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197 Hillcrest DrDavie Countv, NC Tax Parcel Report 5 1 `f g Thursday, September 29, 2016 -644 280 / �Q-'; 4� � rlr� 1 640 U' 135 Co 219 rn 197 Cit A rf 210 f �7 18 191; 1266 173 170 WARNING: THIS IS NOT A SURVEY 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 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. Parcel Information Parcel Number: F80000005501 Township: Shady Grove NCPIN Number: 5870891668 Municipality: Account Number: 11274000 Census Tract: 37059-803 Listed Owner 1: BRUEBAKER EDWARD RAY Voting Precinct: WEST SHADY GROVE Mailing Address 1: 219 HILLCREST DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -AH -B -S State: NC Zoning Overlay: Zip Code: 27006-7606 Voluntary Ag. District: No Legal Description: 4.136 AC HILLCREST DR Fire Response District: ADVANCE Assessed Acreage: 4.14 Elementary School Zone: SHADY GROVE Deed Date: / Middle School Zone: WILLIAM ELLIS Deed Book / Page: Soil Types: GnB2,EnC,MsD Plat Book: 11 Flood Zone: Plat Page: 179 Watershed Overlay: DAVIE COUNTY Building Value: 39050.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 55810.00 Total Market Value: 94860.00 Total Assessed Value: 94860.00 Davie County, NC 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 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. r' 6j� Flo C� �Q :amu 1; . w ..,.. .., �/oz f Davie "County Health Department Environmental Health Section r P.O. Box $48 ' 210 Hospital Street ` Courier # : 09-40-06 Mocksville, NC 27028 1911 Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICA dU Fax: (336) - 753-1680 (Check One) Replacement RemodelingReconnection Name: Ca Am ny K � G(c a l�c� Phone Number ,e b?— 716 (Home) Mailing Address: �r% �!�L c j7�f ?' 4&7 / 9 3 .3 (Work) /i/ //e 2 9 o ° 6" Email Address: Detailed Directions To Site: 0/j y/i i'1 l F s T �I�N aQ r Gy -r 04-� T a Property Address:% Zil% Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: !g:P / L"u D��fC �l�=/-� Type Of Facility: %ia Date System Installed (Month/Date/Year): 09 " ° `170 J Number Of Bedrooms: Number Of People:_ Is The Facility Currently Vacant? Yes G If Yes, For How Long? Any Known Problems? Yes G If Yes, Explain: . 1. Please Fill In The Following Information About The NEW,,Facility r— �Dr< Type Of Facility:1-0��umber Of Bedrooms: Number of People 2";T Pool Size: Garage Si Other: ,.� �: z Requested By: `c��J7%��-= � ��_ Date Requested: rJ (Signature) j For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist Date:` *The signing of this form by the Environmental Health Staff is ifi no way intended, nor should be taken as a guarantee (extended or limited) that the on-site wastewater system will function properly for any given period of time. Payment: Cas Chec Money Order # �J Amount:$ 000 ( ) Date: 2�Ll Paid By Received By: Account #: Invoice #: �� - E - ll�a4 � k Davie County Health Department Ir-awIVED nmental Health Section a 11 P.O. Box 848 SEP 2 d 2012 210 Hospital Street BY: Courier # : 09-40-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICA (Check One) Replacement Remodeling Reconnection Fax: (336)- 753-1680 Name: C PJ -A ,V Phone Number (Home) Mailing Address:%'!