322 Brushy Mountain TrailDavie Cou:�tv, NC
TaY Parcel Report
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: F700000029 Township: Shady Grove
NCPIN Number: 5870055676 Municipality:
Account Number: 82523321 Census Tract: 37059-803
Listed Owner 1: MILLER A SCOTT Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 322 BRUSITY MOUNTAIN TRL Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-7870 Voluntary Ag. District: No
Legal Description: 5.476 AC OFF BALTIMORE RD Fire Response District: ADVANCE
Assessed Acreage: 5.51 Elementary School Zone: SHADY GROVE
Deed Date: 9/2004 Middle School Zone: WILLIAM ELLIS
Deed Book / Page: 005710279 Soil Types: MrC2,Gn62,PcB2,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 161500.00 Outbuilding & Extra 0.00
Freatures Value:
Land Value: 51870.00 Total Market Value: 213370.00
Total Assessed Value: 213370.00
9"�'F Davie County,
�o�,N�j NC
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Davie County Health Department
Environmental Health Section �0 �f ��
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Phone: (336) - 753 - 678(f Y: _. _, ... ._ : _::
P.O. Box 848
210 Hospital Str�eet
Courier # : 09-40-06
Mocksville, NC 27028
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ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
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Name: _,�,�y`�j" �1'� �� � �c� Phone Nuinber �5.3 (�1 ��� �.,� ��' (Home)
Mailing Address: 3�oZ �%(,1�i-1 � �iT"(1,ir��j"�j�,� �] ��/'"�(�� (Wark)
�A� �(�jLE �i a L, a�0(� Gj Email Address:
Detailed Directions To
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: �� �i1LU, � i,Q. Type Of Facility: C� S�ENT`['�(/��
Date System Installed (Month/Date/Year): �� Number Of Bedrooms: 3 Number Of People: �
Is 'The Facility Currently Vacant? Yes No If Yes, For How Long? T�
Any Known Problems? Yes No If Yes, Explain:
�A a �- 113 ��
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: %���t� A5� �C �T� Number Of Bedro Number of People
Pool Size:� Garage Size: Other:
Requested By: Date Requested: � 2 Z.
�-�, , For Environmental Health Office Use Only
�Approved 1 Disapproved
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Comments:
Environxnental Health Specialist , � ��� �,c?
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.
Paymen Cash heck Mone rder # Amount:$ � L�� n��"� Date:^�� —�" /�..
Paid By:_ � r�J ��- �,r Received By: 6v !/11�r �� t� S
Account #: �GI' iS 7 Invoice #• ��'�'j �✓�
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BK51 I PG219
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No �rAx�e�e corvsroF��ri,�ra s;r,r��
CEED TRANSFER CHECl�D
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TAX ADININISTRATOR
Maii co: Grancee Qa 27 32 Courtney—Huntsville �d, y k1 v' lle C�27055
This instrument was prepazed by: Michael J. Parker, Attomey; Mocksville, N��7D2�, a'I�censeH I�o�h Carolina
Attomey. Delinquent taxes, if any, to be paid by the closing attomey to the county tax collector upon disbursement
of closing proceeds.
NORTH CAROLINA GENERAL WARRANTY DEED
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STATE OF NORTH CAROLINA, DAVIE COUNTY.
THIS DEED, made this �'�day of °;p ��, 2004, by and between Glenda C. Mills
and Husband, Gregory P. Mills of Davie County and State of North Cazolina, hereinafter called
GRANTOR, and A. Scott Miller of Davie County and State of North Cazolina, hereinafter called
GRANTEE.
