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191 No Creek Rd Davie County,NC � , Ta�c Parcel Report �,Q g�j�y Wednesday, October 5, 2016 �� �' � �', '�� 19 4 5� � � ��` � � � ��,� -l�-----_---------_-� 4 C � ----------- --���'�', � . ____------- ti5�,ri�` �� 1ti�� T-----_—-__ y�ti ..~r'.J , 191 ti 1 ti � � � � �; ti � -------��_ t1U8R�Y t'���=fyf<<= � �.t� �,L� � —L�—�_-�._ —����_�- I q{Jl;RFy,'�ril=l�R!=l.�~ ;-----�------- --�_ ; - - ------ . , 222 ' ��`'�-�. ' ` I �`�-� ___ _ _ - __ _ _ __- � _ _ _ -- _ _ _ - . . WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J700000010 Township: Fulton NCPIN Number: 5768307556 Municipality: Account Number: 82523409 Census Tract: 37059-804 Listed Owner 1: JORDAN DOUGLAS W Voting Precinct: FULTON Mailing Address 1: 191 NO CREEK ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Ctass: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 2702&7340 Voluntary Ag.District: No Legal Desc�iption: 1.160 AC NO CREEK RD Fire Response District: FORK Assessed Acreage: 0.83 Elementary School Zone: CORNATZER Deed Date: 10/2004 Middle School Zone: VNILLIAM ELLIS Deed Book/Page: 005740918 Soit Types: Gn62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 72720.00 Outbuilding 8 E�ctra 1200.00 Freatures Value: Land Value: 16900.00 Total Market Value: 90820.00 Total Assessed Value: 90820.00 9�.��, All data Is provided as Is wlthout warraMy or gusnntee of any IAnd ekher expressed or Implied Including but not timRed to the q Davie County� Impiied wsmndes of inerct�aMability or fkness fw a particular use.All users of Davle County's GIS websRe ahall hold hartnless the f CouMy ot DaHe,North Grolina,Its agents,consultants,coMractors or employees from any and all daims or uusea of actlon due to �O�K�'� NC or aAsing out of the use or Inabiitty to use the GIS dah provided by thls webaka i };. : :.� �, _z�:> �:.-.� �:.�r..,��-.y,. _. . , . . �j h . . . , � _ . -�— .� . . , . . . . , . '^— U�i,, � ���:�D� ���s— �X� \ � , ti.:-ej � ._ ' DAVIE COUNTY HEALTH DEPARTMENT '�-�d. � IMPROVEMENTS PERMiT AND CERTIFICATE OF COMPLETION 3 �� d� 'NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a Sa tary Sewage Systems � --' _ �� _ �_2 Permit�f����r Name ���v-�� �� ��� Date � � �0 ' �� � 3 _' a�Q�, � 1`d '��;�,�\�� v � \ Q `' Location `��7� — � � �l � ' Gc� � o �.��.sr.g.�;- \`� � � ±�•,Tu� ' �Sr• r-- _,�, Subdivision Name �g� No �r.�¢� � Lot Na Sec. or Block No. ��,: ;`_'._ . Lot Size �� House ��-- Mobile Home __��___ Business _— Speculation No. Bedrooms .No. Baths � _No. in Family _ Garbage Disposal YES 9, NO �`j Specifications for;Syste � " �� � jn� Auto Dish Washer � YES �, NO ❑ o o ' x � `�r� , �� ��` Auto Wash Ma:hine YES Q NO p �- �� �;�� . " l��� , (`�:;�:���- -- ��-: ; Type Water Supply ___— e�� � [ � . '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 plan�s�or the intended use cha ge. f \ �. ._ ��� . �� , . .. � a .. OO . - + , a` • Ip;; - ' , ,., ` - �-- , ;. / '�, � � s f .�- �, O l d l,�N Q -p-� _.., : � ,� � , � � � � ��.--��.a �-�,v�, ' �. . 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. �fi System�ns't�dlled by ����—� \\\ .�s.� . Final Installation Diagram: � -- Jao� � ��e-+�,• �� , �p/ � �—I o �S.� � � � � � 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. „ -� ; . - . , '— .M ,. .. ”'j� �1 i�. � � r�J Q..,1,r.,�.,�-- ���O . ,;� 1 ..�. �� � 1 ~�'� '�' '' � � • :° �'DAV'IE COUNTY HEALTH DEPARTMENT i(,. ,� " ..> ' �` `.� ,`., � - � _ � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION - � . �� " =-*NOTE:Issued in Compliance With Article I I of G.S.Chapter 130a K. � Sanitary Sewage Systems 1 ,� Permit Number ,.. � _, _ - � , \' --� _ �1 �, . � � �O �`'z'1 _. -- Name ;�:��- _�`� �``�', "'"�`' Date L?U� ;' ... ---, �, � `� � . t-- - �. ��, ; _ . . , � � `� �a� r,�.a'��• ���'�'i��_ �\=�, u t \ � '; Location ��� - �� ------�- _.__ _ _ f t! c-- \ �J``� , �° c_ �` � �•� . _�.. I,� � � Y`�\ .:r. , ;,.�1.\'�- '� ` " ` _ . .,. -,�� \1 !)�, r i �`-� ... r'.-'<'�:..;.�•--_._...,..,�.-.'' ' Subdivision Name ��� �'� �r����� �c��� w~� ` � Lot No. Sec. or Block No. 1 1 �, - :,,.�� s/ .: .��,,. Lot Size House �viobile Home _� Business _— Speculation No. Bedrooms � .Na Baths _� Nl , in F�mily � _ _., � - , p—�- � Garbage Disposal YES p NO [( ` Specifications for System: C� - �; ��; Auto Dish Washer YES [� NO ❑ , ` �� � '> . - `"' �. �Y �. Auto Wash Ma:hine YES Q NO p '1,O�` S� � �' � { ,, �,:-_:� Type Water Supply — ���:�-= --- �`°:... ��w�`r=:ti ,- �'��-:...z,",".�,.,.a�: � '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 plan�or the intended use cha ge. °u. �':� �� , -____..__�_.--------�----� �`�, i� � �� ;r ', � � i ,) LJ � �.' � _..r^��'�"� "*�� _ �., ��1� `�.1.N jfJ/�i t -.. .� _ _. __..�__.�^� .. �..�./ � � ^r , +�',,`a\.i..��... 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���nsialled by �s:-��,��� �� -_ �� �'�,, J "d,,o� � ��� �,�, �`-�-�. `� ��t�/ 4 � � � „ � ' ,�� � �` l�� � � � � � l � -_.r �-i�::--��,n�_ �-.-- � '.---� --; _._,..... � � a '� � �:t � � c c, -�. 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. � u — � D o� ! . . WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT //�c� �' . G� �',�� '��7' / Sa,�t� �-c�J��S � �' ' NAME PHONE NUMBER • ADDRESS ��' �i ��x `�/ � SUBDIVISION NAME ' , — `�'/f r cr �'� I�- SUSDIVISION LOTi� DIR CTIONS TO SITE /�`�� ' '�� ��`" ��� ������� ��� ' / �� � ._.�Z� �7^--� --C�' f r - • — ' , / ' DATE SYSTEM I NSTALLED � 9�� NAME SYSTEM INSTALLED UNDER // . D/�G�"'_' SPECIFY PROBLEMS OCCURRING " " �� � ��� / �✓���� � DATE REQUESTED � "��� �"� INFORMATION" TAKEN BY ��� I