289 John Crotts Rd (2)Davie County. NC
Tax Parcel Report I MN Monday. October 10, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
WAKINIINU: 1tin IN INOl A JUIKVLY
Parcel Information
1500000045 Township:
5748830810 Municipality:
Mocksville
8301342 Census Tract: 37059-805
CITIMORTGAGE INC Voting Precinct: NORTH MOCKSVILLE COUNTY
1000 TECHNOLOGY DRIVE Planning Jurisdiction: Davie County
O'FALLON Zoning Class: DAVIE COUNTY R -A
MO
Zoning Overlay:
63368-2240
Voluntary Ag. District:
.881 AC JOHN CROTTS RD
Fire Response District:
0.84
Elementary School Zone:
4/2016
Middle School Zone:
010150445
Soil Types:
Flood Zone:
Watershed Overlay:
69780.00
Outbuilding & Extra
Freatures Value:
14360.00
Total Market Value:
MOCKSVILLE
CORNATZER
WILLIAM ELLIS
CeB2
DAVIE COUNTY
6860.00
91000.00
No
Davie County,
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NC
or arising out of the use or Inability to use the GIS data provided by this website.
Ci
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
DIRECTIONS TO
HONE NUM
UBDIVISION N
LOT #
O OT
> -%do
�J
DATE SYSTEM INSTALLED `'� NAME SYSTEM INSTALLED UNDER 4rxa)�
TYPE FACILITY ItOO-!76 NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY V SPECIFY PROBLEM OCCURRING
� 0��= ��t►� l_t.J�� �Eed� S4u�IJc.� PL.��r(
DATE REQUESTED �� ?ao t7 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
ST 7
51
AUT14ORIZATION NO: I Q' 0 WDAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Permittees 1/1%n P.O. Box 848
PROPERTY INFORMATION
Narhe: lc.— Mocksville, NC 27028 Subdivision Name:
Directions to property: L TQ Phone # 336-751-8760 Section: Lot:
AUTHORIZATION FOR
WASTEWATER
t;'5- SYSAEM CONSTRUCTION Tax Office PIN:#— -
1�-
�Jvllo cu1ic-' C0->rGa ' P Nam
9 vrj rL:1 Road
**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 M
- Lcle�j-,of G.S. Vhapter 130A, Wastewater Systems, Section . 1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
7.bi oo IS VALID FOR A PERIOD OF FIVE YEARS.
'�EAIiRO1YM 9 Ni"A L lfl:�SPECIAL
,T DATE IS UED
**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.. 1.1 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
' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIAL ST ( DATE ISSUED' INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE i arm # BEDROOMS # BATHS _� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
1
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or Nc
LOT SIZE OZE TYPE WATER SUPPLt�i"--E( DESIGN WASTEWATER FLOW (GPD) L� I � NEW SITE REPAIR SITE ✓
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH_ LINEAR FT. 160
OTHER—1 k -k �L%-t10J (N,1STL\UL, l-INNC D•C• M.,J. 't
REQUIRED SIT$ MODIFICATIONS/CONDITIONS: Va-y 1(i, at" Cej& L -1 1,j
IMPROVEMENT PERMI''1;`LAYOUT
J
r
l S/TDAVIE COUNTY HEALTH DEPARTMENT
fl�p
IMPROVEMENT AND OPERATIONPERMITS PROPERTY INFORMATION
Prmittee
- Naine:
- � ,,'�J
- -.t-, i Subdivision Name:
Directions to
property:�[
Section: Lot:
,..'1rtiL!
IMPROVEMENT
r•' PERMIT Tax Office PIN:# - -
�.
IS 'L Ei I_tom,` ,A 11 i_ Road Name.,1! .,t 7tLlp 1c
**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.. 1.1 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
' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIAL ST ( DATE ISSUED' INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE i arm # BEDROOMS # BATHS _� # OCCUPANTS GARBAGE DISPOSAL: Yes or No
1
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or Nc
LOT SIZE OZE TYPE WATER SUPPLt�i"--E( DESIGN WASTEWATER FLOW (GPD) L� I � NEW SITE REPAIR SITE ✓
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH_ LINEAR FT. 160
OTHER—1 k -k �L%-t10J (N,1STL\UL, l-INNC D•C• M.,J. 't
REQUIRED SIT$ MODIFICATIONS/CONDITIONS: Va-y 1(i, at" Cej& L -1 1,j
IMPROVEMENT PERMI''1;`LAYOUT
J
*PIPPROVED EFFLUEUT FILTERr *RISER(S) IF 611 EELOA FWISX-"_D GFMD---
N
7 r
CA�itlf"T 1` x
Ntc�4 V
d ' Z
TSL -'D C
rJ VJ-?ax
1 E_. 13 O -r N C:fL LI �L
f,Xt>�CJ ��LF�1
**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 (?m�-6-WP60.
3i)fY{AlIXXX X.
OPERATION PERMIT SYSTEM INSTALLED BY:
>L
( -
-` CK)
i3Lfl�
1
AUTHORIZATION NO." OPERATION PERMIT BY: DATE: j
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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)
r
*PIPPROVED EFFLUEUT FILTERr *RISER(S) IF 611 EELOA FWISX-"_D GFMD---
N
7 r
CA�itlf"T 1` x
Ntc�4 V
d ' Z
TSL -'D C
rJ VJ-?ax
1 E_. 13 O -r N C:fL LI �L
f,Xt>�CJ ��LF�1
**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 (?m�-6-WP60.
3i)fY{AlIXXX X.
OPERATION PERMIT SYSTEM INSTALLED BY:
>L
( -
-` CK)
i3Lfl�
1
AUTHORIZATION NO." OPERATION PERMIT BY: DATE: j
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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)
`fi?"': i,.. .... .. .o-r.w .. ...Y ♦ n..x ,�„y',;, ., a-tY �_ ,.
'DAVIE COUNTY HEALTH DEPARTMENT
�-, ., TMPROVEMENT AND OPERATIOMPERMITS
-Permitte *s_
PROPERTY INFORMATION
Na€ne: _ ` t Subdivision Name:
Directions to property: i Section: Lot:
,. IMPROVEMENT
t1,04, . ?1 ; - PERMIT . Tax Office PIN :#
4in
r
s - Road Name`' r ra
**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)
ED IS CHANGE.ECT TO REVOCATION IF SITE
PLANS OR THE INTENDUSE O R WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE• {=� # BEDROOMS # BATHS �_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPrE�CIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
�,11t t (, ,
LOT SIZE, TYPE WATER SUPPLY
1 �i�1 DESIGN WASTEWATER FLOW (GPD) L- �t-' NEW SITE REPAIR SITE ✓
is
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH — -L ROCK DEPTH ��! LINEAR FT.
OTHER
REQUIRED Sft MODIFICATIONS/CONDITIONS: V C 1. , - 11, ` t t:.l . 1 } +�� ►
IMPROVEMENT PERMIt LAYOUT
r fAPPROVED F-FFLUE14T FILTER* �RISER (S) ir c,,, E-ELMA 1~I[IlEHE'D GRADEN.
f i
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"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH PARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
DE
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS ('104)_633-8760. -"
�.3cRRmm};xxx
OPERATION PERMIT
`I
z i
c
SYSTEM INSTALLED BY:
'L i L%ki� CJS L AEA (f?
cer-3L``IJ t3Li�
r
I �
TLti�
AUTHORIZATION NO., U `} OPERATION PERMIT BY: ` DA'T'E:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S!STEM 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 05/96 (Revised)