176 McCullough RdDavie Gounty, NC
Tax Parcel Report ` 169 � Friday, September 30, 2016
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WARNING: THIS IS NOT A SURVEY
AlldataIsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to th
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmleses the
CountyofDavie,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.
Parcel Information
Parcel Number:
K509OA0007
Township:
Jerusalem
NCPIN Number:
5737908926
Municipality:
Account Number:
76702750
Census Tract:
37059-807
Listed Owner 1:
WALSER MARK
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 462
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-A,R-20
State:
' NC
Zoning Overlay:
Zip Code:
27028-0462
Voluntary Ag. District:
No
Legal Description:
7.45 AC MCCULLOGH RD
Fire Response District:
JERUSALEM
Assessed Acreage:
8.36
Elementary School Zone:
COOLEEMEE,MOCKSVILLE
Deed Date:
3/1998
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
002010108
Soil Types:
GnB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
27360.00
Outbuilding & Extra
Freatures Value:
4900.00
Land Value:
60500.00
Total Market Value:
92760.00
Total Assessed Value:
92760.00
161
Davie County,
NC
AlldataIsprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to th
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmleses the
CountyofDavie,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.
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AUTHORIZATION NO: 19 .0 9ADAVIE COUNTY HEALTH DEPARTMENT 1151k,
' Environmental Health Section PROPERTY INFORMATION
Pcrmittee'ti P.O. Box 848
Name:% �'� t/ll��� Mocksville, N7028 Subdivision Name:
'hone # 336-751-8760
Directions to property�,� /,c Section: Lot:
AUTHORIZATION FOR
y" ,��,�� ` SYSTWASTEWATER Tax Office PIN:#
EM 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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�,r J r ;✓` - f IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEAL H SPECIALIST DATE ISSUED
•' x /.. �' DAVIE COUNTY HEALTH DEPARTMENT `�
IMPROVEMENT AND OPERATION PERMIT,9 PROPERTY I FORMATION
Permittee's
Name: ,';� �'°' t'` : "" Subdivision Name:
Directions to property; !°% , f ,j t % Section: Lot:
iia E%IPROVEMENT
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 Di�osal Systems)
/' ;" r' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL'HEALTHSPEOIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE �_� # BEDROOMS_ # BATHS `-1- # 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 SIZE GAL. PUMP TANK GAL. TRENCH WIDTH IC ^ ROCK DEPTH /LINEAR FT.0:50d/
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMITLAYOUTxAPPROVED EFFLU tiT FILTERi:.-X-RIEEII(S) IF 61' 13EI-011 FRIIE?47I) 617MI)Ei;
AM
aa,
"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 :(704634;8760.
(33,r3)751 _8761)
OPERATION PERMIT
SYSTEM INSTALLED BY
AUTHORIZATION NO. • �V / PERATION PERMIT BY:DATE:- 4�z�
**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) 1
r!7 s
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Pc mittdd,9
h :.Name: Subdivision Name:
Directions to property;~'
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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
f` PLANS OR THE OZIENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYVE� _ # BEDROOMS # BATHS 9- # 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 SIZE GAL. PUMP TANK GAL. TRENCH WIDTH % y + ROCK DEPTH /.,) LINEAR FI'.«;U4�`,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT%crAPPFOVa U Errb...i.iIEJIIT FILTER : R11.'ER(--) IF 6,1 ° 'PF -L :tv
**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 # ISkI04}84:8?'60.
(3S61J151--8760
OPERATION PERMIT
SYSTEM INSTALLED BY:
k�
AUTHORIZATION NO. ` 4 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.
NAME t
ADDRESS '/
DIRECTIONS TO SITE
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION 44�1�f
APP KATION FOR IMPROVEMENT PERMIT (REPAIR) r
� PHONE NUMBER
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
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