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4111 Hwy 158 �avie County, NC t • Tax Parcel Report Monday, October 3, 201 f �' '` l '" `�`t �, �` s � '.. ' �` ''' 1�8 y,,. � ,,'.- � �� � �\ ,�`'�,,-• � 4x r��� � `�. � � �r `�� ^� r` .-.� \ =' "" r , f.. t� � '���"� r� �:''f.. �.� � � '� ��.r —=1?'8 .r'� '� �r",- J� '�.� '.� - ��.�'' r •.� r `r ,.-' r" � „�`' � C�� r-'`�'" �j� �',� .� :-'' `�� �,�,, f,,.-� ,� f}� ��ry� r,.%'` ���.� �1��y �, ��, `�r � �� �� a� r�� � � ,��. �''� � � �''���}�x __�1�l; r'�� �`+ ... � �` ��'� r �1'11 �� ����yr t. R '`�� 5`�'� .- '� �,.� ,�� � f' S 4 �` � '�` ���� ~'`� ,l{'�f �� '� �`�! ��4 � i. _�-^^"-J`� ,.� L� � � �'`� �`, ..�-�`~ � `� � ,k ',; E. ,r'� X � � ti V' ��, y ,� �"��f . ,,ti� �� 4�� .� +� '�, �*, ,,.- ,,_--'' '�t�7 �1 ..�t ,r{�� �k `� '� `� �.,� ,.�"'� ��rJ 4.'^`�5� tit �+l�+? j *� 5�LJ � � � ~r f `5.� + `� y��ti ?'� ! ti l ,�.+� .� ti �"� 4 1 4 4l C/".. /`� 1 � '� '`�' ��,,% ` f'''' r'ti t `� .�, , •�� �, . �� � �,� 1 � �,,r� `� �'`� t ,. �'`_ ,,.� � '. ., ��,,t ,. 'f-� .'�._„-_.w . 1 �. � : -,-� �f�� ', *�� �`' . ,� '�. :-�,�� � r ..............r..... ......................................................,..........""""'""S""""""""'"""""""""""""""""".................�i......"""..."""""""""_"4" ' """""................................_...,....._................... �. - WARNING: THIS IS NOT A SURVEY �_._.� .._ _�,a�,., .,, _ ,«,� ti _,�, _. , m___ ..__. _ , ,,��,.n�_. _.. ,._��„_ _. _ ,.�_ . _ . �_� , _._�b .____ - - , w_...�_r _ _,. ���___,_ ._� �� '��� s_���_�._,Parcel Information .�, � �� � � Parcel Number: E6050A0002 Township: Farmington NCPIN Number: 5861068500 Municipality: Account Number: 45472000 Census Tract: 37059-802 Listed Owner 1: LEONARD LAWRENCE J Voting Precinct: SMITH GROVE Mailing Address 1: 4111 US HIGHWAY 158 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-6940 Voluntary Ag. District: No Legal Description: LOT 4 COUNTRY COVE SECTION TWO Fire Response District: SMITH GROVE Assessed Acreage: 1.32 Elementary School Zone: PINEBROOK Deed Date: 7/1995 Middle School Zone: NORTH DAVIE Deed Book/Page: 001810885 Soil Types: EnB,MsC Plat Book: 0006 Flood Zone: Plat Page: 022 Watershed Overlay: DAVIE COUNTY Building Value: 270650.00 Outbuiiding&Extra 46810.00 Freatures Value: Land Value: 30000.00 Total Market Value: 347460.00 Total Assessed Value: 347460.00 �v� All data is provided as Is without warranty or guarantee of any kind elther expressed or implled Including but not 1(mited to the 9�""F Davie Cou�ty� Implied warranties of inerchantability or fitness for a particular use.All users of Davie County'a GIS website ahall hold harmiess the 1�7 County of Davie,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to �'O�ly�C� l�C or arising out of the use or Inabllity to use the GIS data provided by this website. , � � .__. —, Davie County Health Department � 4�i8 It� Environmental Health Section = _ � . . • P.O.Box 848 ; �1 � n �'�,�, . 210 Hospital Strcet Q���( Courier#:09-40-06 .� Mocksville,NC 27028 Phonc:(336)-953-6780 . Fax:(336)-753-168U . ON-SITE WASTEWA � TIFICATION (Check One) :gem ' . � A�7 A�N S ,�rf�R�� Name: i���Q/V�� l��0� ��—� Phone Number 3��� l /d� L.O b�/ (Home) MailingAddress• Lf//� L�S �lw� ( ��" ��-Q*�'/��� (Work) �^ Q O� �r�✓��v� �7 /�_ _ L �'� � Detailed Directions To Site: �N� �K�S`Q �i���� W e-� � ��S 7� /" I j�j���s G ►4�Z AQ..