229 Berry Ln (2)Davie County, NC , T� Parcel Report Wednesday, October 12, 2016
WARNiNU: T1i1S IS NOT A SURVEY
Parcel Information
Parcel Number: J20000004803 Township: Calahaln
NCPIN Number: 5718302966 Municipality:
Account Number: 8301989 Census Tract: 37059-801
Listed Owner 1: HENSON THOMAS W SR Voting Precinct: SOUTH CALAHALN
Mailing Address 1: 229 BERRY LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag. District: No
Legal Description: 24.28AC OFF SHADY KNOLL Fire Response District: COUNTY LINE
Assessed Acreage: 24.01 Elementary School Zone: COOLEEMEE
Deed Date: 1/1997 Middle Schooi Zone: SOUTH DAVIE
Deed Book / Page: 1997E0027 Soil Types: ApB,WeC,WeB,RnC,RnD,ChA,CeB2
Piat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 313110.00 Outbuilding 8� Extra 59200.00
Freatures Value:
Land Value: 156040.00 Total Market Value: 528350.00
Total Assessed Value: 528350.00
9"�`�' Davie County,
"oUN�� NC
Davie County Health Department
Environmental Health Section
R�CEIVED
Q�? 1 � 2013
P.O. Box 848
210 Hospital Street
Courier # : 09-40-06
l ! _ _1 _. !71 . 1T/`I [�/7/�[1(1 a� aag
Phone: (336) — 753 - 6780 p C H EALT H Fax: (336) — 751- 8786
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement emodelin Reconnection
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Name: O Y`n �l �\ Y A�-� `n Phone Number 3�c - L� �. —c�3 S� (Home)
Mailing Address: �� �{�rrl l a1�-�' , ��--7�3—`3$22� (Work)
��1LSU���e C- ���a$ Email �ot.�o��-Q ��',s+��C- <nr�rl
Detailed Directions To Site� t'���E�lieW � � � � l�Q��e.j �-�I � ��h} ot� Sc�h� .�-v� � �t��`s�x�j���
�av��- '�r �ciC.o l-�vn�; Fs� �%h-�. �'-er �c�. n C�.vc�e� � � C�Yt� 1�. tV t e �Qr'�p rnd ��� 1�xut e��,J��
( L� �a��f �I�ol\ �cr,c. r"�h�- ar, �er�-� Lr,. �se o� �e�k-
Property Address:
Please Fill In The Following Informallon About The EXISTING Facility:
Name System Installed Under:
J Z-6Q0 -v�
��"�" Z�, 0! D fF�
Type Of Facility: i'��'e--
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Date System Installed (Month/Date/Year): �� �qi Number OfBedrooms: � Number OfPeople: �- �
Is The Facility Currently Vacant? Yes No ff Yes, For How Long?
Any Known Problems? Yes � If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: C`� �o ilp Number Of Bedrooms: � Number of People ^�'
Requested By: Date Requested:� i I DI i 3
(Signature
Approved � Disapproved
Comments: � !� �e
Environmental Health Specialist
For Environmental Health Office Use Only
y
Date: �/%/�D/
*The signing of this form by the Environmental Health Saff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash (' Checl�d Money Order #
Amount: $
Paid By: Received By:
Account #: �� ��j Invoice #: `a'j
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AREA= 24.278 AC.
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I, GRADY �� TUT7EROV, CERTIFY THAT UNDER
MY DIRECTI�N AND SUPERVISION. THIS MAP
WAS DRAWN FR[3M AN ACiUAI. FIELD SURVEY
MADE HY TUTTERQIJ SURVEYWG COMPANY.
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PROFESSI�N LA D SURVEYOR L-2527
TUTTERO'PP' SURVEYING C�MPANY
107 NORTH SALISBURY ST.
MOCKSVILLE, N.C. 27028
(336} 751-5616
PLAT OF SURVEY FOR� '���MA S II' . H�NS oN
� �'�iT��A �. .I�.�,11rS 011T
a 80' APPRDVED BY� DRAVN BY�
—29--20i 3 GLT MBREWE
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conza �VANSWICE-6
BEINC 24.278 ACRES TAKEN FROM THE RICH�.FcD 3RAG HESS FROPERTY
(D.B. 050, Pg. 01-72) LYlNG IN THE CALA.HAI.N TOWNSHIP
DA\�lE COUNTY, NORTH CAROLINA
TAX MAP REF.: J-2, PARCEL 48.03
DRAWB�i NIA�R�
1 813-4