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784 Pine Ridge RdDav WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: N50000003302 Township: NCPIN Number: 5745319280 Municipality: Account Number: 82516514 Census Tract: Listed Owner 1: WALLER TERRY J Voting Precinct: Mailing Address 1: 782 PINE RIDGE ROAD Planning Jurisdiction: City: MOCKSVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOTS 13-14 P/O 15 PINE RIDGE RD Fire Response District: Assessed Acreage: 1.53 Elementary School Zone: Deed Date: 4/2001 Middle School Zone: Deed Book / Page: 003640771 Soil Types: Plat Book: 0001 Flood Zone: Plat Page: 020 Watershed Overlay: Jerusalem 37059-807 JERUSALEM Davie County DAVIE COUNTY R-20 DAVIE COUNTY CZOD No COOLEEMEE,JERUSALEM COOLEEMEE SOUTH DAVIE GnB2,ChA DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 15330.00 Total Market Value: 15330.00 Total Assessed Value: 15330.00 2016 phiva16'All data is provided as Is without warranty or guarantee of any Idnd 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 County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all daims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this webstte. /X-C) � y " DAVIE COUNTY HEALTH DEPARTMENT Xoc�' IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systemsr, Permit Number t�1 - Name �'� �'-� ��'��-'� Date 1 � _ N° 7976 Location Subdivision Name Lot No. Sec. or Block No. Lot Size I House — Mobile Home ---=Business -- Industry No. Bedrooms Baths — _ No. in Family -� — Public Assembly—Other------- ssemblyOtherGarbage GarbageDisposal YES ❑ NO p/ Specifications for System: Auto Dish Washer Auto Wash Ma,:hine YES YES p� NO NO ❑ + t ❑ D �' V/ JQ , 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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. L; 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., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634.5985. Final Installation Diagram: System Installed by Lsta � Q H a Q-57 I ,101- '� 0 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. XO -_� ' --- r~ DAVIE COUNTY HEALTH DEPAR�MENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ^^»0fE`|mauadinComp|iannmVWthA�ic|eUof<�.S.Chapo* 130e - Sanitary Sewage—Systems Permit Number 1-1 Jill Name Date N2 7976 Location Subdivision Name Lot No. Seo or Block No. *� Lot SizeHouaeMobile Home _--____- Business --- | ` ~ ' ~ No. Bedrooms No. Baths No. in Family -� -- Public Garbage Disposal YES [] NO E]' Specifications for System: Auto Dish Washer YES ' NO [] �Y Auto Wash Wa,�hinn YES NO [] Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit iosubject torevocation ifsite plans orthe intended use change ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR ' MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. 11 t/~ ( --' � \ -_--- -- -�---~T / . � . � . Improvements permit Uy-_---_-___- *Contacto representativeofthe Davie County Health Department for final inspection of this system between 8:30-Q:30&M, ' i:00'1:3OP.K4.ovxt30'5:OOP.K4.onday cdcompletion. Telephone Number: 7D4G34'5A85. FA— Final Installation Diagram: System mnta000 by A � ' t7+ Certificate ofCompletion Date 'The signing ofthis certificate shall indicate that the system described above has been installed in compliance with ` the standards ow\ forth in the above nogu|uhpn, but shall in NO way be taken as mguaran\ew that the system will function ` satisfactorily for any given period oftime. ` ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME .l�0 1k7A-Mews PHONE NUMBER 2&— 2- 7.o ADDRESS 7k} ,Q- SUBDIVISION NAME -iGIZJ a -14 /LL 9,7a 2-.P LOT #, DIRECTIONS TO SITE 15' a7<r,—cc Lcto1) `%• &/,1 ^-. 4,,.7e....S A ZP;%c kd A-12 - DATE SYSTEM INSTALLED_ 71-72-7, NAME SYSTEM INSTALLED UNDER CwirL// TYPE FACILITYNUMBER BEDROOMS =3 NUMBER PEOPLE SERVED -2 TYPE WATER SUPPLY' / i SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and th I understand I am responsible r all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93