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314 Liberty Church RdDavie Countv. NC 71TIL E TSL Tax Parcel Report ' I 1 o N Monday, October 3, 2016 -j LIJ AN, ELL FAD=.. WARNING: THIS IS NOT A SURVEY Parcel Information i Parcel Number: E300000019 Township: Clarksville NCPIN Number: 5811868120 t t if �... Account Number: / _. 37059-801 Listed Owner 1: ATWOOD JAMES G JR Voting Precinct: CLARKSVILLE Mailing Address 1: 294 LIBERTY CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: 3 27028-5827 Voluntary Ag. District: No 71TIL E TSL Tax Parcel Report ' I 1 o N Monday, October 3, 2016 -j LIJ AN, ELL FAD=.. 161 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 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: E300000019 Township: Clarksville NCPIN Number: 5811868120 Municipality: Account Number: 2800000 Census Tract: 37059-801 Listed Owner 1: ATWOOD JAMES G JR Voting Precinct: CLARKSVILLE Mailing Address 1: 294 LIBERTY CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-5827 Voluntary Ag. District: No Legal Description: 38.806 AC LIBERTY CHURCH LIFE ESTATE Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 38.80 Elementary School Zone: WILLIAM R DAVIE Deed Date: 1/2005 Middle School Zone: NORTH DAVIE Deed Book / Page: 2005EO018 Soil Types: MnC2,MnB2,MdD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 39030.00 Outbuilding & Extra Freatures Value: 110.00 Land Value: 262320.00 Total Market Value: 301460.00 Total Assessed Value: 70970.00 161 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 NC or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: 7 04DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION P�rmittee'sr �-. � P.O. Box 848 game: Mocksville NC 27028 Subdivision Name: � ,� Phone # 336-751-8760 Directions to property: k'52/�,t , Z` .' (✓r Section: Lot: — V AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION — Road Name: 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ,/,7 -z!;IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED Vit,' DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS. PROPERTY INFORMATION Pelmiee's ., I t.a .Y:.game:- Subdivision Name: Directions to property:' r r T Section: Lot: IMPROVEMENT PERMIT_ Tax Office PIN:# - - Road Name: Zip: **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) ti ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE 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: BUILDING TYPE # BEDROOMS # BATHS g% # 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 l DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE-- SYSTEM ITE -SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH `?G ROCK DEPTHS LINEAR FT. IZY,) OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUEUT FILTER (S) IF 6" BELO`!l FIHIE I;_i} G1 AD=—* Jr O F "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 (K)MP& x (336)751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. )q'k OPERATION PERMIT BY: G DATE: �� r "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 L f.4 NAME ADDRESS --LX DIRECTIONS TO DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) _e'_� PHONE NUMBER S, BDIVISION NAME LOT # DATE SYSTEM INSTALLED ? NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY �a SPECIFY PROBLEM OCCURRING DATE REQUESTED 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 13 ei