253 Cana Rd Davie County,NC Tax Parcel Report Friday, September 23, 201 E
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_ WARNING: THIS IS NOT A SURVEY
µ � Parcel Information
Parcel Number: G408OA0010 Township: Clarksville
NCPIN Number: 5820820726 Municipality:
Account Number: 20090500 Census Tract: 37059-801
Listed Owner 1: DAVIDSON SCOTT Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 253 CANA ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-12
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOTS 31-34 T W GRAHAM Fire Response District: WILLIAM R. DAVIE
Assessed Acreage: 0.47 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 11/1994 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001770083 Soil Types: CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 50090.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 13000.00 Total Market Value: 63090.00
Total Assessed Value: 63090.00
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
�pUN t' NC or arising out of the use or Inability to use the GIS data provided by this website.
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'PengniDAVIE COUNTY HEALTH'DEPARTMENT d T u S
,Name: ` // Environmental Health Section PROPER Y INFORMATION
P.O.Box 848
Directions to property: Mocksville,NC 27028 Subdivision Name:
,�` Phone#:336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER - -
` ff SYSTEM CONSTRUCTION Tax Office PIN:#
AUTHORIZATION NO: :, ._ 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�o" fiance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
/ l �TH
***NOTICE**.*THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTALIST 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(GPD)'��6� NEW SITE REPAIR SITE
all'I
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH t%C,1 ROCK DEPTH 'LINEAR
OTHER 'r �1` �i( _', `.� C • �Ct�! _
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
b F
**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: P nVLOIK, D(l n YL
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AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE BOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 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.
D=MM(Revised
63
' "�� 'DAVIE-COUNTY.HEALTH DEPARTMENT
' ,Per uttee s C7
rrlJame: °�� t "f{ r�`'�'J S,` ~r's� Environmental Health Section. PROPERCYINFORMATION .
P.O.Box 848
Direqffons to-Property Nc. `�' ' `/ Mocksville,NC 27028 Subdivision Name:
r '
Phone#:336-751-8760
V Section: Lot:
r ;
AUTHORIZATION FOR
f` WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 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.
(Incompliance 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-,.r #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or N.o
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS / INDUSTRIAL WASTE:Yes or No
y
LOT SIZE TYPE WATER SUPPLY (�, DESIGN WASTEWATER FLOW(GPD)`, NEW SITE - REPAIR SITE �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK t GAL. TRENCH WIDTH r�' ROCK DEPTH r r- f LINEAR
OTHER
/. REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
f '
Ak
s
'**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
( 1 ),,)SYSTEM INSTALLED BY a,, P M G ti' tJ(l a n
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10
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AUTHORIZATION NO.6-� OPERATION PERMIT BY: ^ DATE:0 '
�4qw
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE 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.
DCHD 07102(Revised)
71
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cot it T4,,� f,,C3-IV-r) � FSS'b4
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME Sr. 4-SaA.a, 'DAyicDSm, PHONE NUMBER 'fqZ Z& 111
ADDRESS 2- 3 Ca ytyL VJ SUBDIVISION NAME
MRC 27 G Z;-' LOT #
DIRECTIONS TO SITE 1 I N' T, rn, Cana
�at t*- 4- tr 2al b s
DATE SYSTEM INSTALLED Sot 4st NAME SYSTEM INSTALLED UNDER
TYPE FACILITY fIfktd, NUMBER BEDROOMS -3 NUMBER PEOPLE SERVED 4_
TYPE WATER SUPPLYtrU�ll SPECIFY PROBLEM OCCURRING Uj
DATE REQUESTED :3 -(7 -0-s— INFORMATION TAKEN BY_431e,-
161
This is to certify that the information provided is correct to the best of my knowledge,an at I understand l am sponsibie f r all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT_
Rev.1193