162 Pineville RdDavie County, NC r Tax Parcel Report 6 66� Wednesday, October 5, 2016
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.42
WAKNMG:
TMS 15 NUT A SUKVEY
Middle School Zone:
Parcel Information
Parcel Number:
8500000073
Township:
NCPIN Number:
5843648213
Municipality:
Account Number:
82523463
Census Tract:
Listed Owner 1:
DIMOS KURT A
Voting Precinct:
Mailing Address 1:
162 PINEVILLE ROAD
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-6239
Voluntary Ag. District:
Legal Description:
LOT 11 OTIS C HOLT JR
Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.42
Elementary School Zone
10/2004
Middle School Zone:
005770858
Soil Types:
0004
Flood Zone:
062
Watershed Overlay:
83780.00
Outbuilding & Extra
Freatures Value:
13670.00
Total Market Value:
97670.00
Farmington
37059-802
FARMINGTON
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
FARMINGTON
PINEBROOK
NORTH DAVIE
EnB,MsC
DAVIE COUNTY
220.00
97670.00
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Davie County,
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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 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.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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)
7 77Tr,i- �1v %�
NAMEI7�ri/t✓? �'..f,�JCI PROPERTY ADDRESS ( .✓� -ei Z� 4 DATE
LOCATION �` / 3' ,I�7 F
SUBDIVISION NAME T NUMB SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE /I II # BEDROOMS"` #'BATHS # OCCUPANTS �_ GARBAGE DISPOSAL: Yes/Jo
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) J-/ ?Q NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIIE _eL02 GAL. PM TANK GAL. TRENCH WIDTH '3&," ROCK DEPTH ZO LINEAR FT. 1�
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
r.
r -
IMPROVEMENT PERMIT BY�, 1
**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
r-
Ljh� / jj)t2 "-5'
w,v� "le, fyr&
AUTHORIZATION N0. U OPERATION PERMIT BY 1Cy ' ,.l./O - DATE l
**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 10/95-1,
_ k
' DAVIE COMITY HEALTH DEPARTMENT 0 tl
IMPROVEMENT PERMIT and OPERATION PERMIT
�~ IMPROVEMENT PERMIT
**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 wifh'Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME ,.� ,�l `" ; r.�'r%� t'-�° ��i"-��2' PROPERTY ADDRESSr'l
LOCATIONw�x:,'
DATE
41r4 Alf .l,'//"/, •......3%del!
SUBDIVISION NAME ILO _NUMB_ _R SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE t1't' # BEDROOMS -"-5/ # BATHS �-V # OCCUPANTS GARBAGE DISPOSAL: Yes/Io
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) J-/ ` '0 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE ,/,:,:!'1 GAL. PUMP TANK GAL. TRENCH WIDTH 36 ROCK DEPTH Zq" LINEAR FT. WO
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE CITY 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 I
/tai i.) y "
AUTHORIZATION NO. K >,OPERATION PERMIT BY I�t'fi 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 I
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. -
',- , � I I _may,
DCHD -10/95 �,.F_
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.D. Box 665
Mocksville, N.C. 270OS
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems)
***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.***
AUTHORIZATION NUMBER
NAME /ii moi. ��� �•Oflfl DATE J . !I
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION%�:vo,r,
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**WICE*H THIS AUTHORIZATION FO S WATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
' J
ENVIRONMENTAL AXTH SPECIALIST DATE
DCHD 10/95
NAM
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
44v-111 v APPLICATION FOR IVPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
ADDRESS /__e �` �:/1ll�l/ z/z )0 SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED 5 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY— f',.e —NUMBER BEDROOMS NUMBER PEOPLE SERVED__
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED S INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, apd that I U94erctand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1193