459 Pleasant Acre DrDavie County, NC f Tax Parcel Report -�o-jq Wednesday, October 5, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: M60000001401 Township: Jerusalem
NCPIN Number: 5755063068 Municipality:
Account Number: 82514805 Census Tract: 37059-807
Listed Owner 1: BARR LEESA MAE Voting Precinct: JERUSALEM
Mailing Address 1: 459 PLEASANT ACRE DRIVE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 13-16 BOXWOOD ACRES
Fire Response District:
JERUSALEM
Assessed Acreage:
0.95
Elementary School Zone:
COOLEEMEE
Deed Date:
5/2000
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
003350672
Soil Types:
Pc132
Plat Book:
0004
Flood Zone:
Plat Page:
049
Watershed Overlay:
DAVIE COUNTY
Building Value:
110700.00
Outbuilding & Extra
Freatures Value:
9300.00
Land Value:
17830.00
Total Market Value:
137830.00
Total Assessed Value:
137830.00
All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, 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
NCor arising out of the use or inability to use the GIS data provided by this website.
AUTHORIZATION NO: v `;� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Pctmittee s � Ie'e ` j' P.O. Box 848
frr? V XU - -.
PROPERTY INFORMATION
Name: st�"I�!F.�11C'O t`�� SMocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property:
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax OfficePIN:# - -
SYSTEM CONSTRUCTIONq
Road Name: P/C—C--enc-1—, i e
p: -
6
**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 I30A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
s w f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
d. l r ✓w-= �: " : c. `s� — IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SP kIALIST DATE ISSUED
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION P8kMT'ttS PROPERTY INFORMATION
Pdrmittee, s , ` �a
Name:`'; +�-' �%' Subdivision Name:
Directions to property:' �' " Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name:L.{ zip: 0%
**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)
r fr • ,., ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
i' SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS_ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYP �C # PEOPLE -,'2-- # PEOPLE/SW # SEATS INDUSTRIAL WASTE: Yes o6
LOT SIZE TYPE WATER SUPPLY_ DESIGN WASTEWATER FLOW (GPD) nom/ NEW SITEy REPAIR SITE
S�'$TEM SPECIFICATIONS: TANK SIZE // /
GAL. PUMP eta GAL. TRENCH WIDTH ROCK DEPTH LINEAR��d
OTHER G0,01f % j
! f� ✓ L Ifi i
REQUIRED SITE MODIFICATIONS/CONDITIONS: D
. IMPROVEMENT PERMIT LAYOUT *APPRaVED.EFFLt1E11T FIL ER* tRISEPUSI IP G" BELIU FIIII911-I'D GnADEt
"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 A "
SYSTEM INSTALLED BY: ✓t�fi t �!%cJ.
,U JA
1.
C',a�s
r
AUTHORIZATION NO. OPERATION PERMIT BY: l 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 05196 (Revised)
/00 �) "rd
AUTHORIZATION NO: 2029 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee' s , 4419
P.O. Box 848
Name: /Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: X9100 ASection: Lot:
AUTHORIZATION FOR
"—w ^iC✓ e WASTEWATER Tax Offi PIN:# -
-! SYSTEM CONSTRUCTION -
Road Name: 7 in:—14r
**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
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH S CIALIST DATE ISSUED
V },O
} DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perrnittee's , `,
-Name:
Directions to property: IT 4
1/110.
IMPROVEMENT
5W / y . PERMIT
Subdivision Name:
Section: Lot:
Tax Office PIN:# - -
J r �.
Road Name:—P/Gt 5,47 11 �'5 �
**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 S IALIST 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 TYP<244_3 # PEOPLE _ # PEOPLF/SNi # SEATS INDUSTRIAL WASTE: Yes oro
LOT SIZE TYPE WATER SUPPLY4!!!6 DESIGN WASTEWATER FLOW (GPD).0�I�NEW SITEy REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 4 GAL. PUMP TANK GAL /TRENCH WIDTH Q� ROCK DEPTH LINEAR FF. 5"
OTHER 15;W04"071
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLUENT
yo
D
*RISER(S) IF G" BELOW FINISHED GRADE*
I0
"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
SYSTEM INSTALLED BY:
;0
i
does
r
AUTHORIZATION NO.zQoo9 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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
NAM
ADDI
►i
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
RECTIONS TO SITE
ONE NUMBER
BDIVISION NAME
LOT #
DATE SYSTEM INSTA LED /,/,/D�,.z,NAME SYSTEM INSTALLED UNDER
TYPE FACILITY 0 NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY b SPECIFY PROBLEM OCCURRING
DATE REQUESTED Z ,711 ` INFORMATION TAKEN BY .
This is to certify that the information provided is correct to the best of my knowledge, and titLat I understand I am risible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
eff/
CAW - " —
TO WHOM IT MAY CONCERN:
I , � � /1,r , 1 f `a 5 /. p G^ request that FOSTER POOL AND
CONSTRUCTION COMPANY INSTALL EEE -ZEE -LAY DRAIN SYSTEM.
SIGNATURE
DATE: zl�-- 1-3, r q !Z