Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1200 Jericho Church Rd
I?avie County,NC Tax Parcel Report Wednesday, February 15, 2017 1174 4� 1200 ... 1210 ' / ti� 1_42 f� J ................................ .............................................................................................................ti................... -_...,...............-... ..................- ,r`.--_.. '`�_.._ __ _. :.... WARNING: THIS IS NOT A SURVEY ,� � � �Parcel Information Parcel Number: J400000038 Township: Mocksville NCPIN Number: 5737387184 Municipality: Account Number: 8305824 Census Tract: 37059-806 Listed Owner 1: EATON JEFFREY WHITENER Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1200 JERICHO CHURCH ROAD Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE OSR State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 1 LOT JERICHO CHURCH RD Fire Response District: MOCKSVILLE Assessed Acreage: 0.99 Elementary School Zone: MOCKSVILLE Deed Date: 12/2015 Middle School Zone: SOUTH DAVIE Deed Book/Page: 010070342 Soil Types: WeC,WeB Plat Book: Flood Zone: Plat Page: Watershed Overlay: MOCKSVILLE Building Value: 93320.00 Outbuilding&Extra 31670.00 Freatures Value: Land Value: 20000.00 Total Market Value: 144990.00 Total Assessed Value: 144990.00 O tvul� 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 SOU p� NC or arising out of the use or inability to use the GIS data provided by this website. OPERATION PERMIT or Ice se n v � o Davie County Health Department "CDP File Number 218958-1 ut 210 Hospital Street P.O. Box 848 County ID Number: ��"�""� Mocksville NC 27028 Evaluated For: HDR/WWC Phone: 336-753-6780 Fax: 336-753-1680Township: Applicant: Jeff and Ann Eaton Property Owner: Jeff and Ann Eaton r . Address: 1200 Jericho Church Rd Address: 1200 Jericho Church Rd City: _ Mocksville City: Mocksville State/Zip: -NC 27028 State/Zip: NC 27028 - -Phone#: (336)751-3913 Phone#: (336)751-3913 Property Location & Site Information Address/Road M Subdivision: Phase: Lot: 1200 Jericho Church Road Mocksville NC 27028 Directions - _ - Hardison St. by South Davie, turn to Jericho Ch Rd Structure SINGLE-FAMILY - -- #of Bedrooms: 2 #of People: *Water Supply: PUBLIC IP Issued by: ' `System Classification/Description: TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *CA issued by: Saprolite System? O Yes (9 No Design Flow: a L� 0 *Distribution Type: GRAVITY-SERIAL Pump Re wired? _ 0 Yes No Soil Application Rate: 0 a 7 5 *Pre-Treatment: Drain field Nitrification Field 8 7 -3 Sq.ft. *System Type: INFILTRATOR QUICK 4 STANDARD No. Drain Lines. 3 Installer: Donnie Lakey Total Trench Length: .2 1 8 ft. Certification M 1i07 Trench Spacing: _ 9 Q Inches O.C. 0 Feet O.C. EHS: 2140-Nations,Robert Trench Width: _ 3 Q Inches Date: 0 5 / a 6 / a 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 0 Inches Minimum Soil Cover: 1 8 Inches Approval Status MInches Maximum Trench Depth: 3 6 ® Approved❑ Disapproved Maximum Soil Cover: a 4. Inches Page 1 of 4 CDP File Number 218958 - 1 Septic Tank County ID Number: " Manufacturer: shoaf Lat. STB: Iso Long: Gallons: 1000 Installer: Donnie LAkey Date: 0 a / a 4 / .2 0 1 6 Certification#: 1107 *EHS: 2140-Nations,Robert *Filter Brand: POLYLOK PLA 22 With Pipe Adapter ST Marker: El Yes ® NO Date: 0 5 / 6 / a 0 1 6 Reinforced Tank: El Yes ® No Approval Status Piece Tank: ❑ Yes ® No ® i4pproved❑ Disapproved, Pump Tank Manufacturer: Installer: PT: Certification#: Gallons: *EHS: Date: / / Date: Riser Sealed ❑ Yes ❑ No Riser Height: ❑ YeS ❑ NO (Min. 6 in. KK Approval Status Reinforced Tank: ❑ .Yes D No_ ❑ Approved❑ Disapproved - , .,, 1 Piece Tank: _❑ _Yes. - ❑ NO Supply Line Pipe Size: inch diameter Installer: Pipe Length: feet Certification#: *EHS: *Schedule: Pressure Rated ❑ Yes ❑ NO Date: Approved fittings ❑ Yes ❑ No ;ApprovalStatus ❑ Approved❑ `Disapproved Pump Type: Installer: Dosing Volume: - Gal Certification#: Draw Down: Inches *EHS: *Chain: Date: Valves Accessible ❑ Yes ❑ NO Flow Adjustment Valve ❑ Yes ❑ NO Check-valve ❑ Yes ❑ No Approval Status PVC Unions ❑ Yes El ❑ Approved 1:1 Disapproved_ Vent Hole ❑ Yes ❑ No Anti-siphon Hole ❑ Yes ❑ No Page 