478 Fork Bixby Rd Davie County,KFC t Tax Parcel Report 13 Wednesday,September 28,2016
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WARNING:THIS IS NOT A SURVEY
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Parcel Number: J800000003 Township: Fulton
NCPIN Number: 5778420494 Municipality:
Account Number: 82514593 Census Tract: 37059-804
Listed Owner 1: SMITH TIMOTHY W Voting Precinct: FULTON
Mailing Address 1: 577 JOHN CROTTS 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: 1.074 AC FORK BIXBY RD Fire Response District: FORK
Assessed Acreage: 1.07 Elementary School Zone: CORNATZER
Deed Date: 8/2011 Middle School Zone: WILLIAM ELLIS
Deed Book I Page: 008670063 Soil Types: PcB2
Plat Book: 10 Flood Zone: x
Plat Page: 373 Watershed Overlay: WS-IV-P
Building Value: 206130.00
Outbuilding&Extra 0.00
Freatures Value:
Land Value: 13900.00
Total Market Value: 220030.00
Total Assessed Value: 220030.00
1 data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County,NC 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
If] causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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_ DAVIE COUNT'Yl HF„ALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION x}''60
*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 1 , U-4A <" - Date Ile) NO
Location �;i > r' c� r, ` � �:• r� �J -7 �J (j t�
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Subdivision Name Lot No. 79 t/IMACr lock No.
Lot Size Lj House Mobile Home — Business Speculation
No. Bedrooms No. Baths - No. in Family
Garbage Disposal YES Q NO CYC
P Specifications for System:
Auto Dish Washer YES f 'NO,.[]
Auto Wash Machine YES x."" N 0 c
Type Water Supply
*This permit Void if sewage system described below is not installed within-7e m onths from date of issue.
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Improvements permit b
*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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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.
DAVIE COUNTVY. HI ALTH DEPARTMENT
'' -; IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'r�U
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�121%�"!� Date ��"C� ',�7 NO
Location <? c"��--'`"i '-'�=
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Subdivision Name Lot No. ISdc.'or/b�lock No,
Lot Size y �` House ,'� Mobile Home _ Business Speculation
No. Bedrooms No. Baths �\ No. in Family _
Garbage Disposal YES ❑ NO Specifications for System:
Auto Dish Washer YES N0l
Auto Wash Machine YES ®' NO ❑ � }, =5 1
Type Water Supply
*This permit Void if sewage system described below is not installed within 26 months from date of issue.
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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
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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.
8 � D 9RKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
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NAME � i� PHONE NUMBER �!�� /
ADDRESS � Xo-)� SUBDIVISION NAME
/� SUBDIVISION LOT#
DIRECTIONS TO SITE /'`�' �• i`- ' °'� / °�� C/� � �L�� `7Z
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DATE SYSTEM INSTALLED Ad
NAME SYSTEM INSTALLED UNDER r k, -5YVIVI
SPECIFY PROBLEMS OCCURRING -�"" sP�Y- XV e&1,0 dF -
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DATE REQUESTED �" INFORMATION TAKEN BY