257 McCullough RdDavie Countv. NC
Tax Parcel Report I 6Ah Friday. September 30. 2016
WARAIN T: THIS lS 1VUT A SURVEY
Parcel Information
Parcel Number:
K5160A0004
Township:
Jerusalem
NCPIN Number:
5747000043
Municipality:
Account Number:
82531131
Census Tract:
37059-807
Listed Owner 1:
WARD VIVIAN MICHAEL
Voting Precinct:
COOLEEMEE
Mailing Address 1:
1800 US HIGHWAY 601 SOUTH
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE
COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 114+P/O 113 ANDERSON
Fire Response District:
JERUSALEM
Assessed Acreage:
0.42
Elementary School Zone:
COOLEEMEE
Deed Date:
12/2008
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2009E0024
Soil Types:
Gn132
Plat Book:
0001
Flood Zone:
Plat Page:
097
Watershed Overlay:
DAVIE COUNTY
Building Value:
119210.00
Outbuilding & Extra
Freatures Value:
3280.00
Land Value:
8790.00
Total Market Value:
131280.00
Total Assessed Value:
131280.00
91ie �6'All
Davie County,
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 harmless the
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NC
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.
AUHO;IZATION NO: DAVIE COUNTY HEALTH DEPARTMENT
v Environmental Health Section PROPERTY INFORMATION
Permittee's�r J / P.O. Box 848
Name:"�`� f'®/ �'�f11'� / Mocksville NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: � Section: Lot:
v AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
Road Name:/ r�&j_j�����_aC..1
**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
ENVIRONMENTAL
�_ � IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL ENVIRONMENTAL HEAL�ALIST DATE ISSUED
ti 10
. 1, & �
DAVIE COUNTY HEALTH DEPARTMENT
r°='•, / ,� • ► IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
Name:
77
-r •
Directions to property:
h�
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
71
Road Name:
**NOTE** This Improvement Permit DOES NOT authorize the constriction 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)
1 ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
R 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 . 9 # BATHS --,L— # 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 DESIGN WASTEWATER FLOW (GPD) v NEW SITE REPAIR SITE
p I .
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH /-' ROCK DEPTH � LINEAR FT. CL
� a
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
`�T
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 (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: . e�
lveol ���✓�c'
AUTHORIZATION NO.--,,MA�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)
.ae
DAVIE COUNTY HEALTH DEPARTMENT
µ" IMPROVEMENT AND OPERATION PERMITS
Permittee's
Name:
Directions to property:
PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Roadd Name:
ciof l�llrfir i P � C� p: 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 41— # BEDROOMS '9 # BATHS --)-- # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE •- # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY /IV"// DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH r y ROCK DEPTH;J LINEAR FT.
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 (704) 634-8760.
OPERATION PERMIT �*
SYSTEM INSTALLED BY:
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 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
` 1I WO KSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME Db A- PHONE NUMBER
ADDRESS Z 0!0/���A- �&SUBDIVISION NAME
r� `l IZ
BDIVISION LOT #
DIRECTIONS TO SITE /%1 �G.�r��an -) ��,vLlaw
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTE
<•
FU
NFORMATION TAKEN BY