953 Deadmon Rd 'Davie County, NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Number: K600000015 Township: Jerusalem
NCPIN Number: 5757134574 Municipality:
Account Number: 8305243 Census Tract: 37059-807
Listed Owner 1: SPRY ROY VESTAL JR Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1: 953 DEADMON ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 16.86 AC DEADMON RD Fire Response District: JERUSALEM
Assessed Acreage: 16.82 Elementary School Zone: CORNATZER
Deed Date: 7/2015 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009940539 Soil Types: PaD,GnB2,RnC,PcB2,PcC2,EnB,CeB2,ChA,WATER,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 63800.00 Outbuilding&Extra 4660.00
Freatures Value:
Land Value: 89730.00 Total Market Value: 158190.00
Total Assessed Value: 84330.00
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 ntnesa 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
Permittee'si DAVIE COUNTY HEALTH DEPARTMENT
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'Name: Environmental Health Section ,!� IROPERTY INFORMATION
P.O. Box 848 `
Directions to property; "'►� Tb Mocksville;NC 27028 Su�division Name: �('AC.3- -5: 1F a--
Phone#:336-751-8760
71A0a ' Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
n SYSTEM CONSTRUCTION -
228
AUTHORIZATION NO: Q A Road Name095 1:b i0 L
**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 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
'n v ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
•c. IS VALID FOR A PERIOD OF FIVE YEARS.,
E IRON N 64-I 1H SP CIAI JS I DATE ISS ED
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 � PE WATER SUPPLY WWI DESIGN WASTEWATER FLOW(GPD) �V NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANKGAL. TRENCH WIDTH _ ROCK DEPTH-17— LINEAR FT.122�
OTHER i O
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT T I d rf Df
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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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AUTHORIZATION NO.2 _OPERATION PERMIT BY: ATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEMADI
FBED
ABOVE H INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT ANDSYSTEMS",BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
IICHD 02102(Revised)
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esc I [, DAVIE COUNTY HEALTH DEPART ��T d
Environmental Health Sectioc1� 0 " PROPERTY INFORMATION
P.O. Box 848 ��� / 3 0 .:
to property rtn Mocksvi116q V4 ,NC 27028 Su division Name: max. —s—
Directions S 2,
Phone#:336-751-8760
Section: Lot:
_ AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION228- - -
AUTHQRIZATION NO: 0 A Road Name:' ' r^`?`'lip
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
toissuance of any Building Permits.This Form/Authorization Number.should be presented to the Davie County Building Inspections
Office when applying for Building Permits. .
(In compliancewithArticle 1 I 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.
ENVIR64 'N L.HE4TH SPI LIST` DATE ISS ED ,
RESIDENTIAL SPECIFICATION:BUILDING TYPE-� #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
BEDROOMS
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE -1 -PE WATER SUPPLY C DESIGN WASTEWATER FLOW(GPD)�� NEW SITE REPAIR SITE Vol",
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH,�C._ ROCK DEPTH LINEAR FT.�
OTHER ' t (?—� RL`---)e
REQUIRED SITE MODIFICATIONS/CONDITIONS: Id
IMPROVEMENT PERMIT LAYOUT ����
CLIC L p T 10rj 'o{
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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: l C
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LID 15 S0LtDi I f I,-.L,ctsY "-3
1' + AUTHORIZATION NO.-�Yn n OPERATION PERMIT BY: _ ATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM C ,BED ABOVE H INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT ANDD SAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07/02(Revised) r
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME C dy''�� PHONE NUMBER
ADDRESS q sa> SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED / NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY--OC-U- SPECIFY PROBLEM OCCURRING N"10
DATE REQUESTED 1z �� INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and t I understand I am responsIs for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGEN
Rev.,/93