869 Hwy 801SDavie County, NC Tax Parcel Report 1 1 1 f �J J� Tuesday, September 27, 2016
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o :vre All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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
°r� nt causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
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Parcel lnformaGon�
-r
Parcel Number:
0700000063
Township:
Farmington
NCPIN Number:
5862572275
Municipality:
Account Number:
23980000
Census Tract:
37059-802
Listed Owner 1:
ELLIS CHARLIE VAN
Voting Precinct:
SMITH GROVE
Mailing Address 1:
869 NC HIGHWAY 8D1 NORTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY OD
Zip Code:
27006-7910
Voluntary Ag. District:
No
Legal Description:
1.624AC HWY 801
Fire Response District:
SMITH GROVE
Assessed Acreage:
1.63
Elementary School Zone:
PINEBROOK
Deed Date:
7/1981
Middle School Zone:
NORTH DAVIE
Deed Book/Page:
001140155
Soil Types:
PcC2,CeB2
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
114400.00
Outbuilding & Extra
21890.00
Freatures Value:
Land Value:
31850.00
Total Market Value:
168140.00
Total Assessed Value:
168140.00
o :vre All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC 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
°r� nt causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
- 4
' For Office Use Onh+
HEALTH DEPARTMENT RELEASE
*CDP File Number '197995-1
Davie County Health Department
210 Hospital Street County ID Number:
P.O. Box 848 Evaluated For: HDRNVWC
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680 PERMITVALID 1 0 /.2 7 / a 0 a 0
UNTIL:
Applicant: Steve Peterson
Address: 131 Eastridge Court
City: Advance
State0P: NC 27006
Phone #: (336) 940-7319
(property Owner: Joesph and Robin Hauser
Address: 869 NC Hwy 801 S
City: Advance
StatefZip: NC 27006
Phone #:
Property Location & Site Information
KAddreSS869 NC Hwy 801 S Subdivision: Greenwood Acres
Road# Advance NC 27006
Township:
Directions
Hwy 158 right on Hwy 801 on left past Oak Valley
'Structure: SINGLE FAMILY
# of Bedrooms 3 # of People:
'water Supply: N/A
Basement: n Yes D No
'Proposed Improvement:
Replacing Deck
Maintain 5 foot setback to any portion of the septic systrem
Phase: Lot: 6
Type of Business:
Total sq. Footage: No. Of Employees:
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period. of time.
Applicant/Legal Reps. Signature Required? Oyes ONo
Applicant/Legal Reps. Signature: *Date:
2140 - Nations, Robert 1, 0 1 a 7/ a 0 1 5
Cssued By: Date of Issue:.
Authorized State
**Site Plan/Drawing attached.**
aHand Drawing OlmportDrawing
HEALTH DEPARTMENT RELEASE
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Drawing Type: Health Department Release
CDP File Number. 197965-1
County File Number:
Date: 10 / a 7/ a 0 1 5
Olnch
Scale: O Black
O N/A
Phone: (336) - 753 - 6780
7-pON6
Davie County Health Department
Environmental Health Section
PAID P.O. Box 848
Date: f 210 Hospital Street
Courier # : 09-40-06 19 111
Received by -TV -C-, Mocksville, NC 27028
Fax: (336) - 753-1680
ON-SITE WASTEWATER TIFICATION 1
(Check One) Replacement -modeling Reconnection
Name: J fo 6 Tt4-, Phone Number TC �YO- 7 -?,9 (Home)
Mailing Address: Q 6 (JV (Work)
Email Address:
Detailed Directions To Site: / s� " A 1 l .Sa �!� /o 0Z
Property Address:�-
T-
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: (� Type Of Facility:
Date System Installed (Month/Date/Year): "! ( Number Of Bedrooms:_ - Number Of People: 2
Is The Facility Currently Vacant? Yes � 0 If Yes, For How Long?
Any Known Problems? Yes 0 If Yes, Explain:
Please Fill In The Following Inform!!tiojq A out The NE,WFac31i Y �G�
Type Of Facility: addt N �llc b r Of edroom • Number of People Z
Pool Size: n / Garage Size: Other:
Requested By;
Applov Disapproved
Comments: U • j
Date Requested: ' I S
For Environmental Health Office Use Only
Environmental Health Specialist11Date: 4�
*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: Cash ( Check Money Order
Paid By: n Received By:
Account #: I Invoice #:
�� o mull
Grjlik
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Printed:Oct 14, 2015
All data is provided as is without warranty or guarantee of any 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.