966 Calahaln Rd (2) Davie County,NC Tax Parcel Report '�9 Friday, September 23, 201 f
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G20000001201 Township: Calahaln
NCPIN Number: 5800639021 Municipality:
Account Number: 72352000 Census Tract: 37059-801
Listed Owner 1: SWISHER MICHAEL WAYNE Voting Precinct: NORTH CALAHALN
Mailing Address 1: 966 CALAHALN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-8114 Voluntary Ag.District: No
Legal Description: 3.225 AC CALAHALN RD Fire Response District: SHEFFIELD-CALAHALN
Assessed Acreage: 3.22 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 4/2011 Middle School Zone: NORTH DAVIE
Deed Book/Page: 008580058 Soil Types: PaD,ApB,WeC
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 285800.00 Outbuilding&Extra 1670.00
Freatures Value:
Land Value: 23760.00 Total Market Value: 311230.00
Total Assessed Value: 311230.00
9�v rF 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 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
r'OUty�� NC or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHGRIZATION NO. q j �DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittees P.O. Box 848
c 'Name.: Klal"l1ti-- — Mocksville,NC 27028 Subdivision Name:
t
Phone# 36-751-8760
Directionstoproperty:� ')q L A
Section: Lot:
AUTHORIZATION FOR
+ t . + >.�At !11�.� .(� q `...1�1• WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION
Road Nam ; r�JZipv
**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 .S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
-
I/ IS VALID FOR A PERIOD OF FIVE YEARS.
NVI ON j1'HEALTH SPEC LIST DATE ISSUED
t- * ;. a- �• DAVIE COUNTY HEALTH DEPARTMENT
_ IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
}
Subdivision Name:
Directions to property:11 ,-'�' (..: # 1 Section: Lot:
4" IMPROVEMENT
rte` t1 . t"�t4• ► .. Iy�1• PERMIT Tax Office PIN:#
...1 J k �4 : Road Name:"e: a AL,el l of f ZIp ,r `5
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit:
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
• J f ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRON1�fENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE BOO-SE #BEDROOMS I-[ #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIr #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY t 'tU'" DESIGN WASTEWATER FLOW(GPD) 2jlJ NEW SITE REPAIR SITE
S fSTU SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL." TRENCH WIDTH ROCK DEPTH 12- LINEAR FT. 440
OTHER_+
EQUIP D SITE MODIFICATIONS/CONDITIONS: 10 L0 R • U f'�
MPRC VEMENTP IT oUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" AELOV) FINISHED GRADE*:
�uu' x"�J, 114 1Z I
l '
**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.r E DAY OF INSTALLATION.TELEPHONE#IS(7006"8790:X
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY: �
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AUTHORIZATION NO. 1 jt�?Q4 OPERATION PERMIT BY: DATE:' 1
4)n� .
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT RIB ABOVE S BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATME AND DISPOSAL SYSTEM ,BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF-TIME.
DCHD 05/96(Revised)
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"c DAVIE`COUNTY HEALTH DEPARTMENT
- IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name:
Directions to property: `-2 Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
'.. Road Name „ ? `I 1 s.' r.f"Zip:
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE E S 07�t #BEDROOMS—q—#BATHS—#OCCUPANTS ;X• GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY j')r'Lt' _ DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
S r S SPECIFICATIONS: TANK SIZE LAG GAL. PUMP TANK GAL. TRENCH WIDTH • ' ROCK DEPTH 1 12 LINEAR Fr.
Il OTHER
QU D$rrE MODIFICATIONS/CONDITIONS: �.1 �.L�r*-�1� t 0�, C-�=L:t`� U t' l.� I►tet..
tMPR 4ENTPERMrr,LAy OF *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOW FINISHED GRADE*
1
"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- :30 P.M. E DAY OF INSTALLATION.TELEPHONE#IS(7",16M8790!K
(336)751-4760
OPERATION PERMIT S}► �. t�NfJ
SYSTEM INSTALLED BY: r bmA
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Ay to ZXTIZD 1
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AUTHORIZATION NO., -=-�=�OPERATION PERMIT BY: DATE: ! n
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT CRIB ABOVES BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATME AND DISPOSAL SYSTEM BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
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' DAVIE'COUNTY HEALTH DEPARTMENT �o o�
IMPROVEMENTS._PERMIT,.AND;CERTIFICATE-OF COMPLETION
' QBE:Issued in Com' lance With Article II of G.S.Chapter 130e
anitary Sewa Systems \ Permit
7' Number
N c 1 a a �.��►,5 h �' --� Date a - �•1 '� N2 1 8 0 7
Local <h� - �� ' \�14. ' ,�� ��n�.kt, V),�.
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'��'-+S't�T�b`c`+ ,�3 _ � J::;L.i+. �.:�c•.�,j`'s a.Jti '3r..°.I•>r. �.i��. ��)i'ktz�. \..a` _.
Subdivision Name Lot No. Sec or Block No.
Lot Size'-'A. House 'Mobile Home _ _ Business _— Industry
No. Bedrooms No: Baths.<_•rl No. In Family — Public Assembly Other
' Garbage Disposal YES p NO: Specifications for System:
Auto Dish M.Washer;. YES10 . NO
:
ill
Auto Wash Ma-.hive YES Ey NO p tt
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: : YOUR SEPTIC SYSTEM CONTRAC'I`OMUST SEE THIS PERMITILAYOUT BEFORE INSTALLING THIS j
SYSTEM. \,•., U C, ` s
3
;{ Improvements permit by
4
'Contact a representative of the Davie County Health Department for final Inspection of this system between 8:30-9:30 A.M.,
1:00.1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number;704.634.6985:g76U
Final Installation Diagram: ;. _System Installed by
4!J0 "7 p
Y` •, Completion `_ � �► Date
'The signing of this certificate shat 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 of time.
