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214 River Road Lot 11 P/O 17bavie County, NC Tax Parcel Report Thursday, January 5, 2017 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E8060B0002 Township: Shady Grove NCPIN Number: 5881052492 Municipality: Account Number: 8304453 Census Tract: 37059-803 Listed Owner 1: BIELSKI JAMES Voting Precinct: EAST SHADY GROVE Mailing Address 1: PO BOX 292 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 11 P/O 17 GREENWOOD Fire Response District: ADVANCE Assessed Acreage: 1.46 Elementary School Zone: SHADY GROVE Deed Date: 12/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009750325 Soil Types: GnB2,GnC2 Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Ail data Is provided as Is without warranty or guarantee of any Idnd 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 NC or arising out of the use or Inability to use the GIS data provided by this website. 0G r _ i 7 1111 <_; �}1 .. 214 140 r '4: 4? 0 254 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E8060B0002 Township: Shady Grove NCPIN Number: 5881052492 Municipality: Account Number: 8304453 Census Tract: 37059-803 Listed Owner 1: BIELSKI JAMES Voting Precinct: EAST SHADY GROVE Mailing Address 1: PO BOX 292 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 11 P/O 17 GREENWOOD Fire Response District: ADVANCE Assessed Acreage: 1.46 Elementary School Zone: SHADY GROVE Deed Date: 12/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009750325 Soil Types: GnB2,GnC2 Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: Ail data Is provided as Is without warranty or guarantee of any Idnd 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 NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPT. PERK TEST RECORDS 73J, DATE NAME � � �w - �� iur. J�sT Xe cl CoH.s 7 �r ;Becr.P�r, ezze ' !, 4 veru LOCATION COMMENTS FINDINGS: HOLE NO.1 HOLE NO.2 HOLE NO. 3 r BY L LOT DIAGRAM IN?w' DAVIE COUNTY HEALTH DEP ENT _ ``�J` IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE: Issued in Compliance With Article II of G.S. Chapter 130a al `l "U4Sanitary Sewage Systems Permit Number Name _ --- Date �. _ (`� 0 N_ 7885 Location t. V Subdivision Name -� - c'`' Lot No. f p�� �7 Sec. or Block No. Lot Size L i -E-L- --House— Mobile Home —_—_ Business -- Industry _ No. Bedrooms —a-- No. Baths ank�,— No. in Family _ Public Assembly Other _AaU4--j Garbage Disposal YES [yam NO ❑ Specifications for System: j�j _ ►` ,�5� Auto Dish Washer YES p NO ❑ Auto Wash Ma,:hine YES Ey- NO ❑ � U Ca ,! ! j `� ' �w�c � 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 SEE THIS PERMITILAYOUT BEFORE INSTALLING THIS SYSTEM. f,J ,r 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: 704-634-6985,,7/6 6) Final Installation Diagram: System Installed by ✓' mac, � Certificate of Completion __ Date (0- - I5- a'" _ '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. . i ' DAVIE COUNTY HEALTH DEPARTMENT7- -IMPROVEMENTS -IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a Sanitary Sewage Systems Permit Number lName._--Date NO 7885 Location ��� � � + • �, — � ., �.ti ' 1 _,.. 1 ,`' �. Subdivision Name ' - Lot No. f �� Sec. or Block No. Lot Size ---—.— House — Mobile Home ---- Business -- Industry No. Bedrooms — No. Baths --'-- No. in Family — Public Assembly Other Garbage Disposal YES ©` NO ❑ Specifications for System: _ '; ,.v Auto Dish Washer YES p NO ❑ `ro Auto Wash Ma^hine YES 0- NO ❑ ` _ C.) - Y y ?'1 Type Water Supply -- " 0 t ed '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 -. SYSTEM. r Improvements permit b *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: 704-634-69ay;/ c Final Installation Diagram: + System Installed by i U 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. 0 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME V0dy A"Z',YNSeVa PHONE NUMBER 9't 8 - a% 0 ADDRESS ���'�► �y �'� \\� a� SUBDIVISION NAME V� c e. , \�+ ` ` �1 U LOT # I DIRECTIONS TO SITE DATE SYSTEM INSTALLED i 774 NAME SYSTEM INSTALLED UNDER \—\c, 0 -Sr, TYPE FACILITY w=E; NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY Civ <'�Y SPECIFY PROBLEM OCCURRING DATE REQUESTED A - 15 ,� INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowle�ge�and that I pnderstand I am res onsible for all charges Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 THIS DEED made thk ....22nd deY of April - ------- .19 82 . , by sad betty m GRANTOR GRANTEE -THOMAS E. SMITH and rife, ANDREN SEWtUM HANSEN and wife.. MARY C. SMITH KAY L. HANSEN L04 t "I go , ,� -;, DAVIE' LOUNTY 'HEALTH `DEPARTMENT 00(Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C) OWNER OR CONTRACTOR # X1'!1 ♦if�1 # DATE PERMIT p LOCATION NO 181 f j S. R. SUBDIVISION NAME ( # Cl,r :>�lJCt 41- LOT NO. SECTION OR NO. BLOCK NO..k HOUSE MOBILE HOME BUSINESS ❑ .� BATHROOMS House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS -_'x NO. Two Bedroom House 8 Gal. 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES [ NO ❑ e Bedroom House �,. Gal 900 Sq. Ft. AUTO. DISHWASHER YES ;�NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft. AUTO. WASH. MACHINE YES C���'"NO ❑ ���n SITE SUITABLE YES C NO ❑ . SIZE OF TANK gal. -NITRIFICATION FIELD_ sq. ft. DEPTH''OF STONE IN LINES: WATER SUPPLY: Individual Public ❑ IMPROVEMENTS PERMIT BY :' ; �r�,�,r- INSTALLED BY CERTIFICATE OF COMPLETION '�-�ti By Date rp-:741-- (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA 5 "ti