7099 Hwy 801SHEALTH DEPARTMENT RELEASE
Davie County Health Department
N d rA�o�
r 210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: James W Tutterow
Address: 7099 NC Hwy 801 South
City:
State2ip:
Mocksville
NC 27028
Phone #: (704) 245-8382
PERMIT VALID 0 6/ 0 2/ a 0 2 1
UNTIL
Property Owner. James W Tutterow
Address: 7099 NC Hwy 801 South
City: Mocksville
State2ip: NC 27028
Phone #: (704) 245-8382
Property Location & Site Info rmatlon
FAddresS7099 NC Hwy 801 S Subdivision: Phase: Lot:sville NC 27028NGLE FAMILYTownship:
Directions
g Hwy 601 South, left on H 801, Home on right
s: # of People:
'Water Supply: WA
Basement: n Yes Q No
"Proposed Improvement:
Back Patio, Fireplace and Deck
Type of Business:
Total sq. Footage: No. Of Employees:
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? OYes ONO
Applicant/Legal Reps. Signature; *Date: _
*Issued By: 2140 -Nations, Robert
Authorized State Agent:_
*Date of Issue: 0 6/ 0 a/ a 0 1 6
**Site Plan/Drawing attached.**
Hand Drawing OlmportDrawing
I
Drawing Type:
HEALTH DEPARTMENT RELEASE
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Health Department Release
CDP File Number.' 218-054 -1
County File Number:
Date: 06 / 0 2/ 2 0 1 6
Olnch
Scale: OBlock
O N/A �r
rcayc r- Ui a
opi
-
IJ
I-
��I
l
�
rcayc r- Ui a
Davie County Health Department
4 18 -Environmental Health Section
:- ECE1V P.O. sox 848
210 Hospital Street
U��Courier # : 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Fax: (336) - 753-1680
Name: '. (' Phone Number 7d -;I qr- 53-3 9 a (Home)
Mailing Address: 170 ?7 AlW0 1 Sou (Work)
Email Address:
Detailed Directions To Site: Frbw— M m Lkoo'Sy dl c 0.0 fab/ -90 u T "-O e9- rcCLS v C,01-0•eos
Please Fill In The Following InformatiioLn About The EXISTING Facility:
Name System Installed Under: Type Of Facility:
Date System Installed (Month/Date/Year): /qS-9 6(S-7 Number Of Bedrooms: 3 - Number Of People:
Is The Facility Currently Vacant? Yes 0 If Yes, For How Long?
Any Known Problems? Yes Co/ If Yes, Explain:
Please Fill In The Following Inf rmation About The NEW Facility: Ij�'FMA4 AfCA, -leap koe, s a a rod 44
Type Of Facility:13adpw
1e -id �t4ef-/be-e-I - Number Of Bedrooms: Number of People
'Pool Size:
Requested
Disapproved
Garage
Other:
Date Requested:
VA
For Environmental Health Office Use Only
Environmental Health Specialist Date:
*The signing of this form by the Environmental Health Staff is in 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 # Amount:$.
Paid By: bill— Received By: -
Account #: Invoice #:
Date:
"i
CW
` rE �'o U N�
s Printed:May 11, 2016
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.
•
Parcel #: M503OA0014
Davie County, NC - Basic Estate Search
1
Basic,Search Real Estate Search Tax Bili Search Sales Search
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #: M5030A0014
Account #:8305206
Owner Information
BXF•
Tax Codes
Land:
EROW JAMES WARREN
EMOCKSVILLE
Market:
ADVLTAX - COUNTY TA
ssessed:
099 NC HWY 801 S
eferred•
FIREADVLTAX - FIRE TAX
Unqualified
NC 27028
0
i 00993 0672
Property Information
2015 WD
Township
nd (Unitsfrype): 5.250 AC
56,500
JERUSALEM
ddress: 7099 S NC HWY 801
2003 WL
Unqualified
Deed Information
0
Local Zoning
Pate: 07/2015 Book: 00993 Page: 0672
Plat Book: Page:
Le al Description
PIN
1 LOT HWY 801
5746610036
Property Values
Building:
69,1601
BXF•
3,4901
Land:
49,17CI
Market:
121 82
ssessed:
121,,8201
eferred•
2002 WD
Sales Information
No. Book Page Month Year Instrument
Qua[/UnQual
Improved
Price
00441 0902
10
2002 WD
Unqualified
Improved
0
! 00442 0899
10
2002 WD
Unqualified
Improved
0
i 00993 0672
07
2015 WD
Unqualified
Improved
56,500
I 2004E 0137
08
2003 WL
Unqualified
Improved
0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Page 1 of 1
oo� ,�,
v
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/itsnetfView.aspx?prid=1454532 8/31/2016