123 Scenic DrDavie County. NC
Tax Parcel Renort Ht -,l n• Thursday October 6. 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
WAlC1V11V1i: 1HU5 1J PIUl A ;�UnVL' Y
Parcel Information
J400000008 Township: Mocksville
5728801591 Municipality:
10584380 Census Tract: 37059-801
BROWN CHUCK R Voting Precinct: SOUTH MOCKSVILLE
123 SCENIC DRIVE Planning Jurisdiction: MOCKSVILLE
MOCKSVILLE Zoning Class: MOCKSVILLE OSR
NC Zoning Overlay: MOCKSVILLE MH -O
Building Value:
Land Value:
Total Assessed Value:
27028-8356
Voluntary Ag. District:
No
LOTS 22-25 DAVIE ACRES SECTION 1
Fire Response District:
MOCKSVILLE
0.95
Elementary School Zone:
MOCKSVILLE
4/1993
Middle School Zone:
SOUTH DAVIE
001670823
Soil Types:
Ce62
0004
Flood Zone:
038
Watershed Overlay:
MOCKSVILLE
97820.00
Outbuilding & Extra
20470.00
Freatures Value:
20000.00
Total Market Value:
138290.00
138290.00
Davie County,
NC
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.
AUTHORIZA IO NO: DAVIE COUNTY HEALTH DEPARTMENT
`Environmental Health Section PROPERTY INFORMATION
Permittee's r 77 P.O. Box 848
Name: %. �!,� '� //h Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: 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 comp, is cg w�h 'cl 1 of G: hapter 130A, Wastewater Systems, Section .1900Sewage Treatment and Disposal Systems)
'I " Y.2 .,-,,
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE VUED
V 0 1 Pi DAVIE COUNTY HEALTH DE ART ENT
IMPROVEMENT AND OPERATION PERMITS
Permittee's .
Directions to property:
IMPROVEMENT
PERMIT
`'°
PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
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 f`/ # 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 /"/7n DESIGN WASTEWATER FLOW (GPD) i� h NEW SITE REPAIR SITE
i
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -,�X ROCK DEPTH /�,' LINEAR FT�, �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOI-hpPROVED EFFLUENT FIL'TER� -XRISER(S) IF 611 LELMI FIUISVED GRADE*
r
"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 # ISr(j4�;43;4y$m760.
OPERATION PERMIT
F
INSTALLED BY:
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 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)
7 0 DAVIE COUNTY HEALTH DEPARTMENT r '�
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee s
Directions to property:
Subdivision Name:
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 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 - # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIALSPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD). � / ' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -•-i r:' ROCK DEPTH i ' LINEAR F E4
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYo a PPFRUED EFFLU NT FILTE1.1� 49:2lurfitS} IF 6" s PE O',1 FINISF.ED GRADE -u
i`
}}' �`T
I.
II "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 #,I$,Uft M4r8260.
OPERATION PERMIT
% STEM INSTALLED BY:
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 .19001"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 ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME�L 1°/aG�
PHONE NUMBER
ADDRESS SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE Cocom'• %' vim eltr / C//7
�. A-1
DATE SYSTEM INSTALLED /,��Y'� -NAME SYSTEM INSTALLED UNDER
TYPE FACILITY G' _NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED 3-A00 -If INFORMATION TAKEN BY
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
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