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377 Country Lane Lot 18Davie County, NC 1 Tax Parcel Report Tuesday, November 29, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: MOCKSVILL State: Zip Code: Legal Description: LOT Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS IS 1VU'I' A SURVEY Parcel Information H4140A0013 Township: Mocksville 5739422054 Municipality: 1196000 Census Tract: 37059-806 ALLEN TIMOTHY H Voting Precinct: NORTH MOCKSVILLE COUNTY 377 COUNTRY LANE Planning Jurisdiction: MOCKSVILLE E Zoning Class: MOCKSVILLE GR NC Zoning Overlay: 27028-0000 Voluntary Ag. District: 18 COUNTRY LANE EST Fire Response District: MOCKSVILLE 0.83 Elementary School Zone: MOCKSVILLE 4/1977 Middle School Zone: SOUTH DAVIE 001010515 Soil Types: Gn132 Flood Zone: Watershed Overlay: MOCKSVILLE Outbuilding & Extra Freatures Value: Total Market Value: M 9 �u�rAAll data Is provided as Is without warranty or guarantee of any ldnd either expressed or implied Including but not limited to the 7D�Tavie County, Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shall hold harmless the County 1� CCountyof Davie' North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arlsing out of the use or Inability to use the GIS data provided by this website. CONSTRUCTION For office use only AUTHORIZATION "CDP File Number 200012-1 Davie County Health Department County ID Number. 1-14-140-A00-13 210 Hospital Street Evaluated For. REPAIR P.O. Box 848 Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax: 336-753-1680 0 a/ 1 9/ a 0 a 1 Applicant: Tim Allen Property Owner. Tim Allen Address: 377 Country Lane Address: 377 Country Lane City: Mocksville CRY: Mocksville State/Zip: NC 27028 State0p: NC 27028 (336) 492-7716 (336) 492-7716 Phone #: Phone #: J i Address/Road #: 377 Country Lane Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: # of People: "Water Supply: N/A Subdivision: Country Lane Estates Phase: Lot: j3 Directions 601 North, right on Country Lane at KFC. On Corner of Country Lane and Ivey system Specifications Donn 1 of q Minimum Trench Depth: a 4 Inches Site Classification: Provisionally Suitable Saprolite System? OYes *No Minimum Soil Cover. 1 a Inches Design Flow: 3 6 0 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 . a 7 5 Maximum Soil Cover: a 4 Inches *System Classification/Description: "Distribution Type: GRAVITY - PARALLEL (eq. d -box) TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPO OR LESS) Septic Tank: Gallons "Proposed System; 25% REDUCTION Piece: 1 - O,Yes d No Pump Required: OYes ONo OMay Be Required' Nitrification Field 1 3 0 9 Sq. ft. PumpTank: Gallons No. Drain Lines a 1 -Piece: OYes ONo Total Trench Length: 3 a 7 ft GPM—vs— ft. TDH Trench Spacing:9 _ OInches O.C. Dosing Volume: _ Gallons (� Feet O.C. Trench Width: 3 OInches ��rjFeet _ Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS -1 OTS -II Septic Tank InstallerGrade Level Required: JI Oil 0111 ON Donn 1 of q CDP File Number 200012 -1 air Svstem Required:OYes County ID Number. 1-14-140-A00-13 No ONo, but has Available ❑ Open Pump System Sheet F W%upall %aya«111 Trench Spacing:8Feet Inches 0.1 *Site Classification: — O.C. Design Flow:**** 15A NCAC 1 **** OFeets Soil Application Rate: A99regate Depth: inches Minimum Trench Depth: *System Classification/DescriInches Repair Area Eye Inches Maximum Trench Depth: *Proposed System: Inches Maximum Soil Cover: Nitrification Field Sq. Inches ft. No. Drain Lines *Distribution Type: Total Trench Length: tt Pump Required: Oyes ONo OMay Be Required \ Pre Treatment: ONSF OTS -1 OTS -11 *Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Authorization forWastewater System Construction shall bevalid for a person equal to the period of validity of the Improvement Perml% not to exceed five years, and maybe issued atthe 'sametime the improvement Permit issued (NCGS 130A-336(11)} If the installation has not been completed during the period of validity of the Construction Permit, the information submitted in the application for a permit or Construction Authorization Is found to have been incorrect, falsified or changed, or the site Is altered, the permit orConstruction Authorization shall become Invalid, and maybe suspended or rztvoked (.1937(8)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance, monitoring, reporting and repair (1938(b)). Applicant/Legal Reps. Signature Required? Oyes ONo