:00-1:30 P.M. ON THE DAY OF INSTt�LATION. TELEPHONE # IS 1704) 634-8760. �
�ERATION PEAMIT
SYSTEM I
✓
�
AUTHORIZATION N0. V OPERATI�1 PE�IIT BY �� DATE C G>
�*THE ISSURNCE OF THI5 aPERATION RERpIIT SHALL INDICATE TF�aT THE SYSTEM DESCRIBED ABOUE HAS BEEN It�STAILED IN C�LIf�JCE {JITH
ARTICLE il OF G.S. CHAPTER 130A, SECTION .19� "SEW�iE TREATM�NT AND UISPOSAL SYSTEMS°, BUT S�IALL IN NO WAY BE TAKEN AS A
6UAR�TEE�`THAT,.1?�E SYSTEM alLl Fl.A�TION SATI5FACTORILY FDR �IY 6IVEN PERIOD � TIME.
j ` .
DCHD 10/95
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Davie County Nealth Depart�ent
:ENVIR�IMENTflL HEALTH 5ECTION
P.D. BoM 665
�''.Mocksville, N.C. 27@C8 � ��
�. Jr,,
AUTHDRIZRTION FOR WASTEWATER SY5TEM CDr5TRl1CTI0N � .�'`r
� f
iIssued in co�pliance with Article li of �
G.S. Chapter 130A, Wastewater Syste�s)
*+�+�This Ruthorizatian For Wastewater 5yste� Constructinn �ust be issued by the Davie Cuunty Environ�ental Health Section prior to
issuance of any Building Per�its. This For�/Authorization Nu�ber should be presented to the Davie Gounty Building Inspections
Dffice when applying.for Building Ger�its.�**
�--�-��1 /�% AtJT}�RIZATION I�Ll�ER
I�iME � 1 CiO ( C'� /i1 i� ,FA/,jT DATE �/� d' , � > �v � r '� � f�
NRlE ON IlQROVEMENT PERMIT llf,�iffer nt than above)
r�; ( �
SITE LOCATI� / � � v�
_
COMI�(T5/C01�@ITIWS ON AllTHORIZATI�I TO I�NSTRUCT WASTEWNTER 5YSTEM
+�NUTICE� THIS AUTHDRIZATION F�WA5TENATER 5Y5TEM CDNSTRUCTIDN I5 VALID FDR A GERIDD OF FIVE (5) YEAR5.
/ � � 1�_� ����-^
4
ENVI AL FEALTH SPECIALIST DATE
DCHD 10/95
�
' NAME
ADDR
�
' � '
'�� DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT REPAIR)
DIRECTIONS TO S
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�cH�rn-� PHONE NUMBER _/ � - ��_
� eQ-V I-� �� - SUBDIVISION NAME
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V / � !� o� � LOT #
�J/ir/. :,L�: � i�,��f-� �l _ j�oC._ a�� C�a.i �
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�� 7�Z� L.f �E-'- Gt/ /� i'L�-�-- C�� I"'�C) �� G+%/C' l r''L' /��
DATE SYSTEM INSTALLED ��7�- �d 1 ^ ,
�NAME SYSTEM INSTALLED UNDER C�l-�. �� C�1�/�
TYPE FACILITY O S� NUMBER BEDROOMS � NUMBER PEOPLE SERVED � _
TYPE WATER SUPPLY I�� �� SPECIFY PROBLEM OCCURRING �u�%��� � lS�
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��� . ', .�a� ��� ���v ', �`� b u.s� � �'��la�� � ��m �i ousP �
DATE REQUESTED �i"�' % Q u 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 irom this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
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