104 Hickory Tree Road Lot 20Davie Countv, NC Tax Parcel Report Thursday, January 12, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book I Page:
Plat Book:
Plat Page:
Building Value:
WAICPI1111lT: IMO In AV -1 A 311,11(vzY
Parcel Information
J701 OA0021 Township: Fulton
5768322927 Municipality:
82533127 Census Tract: 37059-804
HOLLIFIELD BRENDA C Voting Precinct: FULTON
104 HICKORY TREE ROAD Planning Jurisdiction: Davie County
MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
Land Value:
Total Assessed Value:
NC
27028-7122
LOT 20 HICKORY TREE SECTION ONE
0.67
12/2011
008770259
0004
170
Zoning Overlay:
Voluntary Ag. District:
No
Fin; Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
GnB2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
rO
Davie County,
NC
All data is provided as is without warranty or guarantee of any Idnd 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 daims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this w ebsfte.
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.Av,. TION NO: 1 J DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's � �/J / P.O. Box 848
Name: .� rs �C /7 �// r' Mocksville, NC 27028 Subdivision Name:
. Phone # 336-751-8760
Directions to property: c�' Section: Lot: -20 / AUTHORIZATION FOR
'//1'/'
WASTEWATER Tax Office PIN:# -
SYSTEM CONSTRUCTION —
Road Name: Zip: °2.2
**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.
TIRO MENTAL HEALTH SPECIALIST DATE ISSUED
A+�
4-w:�_ DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittje s /' w
Name: — ,n ,f; �''f /'... Subdivision Name:
Directions to property:. SO
ection: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name: Zip:'/` -e
**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.
(Incompliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***Nn'rFrF*** 7MR PFRMiT IC CiTRTF.rT Tn Rv.vnvATTnN iv CiTF:
- �' `jR r' - ;; PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENV O MENTAL H HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS—J' # BATHS _ _ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFI'# 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 a"7 LINEAR FT�_��
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAY6 `PROVED EFFLUENT FILTER* *RIB `R(S) IF
C�
F
" 13ELOU FINISHED GRADE*
"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. TELEPHONINP49NMJ 16M760.
(336)751—x760
OPERATION PERMIT
SYSTEM INSTALLED BY:
t -
n
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)
'49
DAVIE COUNTY HEALTH DEPARTMENT
�-IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Name ' c'� n K, 0—
Location
Date
/D -.5-,�-(
Permit Nur,
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 p NO p Specifications for, Sptem:
Auto Dish Washer YES 0 NO ❑ 61-1dd P V-' '
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
X-3 n Q
1 a �
Certificate of Completion & Date Lb' 7 -el
*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.
DAME COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
PO Box 848/210 Hospital Street
Courier #09-40-06
Mocksville, NC 27028
Phone #: (336)751-8760
January 29,2002
Jane Whitlock
Howard Realty
330 S. Salisbury Street
Mocksville, NC 27028
Re: Sewage System Check
Rich Allred -Owner
Hickory Tree lot # 20
Dear Ms.Whitlock:
As requested, a representative from this office visited the aforementioned site on
January 29, 2002 . At the time of the visit a final inspection of the sewage system was done on
repair order # 1691 A ( copy attached ).
Please be aware that the above statement is in no way intended, nor should be taken as a
guarantee (extended or limited) that the sewage system will function properly for any given period
of time.
Please advise should this office be of further assistance.
Sincerely,
Aea & gk�WA.
Robert B. Hall, Jr. , R.S.
Environmental Health Specialist
Enclosure(s)
RBH: df
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note' Issued in. Compliance with G.S., of North Carolina Chapter 130—Article 13c.
-Permit Number:'
Date 10' 527"/
Name.
Location
Subdivision Name.2P
Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. BathsNo. in Family
Garbage Disposal YES E], NO' `0
Specifications for System:.
Auto Dish -Washer YES E;] NO
Auto Wash Machine YES NO �E]
>
Type -Water Supply.
*Jf
*This permit Void, if sewage system described below is not installed within 36 months from date of issue.
Certificate of Completion liz
*The signing of this certificate shall indicate that the system described
the standards set forth inthe 'above regulation, b,ut's.hall in NO way be t,
satisfactorily for any given period of time;
Date
ve has been installed in compliance with
as a guarantee that the system will function