Applicant/Legal Reps. Signature: Date:. / / *Issued By: 2140 - Nations, Robert Date of Issue:.0 a/ 1 9/ a 0 1 6 .. Authorized State Agent: Malfunction Log OYeS *Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization CDP File Number: 200012 -1 County File Number: 1-14140•A00-13 Date: 0-1/ 1 9/ 2 0 1 6 Q Inch Scale: QBlock QNJA I i W _ ,e _G_ S I } I s CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville IVC 27028 CDP File Number: 200012 -1 County File Number: 1-14-140-A00-13 Date: _0 .2 1 1 9/ 2 0 1 6 Click below to Import an Image from an external location: Drawing Type: Construction Authorization o ��1'49�' .L DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT, AND CERTIFICATE OF. COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name -7;2T-fij/!�,7 Date �"" �y--G)� N2 6-9.9 6 Location �l�/ll%-' �� A,, V/,i .�iliv� ��/f'� Dry Gt'd� GJ tn�F,� ���r" zo � /O Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home _T Business Speculation No. Bedrooms No. Baths a— No. in Family — Garbage Disposal YES ❑ NO [f Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma shine YES. NO ❑ Type Water Supply ' --- *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation'if site plans o use change. �14if��C� �Pu/ �i�✓P he q1-116 SPS ,6oX eXrx vV ^ r eoex � dor�� 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 IDOX 1 Certificate of Completion Date '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. DAVIE COUNTY HEALTH DEPARTMENTIMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130aSanitary Sewage Systems Permit NumberLocation /o Subdivision Name Lot , -_ --- House Mobile -_--_-----_ Home Business_--_--_--___-__-__ Speculation -----_--_- No. Bedrooms No. Baths No. in Family ,' Garbage Disposal YES [] NO Specifications for System: Auto Dish Washer YES '-NO [] Auto Wash k4a:hine YES `NO [] Type Water Supply *This permit Void if sewage system described below is not installed within 5 years fromdate of issue. This permit is subject to revocation if site plans se change. ' ^ �r 1��� Improvements permit by - ^ Contact o 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 Numbpr 704-634-5985. Final Installation Diagram: System Installed by / , ' - Certificate v~Completion "a=, ':''.� '- -='-~ ' of - mho0 -+-, - . - '�- --`` ��� lend �| mith the standards set forth in the above, regulation, but shall in NO way be takenas aguha the'system,4iilIJUnction satisfactorily for any given period oftime. ' DAVIE COUNTY HEALTH DEPARTMENT —'- (Septic'Tank) Improvamenis-,Permit and Certificate of Completion i (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR -�4i 1 .-% DATE PERMIT LOCATIQN i C�k x1.1. `. 4i i� - �� +1.. �' f1 �1 vim• i "►- N ,t . 70 ;�k ' N� L1. ,, t 1�� ,�e i S.R. NO. • ["ti] SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. N0. BEDROOMS N0. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES ❑ NO ❑ ,.; ¢ ,,.. SITE SUITABLE YES ❑ NO ❑ 04•.,/ J s7,G<,'�"f • ��� •J SIZE OF TANK gal. i NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY INSTALLED BY v, ')doff, �d CERTIFICATE OF COMPLETION By ,-4tf j~4' Date 74? (8/16/73) *Construction must mply with all other applicable State and local regulations LOT AREA i 1D �� j r�� d ii��h'• ti DAVIE COUNTY HEALTH DEPARTMENT ` (Septic Tank) Improvements -Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR" � %r N �i DATE PERMIT 1 LOCATION 0 W �� �:» t �-'A ►N e ' � s"� atm. t. ;1� tai i1'Eirl S R NO 1918 SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE 00" MOBILE HOME ❑ BUSINESS NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public ❑ IMPROVEMENTS PERMIT BY House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY ���i •- -11� CERTIFICATE OF COMPLETIONn , j •,+` .�' By d Date (8/16/73) *Construction must a mply with all other applicable State and local regulations LOT AREA it r t ' DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements.Permit and Certificate of Completion • (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR' A'm fA1' Z 11 DATE PERMIT LOCAT,N CCy1h"� D 'A'A n I `17 ul SR NO [MR] N hr. L E C • • • SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE SS NO. BEDROOMS NO. BATHROOMS Sq. GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK ___ gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public IMPROVEMENTS PERMIT BY 07 House Trailer Two Bedroom House Three Bedroom House Four Bedroom House 800 Gal. 400 Sq. Ft. 800 Gal. 600 Sq. Ft. 900 Gal. 900 Sq. Ft. 1000 Gal. 1200 Sq. Ft. bJ �d!,r"ei ., 114 , ��•'° INSTALLED BY 0,40;rS % 6 • CERTIFICATE OF COMPLETION By � Date (8/16/73) *Construction must Umply with all other applicable State and local regulations LOT AREA 5?6'x--3'•Y3 �'',PCc/<. ♦' y DAVIE COUNTY HEALTH DEPARTMENT (Septic :Tank) 'Improvements. Permit and Certificate of Completion 3 (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR, CONTRACTOR`DATE PERMIT _-moi 1 LOCATION ( , '7� r d � ���a ' -' �+'r ' �,� ..... l� �. 