2 of 4 CDP Pile Number 218958 - 1 County ID Number: Electric Equipment NEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Box 12 inches 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 ❑ Yes ❑ No ❑ Approved❑ Dlsappro�ed Alarm Visible ❑ Yes ❑ No 2140-Nations,Robert - *Operation Permit completed by Authorized State Age Date of Issue: 0 5 / a 6 / a 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 A 900 et. Seq.,and all conditions of the Improvement Permit and 'Construction Authorization:This property is served by a TYPE a A. Sewage septic System. Rule.1961:_requires that a Type TYPE a A. septic system meet the following criteria: Minimum System Review By The Local Health Department: NSA .____Management Entity: OWNER ----Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A Rule .1961 requires that a Type IV and V.septic systems designed for a 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 owner and certified operator are the same. The contract shall require specific requirements for maintenance 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.** Page 3 of 4 OPERATION PERMIT 218958 - 1 Davie County Health Department CDP File Number: 210 Hospital Street P.O.Box 848 County File Number: :Mocksville NC 27028 Date: Q Inch Drawing Drawing Type: Operation Permit Scale: . O Block Q = ft. N/A ..............,...............:.....: ................_..................,............_..._._....................._........................_............................................................................._...,_................. ......... ......... fII I ............._........ .l.... .. ..... ...... f.. 1 .. I I i I I i............ t . I I ........ ...I ......... ....}.... ........., i. ..._._ ...� I I � I I I I .... ' .......... .. i .............. ..............................., .. ..... .................1........f ......... .................I .. . ... _.._ I 1 � I ' f ( ................. ........................... I ..._..... ............... . , ..... .. 1 ......_I i........... . .... ...... ..... ' .. I I I I i i i I I , I �.......... .. ........_ ...... ............ '............ ..� . I. ........ I f.............� �........ . I ........ f........._.... ...... . { ..... f.... l �I� ,.......... ..... . ........ ..... ... �.....: ..._, . .. . .. ....... .. ......,... ...... .. I I � v 1 ............................ f........... .......... .. ...... .... _ :............:_: _.i......... I I I I I I I i i I I i I _ f • v — — { . ... .._ .... . , ..... ...::�.i ..i............. .. ... ._ . , I I i _ � O I I i I � a! I - If........_ .......... ..... . ... I ....... ......I.... .f........ _ -{ J C I f ........f .......!. . f I `.. .. f.................'................. ......... . ' I � � I I I I I � I I. . L... L f. . .. ; .. i ...... , ' � I I . . ....... I 1 l I I I ............_. . ................. . L. l...............:..................j.................!............_...................'.............._!................L................ I � ..,. t. .... I ' f I I I I i I ; I.......... I.. F I ...I ........I j. ..I...... ....... ............ a........ �... . '..... .....� ........ I I i I l l ;.......... . ....... ........ L........... .... f f . ...... _ L.. ........i .... i ........ .. ................'.............................._L..._............................:. .... ,._ .....i ... ..... ........; Page 4 of 4 P1 P2 P3 HEALTH DEPARTMENT RELEASE For Office Use Only *CDP File Number 218958- 1 aao Davie County Health Department f. 210 Hospital Street County ID Number: P.O. Box 848 HDR/WWC Evaluated For:. .®; ,. Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID 0 5 i a 3 i a 0 .2 1 UNTIL: Applicant: Jeff and Ann Eaton Property Owner: Jeff and Ann Eaton Address: 1200 Jericho Church Rd Address: 1200 Jericho Church Rd City: Mocksville City: Mocksville State/Zip: NC 27028 State/Zip: NC 27028 "Phone#: (336)751-3913 Phone#: (336)751-3913 Property Location&Site Information CRoad ddress 1200 Jericho Church Road Subdivision: Phase: Lot: # Mocksville NC 27028tructure: SINGLE FAMILY Township: Directions #of Bedrooms 2 #of People: Hardison St.by South Davie,turn to Jericho Ch Rd `Water Supply: PUBLIC Type of Business: Basement: F Yes No Total sq.Footage: No.Of Employees: *Proposed Improvement: Pool Characters `Release Conditions Remaining Remeining 750 This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? O Yes O No Applicant/Legal Reps. Signature: *Date: *Issued By: 2140-Nations,Robert *Date of Issue: 0 5 .2 3 I .D 0 1 6 Authorized State Age **Site Plan/Drawing attached.