167 Liberty Rd ;
Ddvie County, NC Tax Parcel Report ��3� Monday, October 3, 2016
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WARNING: THIS IS NOT A SURVEY
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` ParcelInformation
Parcel Number: L5100A0024 Township: Jerusalem
NCPIN Number: 5746049410 Municipality:
Account Number: 8303913 Census Tract: 37059-807
Listed Owner 1: ROGERS WILLIAM THOMAS Voting Precinct: COOLEEMEE
Mailing Address 1: 4557 WALLBURG ROAD#19 Planning Jurisdiction: Davie County
City: WINSTON SALEM Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNIY CZOD
Zip Code: 27017 Voluntary Ag.District: No
Legal Description: 1 LOT LIBERTY RD Fire Response District: JERUSALEM
Assessed Acreage: 0.23 Elementary School Zone: COOLEEMEE
Deed Date: 7/2014 Middle School Zone: SOUTH DAVIE
Deed Book I Page: 009631010 Soil Types: Ce62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 4500.00
Freatures Value:
Land Value: 6570.00 Total Market Value: 11070.00
Total Assessed Value: 11070.00
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9�r'I�, All data Ie provided as Is without warranty or guarantee of any klnd either expressed or Implied includiny but not Iimited to the
Davie County� Implied warranties of inerchantability orfltness for a particular use,All usen of Davie County'a GIS website shall hold harmleee the
N� County af Davle,North Caroli�a,its agents,eonsultants,con4actors or employees irom any and all eWlms or wuses oi actlon due to
np�N.�'L or arising out o}the use or Inabiiity to use the GIS daW provided by this website.
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,,.,� DAVIE COUNTY HEALTH DEPARTMENT �� ��°;�' ����
� Qy'� ,��� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ' ,��F s"=
"NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposai Rules (10 NCAC 10A .1934 1968) Permit Number..,,
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Subdivision Name Lot No. Sec. or Block No.
Lot Size V House d�A Mobile Home _ Business Speculation
No. Bedrooms .r��;_ No. Baths � No. in Family �`� .,
Garbage Disposal YES p NO p'`' Specifications for System: �
Auto;�Dish Washer YES p NO �p '� �sf � �:.
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Auto Wash Machine YES a�j NO �p ��'����j;�����_ �� � t '- k'. -���-
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Type Water Supply �'�r _
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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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.
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Final Installation Diagram: System Installed by '}-` � F !% ����'
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Certificate of Completion ; �'' r � �"J� 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
satisfact���ly for any given period of time.
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� ���-' F� '��r DAVIE COUNTY HEALTH DEPARTMENT r.�1'��
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� , _ _ 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.w
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Name j r�,l)r'/'�/e ��i� /�I i� % ���/!%`r���r��' 3�i Date �`//��r�/f�� N� ��_`��� `\
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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 p NO p� Specifications for System: �,
Auto Dish Washer YES � NO �Q /� -°' �'
Auto Wash Machine YES NO �p ��v������ �y���}j�� �::J-�--lt�
Type Water Supply ��?� ___ �/ `�� � J
�This permit Void if sewage system described below is not installed within 36 months from date of issue.
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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 ��'J/ _� -��
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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 period of time.