359 Georgia RdDavie County, NC t Tax Parcel Report A10 ( Thursday, September 29, 2016
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Parcel Information
Parcel Number:
F20000002308
Township:
Calahaln
NCPIN Number:
5801904957
Municipality:
Account Number:
82516021
Census Tract:
37059-801
Listed Owner 1:
DAVENPORT THOMAS J
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
359 GEORGIA 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:
8.500 AC GEORGIA RD
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
8.41
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
9/2000
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
003470146
Soil Types: MnC2,MnB2,MdD,ChA
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
170190.00
Outbuilding & Extra
Freatures Value:
29430.00
Land Value:
55240.00
Total Market Value:
254860.00
Total Assessed Value:
254860.00
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Davie County,
NC
All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
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
or arising out of the use or Inability to use the GIS data provided by this website.
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Davie-�CountyHealth Department
9 N06 Environmental Health Section
P.O: Box 848.
~ ,S„ 210 Hospital Street
Courier # : 09-40-06 1911
Mocksville, NC 27028
Phone: (336) - 753 - 6780 ON-SITE WASTEW=R;emodeling
ATION Fax: (336) - 753-1680
4-d Q 0,�,� -.'heck One) ReplacementsReconnection
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Name: S'a d TW4AS7S' 9A1 POO Phone Number "' (Home)
Mailing Address: Po g oX :ZS 1 7 1 }' WY • 7IK- A (Work)
i /1% �' :"'D1t% • �' X/4 2" % % % V Email Address: - POOL S /Cl • i(1�='
Detailed Directions To Site: � o l d ' 4 C ; ( GIA%, L; jSCA 7* C$4, A p 1 l,E F T OA) CrZ4'�
C,Ar, t: 0-1. 94P ; LEF- " 0A1 G1509C rA ✓1P. b7 M14czy 0, 17t2;ate
0 oAJ 1441'L 90X
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Property Address: l
Poo C.. C,.F V, Rs?m
Please Fill In The Following Information About The EXISTING Facility: jysT W ccN ffaa4r 40
�%AN� �.J�i�1lL��t!
Name System Installed Under: ! K S Type. Firacility:
Date System Installed (Month/Date/Year):_ lqq 1,. Number Of Bedrooms:_ 2 Number Of People:
Is The Facility Currently Vacant? Yes 2� If Yes, For Hbw Long?
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The F lowing Information About The NEW Facility:
Type Of Facility:, Number Of Bedrooms: Number of People
Pool Size:.j 3 Z- Garage Size: i Other: q
)\ Requested By: Date Requested:
( gnature)
For Environmental Health Office Use Only
Approved Disapproved
ommenis.
Environmental Health Specialist Date:
*The signing of this form by the Environmental Health Staff isO no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # (o Amount:$ /191). Date: -
r
Paid By: _ J iz1 P_ n t ( Received By: \&LO 11 F ✓
Account #: 5701 Invoice #: gF2
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DAVIE COUNTY HEALTH DEPARTMENT
- - t IFTROVEMENTS PERMIT AND. CERTIFICATE OF COMPLETION
• NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
Sanitary Sewage Systems Permit Nu ber
Name 7', ;'i�ff°,�; Dated
Location
;
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms .No. Baths L9 No. in Family �f
Garbage Disposal YES ❑ NO p' Specifications for
Auto Dish Washer, YES NO ❑ . �(/
Auto Wash Mavhine. YES [� NO ❑
Type Water Supply r
'This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
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 CompletionA��! ° e'/ _ 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
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I
�. Certificate of CompletionA��! ° e'/ _ 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
..w�infw nnril„ inr en„ ni..nn nnrinii 'nf IiTc
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