385 Madison Rd (2)Davie- County, NC
4
Tax Parcel Renort l U �L�� Friday. September 30. 2016
WAKINIIN T: 1rilJ IN 1VV1 A JUKVhY
Parcel Information
Parcel Number:
H40000010301
Township:
Mocksville
NCPIN Number:
5729716354
Municipality:
Account Number:
28476000
Census Tract:
37059-806
Listed Owner 1:
GAITHER ERNEST B
Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1:
1191 SALISBURY ROAD
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.00 AC MADISON RD
Fire Response District:
CENTER
Assessed Acreage:
0.94
Elementary School Zone:
MOCKSVILLE
Deed Date:
9/2012
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
009020963
Soil Types:
MrB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
74560.00
Outbuilding & Extra
Freatures Value:
620.00
Land Value:
25000.00
Total Market Value:
100180.00
Total Assessed Value:
100180.00
17@1
Davie County,
NC
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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
or arising out of the use or Inability to use the GIS data provided by this website.
Ada -
:AUTHORIZATION NO -
� 6 5 4 A DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
P(rmittec=s�/%� / P.O. Box 848
ll�Na"ne: P .� Qc Mocksville, NC 27028 Subdivision Name:
r Phone # 336-751-8760
Directions to property: l�s� ��,J��%�� Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
Road Name: ���/.T�� Ay 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 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�s�lt j ✓ / ,�` �''�t` N` '_ % ' = s`�' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTM
z .1 U5
IMPROVEMENT AND OPERATION PERM PROPERTY INFORMATION
PerlmilEtee:-�
r 1,,i. I ,
_ N3me: =f; rl /JY-�-.-Co�c ✓ �4 Subdivision Name:
Directions to property: �C�.�� G d''f 04V Section: Lot:
IMPROVEMENT
/��/:/le- ""116 a �r PERMTf—
Tax Office PIN:# "
Road Name:1V6Cr /.f a,0 I?d Zip: �7azd
**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 & # BEDROOMS # BATHS ;. 5— # OCCUPANTS -5— 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) 7�y 1 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE! f.-, GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH /:p LINEAR FT.—��,� "
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT -z-APPROVED EFFLUErff FILTER* *RIEER(S) IF 611 DELOIJ FI JISF:ED GRADE -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 (70zP634.876(X M
(336)751-8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
� �'
I'
J�QS�J'L_ �'
k
AUTHORIZATION NO. 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)
r
` DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME f /!G�/'� �CJ:`�Y��-r �l� PHONE NUMBER
ADDRESS ��1,%/� ��2� �(� SUBDIVISION NAME
SUBDIVISION LOT #,
DIRECTIONS TO SITE
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED J -,-),-a Q--9 INFORMATION TAKEN BY