2496 Liberty Church Rd (2)Davie Countv. NC
Tax Parcel Report t 4 1 6 Monday, October 3, 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:
WARNING: THIS IS NOT A SURVEY
Parcel Information
B20000000408 Township: Clarksville
5803694567 Municipality:
Census Tract: 37059-801
Voting Precinct: CLARKSVILLE
Planning Jurisdiction: Davie County
Zoning Class: DAVIE COUNTY R-A,R-20
Zoning Overlay:
Voluntary Ag. District:
Fire Response District:
LONE HICKORY
10.83 Elementary School Zone:
WILLIAM R DAVIE
/ Middle School Zone:
NORTH DAVIE
Soil Types:
MnC2,MnB2,MdE
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
Ik
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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.
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�� TN NO: 1416 � ✓!O
AUTHOR �,T� TO DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section PROPERTY INFORMATION
Permittee' s � P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: Section: Lot:
/'� AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - - —r—
/
Road Name: L / IJC. Z p:u
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pemt its. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, 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 SPE IA , ST DATE I SUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permtttee's
Name„ �" n--;'" !.> Subdivision Name:
Directions to property: r''�' ;�' o' �' f Section: Lot:
IMPROVEMENT
PERMIT Tax Office P!IN:# -
C
RoadName: 1 4;
p: t
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPE IA11ST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDINGS-7��c' # EDROOMS^ T" _ GARBAGE DISPOSAL: Yes or No
61YEu;i4 '`�;�# BATHS # OCCUPANTS -
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE.
SYSTEM SPECIFICATIONS: TANK SIZFf��� GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1� LINEAR
REQUIRED SITE MODIFICATIONS/CONDITIONS:
�IMPROVEMENT PERMIT LAYOUT �
"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.
I OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. J� OPERATION PERMIT BY: /�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 05/96 (Revised)
.= DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS
PROPERTY INFORMATION
Pe'rmittee,s
Name:, Subdivision Name:
Directions to property: Section: Lot:
IMPROVEMENT
f PERMIT
Tax Office PIN:# - -
Road Name: 1 Zip: M�
**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
constructionrnstallation 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)
A ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
f `✓ 7.`' ��: ',;-` ; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDINNGG E. _#
DOOMS # BATHS # OCCUPANTS_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
{
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZV�� GAL. PUMP TANK GAL. TRENCH WIDTH `% l ROCK DEPTH �« LINEAR FT-~��'
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEME�PERMIT LAYOUT
"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. �% OPERATION PERMIT BY: / l�� DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 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)
y
= s
NAME Ao x
ADDRESS
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLEC
S�4�e,o--
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WW RKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
PHMBER
NE NU
IVISION NAME
A�11//,�
SUBDIVISION LOT #,
V_ , % . /_
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED .� /;�/ 'I / Y� INFORMATION TAKEN BY