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1029 Salisbury Rd _ _ _ _ . . , l ' "- - ' '� ;, � � DAVIE COUNTY HEALTH DEPARTIVIENT . • IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION J 'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Perrnit Number Name Vi�/ Date � ` ' r 4 t,ocation /��, - — D � �,��sdu/ Subdivision Name Lot Na Sec. or Block No. _ , � - Lot Size House Mobile Home _ Business �� Speculation _-; � No. Bedrooms No. Baths �- No in Family Garbage Disposal YES p NO ❑ Specifications for_ s�e : Auto Dish Washer YES p NO p _• ._ ;` �� Auto Wash Machine YES ❑ NO �❑ %DQ v�r[�y E� _ : � , , A /�� Type Water Supply _— `This permit Void if sewage system described be ' talled within 36 months from date of issue. r : • ,. , • 7' . � ! t '. ' _._.., .._....... .,. — _.... _ - ; ' ; : � , : � � �� ? � � �� c � i 1 ` �� ; �� `' '1 i �- ,'I 'I � ln � � ..- _ _; �, `�: . � C,�� " a. _ � . r. � �. � �. . � _.- , � �� : . ._.� _. � 1b .� ,� � � , � ;� ; �.�� D - , : � , , . � , � .. _ , � , __.._._ _..._._.__ .... ,.. ._. . � �6� ` � ; , � . _ . ,' �l . � • r, . ;`t ` . . 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 Installed by . ;{_. ; � 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 - . i �� . _ `Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. - . � ,� _ / ' " ;,/ � --�r . y_ Permit Numbsr -� � ;" �fi':�%^ � �_ �'." �,,� � - Name' ��y�'�� , t ��f-��,�7,�: Date Er � '�� . ; , , �, y �=_ ,, /� '�ocation �'%i�`l >. _ . } '�� u ��j"/� • �I�"��/l � ��i , ^""-_ J Subdivision Name Lot No. _ Sec. orBlcrck No. . �� Lot Size House - Mobile Home _ Business Speculation z Na,Bedrooms No. Baths `x N �. in Family �� Garbage Disposal YES p NO ❑ ��r1/�� '' Specifications for;5 ter�I j Auto Dish Washer YES ❑ NO ❑ /-� � " �i��' ` � Auto Wash Machine YES NO a� E I �"'�' � -�� '�'�`' < ❑ fl ��,�� ,v,J ,;' Type Water Supply ��%�i/ i ` *This permit Void if sewage system described below-is-n�t-installed within 36 months fro�n date of issue. � �� ,,�f� 1 ' :� . i ,./' ; ,� �, , -�• G i(ir�/ ,' � � I � , -` 1 � �} 'y � � ;� ... � � � f.�'1 � �'� �� / � , �� . � � , � �. � , � � A � ' ^` t/�'i,, (1 � ��,�. � / / ` . � ��.� � / � . � l� ,,;,;;` \ � 1„ ;`��;. �� , � � � f � r �� r .� �� ;; � � � , > �. f ,�� , � � n � � � , �l�%� . � � ��lJ � �, ; �1�� ,. /� , � ,� r/. 1' �i�!� l I+) i `' ` �;� � `i t. % , � . , �, / M , Improvements permit by f� �� *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 k' 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 ` �o�►s I� Environmental Health Sec�ion ' ��,.:,,;. , , . � ., � � P:O. Box 848 . },,(�� ; , �, S„ - 210 Hospital Street � �� '� Q�, �� Courier#: 09-40-06 � Mocksville, NC 27028 .� Phone:(336)-753-6780 Fax:(336)-751-8786 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection Name:��'C,C� � �U.n�l � Phone Number 336' 30b- 1-17D� (Home), MailingAddress: �77 tVE('h4r� �d � S�r�n� (Work) . (1�t•L^.kS�sne, NL� 270Z� Emai1�1 �►Ut�c�^7G,.b�C� q r►')S>> • �� Detailed Directions To Site: ��w u� 6D I 2 b I ocJSs U r, �CO m �c.