128 Lakewood DrDavie County, NC
Tax Parcel Report
120
Thursday, October 6, 2016
� 121
i
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
F-O
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
K509OA0038
Township:
Jerusalem
NCPIN Number:
5737927304
Municipality:
Account Number:
21614000
Census Tract:
37059-807
Listed Owner 1:
DRAUGHN DANNY MARK
Voting Precinct:
COOLEEMEE
Mailing Address 1:
128 LAKEWOOD DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 8 T L SPILLMAN SECTION 1
Fire Response District:
JERUSALEM
Assessed Acreage:
0.45
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/1991
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001590684
Soil Types:
GnB2,GnC2
Plat Book:
0003
Flood Zone:
Plat Page:
122
Watershed Overlay:
DAVIE COUNTY
Building Value:
42940.00
Outbuilding & Extra
Freatures Value:
1800.00
Land Value:
20000.00
Total Market Value:
64740.00
Total Assessed Value:
64740.00
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
F-O
NC or arising out of the use or Inability to use the GIS data provided by this website.
Permittee's 11f ;; DAJIE COUNTY HEALTH DEPARTMENT
Name: 1 jl 1 i` ���"ti Environmental Health Section
P.O. Box 848
�I
PROPERTY INFORMATION
Directions to property: Mocksville, NC 27028 Subdivision Name:
pi _. Phone #: 336-751-8760 L !�� t Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
'~ SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 002793 A Road Name:t./Zip:
**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 of (;�".`Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
J IS VALID FOR A PERIOD OF FIVE YEARS.
itENTAL. EALTH SPECfALIST DAf E ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE LC # BEDROOMS 2# BATHS # OCCUPANTS 7_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE � `' `''L" TYPE WATER SUPPLY a�L��I 1w DESIGN WASTEWATER FLOW (GPD) o NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 4,14 LINEAR FT. +o
OTHER n U'iO� G 171)0
REQUIRED SITE MODIFICATIONS/CONDITIONS: I QST t\ L%_ O" V `? L-' R � F/ i S 0'
IMPROVEMENT PERMIT LAYOUT J ^�., .(�
1-^ r � _.�''�,,1,^ C;"" ti p,% C;,L=+„r' C _ I + ^-,,
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT itr
SYSTEM INSTALLED BY:
-7'(2414
001U4 573-) CAgM�C
AUTHORIZATION NO.Z'� _ OPERATIONPERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVEQ 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 02102 (Revised) T / C 6j:�t 25 / f _rp u l &115z -
Permittees j ; DAME COUNTY HEALTH DEPARTMENT
Name: -,! f Environmental Health Section PROPERTY INFORMATION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the bavie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of.S. "Chapter 1130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
-� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL,hEALTH SPECIALIST DA E ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1:11 e('# BEDROOMS -- # BATHS ___— # OCCUPANTS �— GARBAGE DISPOSAL: Yes or No
+
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY `-�1� YDESIGN WASTEWATER FLOW (GPD) .i `�'� NEW SITE REPAIR SITE
tt �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH - L' ' ROCK DEPTH / `4 LINEAR FT.
OTHER.� t �Ll�-D��.�C-ZI�N
REQUIRED SITE MODIFICATIONS/CONDITIONS: U G^<. (� n,k~ t -t'~ i c,
IMPROVEMENT PERMIT LAYOUT
t
1 f -Ct:('. L. t .),:
R FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
I fu OPERATION PERMIT L/l,% I, p ( �t—� I
SYSTEM INSTALLED BY: � ` ' `''�
e
AUTHORIZATION NO. Ci I `J - ` OPERATION PERMIT/BY: �. _ \ DATE:J�_
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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 02/02 (Revised) 57f� �i iJ { l Cw. «. _
,''
P.O. Box 848
'�(-
Directions to property:
' t + L1 ''
Mocksville, NC 27028
SubdiVislon Name:
Phone #: 336-751-8760
'
Section: Lot:
,+
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:# -
SYSTEM CONSTRUCTION
AUTHORIZATION NO:
wy A
t _
Road Name Zi
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the bavie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of.S. "Chapter 1130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
-� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL,hEALTH SPECIALIST DA E ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE 1:11 e('# BEDROOMS -- # BATHS ___— # OCCUPANTS �— GARBAGE DISPOSAL: Yes or No
+
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY `-�1� YDESIGN WASTEWATER FLOW (GPD) .i `�'� NEW SITE REPAIR SITE
tt �
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH - L' ' ROCK DEPTH / `4 LINEAR FT.
OTHER.� t �Ll�-D��.�C-ZI�N
REQUIRED SITE MODIFICATIONS/CONDITIONS: U G^<. (� n,k~ t -t'~ i c,
IMPROVEMENT PERMIT LAYOUT
t
1 f -Ct:('. L. t .),:
R FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
I fu OPERATION PERMIT L/l,% I, p ( �t—� I
SYSTEM INSTALLED BY: � ` ' `''�
e
AUTHORIZATION NO. Ci I `J - ` OPERATION PERMIT/BY: �. _ \ DATE:J�_
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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 02/02 (Revised) 57f� �i iJ { l Cw. «. _
NAM
RUSTY tA,Uaz-
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
*13
PHONE NUMBER
ADDRESS SUBDIVISION NAME
cam, / ��/' ---
LOT
#
DIRECTIONS TO SITE / o '-'`�` 1"� / Ut✓
77
DATE SYSTEM INSTALLED
�� NAME SYSTEM INSTALLED UNDER
TYPE FACILITY �1� ) NUMBER BEDROOMS 2 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY aO�'T'� SPECIFY PROBLEM OCCURRING 1,o,
31 0 0 'L94N., aS
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge. and that 1 understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. ,199
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6/28/2007