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490 Pleasant Acre Drive Lot 62-64 + P/O 61Davie. County, NC t Tax Parcel Report Thursday, November 3, 2016 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: M600000015 Township: Jerusalem NCPIN Number: 5755051753 Municipality: Account Number. 15265500 Census Tract: 37059-807 Listed Owner 1: CHURCH PEGGY H Voting Precinct: JERUSALEM Mailing Address 1: 490 PLEASANT ACRE DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-6803 Voluntary Ag. District. No Legal Description:. LOTS 62-64 + P/0.61 BOXWOOD ACRES Fire. Response District:. JERUSALEM Assessed Acreage: 0.85 Elementary School Zone: COOLEEMEE Deed Date: 12/1993 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001710767 Soil Types: PcB2 Plat Book: 0006 Flood Zone: Plat Page: 031 Watershed Overlay:- DAVIE COUNTY Building Value: 66810.00 Outbuilding & Extra 520.00 Freatures Value: Land Value: 15690.00 Total Market Value: 83020.00 Total Assessed Value: 83020 00 p A ate 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. AN users of Davie County's GIS website shall hold harmless the NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to �TC �o p4 1\ or arising out of the use or inability to use the GIS data provided by this website. .... ,�.r ,., � .a-'�-'r .r:r ;�l ,�,;f: .�a.., ti'I., ,3�f.4"Y '{" `'..� en . ,,r' - §-';-v5`"w",, y yf r. , w�, j:.• ,,:a' ;r° r:1'•- 1 .a 4t ... ;/1 P�; i.. DAVIE COUNTY HEALTH DEPARTMENT ET IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130 Sanitary Sewage Systems - A' �y1� Permit Number Name �9/."��?.�li�l�l�bCK �%� Date 2 N2 ,// 6741 Location //�/ 5-- /,o >l✓ �'�.�✓ •� _ // � ��� /tet/� /. Subdivision Name Name Lot No. Sec. or Block No. Lot Size House ��Mobile Home _T Business _— Speculation No. Bedrooms No. Baths No. in Family 2. _ Garbage Disposal YES ❑ ' NO p/ Specifications for System: Auto Dish Washer YES ❑ NO ❑ //� Auto Wash Ma .hine 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 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: System Installed by res 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. r = DAVIE COUNTY HEALTH DEPARTMENT -'IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage. Systems T A ��,�/� Permit Number Name e,-5-IZ1 r r,_� f ; � LY1C-s %� DateN- 0 6741 Location f; r''1�5- i% ! d/ �r:• / f�iA �� . ✓ �s /`. �i Subdivision Name ' ' i. Lot No. Sec. or Block No. Lot Size /� `/6 House L, - Mobile Home _ Business Speculation No. Bedrooms - No. Baths No. in Family _ Garbage Disposal jYES ❑ Auto Dish -Washer !% YES ❑ Auto Wash Ma shine YES ❑ Type Water Supply NO 2"Specifications for System: NO E)tr -7/� NO ❑ /�'.� ii �!1 '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 +� - W 1 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. 1 �477 O r1 LU ------------ rJ G 216 t�. tN All data is provided as is without warranty OFO. lite6.f Ifto am1.6d dF711Sj11iderm Ot7iXNAimited to the implied (W e 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. f. 4 Printed:Jul 05, 2013 DAVIE COUNTY HEALTH DEPARTMEN T�6. t;v 'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION�90 N4401 1& 'NOTE: IssUdd In Compliance With Article 11 of G.S. Chapter 130a anitary Sewage Systems Permit Number a i c"r , tName NO 5912 Location �� �;; s .�.-V e L(Jy bQ/S Subdivi 6-x9-99- L4 L3.tp't . Lot No. I Sec. or Block No. —- House Mobile Home _ Business Speculation Lot Size d' No. Bedrooms No. Baths No. in Family Garbage Disposal Auto Dish Washer YES ❑ NO ❑ F YES ❑ NO ❑ Specificatl7s for S tem• o., . ,. �:Ox Auto Wash Machine YES E]NO C]� . Q� K� X , (� Type Water Supply C c� . , c r� - '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 by 'Contact a representative of the Davie County Health Department for final inspd-6tion ott�this system between 8:30- 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number:IJPj-6345985{ rJy Final Installation Diagram: System Insialle'd bye 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. {DAVIE COUNTY HEALTH DEPARTMENT - - IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION -k/) "NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a �nitary Sewage Systems Permit Number Name s e--\ a 1p- c� �C'. � � \ : Date 3' 9-b N2 5912 Location � G-�-9-9� G3 -t,1 � Subdivision N,arpe ,r ' `� \cl �' r f��" Lot No. Sec. or Block No. Lot Size 4M—`AWAtt House Mobile Home — Business Speculation No. Bedrooms No. Baths No. in Family — Garbage Disposal YES ❑ NO : ❑ Specifications for S tem Auto Dish Washer YES ❑ NO Auto Wash Machine YES ❑ NO ❑ syr jj'�. 