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211 Grady Lnra oAvre 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 mon rR 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 arilefinformation F. .. Parcel Number: K200000073 Township: Calahaln NCPIN Number. 5707953600 Municipality: Account Number: 13972500 Census Tract: 37059-801 Listed Owner 1: CARTNER DANNY WILLIAM Voting Precinct: SOUTH CALAHALN Mailing Address 1: 211 GRADY LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-8262 Voluntary Ag. District: No Legal Description: 7.5 AC OFF DAVIE ACADEMY Fire Response District: COUNTY LINE Assessed Acreage: 8.03 Elementary School Zone: COOLEEMEE Deed Date: 811995 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001820350 Soil Types: AaA,RnC,ChA,CeB2 Plat Book: Flood Zone: AE,X Plat Page: Watershed Overlay: - ,WS -IV -P Building Value: 163830.00 Outbuilding & Extra 3900.00 Freatures Value: Land Value: 44710.00 Total Market Value: 212440.00 Total Assessed Value: 212440.00 oAvre 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 mon rR causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Phone: (336) - 753 - 6780 Davie County Health Department Environmental Health Section RECEIVED P.O. Box 848 V RI 210 Hospital Street nu Dau: -0-1 � Courier # : 09-40-06 �� 1 Mocksville, NC 27028 y ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fax: (336) - 753-1680 Name: 04rJVVV COP h/P l2 Phone Number (Home) Mailing Address: J t 6;oy Ar/ Z /t✓ ?:3 Z01 `�O 9- 7 (Work) 0 C kS J lYl A Z Email Address: /► Detailed Directions To Site: 0 / (o C /�� Nt •P �`"� "� �� /V Property Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: Dl Type Of Facility: A (610 Date System Installed Wonth/Date/Year): /-�6-�o Number Of Bedrooms: . Number Of People: Is The Facility Currently Vacant? Yes No Any Known Problems? Yes No If Yes, If Yes, For How Long?, Please Fill In The Following Information About The NEW Facility: Type Of Facility:�t� ez D U Number Of Bedrooms: Number of People. Pool Size: � d %� /��d `Garage Size: Other: Requested By:. (Signature) Requested: For Environmental Health Office Use Only Approved Disa proved Environmental Health Specialist i/� _ Date: *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 # Amount:$ /V /C-,' Date; Paid By: Received By: Account #: d d oo 9 Invoice #: vx 0 DAVIE COUNTY HEALTH DEPARTMENT c)') "^� ► IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance With Article II of G.S. Chapter 130a Sanitary Sewage Sy terns ZwN2 Permit Number 8069 Name _� _ Date Location ,.1J•`. ` Subdivision Name Lot No. -'Sec. or Block No. { Lot Size -- — House ._ Mobile Home --_— Business -- Industry No. Bedrooms -.-- No. Baths — — No. in Family — Public Assembly Other Garbage Disposal YES p/ NO ❑ Specifications for System: Auto Dish Washer YES NO Auto Wash Ma shine YES p` 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 INSTAWNG THIS SYSTEM. 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 Diagram: System Installed by 1,'m-el�.%,+_ � Certificate o ' oSr 'The signing of this certificate shalt' indicate.ttt the sy,em the standards set forth in the above regnl"aiion, buts all in caticfartnrily for anv nivan narind of time. V Date - 1 �, (ri_ es ribed above has-been installed in compliance with Ay be taken as a guarantee that the system will function