1119 Farmington RdDavie County, NC Tax Parcel Report l °I % A Wednesday, September 28, 2016
141
Davie County, NC
WARNING: THIS IS NOT A SURVEY
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
to r=-
Parcel Number:
E500000015
Township:
Farmington
NCPIN Number:
5841671917
Municipality:
Account Number:
67470500
Census Tract:
37059-802
Listed Owner 1:
SMITH JEAN F
Voting Precinct:
FARMINGTON
Mailing Address 1:
1119 FARMINGTON ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY OD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
2.14 AC FARMINGTON RD
Fire Response District:
FARMINGTON
Assessed Acreage:
1.87
Elementary School Zone:
PINEBROOK
Deed Date:
1/1999
Middle School Zone:
NORTH DAVIE
Deed Book f Page:
1999EO026
Soil Types:
EnB
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
101050.00
Outbuilding & Extra
4160.00
Freatures Value:
Land Value:
35560.00
Total Market Value:
140770.00
Total Assessed Value:
140770.00
141
Davie County, NC
l 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
due to inability
causes of action or arising out of the use or to use the GIS data provided by this website.
AUTHORIZATION NO. i ,DAVIE COUNTY HEALTH DEPARTMENT J
Environmental Health Section PROPERTY INFORMATION ,I _V q
•• Permittee's - 1 `�^� 1 i P.O. Box 848
• Name: ' "`�'� Mocksville, NC 27028 Subdivision Name:
Phone # '336-751-8760
Directions to property: 41 LJ` ,l % `I'� Section: Lot:
_ AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:#
Road'Name: 1 T Zip:'
**NOTE** Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
toissuance.of any Building Permits:' This Fo_ rm/Authonzation Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits. .
(In compliance with Artic e 11'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.
EhtV�R E ALTH S E IALLST. :bATE I SUED
DAVIE COUNTY HEALTH DEPARTMENT
Q ' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittge's
Name:. ' +..w Subdivision Name:
Directions to property:
s�
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name. 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
constructionrnstallation 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 H (xSS # BEDROOMS 5 # 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 Cxoaq DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: Ru -0 L1) "j A^� ye -k=1' � 1 Q �A V
IMPROVEMENT PERMIT LAYOUT-iIPPRQVED EFFLU2,- IT FILTERr- *r
I _
0-M
f!3LR (5) IF 61 1 BELO!) FI
A -)V (eILI I
l0�5
T
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPEC Q�i ?? STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # Ij; Q, 5760
OPERATION PERMIT
SYSTEM INSTALLED BY: V 1LL4A^ b�LAV.�
0� E� M r/�jk✓
� o ► N'
i�
AUTHORIZATION NO. A_ OPERA ION P IT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMI LL INDICATE THAT THE SYS DSCRIBED A AS BEEN 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.
DCHD 05/96 (Revised)
,t'
DAVIE COUNTY HEALTH DEPARTMENT
'-IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATIONS t', > J
snmittee's
Name: ` Subdivision Name:
Direciions to property: `f �` ► C''' s Section: Lot:
r
t e, '1 •.t I '1
i
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:* ; L , ,:, t ` 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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
e ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE UVTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE aA)',f # 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 a,'041Y DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE Vj
SYSTEM SPECIFICATIONS: TANK SIZE U11(-; GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
REQUIRED SITE MODIFICATIONS/CONDITIONS: FILL t-) r' l-� � � � � V ^ , (4 i� F v
V;.4 `'-t,j
IMPROVEMENT PERMIT LAYOUT -r.(i`PP,0 QED EFFLUZI-IT FILTER* �rfl
SET.(S) IF t" I'ELUA F=
1;; i~ t �1C.vJ TAPS Z
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTI0,,j �,q f �I§§YSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # I�� t�9Mt76976
OPERATION PERMIT
SYSTEM INSTALLED BY:
(
E Pt
Mt��`,U�Ya✓�v
is lz
t I J
C
AUTHORIZATION NO. OPERAEION IT BY: � �'/�. DATE:
**THE ISSUANCE OF THIS OPERATION PERM LL INDICATE THAT THE SYSTEIDESCRIBED ABQYE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I1 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 WILLFUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
AUTHOR NO: DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION'
Permittees. P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: I.L. 54s= -To Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name: 1 ilfz,lf,rt,)�-*ir w1!? 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 compliance with Article I Lof G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IY IS VALID FOR A PERIOD OF-FIVE YEARS.
