2687 Hwy 64E (2) Davie Cowty,NC Tax Parcel Report Thursday, February 23, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: J700000051 Township: Fulton
NCPIN Number: 5767596481 Municipality:
Account Number: 8305246 Census Tract: 37059-804
Listed Owner 1: DILLON KATHLEEN J Voting Precinct: FULTON
Mailing Address 1: 2687 E US HWY 64 Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 3.891 HWY 64 Fire Response District: FORK
Assessed Acreage: 3.89 Elementary School Zone: CORNATZER
Deed Date: 7/2015 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009940646 Soil Types: GnB2,MsC
Plat Book: 10 Flood Zone:
Plat Page: 216 Watershed Overlay: DAVIE COUNTY
Building Value: 107720.00 Outbuilding&Extra 1050.00
Freatures Value:
Land Value: 39810.00 Total Market Value: 148580.00
Total Assessed Value: 148580.00
9 u�a�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, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
�r
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�Obpl� NC or arising out of the use or Inability to use the GIS data provided by this website.
For.Office Use Only
HEALTH DEPARTMENT RELEASE
*CDP File Number„233895-1 `
Davie County Health Department
210 Hospital Street E County ID Number
P.O. Box 848 61� Evaluated For. HDR/WWC
Mocksville I!>�i
77
Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID 0 a / 1 3 / a 0 a a
UNTIL:
Applicant: Kathleen Dillon Property Owner: Kathleen Dillon
Address: 2687 US Hwy 64 East Address: 2687 US Hwy 64 East
City: Mocksville City: Mocksville
State/Zip: NC 27028 State/Zip: NC 27028
Phone#: (336)469-8343 Phone M (336)469-8343
Property Location 8 Site Information
Address 2687 US Hwy 64 East Subdivision: Phase: Lot:
Road# Mocksville NC 27028
SINGLE FAMILY Township:
'Structure: Directions
#of Bedrooms: 2 #of People: Hwy 64 East,corner of Merrells Lake Rd and 64
*Water Supply: PUBLIC
Basement: ❑Yes❑No Type of Business:
Total sq.Footage: No.Of Employees:
*Proposed Improvement:
Building 24x48
*Release Conditions Rma°i"'
Remaining
Must remain 5'minimum away from all parts of the septic system. 686
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps. Signature Required? O Yes (&No
Applicant/Legal Reps. Signature: *Date:
*Issued By: 2325-Mitchell,Brittany *Date of Issue: a 1 3 .2 0 1 7
Authorized State Agent: a't^^tiC �JV�M�
**Site Plan/Drawing attached.**
®Hand Drawing O Import Drawing
HEALTH DEPARTMENT RELEASE
SWF� Davie County Health Department CDP File Number: 233895 - 1
d
210 Hospital Street
P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 02 / 13 / .2013
VA O Inch
Scale: O Block = ft.
Drawing Type: Health Department R lease O N/A
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233ss95
Davie County Health Department y }
4 6f Environmental Health Section ; .
' P.O. Box 818 '
v�D 210 Hospital Street
p U � ,CEi Courier# : 09-40-06 a ,X11
Mocksville, NC 27028
f �
Phone:(336)-753-6780 Fim(336)-753-1630
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
KName• Phone Number! lO—�1 LA -a��J(Home)
' \Mailing Address:a�� US hl�� toU L� (Work)
MG 0a
Detailed Directions To Site: k6u W E. b Al Le &(Ale (00
-lid
Property Address:
Please Fill In The Following Information About The EXISTIYG Facility:
Name System Installed Under: Type Of Facility: Gt SQ
Date System Installed(Month/Date/Year):_ '/D Number Of Bedrooms:�Number Of People: ': =
As The Facility Currently Vacant? Yes No If Yes,For How Long?
Any Known Problems? Yes (2>f Yes,Explain:
Please Fill In The Following Information About The NETV Facility:
Type Of Facility: a// f`(9 �7 x Number Of Bedrooms: Number of People
Pool Size: Garage Size: Other:
Requested Date Requested: l
(N-nature)
For Environmental Health Office Use Only
Approved Disapproved
Comments:
Environmental Health Specialist Date:
*The signing of this fonn by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee
(extended o ted) that the on-site wastewater system will function properly for any given period of time.
Payment: Cashheck Money Order 7110 Amount:$
Paid By: Received By:
Account#: DT(� ��j Invoice#: