1170 Angell Rd Davie County,NC - t Tax Parcel Report Wednesday, February 15, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel.Information
Parcel Number: F400000055 Township: Mocksville
NCPIN Number: 5831515355 Municipality:
Account Number: 82520103 Census Tract: 37059-806
Listed Owner 1: LATHAM JOHN RAY Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 235 S ANGEL RD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27028-5615 Voluntary Ag.District: No
Legal Description: 1.820 AC ANGELL RD Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 1.38 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 12/2007 Middle School Zone: NORTH DAVIE
Deed Book I Page: 007381057 Soil Types: EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 9700.00 Outbuilding&Extra 1340.00
Freatures Value:
Land Value: 20250.00 Total Market Value: 31290.00
Total Assessed Value: 31290.00
161 All data Is provided as Is without warranty or guarantee of any kind 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.
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HEALTH DEPARTMENT RELEASE * For Office Use03v67- �
CDP File Number 3
Davie County Health Department 5831515355
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210 Hospital Street. County ID Number..
P.O. Box 848 '
Evaluated For: HDR/WWC
Mocksville NC 27028
l Phone:336-753-6780 Fax:336-753-1680 PERMIT VAUD 0 1 / 1 8 / a 0 2 a
UNTIL:
Applicant: Mark Lawrence Property Owner: Mark Lawrence
` Address: 1170 Angell Rd Address: 1170 Angell Rd
"t City: Mocksville City: Mocksville
StatefZip: NC 27028 State0p: NC 27028
Phone#: (336)692-3087 Phone M (336)692-3087
Property Location& Site Information
FAddressAngell Road Subdivision: Phase: Lot:
sville NC 27028
NGLE FAMILYTownship:
Directions
#of Bedrooms: 2 #of People: 1 Hwy 601 North,right on Cana Rd.To Angel Rd crossing tum right 1st
Mobile Home on left
'Water Supply: EXISTING WELL
Type of Business:
Basement: �Yes R No
Total sq. Footage: No.Of Employees:
*Proposed Improvement:
Replacingt home
.Release Conditions
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps.Signature Required? QYes Flo
Applicant/Legal Reps.Signature; *Date:
*Issued By: 2140-Nations,Robert *Date of Issue: 0 1 1 7 2 0 1 3
Authorized State Agent:
**Site Plan/Drawing attached.**
EJ Hand Drawing OImport Drawing
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HEALTH DEPARTMENT RELEASE `
d 233367 -..1
0srnr�, Davie County Health Department CDP'File Number:
210 Hospital Street 5831515355
P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 01 / 17 / x 0 1 7
Q Inch
Scale: OBIock = .ft.
Drawing Type: Health Department Release ON/A
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Page 2 of 2
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Davie County Health Department
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1836 nviu onmental Health Section t
r RECEIVE P.O. Box 848
210 Hospital Street
't Date; I✓ `�I Courier# : 09-40-06 l T
Mocksville,NC 27028
Phone:(336)-753-6780 Fax:(336)-753-1680
ON-SIT TER CERTIFICATION
(Check O Replacement Remodeling Reconnection
Name. Phone Number 3(/a- 6/Z. 303'T
_(Home)
Mailing Address: e4 e-11 z W. G o
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Detailed Directions To Site: 2G` !- / oh c2.G/P� • 7� 41,dld. e�NJ 74�
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Property Address: /j/
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: /A#1 A Type Of Facility:
Date System Installed(Month/Date/Year): Number Of Bedrooms:_2? _Number Of People:
Is The Facility Currently Vacant? Yes If Yes,For How Long?
Any Known Problems? YesNo If Yes,Explain:
9 lie//
Please Fill In The Following Information About The NEW Facility: /�
Type Of Facility: � � Number Of Bedrooms: C; Number of People_
Pool Size: ayx;.c Other:Garage Size: _
Requested By: "' o Date Requested:
l a
For Environmental Health Office Use Only
Approved Disapproved
Comments:
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 Ncaoorder # 07q4/&f( Amount:$Joa
10 Date:
�
Paid By: Received By: ;tci.
Account#: 62 Invoice#:
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Davie County,NC Tax Parcel Report Wednesday, January 4, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information yy
= Parcel Number: F400000055 Township: Mocksville
NCPIN Number: 5831515355 Municipality:
Account Number: 82520103 Census Tract: 37059-806
Listed Owner 1: LATHAM JOHN RAY :' Voting Precinct: NORTH MOCKSVILLE COUNTY
-Mailing Address 1: 235 S ANGEL RD. Planning Jurisdiction: Davie County
City: -- MOCKSVILLE.- Zoning Class: DAVIE COUNTY R-A
State,. , NC Zoning Overlay:
Zip Code:`. 27028-5615 Voluntary Ag.District: No
-Legal Description: 1.820 AC ANGELL RD Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 1.38 f Elementary School Zone: WILLIAM R DAVIE
Deed Date: 12/2007 Middle School Zone: NORTH DAVIE
Deed Book/Page: 007381057 Soil Types: EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
All data Is provided as Is without warranty or guarantee of any kind 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
�OCN4
NC , or arising out of the use or Inability to use the GIS data provided by this website.