328 Four Corners RdDavie County, NC'
Tax Parcel Report oCaC) I Thursday, September 29, 2016
,9
443 FOUR
CORNERS R
349- 173
327 Z
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303
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- 132
181
284 i4166
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s
264
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All data is provided as hs without warfanty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Impliedwaran es ofmerchantablihy orfitness for a particular use.Ali users of Davie County's GIS website shaghold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees trona any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
:... ._ :. ....
_ _..._ __.., • - a
Parcel Inform.
_:„ ....tion _
Parcel Number:
8300000056
Township:
Clarksville
NCPIN Number:
5823476810
Municipality:
Account Number:
9900000
Census Tract:
37059-801
Listed Owner 1:
BRICKEY DAVID EUGENE
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
328 FOUR CORNERS ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
12.87AC FOUR CORNERS RD
Fire Response District:
COURTNEY
Assessed Acreage:
12.30
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
8/1978
Middle School Zone:
NORTH DAVIE
Deed Book I Page:
001050725
Soil Types:
MnB2,EnB,MdD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
172090.00
Outbuilding & Extra
Freatures Value:
2200.00
Land Value:
85620.00
Total Market Value:
259910.00
Total Assessed Value:
259910.00
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All data is provided as hs without warfanty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Impliedwaran es ofmerchantablihy orfitness for a particular use.Ali users of Davie County's GIS website shaghold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees trona any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
Davie Comity Health Department
418 f Environmental Health Section.
P.O. Box 818
111RIP1110,
iud Street210 Hosp
Cotuier # : 09-40-06
Mocksville, NC 27028
Plione: (336) - 753 - 6780 Fax (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: ( pw l RRic-k-ow Phone Number 9q,8- 6A S- (Home)
Mailing Address: -3 A a F Tari C.oR ,-IS 0
�1oc.4vL, a-10)�C
Detailed Diirections To,Site:_ i J qA I —f ug o Oki 8101 Sok& . Apomlo a -k i'nik
rami &o Fo up, Cm2rJ da s kosks.-,. o a Q;ch+ QF -.)C �rm: G
Property Address:FO'WLt
Please Fill In The Following Information About The EXISTING Facility:
Name System. Installed Under:
Type Of Facility:
14aMV
Date System Installed (Month/Dat&Year): = 9 i0 Number Of Bedrooms:Number Of People:
Is The Facility Currently Vacant? Yes (M� If Yes, For How Long?
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The Following Information About The NEJV Facility:
Type Of Facility: !^yam Me-.. Number Of Bedrooms:Number of People_
Pool Size: Garage Size: Other:. Sc4-e.21.1 ( .erh 16 x l (p
Requested By:AT3.�Date Requested: -7 - 5" / (z
For Environmental Health Office Use Only
Approve Disapproved (�
Comments: �� nia r n �<,e4- d JIciLC� -i C � Gl t A 11!.� - V1+1:5 C)1 -
Environmental Health Speciali
Date:
*The signing of this form by the Environinea-ld 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 propel for any given period of time.
Payment: Cash Check Money Order # Amount:$.
Paid By: Received By:_
Account #: %'o 9 Invoice #:
OU�r,
s Printed:Jul 05, 2016
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
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"Note: f` ssued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
�.
r
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size i'' .�� House Mobile Home _ +-- Business Speculation
No. Bedrooms N� No. Baths '� No. in Family
Garbage Disposal YES p NO p''
Specifications ,for System:
Auto Dish Washer YES �] NO
Auto Wash Machine 'YES p NO p �' sF t'
Type Water Supply A(Y
`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:
I
System Installed by
i
Certificate of Completion —Date
*The signing of this certificate shall indicate that the system described above has been intl�alled in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee t at the system will function
satisfactorily for any given period of time.
DEPARTMENT
DAVIE COUNTY HEALTH
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Notdissued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit
Number
Date
NameZj
C'
Location %�'' -�/f� • �:� i`� �1�/.; " cif �r ,'' .Jr'Y.; f
/rir,r
`Fou-V-COrnC-cS
Subdivision Name (-"0 Lot No. Sec. or Block No.
i
Lot Size House Mobile Home —!-- Business
Speculation
No. Bedroomsi No. Baths No. in Family —
Garbage Disposal YES ❑ NO
Specifications .for System:
Auto Dish Washer YES NO ❑
--��_�y��,:' r-
Auto Wash Machine YES Q NO ❑J
v ""/
G✓�' 'i
���
Type Water Supply _
*This permit Void if sewage system described below is not installed within 36months from date of issue.
s
_ 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:
l L"5''
l
System Installed by ✓�n__a �r�
i
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 COMMIT HEALTH DEPARTMERT
PERCOLATION TEST RESULTS
DATE
MOM
LOCATE IOci
FINDINGS: HOLE NO.
COMIMITS
d, r
V
DAVIE COMITY HEALTH DEPARTMENT .
ENVIRONMENTAL HEALTH SECTION �f
P. O. BOX 57
MOCKSVILLE, N.C. 27028
(704) 634-5985
Stateme t forsp c Ta Improvements Permits and/or Site Evaluatis
r fS,+I
NAME I'. r! DATES=''�
or
ADDRESS PERtiIT .IJO. +'
,e ',�
EXPLANATION OF CHARGE
AMOUNT DUE _ SANITARIAN
PLEASE REMIT THE ABOVE A4OUNT ON RECEIPT OF THIS STATEy1ENT.
*NOTICE: Evaluation(s) can not be completed until paynent is received.
Improvements Permit(s) can not be issued until payment is received.