WITNESSETH:
That the Grantor, for and in consideration of the sum of Ten and no/100 Dollars and other
good and valuable consideration to him in hand paid by the Grantee, the receipt whereof is
hereby acknowledged, has given, granted, bargained, sold and conveyed, and by these presents
does give, grant, bazgain, sell, convey and co�rm unto the Grantee, his heirs and/or successors
and assigns, premises in Davie County, North Carolina, described as follows:
BEGINNING AT A POINT, a monument located in the Southeast comer of Lot 4, Baitimore
Heights, Phase 2, as shown in Plat Book 8, Page 16 and said point at beginning also being the
Southwest comer of the within described tract; thence from said point and place of beginning
North 00 degrees 53 ininutes 35 seconds East 800.00 feet to a point, the Northwest corner of the
within described tract; thence South 89 degrees 06 minutes 25 seconds East 296.41 feet to a
point, the Northeast comer of the within described tract; thence South 00 degrees 53 minutes 35
seconds West 642.23 feet to an iron; thence South ] 2 degrees 28 minutes 41 seconds West
161.58 feet to an iron, the Southeast corner of the within described tract; thence South 83 degrees
48 minutes 07 seconds West 235J7 feet to an iron; thence North 44 degrees 28 minutes 25
seconds West 42.16 feet to the point and place of beginning and containing 5.476 acres and being
a part of the Glenda C. Mills tract (Deed Book 152, Page 711) as taken from a survey of Grady L.
Tutterow, RLS, dated July 22, 2004.
ALSO CONVEYED with the above described tract is an easement of ingress, egress, and regress
as set forth in Deed Book 152, Page 711, Deed Book 153, Page 98, and Deed Book 208, Page
155.
SU$JECT TO that easement of in�ess, egress, and regress as set forth in Deed Book 152, Page
711, Deed Book 153, Page 98, and Deed Book 208, Page I55.
TO HAVE AND TO HOLD The above described premises, with all the appurtenances
thereunto belonging, or in any wise appertaining, unto the Grantee, his heirs and/or successors
and assigns forever.
And the Grantor covenants that he is seized of said premises in fee, and has the right to
convey the same in fee simple; that said premises are free from encumbrances (with the
exception above state, if any); and that he will warrant and defend the said title to the same
aQainst the lawful claims of all persons whomsoever.
.��De,c. ,11. 2012 5: 41 PM��h sen�oss �s7s�te�No. 1319 F. 1 P.�
.�x1dl Iiite ReporL
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Date Ritten: /,;,; ii�i�-
Datc TreatCd: �� �i ���.
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Ngme of �'atient: � Y��� ,�%s4,,c. Phonc Number:,,�3� -�t,�� —�� � �
tf Patient is a 1V�inox, ' ctudc parcat's namc:
Address of paticn,t; � o e.
Typ� of animal: � 0 Stray
Name of animal: ��,LJ�FAie �.�.� - - - --
Naiue of owncz: y k e�� _ _ _
Adc�cc�s of animai vwner: ,v,�,��., iv P�onc ii:
i3a:e t�ni�nai i�een �•accinated? LIYLS, Uate vf v�ccination: un1,i� �.J �; NO
VeterinAriAn: ���� d Phone�F
� Grl.�iJ ��L � � -
_ S��natuca of Medical St��f'fMcmbcr
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(PLEASL� G1VE'�TS PORTION "r0 �ATa�N`I�
R��bics is a virus that is contTactcd through a bite or vccasiona)ly a scratch. Mandatory rabics
vaccination and population control measutes h�vC beCn effcctive at rcducing the number af
rabies cascs in damestic �imal� (dOg9, CatS). EIowever, anywarm-blot�ded anima! can be a
carr�cr of the x�abies viruy. Cu[T�ntty in �Tordt Carolina, the vin�� re�ides in wild animal
pc�pulaG onc such as raccoons, Fkunk`� dnd fw►es. Thc most effective means of c:ontroqing thc
sprcad of rubics is to vaccirate yout pets �d avoid cOntact with wild animaLs.
�'tle rabi�es virus infects �h� brain of ita viCtim, resulting iu chtinges in beh�vior. It usvatly takcs
from 2-8 wecks before svmpcoms cnn bc y�cn. �toblcs is �lmo�t s�lv.aya T�tal to animals and
peoplq oncc thcse si�ns of the diFcase appcar_
Ali :ini,sttal bitcs should be treaied by a mcm6er of the medical commttnily. All c�scs mustbe
teportad to the locol henith dcpartmcnt. The medical Maff that trcatcd you and gavc you ihi5
rabies informntion form. filled out xn anirnal bitc �cport and wi�l notify the Davie Counry Hcaith
Depurh��cnt for you.
Yfyou I�a�e any t�urther qucstions about rabies. you may eontact D�vie �nimsl Cnntrol at 336•
7S 1-0227 and/or A�vie County �Iealth Departmcnt, Environmcnto) Hcolth Scction at 33G-753,
67R0_