�r« e/:C�-r rid/-''" 3 �Y (Work) iJ U,4NC� Ile 2 n 4 l Email Address: F�Q,¢G, ay Detailed Directions To Site: Om a,,V Dom' Property Address: Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: CeffAeV 9 �de�l a�D�%�!C%( Type Of Facility: 1770R,1 --4C-- 1-101n Date System Installed (Month/Date/Year): 0'? oaf —Lf U Number Of Bedrooms: Number Of People:_ Is The Facility Currently Vacant? Yes Any Known Problems? Yes No No If Yes, For How Long? If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility:. D 049 . � AW 4:' d�'' H 0/0(9 Tumber Of Bedrooms: Number of People_ Pool Size: Requested By: (Signature) Garage Other: _Date Requested:/ For Environmental Health Office Use Only Approve Disapproved Comments: Environmental Health Specialist. Date: Y/" 5 d4! *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: Paid By Money Order #, IL Amount:$ Received By: Account #: 50116 Invoice #: B.sd LM Wast Lane Corte. WWIt W 114 PG 157 PN 5870797479 NOTE5: 1. FIN: 5870093520 2. Doed Reference: DB W PG 567 and D5 66 PG 577 3. 2 L: RA 4. Setbacks: Feat 40 Sales: 15' N= yam n -d 'W Rex: 30 ' /4EMf>y 1fA06J/2011 DasNNG IRON PIPE CFRTN1Ce.- r OWNERSHIP AND DEDICATION Jsr4:r do 7�' EANG N:$14.02299 L. .1577,046-96 IRS 1 hweby cwtiy that 1 am the Owner of the propnty � RE,NPORCED COr9CRETE RPE CF: 0.99992392 a a deeaEed ha-. whitll is located in the subdlv isfan Pl.actlm of DON, County and that 1 herebby adopt PARCEL IDENTIFICATION NUMBER WM WATER METER N This w.bdid.lan Plan th y free crosenl, lodbh 91V RIGHT OF -WAY -0- OVERHEAD UnUty LINE `9e Mum bu9d'n9 setback Ina d dWkale all streets (roads), alley% saes, parks aM other site m and easements to p�bli r pMoto ea a,? mated 1 � � Date --� y� ��{—RaVae J\ 3/4b \ • O.nw Dole \ � 79 b i\ \ 1 \ B.sd LM Wast Lane Corte. WWIt W 114 PG 157 PN 5870797479 NOTE5: 1. FIN: 5870093520 2. Doed Reference: DB W PG 567 and D5 66 PG 577 3. 2 L: RA 4. Setbacks: Feat 40 1"OP l COWIER 1 Tract 2 4. 136 Acres r BK= 11 -19 DAVIE COUNTY REGISTER OF DEEDS PLAT REGISTRATION FILED FOR REGISTRATION AT X53 O'CLOCKA_•M. THIS, THE -11L DAY OF AfElL, 2013, AND RECORDED IN PLAT BOOK LI PAGE L71. M. BRENT SHOW. REGISTER OF DEEDS FILING E PND��.((5''21.00 BY: k_1}-- DEtUTY l Sales: 15' Rex: 30 5. Total Aro: 7.070 Acres LEGEND fIP DasNNG IRON PIPE EIR IX15TING IRON REBAR - EANG n15TING ANGLE IRON IRS e5 IRON REW SET RCP RE,NPORCED COr9CRETE RPE M5 NOT TO SCALE RN PARCEL IDENTIFICATION NUMBER WM WATER METER EP EDGE rAVEMENT 91V RIGHT OF -WAY -0- OVERHEAD UnUty LINE 0 UTILITY POLE 1"OP l COWIER 1 Tract 2 4. 136 Acres r BK= 11 -19 DAVIE COUNTY REGISTER OF DEEDS PLAT REGISTRATION FILED FOR REGISTRATION AT X53 O'CLOCKA_•M. THIS, THE -11L DAY OF AfElL, 2013, AND RECORDED IN PLAT BOOK LI PAGE L71. M. BRENT SHOW. REGISTER OF DEEDS FILING E PND��.((5''21.00 BY: k_1}-- DEtUTY l SCALE I DRAWN - Review ORte/s Cwtirimis W06J/2011 tics LA a SU RVFYt M2 STATE OF NOROt CAROl1NA Allen Geomatics, P.C. (C-3191) N: 615.662.00 Lu:k E. Qrd nl COU OF DANE ' E: 1,576.292.44Dave 69658 PG 475 I, Revise 0(f er of R}. SBIIB0151T the M uqu Y• "+ (a which certificalionl if affi,mets on statutory rep,kemenls fa reeadnq. gl Of � � Date --� y� ��{—RaVae V"oPed, Nora iloryem14s4.e / 3/4b \ / I69187 \ � 79 b i\ \ _ Taw g i . AT•== ba o4 I Tract I i� s le 2.942 Acres " a I \ 1 � SITE I hereby Corby that the subGrision pet shorn h.rson hos bean found b Comply rim, the Catty Sued"misian Regulation.. rith the csption at h it any. as ars roW in the r.wwtes of the planing Bowl and that t has been speared for $coding in the OIT,a of the Regieter of Deeds. N 1. hereby r.tW that uth approval for daion does mt imWM oppravol to inett,f and utig itay focifities nor does it ncluds ppm -1 for