117 Fast LnDavie County, NC "I
Tax Parcel Report 31`-W Wednesday, September 28, 201
X14
3174 M
N,
Davie County, NCimplied
i
5180
---Parcet
Information --
o
7728086
Township:
0074
NCPIN Number:
5747720889
Municipality:
s
'
Census Tract:
37059-807
Listed Owner 1:
CAPPS DAVID V
Voting Precinct:
JERUSALEM
Mailing Address 1:
i
A
164
Planning Jurisdiction:
Davie County
City:
.LO. 8981 Lf
Zoning Class:
117"
0889
State:
2
Zoning Overlay:
y`
a FAS 7LN
Voluntary Ag. District:
No
O
208
Fire Response District:
. a� a99
Assessed Acreage:
1.01
I
LO
CN
J8782
Deed Date:
2/2003
Wi
CN
Deed Book f Page:
004670950
cc
5649 .._...__
.__
.......... . ass
co
0676
Flood Zone:
X
Plat Page:
X14
3174 M
N,
141
Davie County, NCimplied
WARNING: THIS IS NOTA SURVEY
---Parcet
Information --
Parcel Number:
K512OA0007
Township:
Jerusalem
NCPIN Number:
5747720889
Municipality:
Account Number:
82520305
Census Tract:
37059-807
Listed Owner 1:
CAPPS DAVID V
Voting Precinct:
JERUSALEM
Mailing Address 1:
117 FAST LANE
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:
1.001 AC WILL BOONE RD
Fire Response District:
JERUSALEM
Assessed Acreage:
1.01
Elementary School Zone:
CORNATZER
Deed Date:
2/2003
Middle School Zone:
WILLIAM ELLIS
Deed Book f Page:
004670950
Soil Types:
PcC2,CeB2
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
73080.00
Outbuilding & Extra
930.00
Freatures Value:
Land Value:
15290.00
Total Market Value:
89300.00
Total Assessed Value:
89300.00
141
Davie County, NCimplied
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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 or arising out of the use or inability to use the GIS data provided by this website.
R Davie County Health Department
q1 r� Environmental Health Section
P.O. Box 848
210 Hospital Street
O N't Courier # : 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780 Fax: (336) - 751 - 8786
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: , Phone Number 3_26 fz - _(Home)
Mailing Address:_ /lam% f C S F f i(/�� ' EQ?l4d (Work)
'VCEmail
Detailed Directions To Site: 69t Sdk & 4l :ia & - ZV..= -
Property Address: .// 7 62_ {w- p_
Please Fill In The Following I.yformation About The EXISTING Facility:
AJ
Name System Installed Under: , S1p%h, . / �/ Ue /L Type Of Facility: ose
Date System Installed (Month/Date/Year): i /—s-83 Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? Yes
Any Known Problems? Yes No
E
If Yes, For How Long?,
If Yes, Explain:
Please Fill In The Following Information About
/The NEW Facility:
Type Of Facility: 4611ZtS ' S� ZW & " h'�C'% gXINumber Of Bedroomg ..Number of People
Requested By: Date Requested:
(Signature
For Environmental Health Office Use Only
Disapproved
Environmental Health Specialist.
Date:
*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.
Check
Money Order #,
Date:
Paid By: Received By: p�
Account #: � Invoice #: �[%0 D�Ln N/ye
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Pum ped
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
Location •fit%%l �/rl 5 �� G -G ��' _
Subdivision Na Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business — Speculation
No. Bedrooms No. Baths — No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES 0 NO ❑
Type Water Supply _
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
r
t'
t
J
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. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
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
x
- IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in. Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name t r. ,_ •, ,,/J /j Date
�•;�(%I[.0 0 ' J
Location �6 (`/ 7
II 5
Subdivision Na Lot No. ' Sec. or Block No.
Lot Size House Mobile Home _ Business __ Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO E]-- Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES 0 NO ❑
Type Water Supply ---
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
1
f
t
.1
i
N
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i
i
f
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. or 1.:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
_x
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.