2911 Hwy 64E Davie County,NC Tax Parcel Report Friday, December 16, 2016
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'° WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J70000007805 Township: Fulton
NCPIN.Number: : 5767898421 Municipality:
Account Number: ;8300348 Census Tract: 37059-804
Listed OwnerTl:'�- - RANKER PETER= -+ Voting Precinct: FULTON
Mailing Address-1: - > . 2911 HIGHWAY:64-EAST-'-! 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: 6.99 AC HWY 64 LOT 1 Fire Response District: FORK
Assessed Acreage: - 6.78 Elementary School Zone: CORNATZER
Deed Date: 5/2011 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 008590477 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9 uu�tnAll data Is provided as is without warranty or guarantee of any kind 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 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 actlon due to
�'OUN� 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 /00,00CERTIFICATE OF COMPLETION f
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a 0�21II la HW/ Uqg,
Sanitary Sewage Systems Permit Number
A N Date 1,
Name N27671
Lo -76
F' J
Subdivision Name Lot No. Sec. or Block No.
Lot Size -7 . House — Mobile Home _T Business -- Industry
No. Bedrooms .No. Baths; No. in Family r _ Public Assembly Other
Garbage Disposal YES.C] NO-a/ Specifications for System:
Auto Dish Washer YES`R/ NO ] ca c, `Qpry
Auto Wash Ma shine YES [g/ NO ] + t V I
Type Water Supply — C C v
*This permit Void if sewage system descrh3 d below is not installed within 5 years from date of issue.
This permit is subject to revocation if site pla r 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.,
1:00-1:30 P.M.or 4:30-5:00 P.M.onr.day of completion.Telephone Number:704-634-5985.
Final Installation Diagram: I System Installed by9
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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 j
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 EVALUATIONJIMPROVEMENTS PERMIT
t
Davie County Health Department +Wk J�q
Environmental Health Section CJ
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By w
Mailing Address -/-t- l�� Home Phone /�rC XCl
D 0.541 G Z �O Business Phone /f10�t C
2. Name on Permit if Different than Above
3. Application for: ❑General EvaLion UlSeptic Tank Installation Permit
4. System to Serve: House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People / ❑ Basement/No Plumbing
No. of Bedrooms KWashing Machine
No. of Bathrooms PV/-
g Dishwasher
Dwelling Dimensions -S r 3 k F' ❑ Garbage Disposal
6. If business, industry, place of public assembly, 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 Water Usage Figures
7. Type of water supply: Public ❑ Private ❑ Community
8. Property Dimensions c l-e- S , Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes Er No
If yes, what type?
'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.
Directions to Property: / C L r
o yr �� v a�►''� /_ owl
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurredf�m th!p appllii ation.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. I OWN the property. ) 2. I DO NOT OWN the property.
If you checked Box#2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representati of the Die C my Health Department to enter upon above described
property located in Davie County and owned by a& S l� a w�e�/
to conduct all testing procedures as necessary to deter a said site's suitabil' for a ground absorption sewage treatment
and disp sal s stem.
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DATE SIGNATURE
DCHD(1193)