6566 Hwy 801S Davie County,NC Tax Parcel Report Wednesday,September 28,2016
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WARNING:THIS IS NOT A SURVEY
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Parcel Number: L60000000907 Township: Jerusalem
NCPIN Number: 5756059974 Municipality:
Account Number: 63642500 Census Tract: 37059-807
Listed Owner 1: SCOTT JUDY Voting Precinct: JERUSALEM
Mailing Address 1: C/O JUDY SCOTT SHAVER Planning Jurisdiction: Davie County
City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27014-0000 Voluntary Ag.District: No
Legal Description: .49 AC HWY 801 LOT 1 Fire Response District: JERUSALEM
Assessed Acreage: 0.55 Elementary School Zone: CORNATZER
Deed Date: 3/1991 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001580344 Soil Types: CeB2
Plat Book: 0005 Flood Zone: X
Plat Page: 135 Watershed Overlay: WS-IV-P
Building Value: 50270.00
Outbuilding&Extra 2040.00
Freatures Value:
Land Value: 11340.00
Total Market Value: 63650.00
Total Assessed Value: 63650.00
141
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harmless the County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or
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DAVIE COUNTY HEALTH DEPARTMENT _
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name o �� �.�J e �--Date _ N2 7997
Location — — - —
Subdivision Name Lot No.f Sec. or Block No.
Lot Size -----.— House — Mobile Home Jam -- Business _— Industry
No. Bedrooms -- No. Baths _--- No. in FamilyLPublic Assembly Other
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES C:] NO F-1 I
Auto Wash Ma^hive YES p' NO ❑ t 3 ,
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.
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Improvements permit --
"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 Dia ram: System Installed by
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Certificate of Completion ` — Date _S2_!6
'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
*NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage Systems ,` Permit Number
Name Date ' No 7997
Location
r
Subdivision Name Lot No. Sec. or Block No.
Lot Size ----_.— House — Mobile Home —� Business —_ Industry
i
No. Bedrooms __ No. Baths ---_.No: in Family — Public Assembly Other
Garbage Disposal YES ❑ NO ❑ Specifications for System: tl
Auto Dish Washer YES ❑ NO ❑ I o 0
Auto Wash Ma^hine YES NO ❑ ^-� '
k � r'
i vs�y
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.
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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.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion.Telephone Number: 704-634-5985.
Final Installation Dia ram: System Installed by
a
Ell
Certificate of Completion `_ � � _ Date 19
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.
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
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APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) o c�
NAME \`��1�0 �� J \-\ V'%\� QVa- PHONE NUMBER 1 1g - ��
ADDRESS Q oXk 1� : � SUBDIVISION NAME
CA -Q�Q 'lam Q 9- LOT #
DIRECTIONS TO SITE
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DATE SYSTEM INSTALLED NAME.SYSTEM INSTALLED UNDER
TYPE FACILITY \-k\. NUMBER BEDROOMS NUMBER PEOPLE SERVED 3 LI
TYPE WATER SUPPLY_ SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge,and that I understand It-am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT CA-/d/ ". ZL4 E4
Rev.1/93 /J