164 Excalibur Ln%u`f�c�1�bu�
DAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
rioof Bedrooms_ Date
{{ / �.c� • r
.nis permit is granted to PRVI for the installation of a septic tank_..
t the residence off7-7 F ,�� `7 Lc�-�� Address
Building Contractor �— � Address
!Scenic Tank Specifications: Length Width Depth Capacity____.Gal. F
M'anu�'acturerIs Name T)ia''► �' �n�/ �'C % /�W Address_ ` r / '/
T— 7
I?o,, of lines-1width1 width'Lin. Total Length o Q_ft. No. of Sq. Ft.
Ti -'•e of filter material Total tons used t C/-
1,13..nimum Requirements: House Trailer Tank Cap. 800 • Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install.a septic tank in Davie County without a permit from the Health Officer
or his agent.
Date of final approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to specifications.
Signed:
Septic Tank Contractor
Note: Make sketB''i of disposal system on back of sheet and mail to Health Center, Mocksville.
S
N
-1)4d
Parcel #: L507OA0001
Davie County, NC - Basic Estate Search
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Parcel #: L507OA0001
Account #:25025000
Owner Information
Tax Codes
ADVLTAX - COUNTY TA
FIREADVLTAX - FIRE TAX
FAIRFIELD BAPTIST CHURCH
164 EXCALIBUR LANE
MOCKSVILLE NC 27028
BXF:
Property Information
Township
Land (Units/Type): 1.170 LT
ddress: 164 EXCALIBUR LN
JERUSALEM
383 38
ssessed:
Deed Information
Local Zoning
Date: 12/1992 Book: 00166 Page: 0385
Plat Book: age:
Unqualified
Vacant 0
3 00166
Legal Description
PIN
1 LOT EXCALIBUR LN
5746168979
Property Values
Mui
357,55 CI
BXF:
Improved Price
Land:
25,83
Market:
383 38
ssessed:
383,38
Deferred:
02 1982 WD
Sales Information
No. Book
Page
Month Year Instrument
Qual/UnQual
Improved Price
1 00044
0297
01 1900 WD
Unqualified
Vacant 0
2 00115
0620
02 1982 WD
Unqualified
Vacant 0
3 00166
0385
12 1992 WD
Unqualified
Improved 0
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
Its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1469121 7/19/2016