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1758 Jericho Church Road Lot 21Davie County, NC I Tax Parcel Report Tuesday, November 29. 2016 WAKNING: '1'.d1S 1S 14113T A SURVEY Parcel Information Parcel Number: K401OA0027 Township: Mocksville NCPIN Number: 5727749656 Municipality: Account Number: 35658000 Census Tract: 37059-801 Listed Owner 1: HICKS SUSAN B Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1758 JERICHO CHURCH ROAD 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: LOT 21 COUNTRY ESTATES Fire Response District: MOCKSVILLE Assessed Acreage: 0.58 Elementary School Zone: MOCKSVILLE Deed Date: 8/1995 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001820204 Soil Types: En13 Plat Book: 0004 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9 Davie County, NC ll data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the implied warranties of merchantability or Mness 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 11 DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 5 a *NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name ,�nx�� �n Date �' �1 N2 6784 Ung Subdivision Name Lot No. Sec. or Block No. /t -t Lot Size House I/� Mobile Home _ Business _— Speculation �u No. Bedrooms 3 No. Baths No,, in Family — Garbage Disposal YES ❑ NOW ©! Specifications for System: Auto Dish Washer YES p-` NO ❑ Auto Wash Ma.hine YES M,- NO ❑ Type Water Supply C -- 6� x �� *This permit Void if sewage system described below isnot installed within 5 years from date of issue. This permit is subject to -revocation if site plans or the intended use change. " 1 *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 Instailed-by r av 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 , 5 *NOTE°Issued in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage Systems Permit Number Name ,,,r_s� �yr,-�s�a Date - �' - �1 �- No _ �_ _ 674 Location �-`�'�. to 9-7 k'\ zv�\\c- �7 ��llChO Subdivision Name Lot No. Sec. or Block No. Co al,"S/4-1 Lot Size House L/ Mobile Home —T Business Speculation x No. Bedrooms No. Baths No. in Family _ Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES NO ❑.e_ _� �: Auto Wash Ma shine YES NO ❑ ++ °� by • k �j � `t ,�1,s-�-. Type Water Supply *This permit Void if sewage system describe'.9 below isnot installed within 5 years from date of issue. This permit is subject to -revocation if site plans or the intended use change. x. *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 c6hipletion. Telephone Number 704-634-5985, Final Installation Diagram: ' q . Certificate of Completion' Date *The signing of this certificate shall indicate that:'th&'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 piftime. r WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT NAME S�'Syn1 f PHONE NUMBERy ADDRESS 4 eeolSUBDIVISION IIAME ,/.>-.c 04 SUBDIVISION LOT# DIRECTIONS TO SITE 'J" e-4 ,W F05?19% SLti•l�F - i"YJ vr-4e- d '-- 7 DATE SYSTEM INSTALLED �� - �9�� NAME SYSTEM INSTALLED UNDER SPECIFY PROBLEMS OCCURRING °�'' b - 9r y - uI , I � DATE REQUESTED '�I't INFORMATION TAKEN BY