842 Farmington RdDavie Cnunty_ N� r Tax Parcel Report I I s1b Werinesriav_ Sentemher 2A_ 2016
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Davie County, NC
Parcel Information "
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Parcel Number:
E500000028
Township:
Farmington
NCPIN Number.
5841741242
Municipality:
Account Number:
82526345
Census Tract:
37059-802
Listed Owner 1:
HARRISSON JEFFREY W
Voting Precinct:
FARMINGTON
Mailing Address 1:
842 FARMINGTON ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
15.750 AC FARMINGTON RD
Fire Response District:
FARMINGTON
Assessed Acreage:
14.52
Elementary School Zone:
PINEBROOK
Deed Date:
4/2006
Middle School Zone:
NORTH DAVIE
Deed Book f Page:
006590765
Soil Types:
ArA,MrB2,EnB,WATER
Plat Book:
Flood Zone:
AE,X
Plat Page:
Watershed Overlay:
-
Building Value:
265780.00
Outbuilding & Extra
13720.00
Freatures Value.
Land Value:
146380.00
Total Market Value:
425880.00
Total Assessed Value:
425880.00
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Davie County, NC
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harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
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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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AUTHOFIZAR 16N NO: 19 � 0 DAVIE COUNTY HEALTH DEPARTMENT
iEnvironmental Health Section PROPERTY INFORMATION
Nametee's f , ; P.O. Box 848
Name: ��� Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: �f :ii / f� %' �"`C'' Section: Lot:
�^ AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION �a Q 0—
Road Name: Fng M—oSd
**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 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/ J f' . �._ j , ! �i 4. �/ ' r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTVi SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPART
ME T
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee' . _
Name: rT (7 Subdivision Name:
Dlrecfions to�property: ^ Z Z- r'✓ Section: Lot:
r ' IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road N me:F R ' -Z�p
**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 TYPEf # BEDROOMS # BATHS _ # OCCUPANTS / GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPEj`)%�n F # PEOPLE L # PEOPLE/SHIFT # SEATS r INDUSTRIAL WASTE: Yes oro
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE d U GAL. PUMP TANK GAL. TRENCH WIDTH 76- ROCK DEPT !!V_ LINEAR FT.� S /
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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
Dam Z Z10
91
id
OjF
;It 7
101
:! 3u 1 L> 1^3 C-7
AUTHORIZATION NO. � OPERATION PERMIT B : DATE: ` I s
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA E SYSTEM DES RIBED ABOVE HAS 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.
SYSTEM INSTALLED BY:
DCHD 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS
Permittee,s 4
jx�<olr:J
PROPERTY INFORMATION
Name: �%1��></�? i Subdivision Name:
Directions to -property:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road N e:�/�`� /Y� 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)
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
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 TYPL? '%'1 jf # PEOPLE # PEOPLE/SHIFT f # SEATS l INDUSTRIAL WASTE: Yes o
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE /,'_'41�:% GAL. PUMP TANK GAL. TRENCH WIDfTH i /" ROCK DEPTII.�& LINEAR FT.. �
0T14FR Z,'&we ��!i%QLT• ?� F% ' U /�/ //, r ` C�7 l i �! / I
;REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
cl
"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:
IvAUTHORIZATION NO. OPERATION PERMIT B DATE: J
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA E SYSTEM DE RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
�,� • ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
ADDR
/"- -41 1/0
DIRECTIONS TO SITE
PHONE NUMBER qz�d ".5 7416
UBDIVISION NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITYX& °,/ G' .NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED/ 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
�e W ?f9Y-4 /A 5.'
Iva W, 0w,v6t f'Ul; ke U
DAVIE COUNTY HEALTH DEPARTMENT
- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name - --
Location —
Date
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home — Business -- Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO 0''
Auto Wash Machine YES ❑ "` NO ❑
J ,
Type Water Supply
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by
"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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion ' ` Date
'The signing of this certificate shalf 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.
DAVIE COMITY HEALTH DEPARTM14T ,
ENVIRONMENTAL HEALTH SECTION "
P. O. BOX 57
MOCKSVILLE, N.C. 27028 :r►,�/'
(704) 634-5985
Statement for Septic Tank Improvements Permits and/or Site Evaluationsor
;
NAME . . ��/; (/ DATE
i
ADDRESS PE MIT IJO.
EXPLANATION OF CHARGE_
AIAMUiJT DUE SAtJITAR.IAN
PLEASE REMIT THE ABOVE A14OUNT ON RECEIPT OF THIS STATEMENT.
*NOTICE; Evaluation(s) can not be completed until payment is received.
Improvements Permit(s) can not be issued until payment is received.