256 Boxwood Church RdDavie County, NC
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Parcel Information
Parcel Number: N60000004601 Township:
NCPIN Number: 5754298819 Municipality:
_ _
Jerusalem
Account Number: 1916000 Census Tract: 37059-807
Listed Owner 1: ANDERSON RAY S Voting Precinct: JERUSALEM
Mailing Address 1: 256 BOXWOOD CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: .50 BOXWOOD CHURCH RD Fire Response District:
Assessed Acreage: 0.47 Elementary School Zone:
Deed Date: 12/1995 Middle School Zone:
Deed Book / Page: 001840668 Soil Types:
Plat Book: Flood Zone:
Plat Page: Watershed Overlay:
Building Value: 56920.00 Outbuilding & Extra
Freatures Value:
Land Value: 10620.00 Total Market Value:
Total Assessed Value: 67540.00
9P1°,� Davie County�
�'o�,r�i NC
No
JERUSALEM
COOLEEMEE
SOUTH DAVIE
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DAVIE COUNTY
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67540.00
All data fs provlded as ts 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 webslte shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all clalms or causes of action due to
or arising out of the use or inability to usc the GIS data provided by this website,
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; , DAVIE COUNTY HEALTH DEPARTMENT
' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a •
Sanitary Sewage Systems Permit Number
Name � .A.;i !�P ..r' r, ,S� �� � � � � /�� 9'i� N� ? � �. �
/�1 ✓,�!/�/� ,-J. �% !)// /'�
Location l'�fi : ;~ "^ /° � �d�GVDo O �' /�� '`/ �•r �i� �r% �{ 7`"'
Subdivision Name Lot Na Sec. or Block No.
Lot Size _— House Mobile Home _� Business —_ Industry
No. Bedrooms �—.No. Baths _�_ No. in Family �_ Public Assembly Other
Garbage Disposal YES 0 NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^hine YES ❑ NO ❑ ��� �,3 �/��'�
iype Water Supply _ � ____ � �
'This permit Void if sewage system described below is
This permit is subject to revocation if site plans or the
�
from date of issue.
Improvements permit by / � `L—_.
'Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Ir�stalled by
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�ox� xr�"
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Certificate of Completion _L � 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.
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��`��� f'y�� �� ^ DAVIE COUNTY HEALTH DEPARTMENT
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a�_;�"- �"r', .� ,- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
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.'"r• �" *JVOTE� Issued in Compliance With Article I I of G.S. Chapter 130a
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�''` a' Sanitary Sewage Systems �� Permit Number
'%r''�� ...� � � , .
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"Name �=� �����.r'�,� �s � ti� :'rr��itL�'r-�� Date �"'f��_ ���',/ IV 6 G. 4
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'Gt�Gxi^ � /'~ /i
Location -'� �'�'
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Subdivision Name Lot No. Sec. or Block No.
,Lot Size House Mobile Home —��''� Business __ Industry �
�, No. Bedrooms �—.No. Baths _�— No. in Family �_ PublicAssembly Other \`
Garbage Disposal YES � NO ❑ Specifications for System: �'
Auto Dish Washer YES � NO ❑
Auto Wash Ma :hine YES ❑ NO ❑ ��v �,� ���' �
iype Water Supply i ( /� ______ �
' This permit Void if sewage system described below is
This permit is subject to revocation if site plans or the
f
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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Ir�stalled by
r-
�OaX j �'�� „
�
Certificate of Completion ._�v� 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. �
6
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME �✓c`1�l'ble�"��3�-- PHONE NUMBER �0`� �7ad
ADDRESS ���C Jc'` ��G[) D dql �{'! • 1�� _ SUBDIVISION NAME
������ l�!' I I� /�f � v{ �d a� � LOT #
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DIRECTIONS TO SITE ���,._ �,� �_�
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DATE SYSTEM INSTALLED����___�AME SYSTEM INSTALLED UNDER /�ii l/I S. t1'��
TYPE FACILITY � �" NUMBER BEDROOMS � NUMBER PEOPLE SERVED �
/?-- .� G-i �i r G�_ �
TYPE WATER SUPPLY i
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TE REQUESTED /'//-
'ECIFY PROBLEM OCCURRIN
- GJ���P�S � �^
NFORMATION TAKEN BY
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This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT,
Rev. 1/93