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136 Branchview Ln Edit Property Page 1 of l N4Wh Cffofira INME� 1He6dfl 41 is Edit Property Cancel '-Indicates a Required Field Status ACTIVE v File/Parent Numbers 80618 PIN IJ700000118 County Davie Assigned To "Please Select" v Subdivision or Property? PROPERTY_ —II Plat Date �� I Address 1 1136 Branchview Lane Address 2 City/State/Zip IMocksville j North Carolina 27028 G000le Mar)By Address.. Township v❑ ._.___ _ _ Subdivision Block/Lot/Section I Lot Size 110.39 _ i N/A _ v Zoning 1 1=1 Setback Front/Back F ft.F- ft. Setback Left/Rightf Latitude/Longitude �— I Google Map.. 64 East,Right on Cedar Grove Church Rd.Right onto Branchview Lane-property on right. Directions V' Comments V Current Applicant Phillip Belcher Owner Information Name Juanita Brown Address 1 204 Cedar Grove Church Rd. Address 2 City/State/Zip Mocksville NC 27028 Home/Work/Cell Phone — _ .._._ _... Custom Fields Save Cancel Copyright©2012 Custom Data Processing,Inc.All rights reserved.(version 6.0.4 8/2/2016 isd8.0.2) https://portal.cdpehs.coni NCENVOSW/OSW PROPERTY/EditOSW PROPERTYRecor... 9/26/2016 Davie County,NC Tax Parcel Report Monday, September 26, 2016 lfr 3212 1322 J 64{k-- 3246 324 20 4 1/ 164 If rr r 217 yyy 162 F' 136 f_ _ { 173 157' �294�- j149 127 3' '' , j 227 249 i t I -- --�_ '1243 3300 , ••^'.r+.�Zr1-�'1 .251 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: J700000118 Township: Fulton NCPIN Number: 5777170130 Municipality: Account Number: 10906000 Census Tract: 37059-804 Listed Owner 1: BROWN JUANITA Voting Precinct: FULTON Mailing Address 1: 204 CEDAR GROVE 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: 10.39 AC CEDAR GROVE CHR Fire Response District: FORK Assessed Acreage: 8.75 Elementary School Zone: CORNATZER Deed Date: 9/1994 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 1994EO018 Soil Types: PaD,PcB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 58050.00 Outbuilding&Extra 9870.00 Freatures Value: Land Value: 79120.00 Total Market Value: 147040.00 Total Assessed Value: 147040.00 161 AlldataIsprovided as Is without warranty or guarantee of any kind 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 NCor arising out of the use or Inability to use the GIS data provided by this website. PVI Davie County Health Depar, nit O tas6 fi Environmental Health Se. , on �j v� R ) P.O. Box 848 AUG1 210 Hospital Street BY, z ZO12 of Q U Courier# : 09-40-06 ' Mocksville, NC 27028 Phone:(336)-753-6780 Fax:(336)-753-1680 ON- WATER CERTIFICATION (Check ne) Replacement Remodeling Reconnection Name: 1 100,`C4-%L"t' Phone Number (Home) 111 Mailing Address: lap _3rn=keg o Lo (Work) fV�nCk�Utl�e, IV Email Address: Detailed Directions To Site: U4 F — nn O-Mar 6 rby2 Ibrahchvi e(,) Lr' - P*o.r bi ,N. R Property Address: 1AI p Erna nrinlli Q,t0 Ln . Please Fill In The Following Information About The EXISTING Facility: .,7 /70evood II g, 10,3q4 Name System Installed 4fl(afl Under: 5Qh� B���he,- a 609W Type Of Facility: S E-rD Date System Installed(Month/Date/Year): t)4 Number Of Bedrooms: L Number Of People: 5 Is The Facility Currently Vacant? es No IfYes,For How Long? Tturnf- Any Known Problems? Yes 9 If Yes,Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: SFD .2Q X '�lP J�,,j A W.au Number Of Bedrooms:__� Number of People Pool Size: Garage Size: Other: ' Requested By: f Date Requested: a ( ignature) For