4207 Hwy 801NDAVIE COUNTY HEALTH DEPARTMENT-
FIC TE OF COMPLETI N 3 -3�
IMPROVEMENTS PERMIT AND CERTI A O
"NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
F� Sanita ,S�,e\ Sewage Systems _Date cfj Permit Number
:Jame - -- - V8 2
Location' ._CC) ��� U� N o c\ -,S
V
Subdivision Name Lot No. Sec. or Block No.
Lot Size House — Mobile Home —___ Business —_ Industry
No. Bedrooms 3? No. Baths _--- No. in Family Public Assembly Other
Garbage Disposal YES p NO Specifications ,for System:
Auto Dish Washer YES p NO p'
S�f,�ct 4.,► N Q
Auto Wash Ma-hine YES �NO [� ��
w� x
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 SEF;zTHISIPERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM. d C2 r
Jv
Improvements permit by _
_ e
*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�d�
a
oL�
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.
Y.. �•� � � .,., _ '_"'' "� ..ti..'a a ter— ., - ,. .. . .r ..f ----.:.. � .N a --'c �..`
Vit` , _:r y x. w y - ✓ l�0
DAVIE COUNTY HEALTH DEPARTMENT �tiA:�r• ~ 0.00
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION •3 ' 3�
MNOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
'rae tti � --- Date i�� so 2 0
-
Location a_`1, ti* \ti' N ra �• s ,�� i�� : t', �1 C(
1
Subdivision Name Lot No. Sec:.,or Block No,
ti.�
Lot Size � ._— -- House — � Mobile Home --_— Business -- Industry '
3 r ,
No. Bedrooms _ —.No. Baths — — — — No. in Family — Public Assembly Other
Garbage Disposal YES ❑ NO p%
Auto Dish Washer YES ❑ NO (3 --"Specifications for System:
P r
Auto Wash Ma^hine YES ,,
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 SE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM... '' Z'
Ju
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.
0
Final Installation Diagram:
System Installed by
r
Cl
Certificate of Completion. Date �23
-',The signing of this certificate shall indicate that1he system described above has been installed in compliance with
the standards set forth in tate 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)
HONE NUMBER �!X' V
UBDIVISION NAME
LOT #
DIRECTIONS TO SITE ����r' d '• �� /- �"'
DATE SYSTEM INSTALLED `�NAME SYSTEM INSTALLED UNDER U.o
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY_ SPECIFY PROBLEM OCCURRING_h��-�I_
i
P 6F
r� /
DATE REQUESTED �� INFORMATION TAKEN BY ZB
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 AUTHORED, AGENT 1 ✓�
Rev. 1193
Parcel #: B300000078
Davie County, NC - Basic Estate Search
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Parcel #: B300000078
Account #:8300603
Owner Information
Tax Codes
LLACE WESTON GRAY TRSTEE & WALLACE WILSON S TRSTE
[207
ADVLTAX - COUNTY T
NC HIGHWAY 801 NORTH
READVLTAX - FIRE TAXCKSVILLE
NC 27028
163,64
Property Information
Township
nd (Units/Type): 20.020 AC
CLARKSVILLE
ddress: 4207 N NC HWY 801
2001
Deed Information
Local tonin
ate: 03/2013 Book: 00918 Page: 0891
0
Plat Book: Pa e:
00879
Legal Description
PIN
1.70 AC HWY 801
5823559415
Unqualified
Property Values
Book
uildin :
109,67 0011
BXF•
11,16
nd•
163,64
arket•
284,47
ssessed:
284,47
eferred•
2001
Sales Information
No.
Book
Paye
Month
Year
Instrument
Qual/UnQual
Improved
Price
L
00396
0017
it
2001
WD
Unqualified
Improved
0
Z
00879
0728
01
2012
NW
Unqualified
Improved
0
3
00918
0891
03
2013
NW
Unqualified
Improved
0
t
2006E
0228
03
2006
WL
Unqualified
Improved
0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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Da
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=1461865 9/22/2016