201 Madison RdDavie County, NC
Tax Parcel Report I I b I N Friday. September 30, 2016
WAl{1V11N(i: lriIN 1, 1VU1' A SURVEY
Parcel Information
Parcel Number:
1400000013
Township:
Mocksville
NCPIN Number:
5728783846
Municipality:
Account Number:
8305902
Census Tract:
37059-806
Listed Owner 1:
JOHNSON LETHIA P
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
201 MADISON ROAD
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY,MOCKSVILLE R-A,GR
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1.17 AC MADISON RD LIFE ESTATE
Fire Response District:
CENTER
Assessed Acreage:
1.18
Elementary School Zone:
MOCKSVILLE
Deed Date:
11/2015
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2015E1121
Soil Types:
MrB2,GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY,MOCKSVILLE
Building Value:
97120.00
Outbuilding & Extra
410.00
Freatures Value:
Land Value:
25000.00
Total Market Value:
122530.00
Total Assessed Value:
122530.00
Davie County,
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmlessthe
E@1
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
the Inability to the GIS data by this
or arising out of use or use provided website.
**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 Impliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. f
E IRONMENTAL HEALTH S IALIST DATE ISSUED
AUTHORIZATION NO t 9 0 't j DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PROPERTYFORMATION
Permittee's
P.O. Box 848
Name: ( /fIi /��J ff�G%'�
j/
Mocksville, NC 27028
Subdivision Name:
Directions to ��/r/'���'
Phone # 336-751-8760
property(/f
Section:
Lot:
AUTHORIZATION ATEWA ER OR
SYSTEM CONSTRUCTION
Tax Office PIN:#
- -
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 Impliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. f
E IRONMENTAL HEALTH S IALIST DATE ISSUED
f ;' `DAVIE COUNTY HEALTH DEPAkiA' NT `� u
IMPROVEMENT AND OPERATION PERMITS PROPERTYfNF�MAT910N
Permittee's
Name: f" , Ir � _ > � :� r Subdivision Name:
Directions to property: r'': /;r ��'� <. r"� Section: Lot:
/ IMPROVEMENT r.
s; ;' . 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 I I 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 G'
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 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 SIZEGAL. PUMP TANK GAL. TRENCH WIDTH_ ROCK DEPTH LINEAR FT�%a
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I IMPROVEMENT PERMIT LAYOUT KAPPROVED EFFLUENT FILTERS -Xftl
S�� box
,(2
in
,SIE, 6" BELO>) FINI04ED ORq'DE*
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION ISS STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 7(�4 b �`�`�% 6.
((32G) r;,1-8760
I OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. /�OPERATION PERMIT BY: lvr, DATE: 90
"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 ENVIRONMENTAL HEALTH SECTION
�� /% APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
ADDRESS SUBDIVISION NAME
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY