213 Fox Run Drive Lot 14Davie Countv, NC t Tax Parcel Report Thursday, December 29, 2016
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.48 Elementary School Zone:
11/1994 Middle School Zone:
001770450 Soil Types:
0005 Flood Zone:
182 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
Farmington
37059-802
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
PINEBROOK
NORTH DAVIE
EnB,EnC
DAVIE COUNTY
IN
All data Is provided as Is without warranty or guarantee of any Idnd 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 action due to
7��
roU p S� 1\ C or arising out of the use or Inability to use the GIS data provided by this websha
WAKININti: 'fills lS NUT A NUKVLY
Parcel Information
Parcel Number:
E6110A0014
Township:
NCPIN Number:
5851639766
Municipality:
Account Number:
43216500
Census Tract:
Listed Owner 1:
KOHNEN MARSHALL J
Voting Precinct:
Mailing Address 1:
213 FOX RUN DRIVE
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
Legal Description:
LOT 14 FOX RUN
Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.48 Elementary School Zone:
11/1994 Middle School Zone:
001770450 Soil Types:
0005 Flood Zone:
182 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
Farmington
37059-802
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
PINEBROOK
NORTH DAVIE
EnB,EnC
DAVIE COUNTY
IN
All data Is provided as Is without warranty or guarantee of any Idnd 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 action due to
7��
roU p S� 1\ C or arising out of the use or Inability to use the GIS data provided by this websha
` IF9
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER
Davie County Health Department
Environmental Health Section
P. O. Box 665 '
Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address / J' Joe
Home Phone Business Phone
2. Name on Permit if Different than Above , /
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: ublic-- ❑ Private ❑ Community
8. Property Dimensions X Wa'ICSewage Disposal Contractor /?"Z4
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0
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: k� 1sa
% /')/' 4e 4�
L Le
Fz9X %fi /) a LL s
/C Lt -� e - L aq` /T
This is to certify that the information provided is correct to the best of
incurred from this application. "
l D-/�- ; 2�'-
DATE
knowledge, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. I". 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 representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by 7-7
to conduct all testing procedures as necessary to ermine said site's suitability for a ground absor tion sewage treatment
and disposal system.
Ztl,9--/e - y Z
DATE
DCHD (12-90)
General
Septic Tank Installation
3. Application/Permit for:
❑ Evaluation
4. System to Serve:
M House
❑ Mobile Home
❑ Place of Public Assembly
❑ Business
❑ Industry
❑ Other
❑ Unknown
5. If house, mobile home:
Subdivision
Section Lot #
❑ Basement/Plumbing
No. of People
❑ BasemenUNo Plumbing
No. of Bedrooms
04ashing Machine
No. of Bathrooms
Dwelling Dimensions
_ 3`T� �!�'� ��
0-10—ishwasher
❑ Garbage Disposal
�%i✓��/,
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: ublic-- ❑ Private ❑ Community
8. Property Dimensions X Wa'ICSewage Disposal Contractor /?"Z4
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 0
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: k� 1sa
% /')/' 4e 4�
L Le
Fz9X %fi /) a LL s
/C Lt -� e - L aq` /T
This is to certify that the information provided is correct to the best of
incurred from this application. "
l D-/�- ; 2�'-
DATE
knowledge, and I understand I am responsible for all charges
SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. I". 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 representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by 7-7
to conduct all testing procedures as necessary to ermine said site's suitability for a ground absor tion sewage treatment
and disposal system.
Ztl,9--/e - y Z
DATE
DCHD (12-90)
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article LI of G.S. Chapter 130a a ,
§anitary Sewage Systems A 4-✓ 71 i ,� t1.%ri tf/di.'i x' �l�- Permit Number
No 69.56
��f S ,�'�_%'�'.��--��;�-✓ � l� Date '7
Name -'
�
Location742
Subdivision Name" y ELot No. % / Sec. or Block No.
Lot Size House Mobile Home —T Business Speculation
No. Bedrooms_.No. Baths�2 No. in Family _
Garbage Disposal YES ❑ NO ❑
Auto Dish Washer YES ❑ NO ❑ Specifications for System:-
-� 4Auto Wash Ma shine YES E]NO ❑�DXX " ✓ G�'x,
_
Aw
Type Water Supply __— I/ '
*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 plans or the intend, usP hang
Y4, r�1.9 it /�/
�ij EiJI/rf'ilt� Carr
Improvements permit by _ I Ila
,-/i G.'r 7—.
��) fJ /I' ✓G7 �
*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:
Certificate of Completion
faked by.
/A,/
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.