� t�c.) :' �( ��: /��,�,`�-� c��� 7�2�'f e w,�y o N S'���c�� �2�vlC Proverty Address• �/� /`C���-�W��`� N� l� ',''-,�`���' Please Fitl In The Following Information About The EXISTING Facility: �v'�_e. ,�"�Q� f�e� Kofi'�f/�f Name System Installed Under: �"1��J2 2 Type Of Facility: s��T'�� Date System Installed(Month/DatelYear): ��,�'No Number Of Bedrooms:_�Nurr►ber Of People:_�� Is The Facility C'�rrently Vacant? � No If Yes,For How Long? t Pi � � Any Known Problems? ,3�, No If Yes,Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: �A Y���� Number Of Bedrooms: l...J Number of People � Pool Size:�,_Q �--- Garage Size: �O 1c.�-- Other: ' Requested By: Date Requested: `(���/ � i ature) For Environmental Health Office Use Only APProved isapproved � ______..-. - �a� S �,hl�c� � ll4i� Gr��,-�-� �,�u• � • , � �� � � Environmental Health Specialist " � 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 Ordec # Amoun�$ Date: Paid By: Received By: Account#: Invoice#: ;v ���J a.,�, , —_ ''�� � DAVIE COUNTY HEALTH DEPARTMENT - � ��_� �MPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE:Issued in Compliance With Articie II of G.S.Chapter 130a Sanitary Sewage Systems Pe�mit Numbe� / � Name )/�i�.'�� i1�%!f°/ �� r�''S„�7/��r�';�`- Date��i�-y� N� . . . �., J t_� ,,- %' '' � Location /_= �� �' l',:,. ;� „ ii��-r - /l' l/ l-FJ��� / � Subdivision Name r r���y�'� i�i1��!' Lot Na •�—�Sec.or Block No.` �-1 Lot Size 5%�� �_fS�G� House � Mobile Home_T Business___Speculation No. Bedrooms � �' No. Baths_�_S No. in Family�_ Garbage Disposal YES ❑ NO p Specifications for System: Auto Dish Washer YES p NO ❑ Auto Wash Ma:hine YES p No p SDd.�3,�i=.7�� � �c�' ,JTlG��. ;" Type Water Supply _— /. f '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. J,7 � j f,,,, ' � ._.. � , ,:': �, � ,c,�- y��� ,�D ���, ' ��' �� . � - � ��rC i%-> i. � '' �1,t,� �� �� ; , s` ,� � ��r `t '.' 1�,1 P� i '�7/ � ''� , ' � ,�� , r 'i ����� ���� � ��� ��� ����� ����� � ���� ����� ��-� �� � �� � �-> ,�r• �, t� ' � 'f �i� I �J�� t p ,j ' �� � n' ��� ;' �,� � ��� ,��' � f) ;�,�� � J�f�' `�r,, � ,�``' a I�� R�� ' ! °� ,�' �1 ' i'F�,":,��,�\ �, `:1 r'., ,� �'��t �r . fr�{���',{ I � � � � �; ����� u F i; � �•Y�: `��..,, '�t`��.,,, , �\ �, ����� �.� � i'� , ____- Improvements permit by—�.��'1� 'Contact a representative of the Davie County Health Department for final inspection ot 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� � ���S' '.i -,�(,' JI�,, , �1��;,�sr'n;F`,-7 � ��/ ��f,�r: �rif�t r �' �,� r��.�� r' ,•�c �� f;�r� V /,_:7 /'c' , . � �,c,c � �,�,,:- i:,' ,��, �---- �F�� " . � s��r� , � /�; G ��-G "-""i--.='�-' Certificate of Completion ��i1 �� Date � �� ���� 'The signing of this certificate shall indicate that the system described above has been installed in compiiance 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. , . �r. PLOT MAP OF BOTH LOTS SHOWING WATTER AND SEWER/DRAIN FIELD OVERLAYS: 9��''� �''� ��� °'� � o � �, `�� 7603 1613 's �'' � `�',, q�,'" .`. G .\ ���0 6,� . ,�l,rjp � �. o \ � � ����� � ��� �'�'�, �'`' zt��t<��. y�'F��� 1572 `�� � . , 8500 °T'.,r�' ,��',, 64> ��''� `�'"� '�'.,�'"" .< �.-..RFrc.+x..J � Y��a- �� � �• � �t � ,�: v�"�� .�� �`�"�.".,�7 �'1"0�� ,� �t�6+ 41 ;1i:: . i` ��\ \�a� vC��- y/ ,� 6276 t58 ,�go, ,, (• `•� ��: �y,` �R `.` r 15 '•,i 2292 i ��o� ,9', i PROPOSED BUILDING SITE: l�U� � � , � �`,, � , � nj� � �v� � �� f �`J �.; f�x.vf:.o�.csl /srcitctua�. �' ax2� �. , %" �� �sao � ..- . ,.. � �� ,....� ... � - , - . zy���. �x.. � � �.:� � . ���t,,.a��a� ~ �s�tzf�r_ssc.f_ .�e•�a:rx.�� 1'uar.d t � _ _ _.. _... . ........... . .. ........... _.. __ __ _... _._._ _._..... .._.._..._. ����1 '