134 Terrace LnDavie County, NC Tax Parcel Report Tuesday, October 1 l, 2016
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Parcel Information
Parcel Number: G60000003701 Township:
NCPIN Number: 5860042626 Municipality:
Account Number: 82517879 Census Tract:
Listed Owner 1: ALLEN GLEN D Voting Precinct:
Mailing Address 1: 134 TERRACE NORTH Planning Jurisdiction:
City: MOCKSVILLE Zoning Class:
State: NC Zoning Overlay: �
Zip Code: 2702&7832 Voluntary Ag. District:
Legal Description: 1.000 AC TERRACE LANE Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Buiiding Value:
Land Value:
Total Assessed Value:
9 � �'F Davie County,
`'��„�� NC
0.98 Elementary School2one;
12/2001 Middle School Zone:
003980668 Soil Types:
Flood Zone:
Watershed Overlay:
0.00 Outbullding 8� Extra
Freatures Value:
15940.00 Total Market Value:
20440.00
Farmington
37059-803
SMITH GROVE
Davie County
DAVIE COUNTY R-A
DAVIE COUNTY QD
SMITH GROVE
PINEBROOK
NORTH DAVIE
MnC2,Ce62
DAVIE COUNTY
4500.00
20440.00
No
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AUTHORIZATION NO: � Q� � DAVIE COUNTY HEALTH DEPARTMENT 5 I�
•• ., Environmental Health Section -.. PROPERTY INFORMATION
Perniittee's; , , ' '�� P.O. Box 848
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Name: ����� ��:�.>- ��'�=�-=�:�=Y� Mocksville, NC 27028 Subdivision Name:
\ Phone #: 704-634-8760
Directions to property: � � {� �= � �'� 1 ��
\� , ` AUTHORIZATION FOR
�1Ci'� a_s:.,.��� '`—..assvrc'� �.s�R - �� G`c. WASTEWATER
„�� _ SYSTEM CONSTRUCTTON
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Section: Lot:
Tax Office PIN:# - -
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Road �me: 1-:.-,,a��..�..�.i Zip: D � �
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Pernuts. This Form/Authorization Number should be presented to the Davie County Building Inspections
O�ce when applying for Building Permits. ;
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatmen[ and Disposal Systems)
�� C.::a `� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
�t ��`'�`•�s� �i,�.°,..a���J�.9. �� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
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� �J ', , - DAVIE COUNTY HEALTH DEPARTMENT
-. F-,�• IMPROVEMENT AND OPERATION PERMITS
Perrftittee's;� � . " , '�
Name` � �� ,�.. , �� �
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Directions to property: i� h r�' � a'� ^t � r� '��-•
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IlVIPROVEMENT
PERNIIT
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PROPERTY INFORMATION
Subdivision Name:
Section: Lot:
Tax Office PIN:# - -
1�.,,"��''� ' 1-�� � ' �
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Road Name: ��. �: � � �:- Zi � <
**NOT'E** This Improvement Pemut DOFS NOT authorize the, construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUC'TION must be obtained from this Departrnent prior to the
construction/installation of a system or the issuance of a building pernut. .
(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 STi'E
` ��"'•,•`,�, "1 i, '�''�� '. 1„ ; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING Tf� SYSTEM.
RESIDEIVTIAL SPECIFICATION: BUILDING TYPE i•�, ha# BEDROOMS �') # BATHS h # OCCUPANTS � GARBAGE DISPOSAL: Yes o No
� ° ,
COMMERCIAL SPECIFICATION: FACILTTY TYPE � # PEOPLE # PEOPLFJSHIFT # 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 T?.NK GAL. TRENCH WIDTH �
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I IMPROVEMENT PERMIT LAYOUT
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_ ROCK DEPTH / C� LINEAR Ff. � Q�
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**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENf 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.
