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724 Sain RdDavie County. NC Tax Parcel Report b -W Thursday. October 6, 2016 WAlC1V11V1i: 1t11J 1N 1VU1 A JUKVEY Parcel Information Parcel Number: H608OA0003 Township: Mocksville NCPIN Number: 5749939842 Municipality: Account Number: 8300240 Census Tract: 37059-805 Listed Owner 1: HEDRICK BRANDON Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 724 SAIN ROAD Planning Jurisdiction: Davie County City MOCKSVILLE Zoning Class: DAVIE COUNTY R -A Davie County, 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 101 State: NC Zoning Overlay: NC Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 0.459 AC SAIN RD Fire Response District: MOCKSVILLE Assessed Acreage: 0.45 Elementary School Zone: MOCKSVILLE Deed Date: 6/2003 Middle School Zone: SOUTH DAVIE Deed Book / Page: 2003EO155 Soil Types: GnB2 Plat Book: 0005 Flood Zone: Plat Page: 143 Watershed Overlay: DAVIE COUNTY Building Value: 66910.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 25000.00 Total Market Value: 91910.00 Total Assessed Value: 91910.00 Davie County, 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 101 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail 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. Xp AUTHORIZATION NO: O 5 O 1 DAVIE COUNTY HEALTH DEPARTMENT R t Environmental Health Section PROPERTY INFORMATION PermKtee's P.O. Box 848 Name: d�l Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 Directions to property: ���"S%�,:.,,T � AUTHORIZATION FOR Section: Lot: WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION _/ Road Name:�sd� Zip: A70-0 **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 SPE IALIST ATE ISSUED DAVIE COUNTY HEALTH DER�RTMENT ;• � �' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION PermffteE. s '3 Directions to property: % �1` -�.;�_ ; .✓-' „/ Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - - Road Name:-.-./ _4i, / Zip: 2 r oA9 **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) i �/ -� s �' ✓ ***NOTICF*** THIS PERMIT iS SiIR-TECT TO REVOCATION iF SITF :.tip : ,�r�f �•,F:; ;.t �, ,r;�q' 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 # OCCUPANTS,-1?—GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) n ) NEW SITE REPAIR SITE / SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH . ill , ROCK DEPTH t) LINEAR FT.J REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT /v,// t= "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: r id )e 7.60140e d AUTHORIZATION NO. -� — —f— 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) r� r err DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permfttee.'s t�1 ! Name: i t ,' , f lr, r r Directions to property: Subdivision Name: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name:? ' "i7 Zip: 7, A ., **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 e f p+s' . ,.t'` vCr �'J�,', f ✓/ PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. r � RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANT GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY ' DESIGN WASTEWATER FLOW (GPD) • ?6 1 NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH /,^ ROCK DEPTH LINEAR FT.f ry REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT �I "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 TALLED BY: j C v ji�{C 0 �1 �P 1 r 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 HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name Date Location Subdivision Name Lot No. _ Sec. or Block No. Lot Size __ House Mobile Home _ Business _ Speculation No. Bedrooms —_ No. Baths _ No. in Family _ Garbage Disposal YES ❑ NO ❑ - Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES NO ❑ Type Water Supply _—__— *This permit Void if sewage system described below is not installed within 36 months from date of issue. Improvements permit by __- *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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Certificate of Completion Date _— *The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. . lb 3' �I/ q APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone F9 F Z/ 1. Permit Requested By Y_V a - IT- Business Phone 2. Address ZZ&X c;// ­'.Y 6 ['XS 121_ 4� 7l C7 . 3. Property Owner if Different than Above Address 4. Permit To: a) InstallLff:'_:�_Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: Housed Mobile Home Business IndustryOther b) Number of people 'Z 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions 5C X 35 Bed Rooms Bath Rooms Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals i lavatory showers i3 T 3 dishwasher sinks 8. a) Type water supply: Public Private Community garbage disposal washing machine b) Has the water supply system been approved? Yes t--- No 9. a) Property Dimensions t o / x,214 / b) Land area designated to building site c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of my knowledge. - Date Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: ,S 191Al le'GV'st DCHD (6-82) a fl D _, 4Z yrs , L :-A m.H H„ x c, .✓ R D . itlpIll 6'c7 -7i NG UAI S TCcG s Ala