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650 Yadkin Valley RdDavie Countv. NC Tax Parcel Report Monday. October 3, 201( WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: C70000012001 Township: Farmington NCPIN Number: 5873229391 Municipality: Account Number: 64740000 Census Tract: 37059-802 Listed Owner 1: SHEEK HAROLD D Voting Precinct: FARMINGTON Mailing Address 1: 650 YADKIN VALLEY ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-8705 Voluntary Ag. District: No Legal Description: 2.640 AC YADKIN VALLEY RD Fire Response District: SMITH GROVE Assessed Acreage: 2.66 Elementary School Zone: PINEBROOK Deed Date: 5/1979 Middle School Zone: NORTH DAVIE Deed Book / Page: 001090060 Soil Types: PcB2,RnD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 135630.00 Outbuilding 8r Extra 60.00 Freatures Value: Land Value: 56450.00 Total Market Value: 192140.00 Total Assessed Value: 192140.00 9! SIE ��UN�� Davie County, �T(' l� `-' All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the 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 or arising out of the use or Inability to use the GIS data provided by this website. Davie County Health Department -11 8 Enviromnental Health Section P.O. Box 848 210 Hospital Street Courier #: 09-40-06 U � Mod,,sville, NC 27028 Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: 1. r AlzrbU 6A ee V Phone Number C'1 qS 5129 (Home) Mailing Address: :it (,50 _I -q d P-., 0 -,LLQ Ccr'k'+ ��.� 9 69L ' 1 a 8 of ( e lC) eTe!✓� Email Address: HwY Detailed Directions To Site: 7ci12,-- _r'L!D Ea -al- 4-a. BOlL.-.4�L.-.4dv..a-a sbli � �-l' arn'�o j%C'%.✓ U yvi e - 's 1rZ)ve- i.ya-b oy\ Lr.a Ctru� Property Address: Please FRI In The Following Information About The EXIST17VG Facility: Name System Installed Under: %Za �/ `s'� �' �'��i`� Type Of Facility: Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information ,,About The NEWFacility: �'a �,Q Type Of Facility: Cj Q, OP&7 v Number Of Bedrooms: Number of People, Pool Size:_ ,•h 4- Gyage Size: Other: -'�Requested By: Requested: y- a -%(o "i ffature) For Environmental Health Office Use Only �pprove Disapproved Comments: S4zw 5 ' m -j' -i'm tit YY\ cJu 9 G r'm 6 f C Environmental Health Specialist Date: q-- L Ilp^ *The signing of this form by the Environmental He th 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 Order # Amount:$ Date: Paid By: ^^ Received By: Account #: pk Invoice #: RV , ,• �OU�4 S Printed:Apr 08, 2016 All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. Permit Number Name /L— Date Location -. Subdivision Name ""'– wkiu" a�(N, � r Sec. or Block No. Lot Size House Mobile Home _ Business _— Speculation No. Bedrooms No. Baths No. in Family _ Garbage Disposal YES ❑ NO ❑ Specifications for System: Auto Dish Washer YES ❑ NO ❑ Auto Wash Machine YES NO ❑ Type Water Supply ___ 'This permit Void if sewage system described below is not installed within 36 months from date of issue. i I I 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. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by ' --t ' 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. DAVIL COUNTY HEALTH DEPARTMENT PERCOLATION TEST RESULTS r1lDATE_ r//-7 Z LOCIATI0�3 v%/�/1.f /-/ " //i. /�C/ -_ FIUDINGS : 5 V LOT DIFIG:3A l HOLE NO. / CO: MIiEi TS - �lGy/l"�'�I�`/��idc�2'' By:� DAVIE COUNTY HEALTH DEPARTMENT P. 0. BOX 57 HOCKSVILLE, N. C. 27028 (704) 634-5985 Statement for Septic Tank Improvement Permits and/or Site�Evaluations NAIVE ADDRESS 4A/ ,�-,���.;��✓lam Explanation of charge DATE ISSUED PERMIT NO. AMOUNT DUE`y <� SANITARIAN PLEASE RE14IT THE ABOVE AMOUNT ON RECEIPT OF THIS STATEMENT.