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2217 Hwy 801SDavie Count. NC Tax Parcel Renort ��� Tuesriav- RPnfPmhPr 27 9n1R Deed Book / Page: 001020388 Parcel n omiation Plat Book: Parcel Number. G8130B000501 Township: Shady Grove NCPIN Number: 5789371892 Municipality: Account Number: 17532000 Census Tract: 37059-804 Listed Owner 1: CORNATZER CLINTON BERRYMAN Voting Precinct: EAST SHADY GROVE Mailing Address 1: 2217 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAME COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-7463 Voluntary Ag. District: No Legal Description: 1 AC HWY 801 Fire Response District: ADVANCE Assessed Acreage: 0.92 Elementary School Zone: SHADY GROVE Deed Date: 3/1977 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 001020388 Soil Types: PcB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: WS -IV P Building Value: 104030.00 Outbuilding & Extra 1550.00 Freatures Value: Land Value: 27990.00 Total Market Value: 133570.00 Total Assessed Value: 133570.00 °u et Davie County, NC AN data is provided as is without warranty or guarantee of arty kind 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. 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/)k Permit Number Name C �, % A > rid/ /% D/.,�-- Date V ' S N2 7877 7 8 177 Location /� _ / �✓�/- �r�rr .el) . //l r' '/�%l, /��' ' / !�!', fl. /:- .01 /�"✓,!;�tti fps i �f' �%1 — ---- Subdivision Name Lot No. Sec. or Block No. Lot Size -- _ House _ Mobile Home _--- Business — Industry No. Bedrooms _s. Z--. No. Baths — — No. in Family -S — Public Assembly Other Garbage Disposal YES p NO (Z/ Specifications for, System: Auto Dish Washer YES NO F] Auto Wash Ma^hine YES g 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 ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. /V/` Improvements permit by — a — *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 -L Certificate of Completion Date f 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. r /V/` Improvements permit by — a — *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 -L Certificate of Completion Date f 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 COUNTY HEALTH DEPARTMEN� —IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION ',*NO T E Issued in Compliance With Article I I of G.S. Chapter 130a Permit Number ".'_'§anitarySewage Systems N2 7877 ame Date Subdivision Name Lot No. Sec. orBlock No. Lot Siza_--__-_--_-_-_-_' House K4ub||e Home -__-___- Business ___ |nduutry_________ / _ No. Bedrooms _No. Baths No. in Family Pub|ioAnaemb|y______Othe[______. ' ,�� Garbage Disposal mYES C3, NO Specifications Auto Dish Washer YES NO [� Auto Wash Mo-hine YES NO [] Type Water Supply `-' *This permi t Void if sewage system described below is'not installed within 5 years from date of issue. ' f This permit iosubject torevocation ifsite plans orthe intended use change ' ' '/QTENTDN: `'� YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS '~/ ` SYSTEM. / / 0 . 0 m '..,, � Improvements permitby /4 °Oontaxcta representative of the Davie County Health Department for fied inspection of this system between 8:30-9:30 A.M.,, 1:00-1:30 P.M. or 4:30-5:00 P.M. W day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System |no1aUad by ^ ` Certificate of Completion ^' Date ` 'The signing odthis certificate shall indicate that the system described above has been innhshod in compliance with the standards set /nMh in the above regu|adion, but shall in NO way be taken as o guarantee that the system will function satisfactorily for any given period oftime. ' DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) WIIM ADDR DIRECTIONS TO PHONE NUMBER��o�� UBDIVISION NAME LOT # DATE SYSTEM INSTALLEDNAME SYSTEM INSTALLED UNDER I�C�rs��lar- TYPE FACILITY 1 0Qt" NUMBER BEDROOMS ,—? NUMBER PEOPLE SERVED - TYPE WATER SUPPLY f6 SPECIFY PROBLEM OCCURRING DATE REQUESTED ����9� INFORMATION TAKEN BY This is to certify that the information provided Is correct to the best of my SIGNATURE OF OWNER OR AUTHORIZED AGENT, Rev. 1193 for all charges incurred from this application.