Environmental Health Office Use Only Approve Disapproved Comments: Q CM S�/4( �Qw�b i�tQ1 s Environmental Health Specialist Date: &2k2b/Z. *The signing of this form by the Environmental Health Staff 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. Payment: ash -heck Money Order nV7 Amount:$ Date: ZO /Z Paid By: QPM/(f(�; �� Received By: Account#: M-zA Invoice#: 1}2• �5 �P- <7% Reports Page 1 of 2 Davie County, NC Tax Parcel Report 182j,j ! ti� irP r+ ,rd 204 J� �r 1641 " S I 217 1623.. f3RANCHVIEW IN 173; 157 S 127 t <' '1493 234 " 227. 'i 239,E f: 2433 f 0 87ft l *WARNING: THIS IS NOT A Monday, 8/20/2012 Parcel Number: 1700000118 SURVEY!* v A36 PIN Number: 5777170130 This map is prepared for the inventory of real property ccount Number: 110906000 found within this jurisdiction, 11-1sted Owner #1: IBROWN JUANITA and is compiled from recorded JLlsted Owner #2: deeds, plats, and other public204 CEDAR GROVE records and data. Users of this 11 Mailing Address 1: HURCH ROAD map are hereby notified that Mailin Address 2: JF-- the aforementioned public Ci MOCKSVILLE primary information sources should be consulted for State: NC verification of the information Zi Code: 27028-0000 contained on this map. The ti10.39 AC CEDAR County and mapping company Legal Descripon: ROVE CHR assume no legal responsibility crea e: 8.75000000 for the information contained Deed Date: / 1994 on this map. Deed Book and Notes: Pa e: 1994E0018 Plat Book: Plat Page: IF- http://maps.co.davie.nc.us/GoMaps/reports/report.cfm?CFID=85672&CFTOKEN=26682373 8/20/2012 Reports Page 2 of 2 (Building Value: �1620 Outbuilding and Extra 10050 Features Value: Land Value: 79120 otal Market Value: 150790 otai Assessed 150790 alue: http://maps.co.davie.nc.us/GoMaps/reports/report.cfm?CFID=85672&CFTOKEN=26682373 8/20/2012 LO 0 0 CDv CD 00 Nco CD I; LrR.ITY SF.DROONI 3 ©AThI BEDFIMA 4 1,7-0' X 12'-Ii' it-[)' X 12'-8' FAMILY f1.M GLAMOUFT , 20'-G' X 1?.'-9' Ili�Tll ti11t:. Co 0, C� WIG r� IIEDRODb! 2 UVWG flb! 1 in; hlAS7Ef1 EiH DUNG 15' 2' x r 5' ,,,-� x 1s_e 1a2x12-A• I0-_4• X 1z' �.. Wtc KITGFiEN 1 CD co I-'1 CD M!: 0 F— C-D r. — UI DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank),Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter. 130-Article 13C) �-c OWNER OR CONTRACTOR A�vE 13 E fhEJ2 DATE I5 7. PERMIT LOCATION GF UA to G kv{✓E ct-tu R c EJ R A D t,2 T N9 1544 S.R. NO. SUBDIVISION NAME LOT N0. SECTION OR BLOCK NO. HOUSE ❑ MOBILE HOME BUSINESS ❑ House Trailer 800 Gal. 400 Sq. Ft. N0. BEDROOMS .3 N0. &1THROOMS' _� Two Bedroom House 800 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES ❑ NO Qom`'' Three Bedroom House 900 Gal. 900 Sq. Ft. AUTO. DISHWASHER YES ❑ NO [ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO, WASH. MACHINE YES G30' NO ❑ SITE SUITABLE 11 YES 0' NO ❑ SIZE OF TANK 60 gal. '70 NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: - WATER SUPPLYV individual ❑ Public 200-, IMPROVEMENTSPERMIT BY INSTALLED INSTALLED BY CERTIFICATE OF COMPLETION �. By Da , te � (8/16/73) *Construction must comply with all; ther applicable State and local regulations LOT AREA I� qX .�1J t r DAVIE COUNTY HEALTH DEPARTMENT O ��� J►n P . 0., BOX .57 MOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site Evaluations NAME 1-, C SC/ DATE ISSUED �b;T177 ADDRESS 31 6a PERMIT NO. 1Sr Explanation of charge AMOUNT DUE j PLEASE REMIT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.