1637 Fork Bixby Road Lot 3+ P/O 2Davie Countv. NC I Tax Parcel Report Tuesday, January 3, 2017
Parcel Number:
NCPIN Number.
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
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Parcel Information
H7030A004501 Township:
5779077555 Municipality:
Shady Grove
82524477 Census Tract: 37059-804
MABE WILLIAM L JR Voting Precinct: WEST SHADY GROVE
1637 FORK BIXBY ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-20
NC Zoning Overlay:
27006-0000 Voluntary Ag. District:
LOTS 3+13/0 2 GREEN BRIER Fire Response District:
Land Value:
Total Assessed Value:
0.70 Elementary School Zone:
5/2005 Middle School Zone:
006080897 Soil Types:
0004 Flood Zone:
172 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
9 e �Il
iDavie
County,
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
impliedwarranties of merchantability or fitness for a particular use. All users of Davie County's GIS websfte 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
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NC
or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
S nitary Sewa Systems �� / / Permit Number
NameVPr��iY'wfr%G.r�%r' /�_/�i7J' Oate ����1�1y� NO 7 9.7 9
Location
Subdivision Name >-' 10- Lot No. j Sec. or Block No.
Lot Size House Mobile Home Business __ Speculation
No. Bedrooms No. Baths — No. in Family IV_ _
Garbage Disposal YES ❑ NO -f Specifications for System:
Auto Dish Washer YES NO ❑ INA- o
X /87
Auto Wash Ma^hine YES 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.
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 ZZ22ZZU
d
Certificate of Completion Date
"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.
s
DAVIE COUNTY HEALTH DEPARTMENT ,
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
$arlitary Sewage Systems 7 Permi�umber
� �;' ' t�'
f' 1 U
Name Date N0
Location
Subdivision Name Urea Y� 10. 1 ' Lot No. �a Sec. or Block No.
Lot Size House L r Mobile Home Business -- Speculation
No. Bedrooms v No. Baths No. in Family —
Garbage Disposal YES ❑ NO p ^ Specifications for System:
Auto Dish Washer YES (ij NO ❑
Auto Wash Ma,.hine YES 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.
_ — r/
d;
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 —
_ J
,
Certificate of Completion Adel 7/-,Z Date �y
'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 G.S. of North Carolina. Chapter 130 Article 13c
Sewage Treatment. and Disal Rules (10 NCAC 10A .1934-.1968) l Permit Number.
Name % ,�ffr r l',t' / y O -/at,- / r_. , ;7C 4431
Location.�
Subdivision Name ` ���� /'/�:�r Lot No. �'"' �% Sec. or Block No.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone i
Business Phone _;�
1. Permit sted B
2. Address
n
3. Property Owner if Different
than Above
Address
4. Permit To: a) Install
Alter Repair
b) Privy
Conventional,XL Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House -X_ Mobile Home Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms Bath Rooms_ Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals garbage disposal
lavatory c� showers washing machine
dishwasher sinks %
8. a) Type water supply: Public— Private Community
b) Has the water supply system been approved? Yes 30 No
9. a) Property Dimensions
b) Land area designated to building site
c) Sewage Disposal Contractor sarlQd1l CA4� Z p r
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
r
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
4p'��L,l 7�1
DCHD (6-82)
.1 '
• u
OFFICE OF THE DIRECTOR
Potts Realty
P. 0. Box 11
Advance, NC 27006
Attn: Diane Potts
paiiie (aunty Pealt4 Department
Unb cmnme 'Mealt4 '�Sencu
P. O. BOX 665
fflocksbille, �Grtli (Qttrolina 27028
May 18, 1987
Re: Sewage System Check
Lot 3/Greenbriar
Dear Realtor:
The septic tank system that serves the house on lot 3 in
Greenbriar was designed and approved by this office.
The house is served by county water.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health
RH/wd
TELEPHONE
(704) 634-5985
. -.
WORKSHEET FOR SEPTIC
SYSTEM REPAIR PERMIT
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ADDRESS
SUBDIVISION NAME��'����
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.SUBDIVISION, LOT#
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DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDERa SPECIFY PROBLEMS PROBLEMS OCCURRING / / ��/GTS 221/f�CCI
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DATE REQUESTED �� ���9� INFORMATION TAKEN BY ��
ADDR
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
r,
DIRECTIONS TO SITE.
PHONE NUMBER
SUBDIVISION NAME �,�rrn�ra r'
LOT #chi 4iriZ1.� ht
DATE SYSTEM INSTALLED DG7 NAME SYSTEM INSTALLED UNDER_
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING , eazeV z'dlz 11
DATE REQUESTED INFORMATION TAKEN BY le
This is to certify that the information provided is correct to the best of my knowledge and that I understandQI am
SIGNATURE OF OWNER OR AUTHORIZED AGENT 7_ l f O,(,f.P,(�C.�
Rev. 1/93
for Acharges ina{rred from this application.