724 Sain Road Lot 3Davie County. NC
Tax Parcel Report b -W Thursday. October 6, 2016
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Parcel Information
Parcel Number: H608OA0003 Township: Mocksville
NCPIN Number: 5749939842 Municipality:
Account Number: 8300240 Census Tract: 37059-805
Listed Owner 1: HEDRICK BRANDON Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 724 SAIN ROAD Planning Jurisdiction: Davie County
City MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
Davie County,
All data is provided as is without warranty or guarantee of any kind 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
101
State:
NC
Zoning Overlay:
NC
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
0.459 AC SAIN RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
0.45
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/2003
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
2003EO155
Soil Types:
GnB2
Plat Book:
0005
Flood Zone:
Plat Page:
143
Watershed Overlay:
DAVIE COUNTY
Building Value:
66910.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
25000.00
Total Market Value:
91910.00
Total Assessed Value:
91910.00
Davie County,
All data is provided as is without warranty or guarantee of any kind 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
101
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or causes of action due to
NC
or arising out of the use or Inability to use the GIS data provided by this website.
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AUTHORIZATION NO: O 5 O 1 DAVIE COUNTY HEALTH DEPARTMENT
R t Environmental Health Section PROPERTY INFORMATION
PermKtee's P.O. Box 848
Name: d�l Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property: ���"S%�,:.,,T � AUTHORIZATION FOR Section: Lot:
WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION _/
Road Name:�sd� Zip: A70-0
**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.
ENVIRONMENTAL HEALTH SPE IALIST ATE ISSUED
DAVIE COUNTY HEALTH DER�RTMENT
;• � �' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
PermffteE. s '3
Directions to property: % �1` -�.;�_ ; .✓-' „/
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - -
Road Name:-.-./ _4i, / Zip: 2 r oA9
**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.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
i �/ -� s �' ✓ ***NOTICF*** THIS PERMIT iS SiIR-TECT TO REVOCATION iF SITF
:.tip : ,�r�f �•,F:; ;.t �, ,r;�q' PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS !�,? # BATHS # OCCUPANTS,-1?—GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) n ) NEW SITE REPAIR SITE /
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH . ill , ROCK DEPTH t) LINEAR FT.J
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
/v,//
t=
"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.
OPERATION PERMIT
SYSTEM INSTALLED BY:
r
id )e
7.60140e
d
AUTHORIZATION NO. -� — —f— 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)
r� r
err DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permfttee.'s t�1 !
Name: i t ,' , f lr, r r
Directions to property:
Subdivision Name:
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name:? ' "i7 Zip: 7, A .,
**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.
(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 SITE
e f p+s' . ,.t'` vCr �'J�,', f ✓/ PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
r �
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANT GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # 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 LINEAR FT.f
ry
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
�I
"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.
OPERATION PERMIT
SYSTEM TALLED BY:
j C v ji�{C 0
�1 �P 1
r
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)
• DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Date
Location
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 ❑ NO ❑ - Specifications for System:
Auto Dish Washer YES ❑ NO ❑
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
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.
. lb 3' �I/
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APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone F9 F Z/
1. Permit Requested By Y_V a - IT- Business Phone
2. Address ZZ&X c;// '.Y 6 ['XS 121_ 4� 7l C7 .
3. Property Owner if Different than Above
Address
4. Permit To: a) InstallLff:'_:�_Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: Housed Mobile Home Business
IndustryOther
b) Number of people 'Z
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 5C X 35
Bed Rooms Bath Rooms Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals
i
lavatory showers i3 T 3
dishwasher sinks
8. a) Type water supply: Public Private Community
garbage disposal
washing machine
b) Has the water supply system been approved? Yes t--- No
9. a) Property Dimensions t o / x,214 /
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
-
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD (6-82)
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