280 Rollingwood Drive Lot 6 & P/O 5, Section 3Davie Gounty, NC
/
246
243
Tax Parcel
aDt% Monday, October 10, 0}6
�
WARNING: THIS ]S NOT AS0RVEY
Parcel Information
Parcel Number:
J5150EO006
Township:
Mockov|le
NCP|NNumbec
5747261024
Municipality:
Account Number:
11120000
Census Tract:
37059-805
Listed Owner 1:
BROWN GVVJR
Voting Precinct:
GOUTHMOCKSVLLE
Mailing Address 1:
473DEPOT STREET
Planning Jurisdiction:
MOCK3V|LLE
City: K8OCK8V|LLE
Zoning Class: o/vV|ECDUNTY.MOCK8V|LLE R~A.GR
State:
NC
Zoning Overlay:
Zip Code:
27028'2418
Voluntary Ag. District:
No
Legal Description: LOT 8+Px]5GOUTHVVOODACSECTION 2
Fire Response District:
MOCKSV|LLE
Assessed Acreage:
1o2
Elementary School Zone:
MooK3vLLE
Deed Date:
3/1884
Middle School Zone:
3OUTHDAV|E
Deed Book /Page:
001220332
Soil Types:
GnB2.GnC2
Plat Book:
0004
Flood Zone:
Plat Page:
141
Watershed Overlay:
DAV|ECOUNTY, MOCKOV|LLE
BuildingOtbui|dinva|uo�
14S�1O�OO
p-mmms=@-- Extra
0.00
Land Value:
20500l0
Total Market Value:
170110.00
EelAll data 13 provided as Is without warranty or guarantee of any kind 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
'Perrn;rttee's DAVIE COUNTY HEALTH DEPARTMENT
Name 1-' �� Y4� ✓- %z� a^� Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 • `
Directions to property: +`i- ' ( 2'Mocksville; NC 27028 Subdivision Name:
..r-1-1.1 �•.L.� j �...1. , Phone #: 336-751-8760
Section:_
Lot:
1 3a
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
r1 Q r,a
AUTHORIZATION NO: * 4 A Road Name -}lp
**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.
L-ENVIRONM NT L HEALTH SPECIALIST;- DATE IS UED
kms,
r
RESIDENTIAL SPECIFICATION: BUILDING TYPE %E # BEDROOMS —03 # BATHS : # OCCUPANTS S GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY(A T -Y DESIGN WASTEWATER FLOW (GPD) ~ � NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH - ROCK DEPTH I `' LINEAR FT. (+
OTHER .- !` is"yC-1
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT-LAYOV
OPERATION PERMIT
s
t
�-
ACT 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.
AUTHORIZATION NO. o �OPERATION PERMIT BY:
SYSTEM INSTALLED BY: 'U)Ary
y
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY�J'I;M vI,1 )ESCRIBED ABOVE HE
WITH ARTICLE 1 I OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS",
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) i;.
AXqq—
I STI ZC-0 K�
: 'E: 463
W
INSTALLED I COMPLIANCE
ALL IN NO WAY BE TAKEN AS A
psermlttes s DAME COUNTY HEALTH DEPARTMENT
,Dame'_,' 1 `` ti. Environmental Health Sectio; ,{1' PROPERTY INFORMATION
P.O. Box 848 '
Directions toert : ro i t
P P Y Mocksville, NC 27028 Subdivision Name:
d t Phone #: 336-751-8760
'.( �••' Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO:`A Road Name i.. i, ` i 1. ` /_1p:
**NOTE**
**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 Fon-n/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance withArticle11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
` IS VALID FOR A PERIOD OF FIVE YEARS.
._.ENVIRONMgNTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE i AJ e # BEDROOMS �` # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY It DESIGN WASTEWATER FLOW (GPD)'L y NEW SITE REPAIR SITE /
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH .~ { '> ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: f I t' i C1" t . " : C _..k _ Z:f
IMPROVEMENT PERM
�_..,f..,
r.. {.-
K' � f'` : �. x'1141 • i _
t
14
INC�i
a `,1
104
•r.r.w..+! � � � t`�.W h.
* ONTACT 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 ? R--� �, ` P\
(� 1(,—'D � , � L
SYSTEM INSTALLED BY: �-�J j''+ � �,,,/
5D
vi
0
AUTHORIZATION NO. Z� — OPERATION PERMIT BY:( 1: DATE:
** ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SUTHERDEISCMBED ABOVE HA BEF INSTALLED III COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 07/02 (Revised)
k
a�-
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER
ADDRESS oZ& O lea t C o d b ✓4- SUBDIVISION NAME
0`"3 WSJ' (� L
� /J C- LOT #
11
DIRECTIONS TO SITE (9-51 S
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER S w BC -v �J r -�
TYPE FACILITY NUMBER BEDROOMS Z NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING 17 c-�� -C
Y'C-Q vt-e- at
DATE REQUESTED
NFORMATION TAKEN BY
0
This is to certify that the information provided is correct to the best of my knowledge, and that I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR 5. t-0. R ro. + nJ DATE C-- /5-- 7(, PERMIT lr
LOCATION v /S ? 1044
S.R. NO.
SUBDIVISION NAME S ou�� `, ,d F C r e S LOT NO. SECTION OR BLOCK NO.
HOUSE 0' MOBILE HOME ❑ BUSINESS ❑
NO. BEDROOMS (0 3 NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK /ova gal.
NITRIFICATION FIELD % wi, sq. ft.
DEPTH OF STONE IN LINES: /�" 16'utl au—
WATER SUPPLY: Individual ❑ Public Q
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
t' %, -L b - stmc�l
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
IMPROVEMENTS PERMIT BY I&C yey,� INSTALLED BY E �;, .-T. Co
CERTIFICATE OF.COMPLETION BY(I
(8/16/73) *Construction must
LOT AREA
,2-nnr a- Date 2 ' 3 ' 7,(�
ly with all other applicable State and local regulations
�pU-Se
T %
G d
OZi
.SCJ /�•��'X'zY�i/P✓f-%
DAVIE COUNTY HEALTH DEPARTMENT
E (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR 5: U-) g X04/ n% DATE - 15-- 7G PERMIT
LOCATION &015 N? 1044
S.R. NO.
SUBDIVISION NAME 5Da'1'�,j6 c! A-creS LOT NO. SECTION OR BLOCK NO.
HOUSE lj" MOBILE HOME 0 BUSINESS ❑
NO. BEDROOMS (0 9 NO. BATHROOMS
GARBAGE DISPOSAL UNIT YES ❑
AUTO. DISHWASHER YES ❑
AUTO. WASH. MACHINE YES ❑
SITE SUITABLE YES ❑
SIZE OF TANK /ado gal.
NITRIFICATION FIELD (0 0 a
NO ❑
NO ❑
NO ❑
NO ❑
sq. ft.
DEPTH OF STONE IN LINES: / 2" A Ucl F,
WATER SUPPLY: Individual ❑ Public Q"
IMPROVEMENTS PERMIT BY '_c
CERTIFICATE OF COMPLETIONBY �
(8/16/73) *Construction must
LOT AREA
0
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY `)A,#',e. 57. Co
+C�+g Date 2 - 3 74,
ly with all other applicable State and local regulations
oz