ENV RO MPRiAL HEAL SPLCIALIST DATE I UED
,1 7 DAVIE C6UNTY HEALTH DEPATMENT s.
IMPROVEMENT -AND OPERATION PERMITS PROPERTY INFORMATION �- J
rrg rs-t.i Subdivision Name:
Directions to property: 1;x :14 t S, c4,. Section: Lot:
IlVIPROVEMENT
14"'"1 41 IWO PERMIT Tax Office PIN:#
Road Name: ,,,�,t, +e 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 l l .of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�` F �_ •----.. ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
w ENVfR M MENTAL fiEALtil SP CIALIST DATE IISUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
.r INSTALLING THE SYSTEM. \
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS -5 # BATHS Z # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIIFIICCATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE ' 11/4CE WATER SUPPLY ��LL, DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE `A
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �Y'' ROCK DEPTH l LINEAR FT. 2`
0THF.R 1 �)►-�ra,6vu03 —6,,>C
REQUIRED SITE MODIFICATIONS/CONDITIONS: }Ctr S r Or -4: t-1 Dt?x6
IMPROVEMENT PERMIT LAYOUT
Srd
7
• c:
"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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
eaf
go1
�� XI&
O ,p
%L'r
AUTHORIZATION NO. 131 OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA S M RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AN DI POSAL SYSTEMS", 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)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perm_ ittee s
Name: " t 1 Subdivision Name:
Directions to property: ? ,'A—
Section: Lo[:
IMPROVEMENT
(! � � � iPERMIT
" ) Tax Office PIN:# '
Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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 I4SUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
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
i
LOT SIZE ' l��C TYPE WATER SUPPLY OCL-. DESIGN WASTEWATER FLOW (GPD) - C0 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1 cI LINEAR FT.
OTHER , 1:-JIc7T4 1C�1t%lt0 fJ)C
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
n
a
6,7
l..
G_7
1
Cd
"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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: $ �^l'��1� ! d/f�'4
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AUTHORIZATION NO. °I , t 4E' RATION PERMIT BY DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICAT YS EMCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
_
WITH ARTICLE 1 I OF G.S. CHAPTER 13_0A, SECTION .1900 "SEWAGE TREATMENT AN DjSPOSAL SYSTEMS", 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)!
• i
r
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
/o•*36
NAME JeePA B' PHONE NUMBER ??d -.37J,0
ADDRESS ///9 /�.9,Pm%P / SUBDIVISION NAME
-'IIoG,C LOT #
DIRECTIONS TO SITE /SF` �' ��•� - S f� �k o�— ��f Air
PAP
DATE SYSTEM INSTALLED , NAME SYSTEM INSTALLED UNDER
TYPE FACILITY z/_ uhJ NUMBER BEDROOMS S NUMBER PEOPLE SERVED -3
TYPE WATER/ SUPPLY well SPECIFY PROBLEM OCCURRING l�Ah
DATE REQUESTED �7' ��'" INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
I am responsible for all charges incurred from this application.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME a
n
PHONE NUMBER / 7 9- Z-7 3 V
ADDRESS
Q
SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE/
DATE SYSTEM INSTALLED 3 )LE"J NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPEWATER SUPPLY y u ✓1't -y SPECIFY PROBLEM OCCURRING n-P--fd S /-W- J
DATE REQUESTED INFORMATION TAKEN BY,
M
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. 1193
_J