5242 US 601N Davie County,NC Tax Parcel Report Thursday, February 23, 2017
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Parcel Number: B30000005203 Township: Clarksville
NCPIN Number: 5813981908 Municipality:
Account Number: 82525124 Census Tract: 37059-801
Listed Owner 1: SCARLETT TIMOTHY W Voting Precinct: CLARKSVILLE
Mailing Address 1: 5242 US HWY 601 NORTH Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20,H-B-S
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 0.970 AC US HWY 601 Fire Response District: COURTNEY
Assessed Acreage: 0.98 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 6/2005 Middle School Zone: NORTH DAVIE
Deed Book/Page: 2005EO191 Soil Types: MnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 24800.00 Outbuilding&Extra 950.00
Freatures Value:
Land Value: 42690.00 Total Market Value: 68440.00
Total Assessed Value: 68440.00
161
All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to theDavie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmlss the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
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Davie County Health Department
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4�g f Environmental Health Section .
P.O. Box 818 ,
1, CHIVE 210 Hospital e'
Street
Courier# : 09-40-06 1 1
Do; Mocksville, NC 27028
Phone:(336)-753.6730 Rm(336)-753-1630
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: D r Phone Number :�"` t{�.,3 —-31 _ Z. (Home)
Mailing Address: $' �1 Z 11S (-tw., (� ���'�� �3G — �3— k7 4 (Work
Detailed Directions To Site:.�Q� /V Q/� lze'q �H�
Property Address:_6o2.`f g us 14AI -
Please Fill In The Following Information About The EXISTIYG Facility: '76Ix30
Name System Installed Under: 5/{4e� Type Of Facility: 4e Y—& //U
Date Systern Installed(Month/Date/Year): �"` 0 Number Of Bedrooms:f Number Of People:_
Is The Facility Currently Vacant? Ye No If Yes,For How Long?
Any Known Problems? Yes No If Yes,Explain:
Please Fill In The Following Information About The NETV Facility:
Type Of Facility:lY1"f('Ge �iSh- �� �OX`.�Number Of Bedrooms: Number of People
Pool Size: Garage Size: Other:.
Requested By: .,fG,. � Date Requested:
(Signature)
For Environmental Health Office Use Only
Approve Disapproved n r
Comments: AM' 4A-\10(.k a C.4 �"Q'6CV. �t orn OM .Dat!/ E�-
��i C. 5�r6-1�S(1 i 5 trY�P�•. -
Environmental Health Specialist Date:�40 �
*The sib ing of this form by the Environmen ealth Staff is in noway intended,nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$ Date:
Paid By: Received By:
Account#: Invoice ft:
Subject property:
CUSTOMI
• • •
Lot #1 Angell • • 1 N. Church St.
Mocksville, NC 27028Burlington,
Davie CountyProposed 91 .6
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(Septic Tank) Improvements Permit and Certificate of Completion :
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.,ai ER Ott CONTRACTOR i�E I c�- ; t k I :� DATE
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�1 DEDIZOOMS`.. �� 110. ►I'HROOHS .� Two Bedroom House 800 Gal. 600 Sq. Ft.
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AUTO DISHWASHER 'YES NO p Four Bedroom House61:0E Ga 0 Sq. Ft.
'AUTO..';WASH. MACHINE .YES L .: NO [3i
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DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130-Article 13C)
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OWNER OR CONTRACTOR " DATE -. - ,' ,�:� PERMIT
LOCATION N9 1246
jj S.R. NO.
SUBDIVISION NAME 1. �i"l,.. 4{4' :" t t� LOT N0. `/ J! SECTION OR BLOCK N0.
HOUSE 0• MOBILE HOME BUSINESS ❑
NO. BEDROOMS '-" N0. BATHROOMS House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO 0� Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES CD' NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES D NO ❑ ,; ,�� - ' > .r r t i, •"i
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: ' If ut(
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY INSTALLED BY � •�• ��
CERTIFICATE OF COMPLETION BY (�. Qn.�c�
Date 77
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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DAVIE COUNTY HEALTH DEPARTMENT
�.� (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorpt n Swage Disposal System- G.S. Chapter 130_ -Article 13C)
OWNER OR CONTRACTOR T p �.t��.r-� DATE — t PERMIT
LOCATION Tj���!L+-�� n r/ AA,- l�, . 7`rr 9 1246
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME E3 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BE ROOMS NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑r NO 03'0" Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES —C NO
E3 Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES p' NO ❑ '10004" eLL„j r7e-r/` 1;4t)A5
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK R,,S'p gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: �,
WATER SUPPLY: Individual ❑ Public �� J,re
IMPROVEMENTS PERMIT BY. INSTALLED BY
CERTIFICATE OF COMPLETION By Date
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
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