110 Main Church Rd Davie County,NC Tax Parcel Report Friday, December 16, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Jnformation av_
Parcel Number: G3050A0011 Township: Clarksville
NCPIN Number: 5820637046 Municipality:
Account Number: 21182000 Census Tract: 37059-801
Listed Owner 1: -DILLINGHAM NORMAN Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: .- 129 ST GEORGE PLACE Planning Jurisdiction: Davie County
City: - ADVANCE Zoning Class: DAVIE COUNTY R-12
State:.-_ NC Zoning Overlay:
Zip Code: 27006 Voluntary Ag.District: No
Legal Description: . P/O LOTS 1-4 SUNSET HILLS Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 0.22 Elementary School Zone: WILLIAM R DAVIE
Deed Date: - 12/2003 Middle School Zone: NORTH DAVIE
Deed Book/Page: 005290088 Soil Types: Ce132
Plat Book: 0002 Flood Zone:
Plat Page: 079 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding 8r Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
9 ul� `__ 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, 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 causes of action due to
�o�N� NC or arising out of the use or inability to use the GIS data provided by this website.
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~ y DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
S ni ary Sewage Systems � Permit Number
Name ii L4'k. � //��9�'I/ D .S i�! N2 !7t 5 8 4
Location
AMLe
Subdivision Name Lot No. Sec. or Block No.
Lot Size — House Mobile Home L_ Business -- Industry
No. Bedrooms �.N.Baths _c? No. in Family : Public Assembly Other
Garbage Disposal YES ❑ NO g- Specifications for System:
Auto Dish Washer YES NO ❑ �J�,�iY3X��•, ,0 Wey
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.
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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
�S
Certificate of Completion - \�� 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. .
-
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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
1 Sa��i��ta��ry Sewage Systems Permit NpUft1'1b0if
Name_ JfU�,vi`I�C � !//�/���'/� p �S -/ N2 15 O 4
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home -L Business -- Industry
No. Bedrooms .N&. Baths _C�? — No. in Family 7 — Public Assembly Other
. Garbage Disposal YES ❑ NO g' Specifications for System:
Auto Dish Washer YESNO ❑
Auto Wash Ma shine YES [ j 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.
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Improvements. permit by —lu-ll—
•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 _ -*�r► -
s °1 � w •rel �_
� s
Certificatd of Completion ���,� Date -22 c1 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.
A . SUNSET HILLS
PB . 2 , P. 79
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TW. GRAHAM
PB. 2, PG. 72
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME !7 PHONE NUMBER
ADDRESS SUBDIVISION NAME
LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED ,h/ NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED�Sr�~l!%� 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.1/93