I OPERATION PERMTf
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SYSTEM INSTALLED BY: ���'�`'� � ���-
AUTHORIZATION NO. ��' �,1 OPERATION PERMIT BY: �� Dp�; C 3 a� 9
**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. CHAP'TER 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 OS/96 (Revised)
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� ,a �;� � �"� � DAVIE COUNTY,HEALTH DEPARTMENT � "`
-�- ,`';.:�. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
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Perriiiit'tee's' !`""'"
Name: �+�.� � �'�
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Direcfions to property: � ` 'El '' - •' �' t'
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Subdivision Name:
Section: Lot:
IIVIPROVEMENT
PE�T Tax Office PIN:# -
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Road Name. i '=�' Zip. , � . �
**NOTE** This Improvement Pemut DOFS NOT authorize the consWction or installation of a septic tank system or any wastewater system. An
AUTHORIZATTON FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fi-om this Department prior to the
construction/installation of a system or the issuance of a building pernut.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�' � "`**NOTICE*** THIS PERNIIT LS SUBJECT TO REVOCAITON IF SITE
� � �' `� ` - ; ' � � ` � � � + j° PLANS OR 1'HE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERNIIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE�R •� 4t��# BEDROOMS �_ # BATHS �',t... # OCCUPANTS � GARBAGE DISPOSAL: Yes No
I COMMERCIAL SPECIFICATION: FACILITY T'YPE # PEOPLE # PEOPLF✓SHIFf # SEATS INDUSTRIAL WASTE: Yes or No
�I �, LOT SIZE �� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) J�� NEW SITE REPAIR SITB '"
I SYSTEM SPECIFICATIONS: TANK SIZE � ��! GAL. PUMP TANK GAL. TRENCH WIDTH ~� ROCK DEPTH /O J LINEAR FT. ���
, :
OTHER
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R$QUIRED SITE MODIFICATIONS/CONDITIONS: �''�
IMPROVEMENT PERMIT LAYOUT
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**CONTACT A REPI�ESENTATIVE 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
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SYSTEM INSTALLED BY: � �=`-s�"'`'� � �•�''�` ='��3'`S'"'
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AUTHORIZATION NO. �.a �' � OPERATION PERMIT BY: ���`�--�'`= r '"="^t�—��`'�"�""^"�''" � d' / r
DATE:
I**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 OS/96 (Revised)
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; � '' : � DAVIE COUNTY HEALTH DEPARTMENT �� bb � a°: �"�°Z���
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� -�-� � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION � p�
! *NOTE: Issued in Compliance With Articie I I of G.S. Chapter 130a
S itary Se.�a..ge S stem • Permit Number
� Name �a�o eF.\ � • �', ����:��o N Date � - L� - �3 No 7 � 5 5 .
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`�ocation �`�C' 3 � �'i, �0-� � cS�- , � �°,. �.1 ��:� , - -
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` Subdivision Name Lot No. Sec. or Block No. �
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4 Lot Size ���'s'" `�"'House 'r� , Mobile Home �T Business Speculation '� �
No. Bearooms '� :No. Baths "� No. in Family �_ .
Garbaga Disposal YES p ���NO � �Specifications for ste : �� ,- � _
Auto Dish Washerr �YES p NO � � d�`d � �,� – D' ��
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Auto Wash Ma:hine YES �NO�p�:., . � pq x,3 x � a �� �t� :
Type Water Supply __—
'This r�ermit Void if sewage system described below is not installed within 5 yearsfrom date:of issue.
This Nermit is subject to revocation if site plans or the intended use change. '
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, , . Impro ments permit by -- .
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' ���'Contac. � represenfative 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 completi�n. Telephone Number 704-634-5985.
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Final Installation Diagram: System Installed b '
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- � Certificate of.Completion _�_� ,Date
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�'The ���gning 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 . {
satisfa ;torily tor any given period of time. '
NAM
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATiON FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER �g4 " � �'� �
ADDRESS ��� \ �-���- ���� SUBDIVISION NAME
� .��� , � - e. �.�va�
LOT #
DIRECTIONS TO SITE 1� �v"�^-��`� ��� " h�� -�-��. �` O''^'
��.r, � \ dev �� ��Q S�� .
DATE SYSTEM INSTALLED�� NAME SYSTEM INSTALLED UNDER ���:s.. ��.�`�o�.
TYPE FACILITY �`c�n� NUMBER BEDROOMS � NUMBER PEOPLE SERVED �
TYPE WATER SUPPLY �� SPECIFY PROBLEM OCCURRING �--���. �
c�... ��..��:.
DATE REQUESTED �"�� ��� INFORMATION TAKEN BY �a�.�
This is to certify that the information provided is correct to the best of my k�owledge, and that I understand I am responsible for all charges incurred from this appiication.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93