125 Legion Hut Rd Lot 4 Davie County,NC ' Tax Parcel Report Thursday,December 29, 2016
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: M404OA0004 Township: Jerusalem
NCPIN Number: 5736616180 Municipality:
Account Number: 69938370 Census Tract: 37059-807
Listed Owner 1: SPILLMAN LINDA Voting Precinct: COOLEEMEE
Mailing Address 1: 784 PINE RIDGE ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY CZOD
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: LOT 4 GLADSTONE ESTATES SECTION ONE Fire Response District: COOLEEMEE
Assessed Acreage: 0.45 Elementary School Zone: COOLEEMEE
Deed Date: 12/1991 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001610818 Soil Types: GnB2
Plat Book: 0006 Flood Zone:
Plat Page: 012 Watershed Overlay: DAVIE COUNTY
Outbuilding 8r Extra
Building Value: Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
161 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie Countys GIS website shall hold harmless the
�rCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from 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.
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DAVIE COUNTY HEALTH DEPARTMENT ,
IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION
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*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a (Z�j 6n
unitary
unitary Sewage Systems _ Permit Number
Name Date L _ N2
6428
Location RL
Subdivision Name s� �' ' c Lot No. Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths, No, in Family _
Garbage Disposal „ YES ❑ NO ❑
Specifications— for System:
Auto Dish Washer -, :YES p' NO ❑
Auto Wash Ma:hive YES EV NO E:],,
(3
Type Water Supply .d
*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.
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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 '`� �L-�-� 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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERliffs������
Davie County Health Department t
Environmental Health Section JUN of; 1991
P. 0. Box 665
Mocksville, NC 27028
1 . Application/Permit Reque
sted By
Mailing Address Q,
-7 �. 55-
Home Phone
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2q Business Phone _
2. Name on Permit if Different than Above
3. Property Owner if Different than Above a n , r
4. Application/Permit For: C) General Evaluation �/Sl/Tank Installation
S. System to Serve: d House �Mabile Home 0 Business
Industry u Other �.. 0 Unknown
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6. If house, mobile home: Subdivision �CSec. Lot#
No. of People 3 _ Dwelling Dimensions
No. of Bedrooms :3— Basement/plumbing
No. f Bathrooms _ Basement/No Plumbing
ashing Machine r Dishwasher 0 Garbage Disposal
7. If business, industry, other: Specify type
No. of- People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers
8. Type of water supply: ubl ' c 0 Private p Community
9. Property Dimensions
10. Sewage Disposal Contractor _ Rym?-51Li TiL
11 . Do you anticipate additions/ex ansions of the facility this system is
intended to serve? Yes1;�(No
If yes, what type? ;K
•NOTE: Improvements Permits shall be valid for a period of 5
years from date issued. Improvements Permits are subject
to revocation, if site plans or the intended use change.
Effective October 1, 1989.
This is to certify that the information provided is correct to the
best of my knowledge, and I underta I am rE: ponsible for all
charges incurred from this applicat
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Date Si not re
Directions to Property :
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DCHD (10-89)