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DAVIE COUNTY HEALTH DEPARTMENTS-,
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION r
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name v F F Z. 'cam°, �' _ Date No 7385
\A C,
Location � ` � °�` _
ocS i �� _ 1 _ crr �� i.. 11,1-.1
Subdivision Name Lot No. Sec. or Block No.
Lot Size 2 '* House— Mobile Home — Business —_ Industry
No. Bedrooms 3 N: Baths,_ No. in Family 3 PublicAssAmbly Other
waY•,
Garbage Disposal sy YES 03/ NO Specifications ,ii r System`* - B
Auto Dish Washer YES NO 0
Auto Wash Ma thine YES p''". NO ❑ : 3'o
Type Water Supply
K ``
*This permit Void if sewage system described below is not installed within 5 years.f om date of issue.,
This permit is subject to revocation if site plan's or the intended use change.
H v S
J
Improvements' permit by �
'Contact a representative of the Davie County ealt Depa ment 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
'•ter.
EE15k)s4
Certificate Lf CIniletion' 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.
Y
2
--C
c�9
Certificate Lf CIniletion' 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.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
' APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME r� "V-FdR � S Tc , '�N\ PHONE NUMBER
ADDRESS � t �--s " -'), y I - 3 SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED,
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED 2 -7 ` %3 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1193
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED,
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED 2 -7 ` %3 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1193
Parcel #: C600000097
Davie County, NC - Basic Estate Search
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Parcel #: C600000097 Account #:82530642
Owner Information
ulidin :
Tax Codes
BXF:
MITH LYNDA W
nd:
ADVLTAX - COUNTY T
Market:
1283 NC HWY 801 NORTH
ssessed:
FIREADVLTAX - FIRE TAX
eferred:
DVANCE NC 27006
Property Information
Township
nd (Units/Type): 2.360 AC
FARMINGTON
[Address: 1283 N NC HWY 801
Deed Information
Local Zoning
Pate: 03/2008 Book: 2008E Page: 0082
Plat Book: Page:
Le al Description
PIN
2.00 AC HWY 801
5862081659
Property Values
ulidin :
111,57 CCII
BXF:
38,37
nd:
3945
Market:
189 39
ssessed:
18939
eferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
t 00065 0562 01 1963 WD Unqualified Improved 0
Z 2008E 0082 03 2008 WL Unqualified Improved 0
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
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Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the Information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
Implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1467531 9/15/2016