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166 S M Whitt DrDavie County, NC Tax Parcel Reportal a5 Thursday, October 6, 2016 WARNING: THIS IS NOT A SURVEY Davie County, NC Alldataisprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 action due to or arising out of the use or inability to use the GIS data provided by this website, Parcel Information Parcel Number: K40000000106 Township: Mocksville NCPIN Number: 5726792601 Municipality: Account Number: 82532002 Census Tract: 37059-801 Listed Owner 1: NEEDHAM ALMA HEPLER Voting Precinct: SOUTH CALAHALN Mailing Address 1: 166 S.M.WHITT DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 0.750AC S M WHITT DR LIFE ESTATE Fire Response District: COOLEEMEE Assessed Acreage: 0.75 Elementary School Zone: COOLEEMEE Deed Date: 6/2010 Middle School Zone: SOUTH DAVIE Deed Book / Page: 008280317 Soil Types: IrB,En6 Plat Book: 0010 Flood Zone: Plat Page: 187 Watershed Overlay: DAVIE COUNTY Building Value: 87350.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 9100.00 Total Market Value: 96450.00 Total Assessed Value: 96450.00 1:0:51 Davie County, NC Alldataisprovided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 action due to or arising out of the use or inability to use the GIS data provided by this website, DAVIE COUNTY HEALTH DEPARTMENT s IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. � 1'f Permit Number Name.1���� 0-Y Date Location DA" F- AdAl*yky P. L M°LE r4f l Cll. IEFf & Subdivision Name Lot No. Sec. or Block No, Lot Size 3L C House _ Mobile Home — `� Business _— Speculation No. Bedrooms 3 -- No. Baths_ No. in Family _ Garbage Disposal YES Ej NO 2-"- Specifications for System: 100 Auto Dish Washer YES , NO 2__�L�Q D ,x 3. �z�r s� o�E Auto Wash Machine YES LJ NO Type Water Supply C&_hKjYY __— J -D- "This permit Void if sewage system described below is not installed within 36 months from date of issue. L _ Improvements permit by i "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-_ sKtJ GpR-F�u- Certificate of Completion —_ Dat "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. Y DAVIE COUPTY HEALTH DEPART MIT ENVIR01,71211TAL HEALTH SECTION SOIL/SITE EVALUATIOIT I?AIM 7Pi -,o 2A�{ ( W k� 7j DATE ADDRESS—)Z-T. / 5-6� 3 2-:5- f Vl17G/CSl/lC.C,�I /JC Z -7o2 LOCATIOII -T'JQ-t-3 CNS F,ukD`vw 7 -i �`�2! co (-(. Cs o ( l�v� L c. D2y�. or— L�-7 - LOT S TOPOGP.APuY : GEC G�ir� SOIL TE,-:TURE : 6(-,4\1 SOIL STRUCTURE,.- i DEPTH: S{HA(,c.� Z3�0 rl 5Af2 -o<<'E RESTRICT IT%PZ HOPIZOPS: PERCOLATION FATE: 1. a. s. Presoak PIark & time Drop Time nate Hin. Inch 61 ***CLASSIFICATIOI?: Suita,ble Provisionally Suitable Unsuitable COIF IEITTS : SITE DIAGRAM SAVITARDIAGRAM 0 Z -- v � 3 1 - DAVIE COUNTY HEALTH DEPARTMENT ENVIRONPrIEP1TAL HEALTH SECTION r P.O. BOX 57 '_, r MOCKSVILLE, N.C. 27028 (704) 634-5985 .� STATEMENT FOR SEPTIC TA14K IMPROVEMENTS PEIUMITS AND/OR SITE EVALUATIONS i NAME t i�Jlt F� t V .)t I �-� - DATE ADDRESS �`� :�? SPERMIT NO. jL'L��J I LCA-- J JJ C EXPLANATION OF CHARGE r W? C CTAT . AMOUNT DUtr ( �d SANITARIANSA-� PLEASE REMIT THE ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT. *NOTICE: Evaluation(s) can not be completed until payment is received. Improvements Permit(s) can not be issued until payment is received. Davle 1I r`. Enviror. t33 r J Phone: (336) - 753 - 6780 ealth Department Health Section 21;0 Hospital Street lCourier #: 09-40-06 Mocksville, NC 27028 ON-SITE WASTE CERTIFICATION FOR DWELLING (Check One eplacem t Remodeling Reconnection Name: fol Ames f adef ate e Phone Number 1` / Ahll7id (Home) (Work) Mailing Address: `dLycj�p- Ui(7Jl�E' �VY ?5�''5, Detailed Directions To Site: Rm (336) - 753-1680 Property Address: Please Fill In The Following Information About TheEXISTINGFacility: �f Name System Installed Under: ,) Type Of Facility: /r Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information About he NEW Facility: Type Of Facility: Number Of Bedrooms: Number of People_ 04equested By: Date Requested: Z – ZS 1D Si lure) - For Environmental Health Office Use Only Approved Disapproved A Comments: /I Gtr 'Laa d f Environmental Health Specialist / -Date: —f ' / 0 *The signing of this form by the Environmental Health Staff is in no way intended, nor should betaken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Cash-) Check Money Order # Amount:$ /00100 Paid By `v / Received By: 91L— Account Invoice #: gi qq 3 _ 9-10