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Davie County,NC Tax Parcel Report �, Tuesday, October 4,2016
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WAItNING: THIS IS NOT A SURVEY �
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Parcel Information
Parcei Number. L60000004801 Township: Jen�salem
NCPIN Number. 5756965103 Municipality:
Account Number. 82516219 Census Tract: 37059-807
Listed Owner 1: GREENE RANDY D Voting Precinct: JERUSALEM
Mailing Address 1: 145 LANCELOT LANE PlanNng Jurisdiction: Davie County
City: MOCKSVILLE Zoning Ciass: DAVIE COUNN R-A
State: NC Zoning Overlay:
2ip Code: 27078-0000 Voluntary Ag.District: No
Legal Description: 2.21 AC OFF HWY 801 Fire Response District: JERUSALEM
Assessed Acreage: 2.28 Elementary School Zone: CORNATZER
Deed Date: 1/2001 Mlddle Schooi Zone: WILLIAM ELLIS
Deed Book/Page: 003560868 Soil Types: PcB2,PcC2,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 36350.00 Outbuilding 8�Extra 7730.00
Freatures Value:
Land Value: 19270.00 Total Mar{cet Value: 63350.00
Total Assessed Value: 63350.00
9���, All date Is provlded u b wltl�out warrarky or guarantee of any Idnd either e:pressed or Implied Including but not Iimked to the .
Davie County� Implied warraMlea ot merchaMabllity w litness for a particular usa M usera of Davle Courrty's OIS websRe shall hold harmless the
CouMy ot Davle,NoRh Grolina,ks agmts,eonsuMards,wntractors or emp�oyees trom�ny and ap daima or puses of acdon due to
�p�N,�''` NC or arlsing out of tl�a use or Inabit(ty to use the GIS daU provided by thts websfte.
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•�:• DAVIE COUNTY HEALTH DEPARTMENT
+' (Septic Tank) Improvements Permit and Certificate of Completion
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(Ground Absorption SewageJyDisposal System - G.S. Chapter 1 0-Ar icle 13C) � �.
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OWNER OR CONTRACTOR � �:'%-r,::{:.; �',,•<.;' Tf��:Y, DATE ,�r " ��'1`` •�'PERMIT
LOCATION c t{':,;,��:z; „�''�..,.,. !� 3 z���%{i'��A�� t.t`x,,,r�,f�,�,,.� i.�,;..C,�t ':;G} 1 ,��>�''�>/ N� 1 H ( �i
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SUBDIVISION NAME LOT N0. SECTION OR BLOCK N0.
HOUSE . �" MOBILE HOME BUSINESS ❑
,r�, � House Trailer 800 Ga1. 400 Sq. Ft.
N0. BEDROOMS .��-''' N0. BATHROOMS Two Bedroom House 800 Ga1. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES. ❑ NO Q"� Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER '°ti, YES ❑ NO Q'� Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES C�"� NO ❑ �-,r ��,� _,s..�- ��
SITE SUITABLE ' YES I� NO ❑ �t�..� (� - �';���'�r%i L %•�•.`<' .` ��
SIZE OF TANK gal.r '. . ;,'' , w
NITRIFICATION FIELD sq. ft. �� ' v j �/ •j
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DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual '�,-�.Pub,lic ❑. �
IMPROVEMENTS. PERMIT BY~ ,�.�;� `�C•�}t� INSTALLED BY ������,,��� � �-'�,- I
CERTIFICATE OF COMPLETION BY . Date�
* n truction must com l .with all o her a licable State and local'fe 'la�
(8/16/73) Co s p y pp g
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DAVIE COUNTY hEALTH DEPARTMENT
P. 0. BOX 57 �p�
P40CKSVILLE, N. C. 27028 ���'� ,� �
(704) 634-5985
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Statement for Septic Tank Improvement Permits -
and/or Site Evaluations
NAME �4�0 ��� DATE ISSUED�O ��
ADDRESS j PERI�iIT N0.
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Explanation of charge
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AMOUNT DUE�� SANITARIAN ,
PLEASE REP�IIT THE ABOVE AP�OU?dT ON P.ECEIPT OF THIS STATEDi T. �