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2324 Hwy 601S (2) s _ 1 Davie County,NC Tax Parcel Report Wednesday, February 15, 2017 2286 2302 . �. 132-� f 2318 r` � 2329 , GRASO ___ ,—COVE ,f'` 2324: \ 2347 151 rr. ' bol J-2- 9 234- y;^ 23 ,6 \ 2367 2346', x'2361 2328 f. /2365 r �`�, 23 54\ 2364\/ '�2371� X375 f2372�;` �� it '` '•"�.,�` �. ........ 2380 ..... ................. WARNING: THIS IS NOT A SURVEY Parcel lnformation Parcel Number: L515OA0014 Township: Jerusalem NCPIN Number: 5746236560 Municipality: Account Number: 16657000 Census Tract: 37059-807 Listed Owner 1: CONNELL JAMES ROBERT Voting Precinct: COOLEEMEE Mailing Address 1: 2324 HIGHWAY 601 SOUTH Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20,H-B State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 2.63 AC HWY 601(1.78 AC) Fire Response District: JERUSALEM Assessed Acreage: 1.78 Elementary School Zone: COOLEEMEE Deed Date: 11/2000 Middle School Zone: SOUTH DAVIE Deed Book/Page: 003510091 Soil Types: CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 43800.00 Outbuilding 8r Extra 3100.00 Freatures Value: Land Value: 21490.00 Total Market Value: 68390.00 Total Assessed Value: 68390.00 O�ekl� 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 rOCty C NC or arising out of the use or Inability to use the GIS data provided by this website. OPERATION PERMIT or ice se ny G- ADavie County Health Department "CDPFileNumber 199948-1 210 Hospital Street P.O. Box 848 County ID Number.Mocksville NC 27028 Evaluated For. REPAIR Phone:336-753-6780 Fax:336-753-1680 Township: Applicant: Annie Connell/Daniel Gample Property owner: Annie Connell/Daniel Gample Address: 2324 US Hwy 601 S Address: 2324 US Hwy 601 S City: Mocksville City: Mocksville State2ip: NC 27028 State/Zip: NC 27028 Phone#: (336)284-2844 Phone#: (33�284-�2844 Property Location & Site Information Address/Road#; Subdivision: Phase: Lot: 2324 US Hwy 601 South _Mocksville NC 27028 Directions structure: SINGLE FAMILY Hwy 601 South, home is on the right, across from - Church of God #t of Bedrooms: 3 #of People: '"Water Supply: NEW WELL *IP Issuedby' 2140-Nations,Robert *Sys tem Classification/Description: TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPO OR LESS) *CA issued by: 2140.Nations,Robert SaprotiteSystem? QYes eNo Design Flow: 3 6 0 'Distribution Type: GRAVITY-SERIAL Pump Required? QYes QNo Soil Application Rate: 0 . a 7 5 *Pre Treatment: Drain field rNo. cation Field 1 3 09Sq• ft. *SystemType: INFILTRATOR QUICK4STANDARD rain Lines 4 Installer: William Wyrick Total Trench Length: 3 a 7 ft. Certification#: 2676 Trench Spacing: — 9 _ GFe t 0 C lnches O.C. * 2140-Nations.Robert Trench Width: 3 Inches Feet Date: ' 0 3 / 1 8 / 2 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 6 Inches Minimum Soil Cover. a 4 Inches Approval Status Maximum Trench Depth: 3 6 ® Approved❑ Disapproved Inches Maximum Soil Cover: 2 4 Inches r CDP File Number 199948 - 1 Septic Tank County ID Number: r Manufacturer. Shoaf Lat. STB: 760 Long: _ Gallons: 1000 Installer. William Wyrick Certification#: 2676 Date: l a / 0 5 / x 0 1 5 *EHS: 2140-Nations.Robert *Filter Brand: POLYLOK PL-122 With Pipe Adapter ST Marker: El Yes R No Date: 0 3 / � $ / a 0 1 6 Approval Status Reinforced Tank: ❑ Yes ® No 1 Piece Tank: ❑ Yes [O No �® Approved❑ ©Isapproved Pump Tank Manufacturer Installer: PT: Certification#: Gallons: *EHS: Date: / / Date: RiserSealed ❑ Yes ❑ No RiserFieght: ❑ Yes ❑ No (Min.6 in.) Approvals#atus einforced Tank: ❑ Yes ❑ No ❑ Approved❑ Disapproved 1 Piece Tank. ❑ Yes ❑ NOAW Supply line Pipe Size: inch diameter Installer. Pipe Length: feet Certification#: *EH S: *Schedule: Pressure Rated ❑ Yes ❑ No Date: Approved fittings ❑ Yes ❑ NO f Approval Status C7 Approved❑ Disapproved" u p Requiremenj Pump Type: Installer. Dosing Volume: — Gal Certification#: Draw Down: Inches *EHS: 'Chan: Date: Valves Accessible ❑ Yes ❑ NO Flow Adjustment Valve ❑ Yes ❑ No Check-valve ❑ Yes ❑ No ApprcvalStatus PVC unions ❑ Yes ❑ No ❑ Approved❑ Disapproved Vent Hole ❑ Yes ❑ No Anti-siphon Hole [I Yes 0 No CDP File Number 199948 - 1 County ID Number: Electric Equipment CNEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Box 12 in Above Grade ❑ Yes ❑ No Certification#: Box Adj.To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ NO *EHS: Pump Manually Operable ❑ Yes ❑ No *Activation Method: Date: Approval Status Alarm Audible El Yes ❑ No ❑ Approved0 Disapproved , Alarm Visible ❑ Yes ❑ No 2140•Nations.Hobert *Operation Permit completed by: Ise Authorized State Agent Date of Issue: 0 3 / 1 8 / 2 0 1 6 Owner/Applicant Signature: This system has been installed in compliance with applicable NC General Statutes:Article 11,Chapter 130A, Rules for Sewage Treatment and Disposal,15A NCAC 18A .1900 et. Seq.,and all conditions of the Improvement Permit and Construction Authorization.This property is served by a TYPE It A. sewage septic system. Rule.1961 requires that a Type TYPE II A. septic system meet the following criteria: Minimum System Review By The Local Health Department: NIA Management Entity: OWNER Minimum System Inspection/Maintenence Frequency By Certified Operator: NIA Reporting Frequency By Certified Operator.NIA Rule.1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract with a public management entity with a certified operator or a private certified operator for the life of the septic system. Rule.1961 requires that Type VI septic systems designed for a home/business owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2)(e)requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit for a system required to be maintained by a public or private management entity,unless the system ownerand certified operator are the same. The contract shall require specific requirements formaintenance and operation, responsibilities of the owner and systems operator,provisions that the contract shall be in effect for as long as the system is in use,and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Permit that subsequent owners of the systems execute such a contract. @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** OPERATION PERMIT 199948- 1 Davie County Health Department CDP File Number: 210 Hospital Street P.O.Box 848 County File Number: Mocksville NC 27028 Date: I I C Inch Drawing Drawing Type: Operation Permit Scale: . O A k I r h CONSTRUCTION AUTHORIZATION Davie County Health Department , 210 Hospital Street CDP File Number: 199948 - 1 P.O.Box 848 cl:�l / Mocksville IVC 27028 County File Number: cv C Date: 02 /, la / a0 16 Click below to import an image from an external location: Drawin Type: CO strtictlon Authorization "�GfU✓� I 46 171 �1 Page 3 of 3 P1 P2 CONSTRUCTION AUTHORIZATION 199948 - 1 . Davie County Health Department CDP File Number: 210 Hospital Street P.O.Box 848 County File Number: Mocksville NC 27028 Date: 0 a / 12 a 0 16 O Inch Drawing Drawing Type: Construction Authorization Scale: , 00 N/A ft. 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