135 Rentz LnDav
!016
�v All data is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
9"" F Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie Countys 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
K700000012 A
Township:
Fulton
NCPIN Number:
5767410018
Municipality:
Account Number:
60492000
Census Tract:
37059-804
Listed Owner 1:
RENTZ FRANCES S
Voting Precinct:
FULTON
Mailing Address 1:
135 RENTZ LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-7400
Voluntary Ag. District:
No
Legal Description:
13.67 AC OFF JOE RD
Fire Response District:
FORK
Assessed Acreage:
13.67
Elementary School Zone:
CORNATZER
Deed Date:
12/1993
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
1993EO234
Soil Types:
PcB2,PcC2,RnD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
54580.00
Outbuilding & Extra
Freatures Value:
9000.00
Land Value:
91790.00
Total Market Value:
155370.00
Total Assessed Value:
155370.00
�v All data is provided as is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
9"" F Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie Countys 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
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A�rTH0>;zATION NO: i 4W DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Perm?rtee's ,�� P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
1 f Phone # 336-751-8760
Directions to property: /-S Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�,/� f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
del ! c . j ,•! r i,,Cr �` j' j (� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
y •a, •.n,y ..
4 211 DAVIE COUNTY HEALTH DEPARTMENTtV .)
IMPROVEMENT AND OPERATION PfiRVITJS� PROPERTY INFORMATION
Permlttee's
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 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 2 # OCCUPANTS 'L GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 16'�'l /DESIGN WASTEWATER FLOW (GPD) '� d NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ? C-' "'ROCK DEPTH LINEAR FT. %) .
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
tAPPIZOVED EFFL !� - U—FICTE11•x- *11IfiMt5—)—IF W + EELQFJ FI USHER GRAD -.*.
"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.
XXXXXXXXX
.rsv 1 10 A —u of 17
OPERATION PERMIT
SYSTEM INSTALLED BY:
r
-/ {�-
AUTHORIZATION NO. ,�t�7#-VAPERATION PERMIT BY: DATE: <6 `✓
"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 , I ' z ,..f'r DAVIE COUNTY HEALTH DEPARTMENT
`. IMPROVEMENT AND OPERATION'PERMIT;' PROPERTY INFORMATION
Perrri tree's
Name:
Directions to property:
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Rnnd Name- 7in-
**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
4 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
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 -:a # OCCUPANTS, -77f GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY JI l DESIGN WASTEWATER FLOW (GPD) L d NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1 �' LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
;aPFRQUE3I El=FLDEI33_ FihTl 'ri � u� BL'i.O:J FINISHED GRAD-*
"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.
�3:rtxalr,q,xx
OPERATION PERMIT
SYSTEM INSTALLED BY:
�J -C
AUTHORIZATION
AUTHORIZATION NO. �� OPERATION PERMIT BY: C ` DATE: C`~
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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)
= OAIA✓
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME &:f 2z PHONE NUMBER
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
O/
f%
t kVC 2��'
//
l
DATE SYSTEM INSTALLED ( NAME SYSTEM INSTALLED UNDER ( ?/ '
TYPE FACILITY `.C -Se-' NUMBER BEDROOMS J- NUMBER PEOPLE SERVED
TYPE WATER SUPPLY % SPECIFY PROBLEM OCCURRING
DATE REQUESTED J �l �� INFORMATION TAKEN BY `�/t?
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.
GENTRSIGNATURE OF OWNER OR AUTHORIZED AGENT-
Rev.
ev. 1/93
/,)//l/ A�-?1�V- / AC6