139 Fairfield RdDavie County, NC I ; Tax Parcel Report +166 J6 Wednesday, September 28, 2016
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141
Davie County, NC
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcel Number:
L5070A0016
Township:
Jerusalem
NCPIN Number:
5746166385
Municipality:
Account Number:
41423000
Census Tract:
37059-807
Listed Owner 1:
JONES PEGGY C
Voting Precinct:
JERUSALEM
Mailing Address 1:
139 FAIRFIELD ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1 LOT FAIRFIELD RD
Fire Response District:
JERUSALEM
Assessed Acreage:
0.84
Elementary School Zone:
COOLEEMEE
Deed Date:
2/1988
Middle School Zone:
SOUTH DAVIE
Deed Book f Page:
001420151
Soil Types:
CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
84480.00
Outbuilding & Extra
520.00
Freatures Value:
Land Value:
14210.00
Total Market Value:
99210.00
Total Assessed Value:
99210.00
141
Davie County, NC
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 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT�� `A
+ 'A �l��
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION lf�
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c� pGU/U
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Per it Number
Name D
Location r __
Subdivision Name Lot No. Sec. or Block No.
Lot Size House�Mobile Home _ Business __ Speculation
No. Bedrooms r' — No. Baths _ No. in Family
Garbage Disposal YES ❑ NO ❑-- Specifications for System: .
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES Q NO❑
Type Water Supply __—
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by
j 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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
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AV-
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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.
I F r �
2013
14
Phone: (336) - 753 - 6780
►unty Health Department
ih�y✓ } ':ei�
lmental Health Section
P.O. Box 848
210 Hospital Street
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Courier # : 09-40-06
, .,
.,
Mocksville, NC 27028
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ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
Fxx: (336) - 7.53-1680
(Check One) Replacement Remodeling Reconnection
Name: (4 P-1 t i. 7.4-1,(a Phone Number S C Sof (Home)
Mailing'Address: 13/i - t— /C (Work)
Detailed Directions To Site:S�
n
Property Address: 11111r:- `
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: L j o� '/' c3" ✓ Es Type Of Facility: Q( �
Date System Installed (Month/Date/Year): -`f ' 7 - Number Of Bedrooms:Number Of People: 2
Is The Facility Currently Vacant? Yes 2'6'' If Yes, For How Long?
Any Known Problems? Yes Djel' If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type �� � � Number Of Bedrooms:.
yp Facility: � �c"7' �� � Number of People
Requested By: 1;t�i i - �y� '' Date Requested:
(Signature)
For Environmental Health Office Use Only
CP
ADisapproved
pproved
4.
Comments:
Environmental Health Specialist,
Date:
*The signing of this form by the Environmental Health Staff 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 VCheck oneAy `Order # Amount:$ U• Date:
Paid By: (P�! of 49 S Received By: eG�
Account #: &Y6 -7,t Invoice #: