124 Falcon LnDavie County, NC Tax Parcel Report 0� I G v Wednesday. September 28. 2011
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Davie County, NC
WARNING: THIS IS NOTA SURVEY
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ParcelInformation-,
Parcel Number:
H700000050 A
Township:
Shady Grove
NCPIN Number:
5769476105
Municipality:
Account Number:
8305106
Census Tract:
37059-804
Listed Owner 1:
SMOTHERS DEBORAH NANCE
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
128 FALCON LANE
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
30.63 AC CORNATZER RD
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
30.08
Elementary School Zone:
CORNATZER
Deed Date:
2/2009
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
2009EO213
Soil Types:
PcB2,GnB2,RnC,GnC2,PcC2,EnB,MsC,ChA
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
Building Value:
65700.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
188580.00
Total Market Value:
254280.00
Total Assessed Value:
101160.00
141
Davie County, NC
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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 or arising out of the use or inability to use the GIS data provided by this website.
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P;rmittee's � / , r
DAVIE COUNTY HEALTH DEPARTMENT
Name: . + �� Ctk� z"n` �--fk� Environmental Health Section PROPERTY INFORMATION
{ _ P.O. Box 848 r%t s_ /-03
Directions to property: f }j ^ A/'jT-5 40 Mocksville NC 27028 Subdivision Name:
r/ iPhone #: 336-751-8760
�, )'/0fJrr ,d L -e -Ar
r Section:_
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION ��^ -
AUTHORIZATION NO: �"' 1 A Road Name:! 1r� f` t / L�� GZip:
**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 w i Article I 1 of G.S. Chapt 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
-ENVIRONS VL _H LT SPECIA�,1`ST 'D, E ISSOED
RESIDENTIAL SPECIFICATION: BUILDING TYPE C' # BEDROOMS S # BATHS —I— # OCCUPANTS GARBAGE DISPOSAL: Yes or No
Lot:
COMMERCIAL SPECIFICATION: FACILITY TYPE�y- # PEOPLE
It PEOPLE/SHIFT
It SEATS
INDUSTRIAL WASTE: Yes or No
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`
LOT SIZE TYPE WATER SUPPLY �/+�� DESIGN WASTEWATER
FLOW (GPD)GJ/)[
NEW SITE
REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK
GAL. TRENCH WIDTH
ROCK DEPTH Z LINEAR FT.
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OTHERSTn
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REQUIRED SITE MODIFICATIONS/CONDITIONS:�A✓'�1�-t--
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IMPROVEMENT PERMIT LAYOUT
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"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
I OPERATION PERMIT ` J I_)
SYSTEM INSTALLED BY: ISA tN�", 'v'��i�
FaA:I,Jr
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AUTHORIZATION NO. 9' `P15AOPERATION PERMIT BIC DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS ESCRIBED ABOVE EN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 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.
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME V^C' ��4a' PHONE NUMBER `
ADDRESS �I'L r1q L- C O L� M 0CIKS SUBDIVISION NAME I C
LOT #
DIRECTIONS TO SITE �J � ' p 41_'W2- LGelj I"' r
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DATE SYSTEM INSTALLED PWAI`�� NAME SYSTEM INSTALLED UNDER jS
TYPE FACILITY te NUMBER BEDROOMS NUMBER PEOPLE SERVED
-�� A" ��/��
TYPE WATER SUPPLY �.��sst,'Il�J SPECIFY PROBLEM OCCURRING�CJ►
DATE REQUESTED—"43— 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 from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93