2162 Hwy 601S=� DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
71
Name o\v��G �:,r� �>� C� ti� 5— Date >_.�2_- �'� %i0 7906
Location �� �w> �n U
Subdivision Name 0 5 Lot No. Sec. or Block No.
Lot Size "V O\f- f` — House _� Mobile Home --_ Business -- Industry
No. Bedrooms —.No. Baths — �— No. in Family — Public Assembly Other
Garbage Disposal YES Q NO U'. Specifications for System -
Auto Dish Washer YES p NO C5- "e'
Auto Wash Ma^hine YES Er NO ❑ t�
C D:
Type Water Supply -- -- — ---
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
` t
'i
J
t'P 4o,
Improvements permit bye—�?`_�``�
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634=5985.S76i0
Final Installation Diagram:
System Installed by
/w13A
n
d
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 COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 6
N;O T E :.f ssued in Compliance With Article 11 of G.S. Chapter 130a
'Sanitary Sewage Systems
Permit Number
-Name Date No
7906
%
4 c,
Subdivision Name �/r�Di ywil W15 Lot No. Sec. or Block No.
Lot Size House Mobile Home. ----Business Industry_
No. Bedrooms =. -No. Baths --L— No. in Family L7 Public Astembly—Other
Garbage Disposal YES C3 NO El' Specifications for System;
Auto Dish Washer YES ❑ NO
Auto Wash Ma -hive YES N 0
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
f --
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.',
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-SM.�/60
I
Final Installation Diagram'
0
Ll
System Installed by
r.
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
',,,,.sa,tistactlori_l.y.,for,any given period of time. -
r
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ,(/6G� JFQ/ APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
1� NAME 'BO 1061 13 q PHONE NUMBER
ADDR
01S. SUBDIVISION NAME
a(Y �� I�l1 �, /1/� r� I�o2 LOT # -
DIRECTIONS TO SITE, LOIS , �� u s� Cr), A:?' -
DATE
?-
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY h 1-'-s-f;- NUMBER BEDROOMS :2- NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCURRING
LQ -
DATE REQUESTED-��"� INFORMATION TAKEN BY,
This
This is to certify that the information provided is correct to the best of my knowledge, and th I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
Parcel #: L510OA0033
Davie County, NC - Basic Estate Search
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Parcel #: L510OA0033 Account #: 41248250
Owner Information
Buildin
Tax Codes
BXF:
ONES LARRY W& ]ONES ANGELA K
Land:
ADVLTAX - COUNTY TA
Market:
162 US HIGHWAY 601 SOUTH
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
00191 0597
12
Property Information
Unqualified
Township
Land (Units/Type): 0.350 AC
3
JERUSALEM
ddress: 2162 S US HWY 601
1997
Unqualified
Deed Information
85,500
Local tonin
ate: 08/1997 Book: 00197 Page: 0062
01
1991 WD
lat Book: 0002 Page: 084
Improved
33,000
Le al Description
PIN
OTS 3-6 R L FOSTER
5746154372
Property Values
Buildin
48 56
BXF:
1,29
Land:
8,55
Market:
58 40
ssessed:
58 40
Deferred:
Z
Sales Information
No.
Book Page Month Year Instrument
Quai/UnQual
Improved
Price
1
00146 0883
01
1989 WD
Unqualified
Improved
11,500
Z
00191 0597
12
1996 WD
Unqualified
Improved
25,500
3
00197 0062
08
1997
Unqualified
Vacant
85,500
3
00157 0597
01
1991 WD
Qualified
Improved
33,000
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
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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.daviecount,vnc.gov/itsnetfView.aspx?prid=1459372 7/14/2016