2164 Hwy 801N--- -- -� 2011
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Parcel Information
Parcel Number:
C500000085
Township:
Farmington
NCPIN Number:
5842889294
Municipality:
Account Number:
82520009
Census Tract:
37059-802
Listed Owner 1:
ALLEN SUE B REVOCABLE TRUST
Voting Precinct:
FARMINGTON
Mailing Address 1:
2164 NC HIGHWAY 801 NORTH
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-A,R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
3.680 AC HWY 801
Fire Response District:
FARMINGTON
Assessed Acreage:
3.51
Elementary School Zone:
PINEBROOK
Deed Date:
1/2003
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
004600136
Soil Types:
IrB,EnB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
143660.00
Outbuilding 8r Extra
Freatures Value:
0.00
Land Value:
49460.00
Total Market Value:
193120.00
Total Assessed Value:
193120.00
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Davie County,
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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.
IMPROVEMENT PERMIT
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
**NOTE** This improveaent 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)
NAME_PROPERTY ADDRESS/IA174a
DATE
LOCATION
V
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE D # BEDROOMS # BATHS 2 t OCCUPANTS _1F GARBAGE DISPOSAL: Ye q.._.
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY �' DESIGN WASTEWATER FLOW (GPD) g ---d— NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
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fi{w'•�J/j o 1 �
MP
I RDVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION NO.
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OPERATION PERMIT BY ` DATE G -
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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.
DCHD 10/95
c "
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
_ . VI
IMPROVEMENT PERMIT " - -
**NOTE** This improyeient permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. .AN AUTHORIZATION`.FOR,,WASTENATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constryction/ins 311ation of a syst'e■ or the issuance of a building permit.
(In compliance with Article 11 of 6:S.,,Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME ti _ J ,!' % .�^ �i I PROPERTY ADDRESS DATE
LOCATION E//Z
'SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE / `' � ' BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL: Ye Io
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPM 21,11 /PEOKElS4Ti ',4 �( TS l 4 / TRIAL NASTE': �Yet/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE 'REPAIR SITEt--1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTHS.` LINEAR FT.
�t
OTHER -
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE FLANS OR THE INTENDED'USE CHANGE. YOUR WASTERWATER SYSTEM'"CONTRACTOR h"JST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT 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 THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
AUTHORIZATION NO.
SYSTEM INSTALLED BY i �- n t/ .-•,
�-�- 106'
cn ,
OPERATION PERMIT BY �� i'� DATE
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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.
DCHD 10/95 s
Hca
3, Davie County Health Department
• ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 13OA, Wastewater Systems)
***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 applyingforBuilding Permits.***
NAME �lL - �l/l DATE ��/��/�� AUTHORIZATION NUMBER
-� N 2 � `' R
NAME ON INPROVEMENT PERMIT (If different than �abboove) / I ,�
SITE LOCATION��vA YX Af%N///� � Yl/l 01��'v DI� ' IS�G✓vl AD % `9i �OC.�st/%/�'
COM 1TS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
***NOTICE*** THIS AUTHDRIZATION FOR WA W TER SYS EM CONSTRUCTION IS'VALID FOR PERIOD OF FIVE (5) YEARS.
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ENVIRONENTAL SPECIALIST DATE
DCHD 10/95