321 Madison RdDavie Countv, NC
Tax Parcel Reuort I M Friday. September 30. 2016
WAlCi FNU: 'H1N IS INU1' A SURVEY
Parcel Information
Parcel Number:
1400000037
Township:
Mocksville
NCPIN Number:
5729702704
Municipality:
Account Number:
82514813
Census Tract:
37059-806
Listed Owner 1:
BRYCE ROBERT W
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
P O BOX 642
Planning Jurisdiction:
MOCKSVILLE
City: YADKINVILLE
Zoning Class:
MOCKSVILLE GI,OSR
State:
NC
Zoning Overlay:
Zip Code:
27055
Voluntary Ag. District:
No
Legal Description:
14.65 AC MADISON RD
Fire Response District:
CENTER
Assessed Acreage:
13.81
Elementary School Zone:
MOCKSVILLE
Deed Date:
5/2000
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
003350287
Soil Types:
MrB2,GnC2,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
248330.00
Outbuilding & Extra
38590.00
Freatures Value:
Land Value:
121680.00
Total Market Value:
408600.00
Total Assessed Value:
324390.00
101
Davie County,
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/-�County
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data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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of Davie, North Carolina, Its agents, consultants, contractors or employees from any and ail claims or causes of action due to
or arising out of the use or inability to use the GIS data provided by this website.
AUrHORIaATION NO: 1894 DAVIE COUNTY HEALTH DEPARTMENT
:Environmental Health Section PROPERTY INFORMATION
Permittee's P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Lon-,�(lr�d / llpne # 336-751-8760
Directions to property: r � /V ' Q. Section: Lot:
UTHORIZATION FOR6(V4
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
8
Roc3ad Z/m e: "Zip: c9 0�
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pen -nits. 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 SPECIALIST DATE ISSUED..
- 18 9 4 DAVIEOUNTY HEALTH DEPARTMENT
IMPRO EMENT AND OPERATION PER IltS-, PROPERTY INFORMATION
Permittee, s
Name:, Subdivision Name:
Directions t6.property: � Pd 1,<1jA1VA, Section: Lot:
` IMPROVEMENT - Ew- D 333 d00��
PERMIT Tax Office PIN.-#-
r G
Rome:
**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. l l of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
r
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
F 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 _� # 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) —ys NEW SITE REPAIR SITE
le
SYSTEM SPECIFICATIONS:- TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH, ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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 (336)751-8760.
OPERATION PERMIT
l
./00/X
SYSTEMINSTALLED
/a6
1l`
AUTHORIZATION NO. �O OPERATION PERMIT BY: / //� DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
94
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS
Perniit.*'s )
PROPERTY INFORMATION
h
Name: 1''L :S /[-'� Subdivision Name:
r;./�Directions to. property: ,—+ �' � �l� / 'SG/�RCL • Section: Lot:
IMPROVEMENT 0 „ 7r. GG'Gllkj
PERMIT Tax Office PI9.
• p• - o r' y'
R��me• � � � �' .1
**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 SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE le�l_ # BEDROOMS # BATHS _ / # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
LOT SIZE TYPE WATER SUPPLY
# PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
DESIGN WASTEWATER FLOW (GPD) 50 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH... ROCK DEPTH ' LINEAR FT. i
s�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
blC
. t=
"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 (336)751-8760.
OPERATION PERMIT
SYSTEMINSTALLED
4
AUTHORIZATION NO./,?Vy 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)
Gly I, L 4-'*�
- +:'* M
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME Vrark/ -TT VeSTcX
PHONE NUMBER r%Sl - 5g,93
ADDRESS -3 a l ma4 i sa h " SUBDIVISION NAME
yyY oGKau�1Le 27oZoP-" LOT#
DIRECTIONS TO SITE 6 a / /J T. C., F+ v►ti Vif Yh., �- a, i2+ Lu
DATE SYSTEM INSTALLED 101t2- NAME SYSTEM INSTALLED UNDER 7
TYPE FACILITY 'HUvLlt- NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED Z --
TYPE WATER SUPPLY Couv% i N SPECIFY PROBLEM OCCURRING S t- L 1 Pv,
"I I � s .T. l res
DATE REQUESTED t 3— °l 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. 1193
M, 1� 01, 1 00