1620 Underpass Road Lot 3Dayso 0--", XTC,
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WARNING: 1111515 NUI' A SURVEY
Parcel Information
Parcel Number: E8110B0003 Township: Shady Grove
NCPIN Number: 5871948904 Municipality:
Account Number: 82517982 Census Tract: 37059-803
Listed Owner 1: ERNEST BARBARA R Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 100 CASTELLUM SQ Planning Jurisdiction: Davie County
City: WINSTON-SALEM Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27127 Voluntary Ag. District:
Legal Description: LOT 3 GREENWOOD LAKE Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
0.97 Elementary School Zone:
5/2001 Middle School Zone:
0001EO158 Soil Types:
0003 Flood Zone:
101 Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
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DAVIE COUNTY HEALTH DEPARTMENT
i'(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption S,ewage,Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR �,s:. t;; c-,: �, J',;. :�- wC.. DATE .$ I/ - !'
# �/ PERMIT
LOCATION E N d U u rye c. tiv't ':1,, .: x..` j !�vra�Q/ 3 NOa-
-- DSS poi' •
IS.R. NO.
SUBDIVISION NAME LOT NO. 03 SECTIONJOR BLOCK NO.
HOUSE MOBILE HOME BUSINESS ❑
' NO. BEDROOMS -3 NO. BATHROOMS House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom: House Q
GARBAGE DISPOSAL UNIT YES ❑ N0 ❑ Three Bedroom House
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO, WASHS MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK ? gal. ea..r-
NITRIFICATION FIELD sq ft. % ` j7 "3! '
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑ '' ......., „�
IMPROVEMENTS PERMIT BY "'*�. �`r''+�+-n. �o INSTALLED BY ` ` tx'`
CERTIFICATE OF COMPLETION 'd, / �,.
BY Date -
(8/16/73) *Construction must compK with all other applic le State and local regulations
LOT AREA 7
. �' � !.� I 3� 'a' 3 '.►moi -2"