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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
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Date
1
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms -.fir' Rir�=t No. Baths No. in Family
Garbage Disposal YES ❑ NO 0f Specifications for System:
Auto Dish Washer YES ❑ NO D-
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.
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:
-re cyw-
System Installed
1 71s 10ex
p`
Certificate of Completion =/2 % Date —
P T
*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.
'~ .�4,e
DAVIE C��DEPARTMENT
�����DEPARTMENT -
~� {�~
UM�ROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ' ^
. °NOTE: Issued in Compliance with of North Carolina Chao�� 130 Article 13
. , - 10A.1934 -.19G8)_ Permit Number
' Name / __-__' Date
Location
'
^
Subdivision Name - Lot No. Sec. or Block No.
Lot Size House - Mobile Home_--_-_-_ Business Speculation
No. Bedrooms No. Baths - No. in Family
Garbage Disposal YES [] NO D~- Specifications for Syste,m:
Auto DishVV8 hJ5 c�
Auto Wash K400
- `�
Type - VVaber Supp/y
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
17
*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. Telephon,e- Number: 704-634-5985.
' ~
/
Final Installation Diagram: `
�
\
System Installed
�
�
^/^/
'
'
~~ . -
/'
`
Certificate of Completion [xaUe
�*Thesigning ofthis certificate shall indicate that the m described above has been installed, in compliance with
.
the standards set forth inthe above regulation, but shall inNOway b6 takenaoaguarantee that the d/otemwill function
`
satisfactorily for any givan period of
1 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 /4e E8,U k7' - L.44'p4/ood ^ole I- DATE •s 3/ 78'
PERMIT
LOCATION �o o/ - -S- ��` l' �,
l\
1854
S.R.
NO.
SUBDIVISION NAME LOT NO. SECTION OR
BLOCK NO.
HOUSE ❑ 020-rdl MOBILE HOME BUSINESS ❑
j
�� NO. BATHROOMS 14.
House.Trailer 800
Gal. 400
Sq. Ft.
NO. BEDROOMS
Two Bedroom House 800
Gal. 600
Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO E3—
Three Bedroom House 900
Gal. 900
Sq. Ft.
AUTO. DISHWASHER YES E3 NO E3--
Four Bedroom House 1000
Gal. 1200
Sq. Ft.
AUTO. WASH. MACHINE YES NO
SITE SUITABLE YES, Cj`.. NO • ; ❑
i o X ;K -
SIZE OF TANK gal.
NITRIFICATION -FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY:" Individual ❑ Public LT
IMPROVEMENTS PERMIT BY lJC�-w !�_t tk..ks
INSTALLED BY 4%�E �.
/
CERTIFICATE OF COMPLETION
By Date
(8/16/73) *Construction.caust comply with, 11 other applicable tate and local regulations
LOT AREA
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Parcel #: K5090A0011
Davie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: K5090A0011
Account #:3974000
Owner Information
Buildin :
Tax Codes
BXF•
ARAD V13AY
nd:
ADVLTAX - COUNTY TA
Market:
1642 US HIGHWAY 601 SOUTH
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
OCKSVILLE NC 27028
Property Information
Township
nd (Units/Type): 1.450
Vddress:
JERUSALEM
1642 S US HWY 601
Deed Information
Local Zoning
ate: 06/1996 Book: 00188 Page: 0267
Plat Book: Page:
Le ai Description
PIN
1.45 AC HWY 601
5747027172
Property Values
Buildin :
171,24 CCII
BXF•
11,92
nd:
63,60
Market:
246 76
ssessed:
246,76
Deferred:
Sales Information
No. Book Paye Month Year Instrument Qual/UnQual Improved Price
1 00131 0004 04 1986 WD Unqualified Improved 1
2 00157 0895 02 1991 WD Qualified Improved 141,500
3 00188 0267 06 1996 WD Qualified Improved 225,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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oZVt�
oclorjlt�-6
Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public Information sources should be
consulted for verification of the Information. All information contained herein was created for the Davie County's internal use. Davie County,
Its employees and agents make no warranty as to the correctness or accuracy of the Information set forth on this site whether express or
Implied, In fact or In law, Including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnettView.aspx?prid=1460098 8/3/2016