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120 Farmland RoadDavie County, NC Tax Parcel Report Wednesday. December 21.2016 WAKlrllrli: hill !b 14Vl A bUKVEY Parcel Information Parcel Number: H50000001504 Township: Mocksville NCPIN Number: 5739945895, Municipality: Account Number: 71578500 Census Tract: 37059-806 Listed Owner 1: STROUD DANNY C Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 120 FARMLAND ROAD Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE Zoning Class: DAVIE COUNTY,MOCKSVILLE R -A OSR State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 5.69 AC COUNTRY LN Fire Response District: MOCKSVILLE Assessed Acreage: 5.65 Elementary School Zone: MOCKSVILLE Deed Date: 4/2012 Middle School Zone: SOUTH DAVIE Deed Book / Page: 008870714 Soil Types: SeB,EnC,ChA,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY,MOCKSVILLE Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 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 harmlesstheCounty of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. V DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION "NOTE: Issued in Compliance with G.S. of North Carolina Chapter .130 Article 13c Sewage Treatment and Disposal Rul s 10 NCAC 0 1968) Permit Number Ile Location Z, l -- Subdivision NameLot No. Sec. or Block No. Lot Size ?,ice. House--� Mobile Home _ Business _— Speculation No. Bedrooms _ No. Baths �� /� No. in Family, Garbage Disposal YES E] NO .E3— Specifications for System: �- Auto Dish Washer YES NO Auto Wash Machine YES W NO Type Water Supply__— "This permit Void if sewage system described below is not installed within 6 onths from date of issue. 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: jInstall,_dby 20� Certificate of Completion Date ✓�t$� 'The signing of this certificate shall indicate that the system described abov 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. f..yw ..:^»i't. »moo Ca�3::. ,y,t'. y/ .w�/'-""( �.� r .L. rG2 - d �:�+s.snei�_+..vx�a{�^f�:..►ti:�tr+G�C:: ,. a.'�..w.� ti.w �- DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ° "NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rul s 10 NCAC OA��� 4;-.1968) Permit Number Nameu�'' Date/ ✓' n r [» x�^ a .� 3 Location I Subdivision Name!-':J=f�!i Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business __ Speculation No. Bedrooms _ No. Baths No. in Family 1� _ Garbage Disposal Auto Dish Washer Auto Wash Machine Type Water Supply YES ❑ NO [a—� YES NO ❑ YES NO ❑ "This permit Void if sewage system describe Specifications for System: nths from date of issue. El i Improvements permit by1/1 J' '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 byl, V21 4 It JL_ a�w.As 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. a 4 It JL_ a�w.As 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. APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. 0. Box 665 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone A 73 V-1 4 1. Permit Requested By Business Phone 2. Address G 3. Property Owner if Different than Above Address 17 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home Business Industry Other b) Number of people �-- 6. a) If house or mobile home, state size of home and number of rooms. House Dimensions �� X x 4 Bed Rooms Bath Rooms Den Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes urinals garbage disposal lavatory showers washing machine dishwasher sinks 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yes No 9. a) Property Dimensions b) Land area designated to building site c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? What type? This is to certify that the information is correct to the best of my knowledge. �'/ 'ID , "J/'� Date 6f 6wnWSig'natu're OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82)