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129 Woodhaven LnDavie County, NC nr --"— ------------ I Tax Parcel Report N' Monday, October 10, 2016 All data Is 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 r"p f, Nq'i NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J5150B0009 Township: Mocksville NCPIN Number: 5747163886 Municipality: Account Number: 63659750 Census Tract: 37059-805 Listed Owner 1: SCOTT THOMAS W Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 129 WOODHAVEN LANE Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: MOCKSVILLE GR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 3 SOUTHWOOD ACRES Fire Response District: MOCKSVILLE Assessed Acreage: 0.81 Elementary School Zone: MOCKSVILLE Deed Date: 8/2013 Middle School Zone: SOUTH DAVIE Deed Book / Page: 009360388 Soil Types: GnB2,GnC2 Plat Book: 0004 Flood Zone: Plat Page: 055 Watershed Overlay: MOCKSVILLE Building Value: 171850.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 20500.00 Total Market Value: 192350.00 Total Assessed Value: 192350.00 All data Is 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 r"p f, Nq'i NC or arising out of the use or Inability to use the GIS data provided by this website. Permitsee's DAVIE COUNTY HEAI%I'Ni DEPARTMENT 'Name: 'fi ' -? -fir `%" Environmental Health Section PROPE! FOR, TION - ' � , ,A, I, ,��� P.O. Box 848 Directions to property:,.!`' ' % �' '��! s l Mocksville, NC 27028 Subdivision Nam Q d d Phone #: 336-751-8760 Section: Lot: /..• , AUTHORIZATION FOR -%. t. k l WASTEWATER // tirl t Tax Office PIN•# � ;..• �-� ' SYSTEM CONSTRU TION / �q dOd � O AUTHORIZATION NO: 9 4 5 4 A /'""/ 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 compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ,l�` IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSOED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ---? # BATHS �9# OCCUPANTS '2— GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT /J# SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) 2 v NEW SITE REPAIR SITE vor i SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH r, INEAR FT. : c j OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR I:00 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT BY: , t9y?`1' 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 02/02 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME --- s S t� PHONE NUMBER �3 0 �� V )a? ADDRESS SUBDIVISION NAMES' " d 641 Aejc�l m- ° �-L� S ✓ i •l LOT # 3 DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDERi� TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY 'C! ��l SPECIFY PROBLEM OCCURRING S`ec� or /.vee DATE REQUESTED 2VO i d INFORMATION TAKEN BY 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. 1193 M