tht. cansWetion of occupancy of Windings Or strut[ PO NNWG DIRECTOR JEFFREY C ALLEN Certify that this plat eros 6 d near m der my au�.rvlaion frau an Wa wrvey made / y ANO Bo (deed ees sly that the In Beak 80, Pogo 567 AND Book ('e Page 577 ): gat the Oa fl asw not w.rveled ae tlo9ny wdcolm as &awn Aram infamaUon found N Boak _,$-, path. d= that thratio of pr.asion ao/ated Is 1:10,000.; that this plat sa. prepaed N dams with G.S. 47-30 as anw.ded; that regard'nq o.S. 47-30(fxll)o., this w.rveyy eates a w,bdMwm f land sithbi the a s of a ty a municipality that / he. an Ordermae that rwgulot.' paras Of Ia t that the Glaba P*1.1=q Syslm (GPS) y and the falosing ' larmat'wn was used to parlam the pass A' GPS wavey. / RN N•trark procadw. an 01/07/13 NAD63 Datum / = 2011 / GEOID09; Check.d. Publiri.d N 0. a; us ' a- Powtiond occaacy < 0.10; US Surv.y Feet Combined Grid Factor 0.99992392 Win— my olgind wgnatae, r.91.tratkm numbe, and seal this 9th day If April, 2013 i / PROFESSIONALD VEYOR L-3610 gRq'',, SEAL [ L-3810 Subdivision Plot Edward Bruebaker Hillcrest Drive Shady Grove Township - Davie County Advance, NORTH CAROLINA 30' 0 60' 120' SCALE I DRAWN 0' 04/09/13 04 1'6 JCA/6CF tics LA a SU RVFYt M2 OWNER` Edwxd Ray &veoaker Allen Geomatics, P.C. (C-3191) 219 Hillcrest Dnve PO BOR 89, Advance. NC 27006 (336) 782-3796 nl 3/4 R gl L 4 " `� n7P fry V"oPed, Nora iloryem14s4.e / 3/4b 4 4J I69187 PG 549 - � 79 b � Vrd ROM/k+b 3/4 Er\ ry 461 M My / 1 M 587CiYM47 `8 N \ V"Ws issN, � / \� / MsN llunaalkslx 'p - W 461 PG 547 \ / 870%9294 / .P Pilk 5870%9294A, =1 .a.lio-mvbl Swda Oay.w6aa \ 81 �( . F/ViF PN 58700 971110 \ 1/2 -EJP M 2Y3}, St 1/2'i1P 26.92 Ts rw SITE I hereby Corby that the subGrision pet shorn h.rson hos bean found b Comply rim, the Catty Sued"misian Regulation.. rith the csption at h it any. as ars roW in the r.wwtes of the planing Bowl and that t has been speared for $coding in the OIT,a of the Regieter of Deeds. N 1. hereby r.tW that uth approval for daion does mt imWM oppravol to inett,f and utig itay focifities nor does it ncluds ppm -1 for tht. cansWetion of occupancy of Windings Or strut[ PO NNWG DIRECTOR JEFFREY C ALLEN Certify that this plat eros 6 d near m der my au�.rvlaion frau an Wa wrvey made / y ANO Bo (deed ees sly that the In Beak 80, Pogo 567 AND Book ('e Page 577 ): gat the Oa fl asw not w.rveled ae tlo9ny wdcolm as &awn Aram infamaUon found N Boak _,$-, path. d= that thratio of pr.asion ao/ated Is 1:10,000.; that this plat sa. prepaed N dams with G.S. 47-30 as anw.ded; that regard'nq o.S. 47-30(fxll)o., this w.rveyy eates a w,bdMwm f land sithbi the a s of a ty a municipality that / he. an Ordermae that rwgulot.' paras Of Ia t that the Glaba P*1.1=q Syslm (GPS) y and the falosing ' larmat'wn was used to parlam the pass A' GPS wavey. / RN N•trark procadw. an 01/07/13 NAD63 Datum / = 2011 / GEOID09; Check.d. Publiri.d N 0. a; us ' a- Powtiond occaacy < 0.10; US Surv.y Feet Combined Grid Factor 0.99992392 Win— my olgind wgnatae, r.91.tratkm numbe, and seal this 9th day If April, 2013 i / PROFESSIONALD VEYOR L-3610 gRq'',, SEAL [ L-3810 Subdivision Plot Edward Bruebaker Hillcrest Drive Shady Grove Township - Davie County Advance, NORTH CAROLINA 30' 0 60' 120' Ij SCALE I DRAWN 0' 04/09/13 04 1'6 JCA/6CF tics LA a SU RVFYt M2 OWNER` Edwxd Ray &veoaker Allen Geomatics, P.C. (C-3191) 219 Hillcrest Dnve PO BOR 89, Advance. NC 27006 (336) 782-3796 Advance, NC 27006 —AMlenCeornatics.com Ij