� ` e. - I`i��h oc� �'�,. . . Property Address: �f�� s 4 'Sh4�� Please Fill In The Following Information.About The EXISTING Facility: : Name System Installed Under: � Type Of Facility: � Date System Installed(Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? �� No If Yes,For How Long7�►'� ��-�eSS D�r m O v�c��, �u� Any.Known Problems? Yes No If Yes,Explain: � Please Fill In The Following Information About The NEW Facility:�f(r��A a,s Pub I�c �u e�o(� Type Of Facility:� c. S �t' Number Of Bedrooms: Number of People � Requested By: Date Requested:J" $ ^ /�-� ' (Signature) � For Environmental Health Office Use Only �pproved Disapproved � Comments: � Environmental Health Specialist " �� Date: /— � �l� *The signing of this form by the Envirozunental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash Check Money Order # Amount:$ Date: Paid By; Received By: Account#: - Invoice#: . �,.. . �. .. =. : _ _ — _ __ _ - J'�� •' �Y` 'l � r_ ; 4 +� � „ ',.+ �L \,�'' 1 f�` -� - J •1 1 . � ti . ' - ti - � �.f . . . - � .�� y ''y .� �' ,/�1 - ,I� ___ —�1;� �i . .y�r . . f ','1 '. � �}y�� S•. �. '�,,' l . � c ''�4 ,',�� . ...•'t . . y y� . '+s+ � � � ... ` _ � ,'�� ' ..�.-.� 1�' . . . �.,.5, . . . � a. f � - - j r . . • : . . . .. ',`�� . . _ . . ..�� . . . ^ ��'_ . '+'.`-�� '� �4 -' �f - ^"' �� , �`" � � ' 4' �4 i ^ - i .�i ��L y -� 1�� '.� . �� , ` ` � l . '} , �. � T u-, ..-- F, .7.i,y, - �� .��. , :. . . :, � ` � ` _'1 [?�C+� `';. ;�.:.� � ; . � � i -. _ :.� �� _._ e _ r , µ ;� ; � , �r�� . � � _ .,,.. �� S�'�p�� E �: , � ,�J�? . :� . �� '��i�`� ��, _ .�, �-� `=;�- k � -��- ��. __ .;� �, _ ,tk /�..'. . -' r� �r . . . . . � - '}� i. Y.. T 1 _ . ✓ . •l . � - �� . ��' � , t �„ �~ �� t. . . �� ... r �� r� �~ - � � r� - ..�fJ� - . � . � .__ _ -. � _ _. . �� . .. . �\ O�e��' i • —r - r '��• ,k: O U r;C s Printed:Jan 08, 2014 All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied warranties of inerchantability 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,co�sultants,contractors or employees from any and all claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel#:J5160A0008 Page 1 of 1 4�� Davie County, NC - Basic Estate Search �,o' ��;' UR Davie County Web Site B�sic Search Real Estate Search Tax Bill Search Sales Search � � Vi�w Pro�ertv Record for this Parcel View Ma�for this Parcel View Tax Bill Information Parcel#:J5160A0008 Account#:28378000 Owner Information Tax Codes ADDY TOMMY RAY&GADDY]ULIE S ADVLTAX-COUNTY T ' 47 DEACON WAY READVLTAX-FIRE TAX MOCKSVILLE NC 27028 Pro e information Townshi Land(Units/Type): 1.480 AC MOCKSVILLE ddress: 1029 SALISBURY RD Deed Information Local 2onin ate: 04/2015 Book: 00987 Page: 0310 lat Book: 0001 Pa e: 091 Le al Descrl tion PIN LOTS 23-32+P O 252]EATON LTFE ESTATE 5737874712 Pro e Values Buildin : 58 28 BXF• 2 35 Land: 128 94 Market: 189 57 ssessed• 189 57 eferred: Sales Informatlon No. Book Paye Month Year Instrument Quai/UnQuai Improved Prlce 00311 0033 08 1999 WD Unquaiified Improved 0 00741 0256 12 2007 WD Unquaiifled Improved 0 00987 0110 04 2015 WD Un uatifled Im roved 260 000 Vlew Pro�ertv ReCord for this Parcel Yiew MaD for this Parcel View Tax Bill Infortnatfon �<Return to Basic Search All information on this site is prepared for the inventory of real property found w(thin Davie County.All data is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby not(fled that the aforementioned public information sources should be consulted for verification of the information.All informatfo�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 Ilmitation the implied warranties of inerchantabiUty and�tness 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.daviecountync.gov/itsnet/View.aspx?prid=1451604 7/19/2016