1032 Wyo RdDavie County, NC Tax Parcel Report Wednesdav, October 12. 2016
WAlt1V1NCT: "1'tll515 NU'1' A �UKVl:Y
Parcel Information
Parcel Number: 8400000039 Township: Farmington
NCPIN Number: 5833980898 Municipality:
Account Number: 312620 Census Tract: 37059-802
Listed Ovmer 1: AKERS CHARLES W Voting Precinct: FARMINGTON
Mailing Address 1: 1032 WYO ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE
State:
Zoning Class: DAVIE COUNTY R-A
NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 2702&0000 Voluntary Ag. District:
Legal Description: 1.44 AC WYO RD LIFE ESTATE Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
9A °'A Davie County,
�o�K.�� NC
1.32 Elementary School 2one:
9/2014 Middle School Zone:
009670622 Soil Types:
Flood Zone:
Watershed Overlay:
35590.00 Outbuilding 8 Extra
Freatures Value:
28870.00 Total Market Value:
66760.00
No
FARMINGTON
PINEBROOK
NORTH DAVIE
EnB,MsC
DAVIE COUNTY
2300.00
66760.00
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
' APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
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ADDRESS � � � G� SUBDIVISION
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NAME
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DIRECTIONS TO SITE 1rr�-/e�Yt j��/�1 � �' � �� I ��'(�Gl�
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DATE SYSTEM INSTALLED "' NAME SYSTEM INSTALLED UNDER�I�J`�' � T���'✓ �
TYPE FACILITY �NUMBER BEDROOMS _� NUMBER PEOPLE SERVED �
TYPE WATER SUPPLY �� SPECIFY PROBLEM OCCURRING
DATE REQUESTED �' 'DD INFORMATION TAKEN BY
This is to csrtify that ths information provided is correct to the beat of my knowledge, and that I underatand 1 am responsible }or all chargea incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
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r AUTHORIZATION NO: �� ;� �,�� DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's�,�''% P.O. Box 848
Name: ��,�` &'? ��'.:.` ti:� ..r�- � Mocksville, NC 27028 Subdivision Name: -
Phone # 336-751-8760
Directions to property: 4�"'' '"�.�/ ^^� Section: Lot:
AUTHORIZATION FOR
' �:,• �`'1 WASTEWATER �% W / 2Z
�tf(' •. .,,}-� 1 i Tax Office PIN:# g - �y - 3
� � ` SYSTEM CONSTRUCTION
RoadName:� ;` �"c �• Zip: Z7DZf�
**NOTE** This Authorization for Wastewater System Construction MUST BE 1SSUED by the Davie Counfyr nvironmental Health Section prior
to issuance of any Building-Pem�its: This Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(ln compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�� _ ***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION
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EN QNMENTAL HEALTff SPECIALIST DATE ISSUED
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" -- TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
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- Name: r`�. ,f <'- 1 �� � ' �,o�� .. Subdivision Name:
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� Directions to property: � .�� rI ' Section: Lot: _
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Road Name: �'�% P !. ' ,� Zip:
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**NOTE** This Impmvement Permit DOES NOT authorize the construction or installation of a septic tanlc system or any wastewater system. An
ALJTT-IORIZATION FOR WASTEWATER SYSTEM CONSTRUCTTON must be obtained from 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)
r: y ':'_ � ***NOTICE*** THIS PERNIIT IS SUBJECT TO REVOCATION IF SIT'E
r .. <., _°, r• .. �% t PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONIviENTAL HEALTH`SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TfIIS PERNIIT BEFORE
INSTALLING TI� SYSTEM.
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RESIDENTIAL SPECIFICATION: BUILDING TYPE .-.�, _ t1.� # BEDROOMS .� # BATHS �`� # OCCUPANTS '`�? _ GARBAGE DISPOSAL�,� No
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COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLFISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
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LOT SIZE •� Y� TYPE WATER SUPPLY n-'�"��1� DESIGN WASTEWATER FLOW (GPD) -,.7�� NEW SITE RE R SITE� �`•
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SYSTEM SPECIFICATIONS: TANK SIZE ���> GAL. PUMP TANK GfAL. TRENCH WIDTH `�� 1/ ROCK DEPTH 1G�' LINEAR FT � CZ/
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REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**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.
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OPERATION PERMIT � �/%�� � ��
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AUTHORIZATION NO./
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**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH SYSTEM DE�RIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMEN IID POSAL SYSTEMS"� BUT $HAI,,L IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY.EOR ANY GIVEN PERIOD,OF TIME.
DCHD OSN6 (Revised)
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._ �,�+'"- ���� d� DAVIE COUNTY HEALTH DEPAYtTMENT
'" -' � TMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION �
_ -Permittee's � y,� Rs �:•_ � v
--•--- Name: " �� � �'" Subdivision Name:
, Di�ections to property: ' � � �` � � ` Section: Lot:
_ .. IlbIPROVEMENT
_ �, � � PERMIT Tax Office PIN:# l rj �"'' f %� �-% '' "--
. Road Name: •' / ' Zip: °= ��' `''`
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**NOTE** This Improvement Pernut 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
constructio�nstallation 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 IS SUBJECT TO REVOCATION IF SITE
• - PLANS OR TI-IE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TEIIS PERMIT BEFORE
INSTALLING THE SYSTEM.
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RESIDENTIAI: SPECIFICATION: BUILDING TYPE -�., f'� # BEDROOMS `�� # BATHS `�� # OCCUPANTS -:•"-��_ GARBAGE DISPOSAL':"Yes br No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
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`' �"' � DESIGN WASTEWATER FLOW (GPD) �� �:�•% NEW SITE_�,"REPAIR SITE
LOT SIZE �`t `r • TYPE WATER SUPPLYf / � >�' �' "
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SYSTEM SPECIFICATIONS: TANK SIZE� ''. -. GAL. PUMP TANK GAL. TRENCH WIDTH . I ROCK DEPTH t_:y LINEAR FT, ^�(r�':'`,
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**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.
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SYSTEM INSTALLED BY: C/�[� r'' [,�,'�� ��..�� ��. Ct'
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AUTHORIZATION NO
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**THE ISS[3ANCE OF THIS OPERATION PERMI'IzSHALL INDICATE THAT TH� 3YSTEM ]
�VITH ARTICLE 11 OF G.S. CHAPTER 130A; SECI'ION .1900 "SEWAGE TREATMENT AND
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORI�k'OR�NY GIVEN
" DCHD OS/96 (Revised)
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ABOVE HAS BEEN INSTALLED IN COMPLIANCE
�YSTEMS". BUT S13AJ�[,,,IN NO WAY BE TAKEN AS A
TIME.