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville,NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT❑ REMODELING ❑ UREECONNECTION ❑
Name: /' /G "4 cPhone Number: %/� S��1I (Home)
Mailing Address: C4'�4 /�� /� O�� ���1� �� (Work)
Dqt,ailect Directions To Site:
,rl,/yd �/�i�G GJ --�� f'l{S U o2/r�7 ♦�� —7
Property Address: ¢•'NC�i ��S �ja v
Please Fill In The Following
Information About The Existing Dwelling.
Name System Installed Under: ///�G4e W�J�'�� Type Of Dwelling:
Date System Installed(Month/Day/Year): _ IWY Number Of Bedrooms: -3 Number Of People:
Is The Dwelling Currently Vacant? Yes 0
No P— It Yes,For How Long?
Any Known Problems?Yes❑ No P- If Yes,Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwellin O � � um r Of Bedrooms: / Number Of People:
Requested B Date Requested �� Q
'( ignature) /I V
For Environmental Health Office Use Only
Approved ❑ Disapproved ❑ �t�y��
Comments: ,v 140M,97 �ii'I'�f 4 Z-570 ' 649M /1 ,642LtI� AA07-
� S9 -T-Vi i(I (-)TO e)UST1^1 C___' SYSTcx— J_-10Jc�� -ag paz&97
Environmental Health Specialis Date //AIAN
*The signing of this form by the Environmen ealth 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 #: ��� /
DAVIE C6UNTY HEALTH DEPARTMENT
Environmental Health Section
" PO Box 848/210 Hospital Street
Mocksville,NC 27028
`�. Phone: (336)751-8760
_ OWN-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT❑ REMODELING [i RECONNECTION ❑
Name, 1171-e- `,0 e, .SGS y j— � Phone Number: % �•2" �� (Home)
Mailing Address: OO A7 a/ 2�J� U'Z (Work)
J ti
D •ed'Directions To Site:
' Property Address
Please Fill In The Following,Information About The Existing Dwelling.
Name System Installed Under: ��C�/u� �i�T��/� Type Of Dwelling:
D te'Systezn Installed(Month/Day/Year): //��.5� Number Of Bedrooms: Number Of People: '
Is The Dwelling Currently Vacant? Yes❑ No Ifs 1t Yes,For How Long? 1
Any Known Problems?Yes❑ No[Y If Yes,Explain:
Please Fill Jn The Following Information About The New Dwelling: -
/ Type Of Dwelling:/ Numbdr Of Bedrooms: NumberOfPeople:
Requested B r U Date Requested: �1-�Y
/ . ( ignature) `
For Environmental Health Office Use Only .
Approved ❑ Disapproved ❑
Comments: lJ' �IUm� AIDIC ZSo ' �/lciyl L-7CIST/�F� /N./�b ,y07--
/V AhCI D -So T f 1-i CO 1_�10 EXi�'T"I n1C- Sic Tt,30dL_ !- �SSi�L
Environmental Health Specialist 46( Date
*The signing of this form by the Egvironmentaly�I�alth Staff is in no way intencie nor'slioulil be taken
'as a
iguarantee(extendedor.limitZ-d)-i!Ef'ffiepn-siie wastewater system will function properly for any given period of time.
f
Payment: Cashy❑j eck p Mbney Order {# `f Amount: $ Date:
Paid By: s
��'c:�'j'c� ' 1 •' �` Received By: `
. Account #: �.► � f �- ��� Invoice
DAVIE CQUNTY HEALTH DEPARTMENT
�� ~t z � " ,, ,.{ ::..f'• :<.,,y - ) a:; 4-1 f`t N,f a..-..
IMPROVEMENTS' PERMi AND'CERT10i6ATE`OF COMPLETION
'NOTE: Issued in Compliance with G.S.:of. North,'a'o ma Chapter 130,:Article 13c
Sewage Treatment and Disposal Rules (10 NCAC-1a0A,.1 934-.1968) / Permit ;Number „
Name 'Date �?7/ �' s
''.'C•!/V ,. .f.�. ' ' tas,!d% 'a' > •f�"!� '. :. 'l!`�':,' :l�r'AT 'Y.t� in:i. 6;.= '` k:� �.1" )
Location "" - Y l •
Subdivision Name " ' ' Lot No: Sec: or Block-N.,
Lot,,
,r House + Mobile Home _jBusiness•_ xSpeculation '
No. Bedroom's No. Baths —' No. in Family.–GS'
Garbage_Disposal` 4-:`YES Q" NO "" Specifications for System: �}
41
Auto Dish Washer' .YES y7 ,/ 1
Auto Wash Machine YES p' NO'` 20
J
Type Water Supply, Y � .. Doxf/y
'This permit Void if sewage system described below is not'installed within-36- onths from date of issue.
• • F;� ,. :� +. � ,:: :, ,Improvements•permit by;
'Contact a representative of the Davie,County Health Departmeht"for final inspection of this system ;between:8:30
9:30 A.M.or 1:00-1:30 P:M.ton day`of completion. Telephone Number 704=634-5985
0I •, . °.
' ! .:E i.e Wil.i _� 2.. ;I'+.) �^' "{1! I�f i•'k ��+.P�f It - f ! - � � L��
Final Installation Diagram: , 'S t m Install d by
d
v,
Certificate of Completion Date
"The signing of this certificate shall indicate that the system described above has been installed in com r.
the>standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system
satisfactorily for any given period of time. i