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213 Norma Ln (2))avie County, -NC Tax Parcel Report Q & W`4 4 Monday. October 3. 201 f WARNENG: THIS 1S NOTA SURVEY Parcel Information Parcel Number: C707OA0006 Township: Farmington NCPIN Number: 5863602377 Municipality: Account Number: 145530400 Census Tract: 37059-802 Listed Owner 1: LEVAN RICHARD JAMES Voting Precinct: FARMINGTON Mailing Address 1: 213 NORMA LANE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-7924 Voluntary Ag. District: No Legal Description: END OFF NORMA LN Fire Response District: SMITH GROVE Assessed Acreage: 1.45 Elementary School Zone: PINEBROOK Deed Date: 5/1992 Middle School Zone: NORTH DAVIE Deed Book / Page: 001630843 Soil Types: PaD,PcC2,RnD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 103120.00 Outbuilding 8r Extra Freatures Value: 4460.00 Land Value: 30000.00 Total Market Value: 137580.00 Total Assessed Value: 137580.00 t v� 'Q IAJ6 oottp Ss Davie County, 1�T 1� C 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. Plume: (336) - 753 - 6780 Davie County Health Department Environmental Health Section P.O. Box 848 210 Hospital Street Courier #: 09-40-06 !r~ 1 Mocksville, NC 27028 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection I'ax: (336) - 753-1680 Name: bl)U t Ibois (1 lw Orr LL(—) Phone Number (Home) Mailing Address: ' N)_ • (1_3�- 9 Work) Lk(Irl /l -t )V t Email Address: hyAS c r Ds± l xahc • cpm Detailed Directions To Site:il 1 I(\ 11 IS4 CilQ[nN-r- b1- a- �� � t Q Q�'QL ePVI e - , 10 Ili_ I � r (r kr 0 nko til om-o I,a i) orm ra tn� 1, r)(-, 1 e P4 -- Property Address: Please Fill In The Following' AIn'formation About The EXISTING Facility: �/�► Name System Installed Under: t4SIN c- '�_N1 L -w Type Of Facility: Date System Installed (Month/Date/Year): j -1 ��3 Number Of Bedrooms: Number Of People:_ Is The Facility Currently Vacant? Yes GD If Yes, For How Long? Any Known Problems? Yes \ O If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility:_OL�-k hf_t (& nOv Number Of Bedrooms: Number of People Pool Size: Garage Size: Other: Requested By: �1.inr� • , Date Requested: (Signature) For Environmental Health Office Use Only .. err% ...,,..Yr.., ..... .,� Comments: Ma ';4 /0i y) S ���C3C1� �o �P'.�I [l /�a/�• o/�r D71'11 P *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: Crash Check Money Order # Amount:$ Date: Paid By: Received By: Account #: Invoice #:�� le N DAVIE,COUNTY HEALTH DEPARTMENT ; ? IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION+ 'NOTE:. Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name Lk)..Date J Location 413 ffi/ i Subdivision Name Lot No. Sec. or Block No. Lot Sizen c^ — House Mobile Home No. Bedrooms No. Baths No. in Family Garbage Disposal YES ❑ NO ❑ Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES ❑ NO {] Type Water Supply Business —_ Speculation Specifications for System: i oo l f, 'This permit Void if sewage system described below is not installed within 36 months from date of issue. ti,r t 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. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Certificate of Completion _Z -� _ Date r 'The signing of this certificate shall indicate that the system described above has been installed in compli nce 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. V� 3 Co I