6733 Hwy 801S (2)�rr'?1jY"i�:'f°�'"�Y�'�s�m°rpt:iY"`'°�nyc�'�;n:Jr:`�<,-�yri...�,�ta»,.—. � .,�<i;•�,�".�,....�. .,.,.w,:.... ,r..:.�..,.,'a'a•;rss�N� �tqtr:-;a4=ti`K"K-»:w.,�r,s�-.;�,�:::�r;y,;.•<.r•, �-y;.rrs.
.. DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
nitary She System. Permit Number
Name- 1;14 9S �U �C �C �/. �/7%i.G' Date / -� NO 73.18
Location
Tsi /;hex,- osr /��As-%�
yc� U iC�ii' ��✓ /i�r
Subdivision Name Lot No. Sec. or Block No.
Lot Size 3 House Mobile Home _T Business Speculation
No. Bedrooms No. Baths No. in Family —
Garbage Disposal YES ❑ NO En' Specifications for System:
Auto Dish Washer YES 4 NO ❑ AcG
Auto Wash Ma thine YES n N,O` ❑
Type Water Supply
'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
\ 1✓
./.
Certificate of Completion ,P� 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
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
* NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
N. anitary Sewage S stems Perms �I,y or
_ #'-' /!/�/lfjii's.� ! �/ � �� s` �-.-rte ;_rf .%��.%, /�/�-'NS,
1 J
Name Date _'N_.O .
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home —T Business Speculation
No. Bedrooms .No. Baths No. in Family
Garbage Disposal YES Q NO E Specifications for System:
Auto Dish Washer YES] NO ❑vz/
Auto Wash Ma thine YES N - Q A
Type Water Supply
*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.
}
_ r
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:
Sy stem 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.peried of time.,,., _
w..
t.
`k•
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.peried of time.,,., _
Parcel #: L50000O08O
DaVie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search Q
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #:L500000080
Account #:82531554
Owner Information
Building:
Tax Codes
BXF:
RICE RICHARD& PRICE KENNITA
Land:
ADVLTAX - COUNTY T
Market:
733 NC HWY 801 S
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
OCKSVILLE NC 27028
Property Information
Township
nd (Units/Type): 0.460 AC
JERUSALEM
[Address: 6733 S NC HWY 801
Deed Information
Local Zoning
ate: 02/2010 Book: 00818 Page: 1023
lat Book: Page:
Le al Description
PIN
1.450 AC SOUTH NC HWY 801
5746941883
Property Values
Building:
76,4401
BXF:
01
Land:
1d54
Market:
8
ssessed:
8
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00486 0965 05 2003 WD Unqualified Improved 0
2 00535 0163 02 2004 WD Unqualified Improved 0
3 00818 1023 02 2010 WD Qualified Improved 75,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill, Information
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oP7r�
ont--111:
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/itsnet/View.aspx?prid=1479410 8/31/2016
M
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
PHONE NUMBER 9' Y'Y'- M.
ADDRESS P64 1&3G .7/3 SUBDIVISION NAME
LOT # J
DIRECTIONS TO SITE . 4�4VS.
..d
DATE SYSTEM INSTALLED � NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING `T
DATE REQUESTEINFORMATION TAKEN BY_ !;VA4
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93