1908 '; n).rW S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE tD MOBILE HOME ❑ BUSINESS ❑ NO. BEDROOMS _ NO. BATHROOMS .3 GARBAGE DISPOSAL UNIT YES ❑ NO ❑ AUTO. DISHWASHER YES ❑ NO ❑ AUTO. WASH. MACHINE YES ❑ NO ❑ SITE SUITABLE YES ❑ NO ❑ SIZE OF TANK f%� gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINESr WATER SUPPLY: Individual ❑ Public 16d - IMPROVEMENTS PERMIT BY A60 CERTIFICATE.OF COMPLETION By (8/16/73) *Construction must c s LOT AREA r 00X,5 House Trailer 800 Gal. 400 Sq. + %uf Ft. Two Bedroom House 800 Gal. 600 Sq. Ft. Three Bedroom House 900 Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. 000 INSTALLED BYcL Date'%� ly with all other applicable State and local regulations A DAVIE COUNTY HEALTH DEPARTMENT r . (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR m iii%,�t,1 DATE PERMIT LOCATION Amet t✓ `+ 'Jj' r ..... 1\ Q 1908' e � J i reo /�' F,, -- S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.' HOUSE ❑ MOBILE HOME BUSINESS ❑ BEDROOMS House Trailer 800 Gal. 400 Sq. Ft. • NO. NO. ,BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft GARBAGE DISPOSAL UNIT YES ❑ NO . ❑ Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES [3N0 ❑ -Four Bedroom House 1000 Gal. 1200 Sq. Ft. OS; AUTO.,WASH. MACHINE YES ❑ NO';- SITE SUITABLE YES C3 NO ❑ SITE SIZE OF TANK ga,1. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER•SUPPLY: Individual ❑ Public Er IMPROVEMENTS PERMIT BY INSTALLED BY -e_5' CERTIFICATE OF' COMPLETION BYE, Qom, Date' ~,77 (8/16/73)- *Construction must 46ply with all other applicable State and local 'regulations LOT AREA A�Xi�w 1 DAVIE COUNTY HEALTH DEPARTMENT , (Septic Tank) hnprovements Permit and'Certificate of Completion ;'.(Ground Absorption Sewage Disposal System - G.S. Chapter 130 Article 13C) OWNER OR CONTRACTOR —7761 A//,`A/ DATE ��<<,� � tx PERMIT LOCATION"/ 4'(i I'%•'7/ Ei"v't /, �' .//''0U N� 1801 Z ej of d".r1' ,ttr 2,sSz f Ae Jr S.R. NO. SUBDIVISION NAME LOT'NO. SECTION OR BLOCK NO. HOUSE MOBILE HOME E3 BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. N0. BEDROOMS N0. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO 0' Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES', M °.. NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft., AUTO. WASH. MACHINE YES NO ❑ q� t SITE SUITABLE YES 23 NO ❑ SIZE OF TANK 90 gal. NITRIFICATION FIELD sq. ft.'X DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public IMPROVEMENTS PERMIT BY �' INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA W ~ DAVIE COUNTY HEALTH DEPARTMENT . (Septic Tank) Improvements Permit and Certificate of Completion !-(Ground Absorption Sewage Disposal System'`'-'-G.S. Chapter 130 Article 13C) OWNER OR CONTRACTOR _ 441 } �/�+�'/T%` DATE `f,It',rt3 PERMIT A LOCATI I'ON PIJ Cy' 1`//T% ? t"',tJ["'/� G9 !` Jr�/tJ' ' 1\ ? 1801 hf 6A D/`A eV PO,eD4;5-l r !` G'ii S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR 'BLOCK NO. HOUSE © MOBILE HOME ❑ BUSINESS El NO. BEDROOMS & NO. BATHROOMS GARBAGE DISPOSAL UNIT YES ❑ NOy . AUTO. DISHWASHER YES Ep NO ❑ AUTO. WASH. MACHINE YES NO ❑ SITE SUITABLE YES NO ❑ SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual ❑ Public E IMPROVEMENTS PERMIT BY ,� INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA 1 House Trailer 800 Gal. 400 Sq. Ft. Two Bedroom House' 800,Gal. 600 Sq. Ft. Three.Bedroom House 900`Gal. 900 Sq. Ft. Four Bedroom House 1000 Gal. 1200 Sq. Ft. INSTALLED BY CERTIFICATE OF COMPLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA 1 DAVIE COUNTY HEALTH DEPART14ENT P. 0. BOX 57 MOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAPE /% / ,I/L�✓V DATE ISSUED Y ADDRESS !/,C? / J it' PERMIT NO. Explanation of charge , AMOUNT DUE _ SANITARIAN ?"Ta'``T PLEASE REMIT THE ABOVE A14OUNT ON RECEIPT OF THIS STATEMENT. ';f DAVIE CODUTY'HEALTH DEPT. PERK TEST RECORDS NAME A`�lv LOCATION el Oe4lel