773 Bear Creek Church RdDavie County, NC . � Tax Parcel Report Wednesday, October 12, 2016
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Parcel Information
Parcel Number: D20000001503 Tovmship: Clarksville
NCPIN Number: 5802707872 Municipality:
Account Number: 8300427 Census Tract: 37059-801
Listed Owner 1: FORD JONATHAN ANDREW Voting Precinct: CLARKSVILLE
Mailing Address 1: 773 BEAR CREEK CHURCH ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Buiiding Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27028-0000 Voluntary Ag. District:
LOT 1 CHILDRESS PLACE Fire Response District:
9" ~'�' Davie County,
`'��N��' NC
1.02 Elementary School Zone:
6/2011 Middle School Zone:
008620209 Soil Types:
0008 Flood Zone:
120 Watershed Overlay:
93290.00 Outbuilding 8� Extra
Freatures Value:
18300.00 Total Market Value:
131140.00
No
WILLIAM R. DAVIE
WILLIAM R DAVtE
NORTH DAVIE
MnB2
DAVIE COUNTY
19550.00
131140.00
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Phone: (336) - 753 - 6780
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Davie County Health Department
Environmental Health Section
P.O. Box 848
210 Hospital Street
Courier # : 09-40-06
_.�, Mocksville, NC 27028
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Fax: (336) - 753-1680
Name: �� Y� q'�� n �n (` a Phone Number 33� -�� � I-���5 � (Home)
MailingAddress: ��.� �F�,� �r{, �c (�;,�,h d��� (Work)
Mn( %�sv� II� N( �� �(�� � Email Address:
. �
Detailed D'uections To Site•
D/o i��P r�( �i �i� �
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Property Address: � � �.t,r � ,�t �[ �„ ,f, h �z �
Please Fill In The Following Information About The EXISTING Facility:
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Name System Installed Under: �, i� n r,��-��., �� r � Type Of Facili�..�� �� y
Date System Installed (Month/Date/Year): N� (�� iQ �i j�'��� ! I Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? �Yes No If Yes, For How Long? f Jh� ii
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: /t�(' -� �, � r t,i ��c�� n,u � ��'�(0 Number Of Bedrooms:
Pool Size: Garage Size: Other:
Number of People.
Requested By:,�.-Sj,.?-�,��f� .>^.�,/" Date Requested: �� %- ��
(Signature)
� pprove Disapproved
Comments:
For Environmental Health Office Use Only
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� Gr? �>/� �� ��- �
Environmental Health Specialist �� _�.� �� �,��/� �- �-!�� Date: � -� �" ��
—�--_
*The signing of this form by the Environmental Health 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:$
Paid By: � Received By:_
Account #: Invoice #:
Date:
GoMAPS - Davie County NC Public Access
***WARNING: THIS IS NOT A SURVEY!***
This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded
deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public
primary information sources should be consulted for verification of the information contained on this map. The
County and mapping company assume no legal responsibility for the information contained on this map.
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Tuesday, May 1 2012