655 Pineville RdDavie County. NC It Tax Parcel Report a'I J*,�'— Wednesday. October 5. 2016
WARNING: THI51S N01' A SURVEY
Parcel Information
Parcel Number:
B500000018
Township:
Farmington
NCPIN Number:
5843167138
Municipality:
27028-0000
Account Number:
82527441
Census Tract:
37059-802
Listed Owner 1:
MONDY DOROTHY H REVOC TRUST
Voting Precinct:
FARMINGTON
Mailing Address 1:
655 PINEVILLE ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Davie County,
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Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay: DAVIE COUNTY QD
Zip Code:
27028-0000
Voluntary Ag. District: No
Legal Description: 13.772 AC PINEVILLE RD
Fire Response District: FARMINGTON
Assessed Acreage:
13.71
Elementary School Zone: PINEBROOK
Deed Date:
12/2006
Middle School Zone: NORTH DAVIE
Deed Book I Page:
006940505
Soil Types: SeB,PaD,MsC,ChA,CeB2,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay: DAVIE COUNTY
Building Value:
72680.00
Outbuilding & Extra 2970.00
Freatures Value:
Land Value:
62390.00
Total Market Value: 138040.00
Total Assessed Value:
138040.00
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Davie County,
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All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS webslte shall hold harmless the
of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims orcauses of action due to
or arising out of the use or inability to use the GIS data provided by this website.
' DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name Date
Location
Subdivision Name
Lot Size
No. Bedrooms
Garbage Disposal
Auto Dish Washer
Auto Wash Machine
Type Water Supply
House
_ No. Baths
YES ❑ NO E] ----
YES
-`YES ❑ NO ❑
YES ❑ NO ❑
Lot No
Sec. or Block No
5-B I>,amffdd
Mobile Home _ Business __ Speculation
No. in Family _
Specifications for System: -.-
"This permit Void if sewage system described below is not installed within 36 months from date of issue.
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
t
I �
j 1
Certificate of Completion '•`'' `#� Date
S
"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 COU??TY HEALTH DEPART IEUT
ENVIRON1,1ENTAL HEALTH SECTION
SOIL/SITE EVALUATIO11
I?Atm �
`� `o DATE 22
ADDUSs [Z`Cc S X l2
Ykulor ICS ✓, cc c N L LOCATIOiT
LOT SIZE I 4L It—, �
TOPOGRAPHY: P�byl-
SOIL TE::TURE o 5,91 2-&4,11
SOIL STRUCTURE:
DEPTH:
RESTRICTIVE HOFIZOFS:
PERCOLATION FATE:
2.
3.
Presoak
Hark & time
Drop Time
Fate/11in. Inch
'**CLASSIFICATIOYT:Suitable C�ovisi�onall�ySui�table Unsuitable
COFudETTTS s
SAFITARIAI-T
SITE DIAGFAP ��
COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT Y REMODELING ❑ RECONNECTION ❑
Number: ��5 :3 -S (Home)
(Work)
Detailed Directions To Site: j�c�j/l�"
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Property
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: A , G' M 6 h% ' Type Of Dwelling: 91/V /y #
Date System histalled(Month/Day/Year): Number Of Bedrooms:,I_Number Of People:
Is The Dwelling Currently Vacant? Yes�No ❑ If Yes, For How Long? �� 171c, y, 7,14 s
Any Known Problems? Yes ❑ No2 If Yes, Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: g16 } n d Number Of Bedrooms: IS -Number Of People:
Requested By: A-1, i
(Signature)
For Environmental Health Office Use Only
Approved Disapproved ❑
Comments:
Environmental Health
Requested:
�;/-"-"? -fir
"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: $ Date:
Paid By: ,� 1U Received By:
Account #: 60 IInvoice #:�� zi