** ®Hand Drawing 0 Import Drawing HEALTH DEPARTMENT RELEASE 218958 - 1 too Davie County Health Department CDP File Number: 210 Hospital Street P.O.Box 848 County File Number: Mocksville NC 27028 Date: 05 / ,23 / .1016 QUW O Inch Scale: O Block = .ft. Drawing Type: Health Department Release O N/A I I Il ............. ...., .... ...... ......... ............. ... 1 a ............. ................... .............. ....... I r ` i • L............ ......................................_ . .............I .................( .....I.... ......_I................. ........... �.G .1. I I � . ..._......!. ....... ....... ! I. L........... ! I ' I I ! I I 1 l �. i I ' i L... i i ... .._ . ... I E ................. . ! I I I L......:.........L...............I . 'Lt........... ......... .........{ � ! I i o_ o� I 1 ........... ......... ....... ........ i t (� A ....., a..............1 ........ .:._. ..«..... ....... .......... ! .................... ..._..... j.. .... .... ... .. ...... .(. 1 co .t:...... ........; ! .: ............I ... ! .... I I� .. l . X5� I I 1 i I ...�_ .......... . .�-......... ..... I j ..f ... _ I ....... j ... ... I ; �. �... . ........_...... . ............ `.-.... ..........i..... ........ ! 1.. ...... �:.:.. .................1_ i.........:_I. ......_ ......._I I _ �..... ...........I . ..... . ........I ............................ .............._........ ..._ Ie I ........ ! I i I I I I I ........................................... :.............................L. ...........!................................................ .............._!.. 1............_ I I I I I i ......I .. . ._. ........ ._� ... J f .. .. I I ` I r L... I . .... I. I. I .. ...!......... I I j I. i �.. ..................1 ..:........... ..011._.... ..... ,.... ..... ..,_. 5 L ............ �I I 1... ._......... 1.. .... .._.................J................................ j ............� . . ..... i I .. ...I t. i �. � I I I ... _ I I ....... . ............. ........ ........ .... ! I .. : . I................ .. . . ..., . . : I I ,. i. . ! ..... I....... ;. i........ i ... ......L.. ....... .................l ......... 1. Page 2 0f 2 ....... 14 *. 4o me-i Davie County Health Department C4�' 8 jt� Environmental Health Section . ,RY.O.Box 848 '',S210 Hospit�ll Shcct ' �( Couricr#:09-40-OG Mocksvillc,NC 27028 Plione:(336)-753-6780 Fax:(336)-753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling, Reconnection Name: —.!-& Phone NumberHome) MailingAddress: {\ �utc� � - 3 Lo- Q g 7 0� (Work) sC_ CA-1oal Detaile Directions To Site: S �Q� `fie j S'Aak jfZ h ruNs iNdd Property Address: "--"S c`L�LI� C-�(IV�C L� }�c� C 4'SX 1g n _ �`-IO a Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: ��lj�12 Type Of Facility: 44om4 Date System Installed(Month/Date/Year): /9(DLo Number Of Bedrooms:_gQ_Number Of People:_ Is The Facility Currently Vacant? Yes No If Yes,For How Long? Any Known Problems? Yes No If Yes,Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: � z 'Pa61 Number Of Bedrooms: Number of People_ Pool Size: Garage Size: Other: Requested By: . '✓`� Date Requested: � x3)yp ig re) For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By:_� 'I Received By: Account#: Invoice#: ` l J EXISTING IRON 3 I?/W MARY a JANE WGUIRE ° D8. 20 PG. 497 h to h EXISTING IRON a �_ S 49 04 01 E (256.52 TOTAL } EXISTI G (29-3) (95.6) ` IRON T CA n N Ct' N Po©mbk---') 110 w 29.5 AREA= U. 999 ACRE 2'41 porch r \y ps 2,1 � I STORY BRICK_ z boy enc o 5, w/BASEMENTo ( '8 0 h porcl ON n 0 ° O 497t: i -< -� t screen o o porch drive oC o n cret gravel O Q CQ Carport drive A ^ 22.2 ti 311-70 EXISTI G IRON 22' PAVED GRANITE MONUMENT t N 480 56'. 58" W STEVEN ' M. JORDAN DB. 113 PG, 768 R/W MINE t