548 Fairfield Rd141
Davie County, NCimplied
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 Information.
Parcel Number:
L50000009203
Township:
Jerusalem
NCPIN Number:
5746666281
Municipality:
Account Number:
82532085
Census Tract:
37059-807
Listed Owner 1:
LANNING DONNA BEAN
Voting Precinct:
JERUSALEM
Mailing Address 1:
541 FAIRFIELD ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
1.291 AC FAIRFIELD RD
Fire Response District:
JERUSALEM
Assessed Acreage:
1.18
Elementary School Zone:
COOLEEMEE
Deed Date:
5/2010
Middle School Zone:
SOUTH DAVIE
Deed Book f Page:
008260815
Soil Types:
PcC2,CeB2
Plat Book:
10
Flood Zone:
X
Plat Page:
204
Watershed Overlay:
-
Building Value:
111640.00
Outbuilding & Extra
1830.00
Freatures Value:
Land Value:
18190.00
Total Market Value:
131660.00
Total Assessed Value:
131660.00
141
Davie County, NCimplied
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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
_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 - -� , , T "�,n .� _ Date y .
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ 1 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` -i
'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.
L5 W E.1
U.MAY 1 0 2010 ' .
//��'� 336-22-401— Z 17 7—
rm : SbG &ryr�y�
q
_Davie Chun Health Depa=elnt
.
4�`, s
Ecic� e"` �'NE
,En�° onm tal Health Section
. P.O. Box 848
210 Hospital Street
O �� Courier #: 09-40-06
Mocicsville, NC 27028
Phone: (336) - 753 - 6780 Fac: (336) 753.1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
e dorr2
Name: �Q. Vt ` j e. tel\ -fir lbonrt.a. Lann; Phone 3 L a Y 5- 70 Y ome)
Mailing Address: _moi q R 'Qj-. (work)
�Y\oc:ks,,',LLe. 070at&
Detailed Direedons To Site:N.,jg 4D *V w.1 77 e
Property Address: :9 A Fn: r r: -fAJ LL
Please Fill In The Following Information About The EXISTING Facility: �. Ic P--` "A
Ao�b le,
Name System Installed Under: but ?Aon Type Of Facility: Ge 5 - olr r -T% a.i A o.-%, e
Date System Installed Q�� umber Of Bedrooms: Number Of People:
y (Month/Date/Year): p
Is The Facility Currently Vacant? Yes No IfYes, For How Long?
Any Known Problems? Yes T�o If Yes, Explain: �
Please Fill In The Following Information About The NEW Fa`cility:d
Type Of Facility: DC,btu? t� k MOy i fe i4or.%P— On Number Of Bedrooms:3 --Number of People
Requested By: Besr Date Requested:
(Signature)
For Environmental health Office Use Only
AppApp
vr�o eded Disapproved
Environmental Health SpecialistC� '%%'' G�G� nate: n)
*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: Cas Money Order # ;2 71?'/ Aanount:S teb -a Date:
Paid By:tieReceived By: �+
Account #: f-7041-Jnvoice #: '73 10
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