1267 Yadkin Valley Rda
Davie Countv, NC
Tax Parcel R ennrt
Wednesdav. October 12. 2016
Parcel Number.
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Buiiding Value:
Land Value:
Total Assessed Value:
WAIZNiNG: "1'li1S 1S NUT A SUKVEY
Parcel Information
B700000046 Township: Farmington
5863543606 Municipality:
82518475 Census Tract: 37059-802
SMITH RUTH SHELTON Voting Precinct: FARMINGTON
1267 YADKiN VALLEY ROAD Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20
NC Zoning Overlay: DAVIE COUNTY QD
27006-8711 Voluntary Ag. District: No
2.000 AC YADKIN VALLEY RD Fire Response District: FARMINGTON
1.93 Elementary School Zone: PINEBROOK
7/2003 Middle School Zone: NORTH DAVIE
005001000 Soil Types: ApB,WeC
Flood Zone:
Watershed Overlay: DAVIE COUNTY
138950.00 Outbuilding 8 Extra 9400.00
Freatures Value:
44570.00 Total Market Value: 192920.00
192920.00
9"�'F Davie County,
���N�� NC
-a i.. , .. . ... . . . . .. . . . . - . . . .
"� - , . _ � O
` � � 'DAVIE COUNTY HEALTH DEPARTMENT �`�-�o�r
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION , � 0,4 u
y .oa
'NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
, Sanitary Sewage Systems Permit Number
Name � �� cr.��1 e �'-�.c� _ ,.=� � 0
N_ 7858
Location � �� F� ��[.. n� �5 �����_ �� �`, c� u r.r � � �, � ��l � � ��,� O�J �
�� `��/ � ` � �` ` �' '- ' � �� 1, �: Cv �� \ � t3� ( h
L_ 1_ Lr ``�'�.��-n�v�� :�� ��` C"`G�C�,V\ \.� �"\\ �; c�. .,.'��� ` \ a�l' , �.�.. \\ C� � 1 );\uu;X',--
\ � i��:.:� �C� '_:��.,c(� S�Q�.� �`�:�?�`..,'�L�Z.� � � �
Subdiv�sion Name Lot No. Sec. or Block No.
Lot Size r� a'`�`��.— House _� Mobile Home ____ Business _—__ Industry
-�
No. Bedrooms -� -- No. Baths _�_ No. in Family �'�' _ Public Assembly Other
Garbage Disposal YES ❑ NO �" �,
Auto Dish Washer YES r� NO Specifications for System: ? �� _ �J "-�,�if,
Auto Wash Ma^hine YES p� NO O �`�.0 �''I Y-! 1 x��'/�`�.,� ri�
Type Water Supply ^-- �_1.� '�� --------- S r� i� ��.rs-={
'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 INSTALLING THIS
CVCTC�A
� J
�.
.�_-
�;,�
�.
� �a i. �
Improvemenls permit by _ �='��`�'_`zn \'''-�'�', `�`'��_
•Contact a representative of the Davie Counry 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 o( completion. Telephone Number: 704-634-5985,
Final Installat�on Diagram: System Installed by �����*- ��t`n`
�F
L �= N
'-' � EN
� /
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 iorth 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.
.,: ,: , . �... _ _
. . -:
: _ . .
" � . . s; . � � o
.. _ _.
w. -
.� ,-.; ., fi_
� ' �" �"'� ���. • IIDAVIE COUNTY HEALTH DEPARTMENT !F �
� ., .. � t .'r.� 'p. ("�. "�
' L. ..
. .` : 1 "'� � ��' ' t ` d �� (� !' til
t � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 1i }o�—= -� � �
7
'NOTErlssued in Compliance With Article I I of G.S. Chapter 130a
, �
� .Sanitary Sewage Systems Pe�mit Number
.., _ ,
� �,
-Name- � , , � `��� � _ �� tti�,;�;_a"y,l,. _ _ __._� te _ i�, _ `, NO 7 � 5 g
.�..
. y
.: .�__ ...--- �
�r� � -- � �
; ,_ , ,
, ,
Location �_ �.�� E�� �.�,, � � , �� ���, \� :a ;� �ti,� ; ., _ � �,�..� � Y��,� a ���
� 1' ; ' '� t � , �i y �s.;�. ��� ; . � �4� � 1��� �'� � 7 � �, � � � �S t,�
��- . , "— ..
Subdivision Name lot No. Sec. or Block No.
, Lot Size j`=�_� _ House � Mobile Home ____ Business _— Industry
�,
No. Bedrooms -� —_ No. Baths _—�__ No. in Family �f�� _. Public Assembiy Other
Garbage Disposal YES p NO .� Specifications for System: r �;� ;. �,-;-.t_,_,:;
Auto Dish Washer YES p NO p -- --
, . , , � � ...___
Auto Wash Ma^hine YES Q NO [] r•�� `` '� - t � r' -
, ft
.. ..
Type Water Supply ,--- --------- �' � � �`, ;_ �.;t, -:_
'This permit Void if sewage system described below is not installed within 5 y�ars 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 INSTALLING THIS
SYSTEM.
i , .
�...__.._ ____ _
�.: ; .
�-��,
....
� ��
,
i-"'%
�, � .r_
�. � �,�
Improvements permit by ` _ --- '
`Contact a representative oi the Davie Counry Health Department for (inal 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.
n, .
Final Installation Diagram: System Installed by �_� �'�������-- ��'`�
�
�� N
`�El�
� c
�,� �� ���
Certificate of Completion _ '''t-� - "`x _ Date � � �'S_
'The signing of this certificate shall indicate that the system described above has been instal�ed 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 tor any given period of time.
�
, DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME �kt�'h Sn�� �� PHONE NUMBER gg�' 2'3 9a
ADDRESS �� G 7 f Aa�,�'n vu<�u/ � SUBDIVISION NAME
�-o{d • Z7 d � � LOT #
DIRECTIONS TO SITE �s� ' �l�/�' % • Gr,�j� - % � /1� s�"' %d�,�.u�rll, � Z''� ,B.c..�.G
1t v�,� �- ,P-� �o''� C'��
DATE SYSTEM INSTALLED �9 74 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY ��` NUMBER BEDROOMS -3 NUMBER PEOPLE SERVED �'
TYPE WATER SUPPLY �/� SPECIFY PROBLEM OCCURRING� �O �%��-►�
DATE REQUESTED �' �¢'" �� INFORMATION TAKEN BY
This is to eettify that the information provided is correct to the best of my know�edge, and that I understa d I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Flsv. 1�93