1122 Daniel RdDavie County, NC Tax Parcel Report (3 Tuesday, September 27, 2016
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v�v�e All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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
°u n causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
"`"" 'Parcel fnformabon
Parcel Number:
L4130A001801
Township:
Jerusalem
NCPIN Number.
5736729572
Municipality:
Account Number:
8300489
Census Tract:
37059-807
Listed Owner 1:
TUCKER ROBERT L
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 1107
Planning Jurisdiction:
Davie County
City:
COOLEEMEE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27014-0000
Voluntary Ag. District:
No
Legal Description:
1.87 ac Daniel Rd
Fire Response District:
JERUSALEM
Assessed Acreage:
1.87
Elementary School Zone:
COOLEEMEE
Deed Date:
5/2011
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
008580788
Soil Types:
PcB2,PcC2,GnC2
Plat Book:
10
Flood Zone:
X
Plat Page:
333
Watershed Overlay:
WS -IV -P
Building Value:
72460.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
22270.00
Total Market Value:
94730.00
Total Assessed Value:
94730.00
v�v�e All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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
°u n causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Davie County Health Department
4�1s36 � E onmental Health Section
�
E C E I P.O. Box 848
201,1 210. Hospital Street
APR 0 Courier #: 09-40-06
Mocksville, NC 27028
Plione: (336) - 753 - 6780
ON-SITZ—;,�TEWATER CERTIFICATION
Fax: (336) - 753-1680
(Check On Replacement,) Remodeling Reconnection
Name: �f)l� t--jC uekt_r-- Phone Number (Home)
Mailing Address: �tiyola Dar -,ie- (Work)
f\JC— :+ Email Address:
Detailed Directions To Site: 1401 S J6 J2.d hl -, e, 'Rd • - I Ur n R Or NO
1urr�% k-- G'r ,rte
Property Address: I a 3 aLr i e-ts I,d . CO'of Ce
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under:(�.C�nd i�Q r1 i� Type Of Facility: -8I fl4 te- w&A,
Date System Installed (Month/Date/Year): ) ,;1I 1125 Number Of Bedrooms: a Number Of People: 3
Is The Facility Currently Vacant? es No
Any Known Problems? Yes e If Yes,
If Yes, For How Long?_
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: ,� `O—W'ae Number Of Bedrooms: Number of People
Pool Size: Gara a Size: Other:
Requested By: '0 Date Requested:
(Signature)
For Environmental Health Office Use Only
pproved . Disapproved
ments:
Environmental Health Specialist ( �,r ec Lf��(ZQp( � Date:GZZ71201l
*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: Cash (Check_) Money Order #
9471VIIALAT8r
160,60 —Date -
By:
. ��
W DAVIE COUNTY HEALTH DEPARTMENT'
(Septic Tank) Improvements Permit and Certificate of Completion �►�►
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)�
OWNER OR CONTRACTOR & DATE �PERMIT
LOCATION g;,, 7:g * i -I1 a Ct Cz
N° 13
SUBDIVISION NAME
1 HOUSE;KMMt�OBILE HOME BUSINESS 1
o ued ,,//��
NO. BEDROOMS - � ANO. BATHROOMS
GARBAGE DISPOSALUNITYES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK �� gal.
NITRIFICATION FIELD 4),06 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual .Public ❑
IMPROVEMENTS PERMIT BY
S. R. N0. i cap
LOT NO. SECTION OR BLOCK NO. `jj
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
INSTALLED BY
r
W - -
CERTIFICATE OF COMPLETION By Date
Az! -
(8/16/73) *Construction must com y:with'all other appl cable State and local regulations
LOT AREA
DAVIE COUNTY HEALTH DEPARTMENT
' (Septic Tank) Improvements Permit and Certificate of Completion
s (Ground Absorption Sewage Disposal System- G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR fl t vl'%• ,R r / 721 .1 ," ya •' DATE In - �. ` = ' PERMIT
13
LOCATION
'S.R. NO. 11.g
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSEi-`�^ 1�OBILS5EHOME BUSINESS ❑
��
'. 0.
House Trailer 800 Gal. 400 Sq.
Ft.
NO. BEDROOMS n 1,.r�r BATHROOMS
Two Bedroom House 800 Gal. 600 Sq.
Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
Three Bedroom House 900 Gal. 900 Sq.
Ft.
.AUTO. DISHWASHER YES ❑ NO ❑
Four Bedroom House 1000 Gal. 1200 Sq.
Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE 'SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD __ 913 P; sq. ft.
DEPTH OF STONE IN LINES:�
WATER SUPPLY: Individual Public ❑
�
ell
IMPROVEMENTS PERMIT BY - , +' .: , . r> !° .+
INSTALLED BY
CERTIFICATE OF COMPLETION By
(8/16/73) *Construction must comp
LOT AREA
.e �.. Date 1,2
with all other applicable State and local regulations
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