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 per it by *Contact a representative of the Davie County Health Department for finol ins 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 4 r1 Final Installation Diagram: System sof ons c�f&this system between 8:30- 34- FI .70 5t : ir! , . h�2 a5te�, S Certificate of Completion �—� Date I "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. p[RI Ail 13 : ISL4 Mail To: — This instrument was prepared by: LYME HICKS, ATIMMEY AT LAW WARRANTY DEED—Penn WD -602 ^ Printed and for sale by James Williams & Co., Inc., Yadkinville, N. C. 27055 STATE OF NORTH CAROLINA, DAVIE County. THIS DEED, Made this 70th day of September 1991 by and between George D. Poste his _ attorney-in-fact, Richard R. Foster; Hazel Foster by her attorney -in -fast, Richard R ester; Ketone W Foster by his attorney-in-fact Richard R Foster; arra Ma=t- Enster by her attorney. _ in -fact Richard R Foster of J AM County and State of North Carolina, hereinafter called GRANTOR, and ROGM TFP SFNNMT., tiy-K--.� ike' ' && of FDRSYlil County and State of North Carolina, hereinafter called GRANTE WITNESSETH: That the Grantor, for and inconsideration of the sum of *****Sl 0-00 olus ovc***** Dol and other good and valuable considerations to him In hand paid by the Grantee, the receipt whereof u hereby acknowledged, has given, granted, bargained, sow oaf conveyed, and by there presents does give, grant, bargain, sell, convey and confirm unto the Grantee, his heirs and/or successors and assigns, premises in Township DAME County, North Carolina, described as follows: BEGINNING at an iron placed 28 feet from the paved portion of Highway 601, said iron being at the original southeast lot corner of Lot 64 of the Boxwood Acres Subdivision, Plat Book 4, page 48, said iron being at the Southern corner of the within described tract; thence North 50' degrees 13 minutes 47 seconds West 336.99 feet to an iron placed 28 feet from the pavement.of Highway 601, the Western corner of the within described parcel; thence North 41 degrees 36 minutes 13 seconds East 112.99 feet to an iron placed, the Northern corner .of the within described parcel; thence South .73 degrees 39 minutes 00 seconds East 172.51 feet to an iron placed, the Eastern corner of the within described parcel and an original lot corner of Lot 62 and Lot 63, Boxwood Acres Subdivision, Plat Book 4, page 48; thence South 04,^••:; degrees 11 minutes 50 seconds East 252.18 feet TO THE POINT AND PLACE�:'; OF BEGINNING and containing 0.904 acres according to' a plat prepared by Grady L. Tutterow, RLS, on or about July 21, 1991, and recorded in the Office of.the Davie County Register of Deeds on August 16, 1991 in Plat Book 6, at page 31, and said plat containing all and/or portions of Lots 53 through Lots 64 of the Boxwood Acres Subdivision. . THIS CONVEYANCE is made subject to those restrictions set forth-in= APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT ' Davie County Health Department Environmental Health Section 66 Mocksville, NC 27028 Ep MSR 2 1. Application/Permit Requested By-1c�-/Lr�v•/ lam: �` ` -- Mailing Address j n''� C( %'el ���"!� /7 , /r�i , / /�,• %�/ ` �� ' ' c Home Phone —' `4-- = l '7 e( Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: lC) General Evaluation ©/S/Tank Installation 5. System to Serve: 9//House Mobile Home C) Business Industry Other C] Unknown 6. If house, mobile home: Subdivision /!�,X 411,""71 Sec. _ Lot# ( \" 7N0. of People 7 O'A No. of Bedrooms 2 �-Jv1y No. of Bathrooms / 0 Washing Machine Dwelling Dimensions 7. I£ business, industry, other: Basement/Plumbing Basement/No Plumbing J Dishwasher 0 Garbage Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Dasposai 8. Type of water supply: Public 0 Private Q Community ^� ` 9 . Property Dimensions % �s 3/e _ Z /S 0„rl' z C' ,-:S'/ S'O.0 2'' �' !.r • �''� 10. Sewage Disposal Contractor 11. Do you anticipate additions/expansions of the facility this system is intended to serve? G Yes g"No If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. This is to certify that the information provided is correct to trice best of my knowledge, and I understand I am responsible for all charges incurred from this applic.Ation. Date Signature Directions to Property: t ,Jz ^;AsN DCHD (10-89) Ohl DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section. P. O. Box 665 Mocksville, N.G. 27028 \\ SOIL/SI�TE_EVALUATION Name ti c i A�� �os \ Datej Address Lot Size For.Tnac ARFQ 1 / ARRA 2 l AREA 3� ARr-C 9 1) Topography/ Landscape Position S �S PS PS PS PS U U U U 2) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Com)PS S S PS S PS PS 3) Soil Structure (12-36 in.) Clavev Soils S pS <APS PS U U y Soil Depth (inches) pg (4s) S PS U UU U i) Soil Drainage: Internal (Z ,� (D W PS PS PS PS U U U U External S PS PS PS U U U U I) Restrictive Horizons — �— -- Available Space PS PS PS C S PS U U U U 1) Other (Specify) SS PS S PS S PS 1) Site ClassificationIm ) 5 U—UNSUITABLE S—SSE PS—Provisionally Recommendations/Comments: �'b�� -`�'� 5 , -'1 Described by \ Title z �\ �, Date SITE DIAGRAM (0) DCHD (6-82) f� :;