292 Boxwood Church RdDavie Ccunty, NC
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Tax Parcel Report
Wednesdav. October 12. 2016
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WARNING: THIS IS NOT A SURV�Y
; . . ParcelInformation
Parcel Number: N60000004801 Township: Jerusalem
NCPIN Number: 5754391451 Municipality:
Account Number: 77124500 Census Tract: 37059-807
Listed Owner 1: WAUGH MELISSA F Voting Precinct: JERUSALEM
Mailing Address 1: 292 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: No
Legal Description: 1.04 AC BOXWOOD CHURCH RD Fire Response District: JERUSALEM
Assessed Acreage: 0.86 Elementary School Zone: COOLEEMEE
Deed Date: 11/1983 Middle School Zone: SOUTH DAVIE
Deed Book I Page: 001210057 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 43130.00 Outbuilding & Extra 90.00
Freatures Value:
Land Value: 16270.00 Total Market Value: 59490.00
Total Assessed Value: 59490.00
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all clafms or causes of actfon due to
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PV j �I�ePCounty Health Department
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U �'S. . - - Courier # : 09-40-06
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Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
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Name System Installed Under: Type Of Facility: �,- "` (/lJ ��� �
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Environmental Health Specialist
For Environmental Health Offce Use Only
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*The signing of this form by the Environmental Health Siaff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
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Paid By
Money Order #
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Phone: (336) - 753 - 6780
Davie County Health Department
Environmental Health Section
P.O. Box 848
210 Hospital Street
:_-::- Courier # : 09-40-06
Mocksville, NC 27028
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
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Name System Installed Under: Type Of Facility: �-
Date System Installed (Month/Date/Year): f�(> � Number Of Bedrooms: .� Number"Of People: �
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Any Known Problems? Yes No If Yes, Explain:
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Please Fill In The Following-Information About.The W Facility: .,..
Type Of Facility: �ln� l.rV i'��� �(�1I Number Of Bedrooms: F� Number of People J�
Pool Size: Garage Size: Other:
(�(Requested By: //�E 1 ; , , >� ir �.._ir,/rL � ' ' ��ate Requested: /f1;r- �� '' �� � ����
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*The signing of this form by the Environmental Health Staff is in,no way,intended, nor should be taken as a guarantee
(extended ar limited) that the on-site wastewater system will function properly for any given period of time.
Payment:
Paid By:_
� Money Order #
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Amount:$�
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Account #: � 7 � cg - Invoice #:
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