129 Fieldwood Dr Davie County, NC Tax Parcel Report Friday, October 7, 201 E
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WARNING: THIS IS NOT A SURVEY
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" Parcel Number: H30000010104 Township: Mocksvilie
NCPIN Number: 5729169689 Municipality:
Account Number: 219016202 Census Tract: 37059-806
Listed Owner 1: DUFFNER BRADLEY C " Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 129 FIELDWOOD DRIVE Planning Jurisdiction: Davie County
City: - ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
_ Zip Code: 27006-9322 Voluntary Ag.District: No
Legal Description: 15.516 AC OFF HWY 601 - Fire Response District: CENTER
Assessed Acreage: 15.51 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 2/2013 Middle School Zone: NORTH DAVIE
Deed Book/Page: 009180142 Soil Types: ApB,WeC,RnD,CeB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 111300.00 Total Market Value: 111300.00
Total Assessed Value: 111300.00
O SV l't, 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
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�OOp1'C4 NC or arising out of the use or inability to use the GIS data provided by this website.
Well Construction Permit For office use only
Davie County Health Department �p *CDP File Number 218638
210 Hospital Street E1VIA11'
f PIN Number.
P.O. Box 848 7�
Mocksville ate. 27028 Tax,Lot#: Tax Block#:
Phone:336-753-6780 Fax:336-753-1680
Evaluated For: WELL
PERMIT VALID UNTIL: 6/21/2021
Property Owner. Bradley Duffner Applicant: Bradley Duffner
Address: 129 Fieldwood Drive Address: 129 Fieldwood Drive
City: Advance City: Advance
State2ip: NC 27006 State2ip: NC 27006
Phone#: Phone#:
Property Location & Site Information
rddress/Road #: - Subdivision: Phase: Lot:
*Proposed use of Well:
le NC 27028
If Other.
Latitude
Longitude Directions
Site Address:Allen Rd =. Directions: hWY 601 North,left on Allen Rd right before
#452
Well Contractor Information
Drilling Contractor Driller Registration
Permit Conditions
*Permit Conditions
Well location,construction and protection must meet all state and local regulations and must be inspected and approved by an authorized representative of
the Local Health Department.The permit may be revoked at any time for failure to complywlth existing regulations.The siting of approved well construction
area(s)by the Health Department Is to provide protection from the known possible sources of contamination.The approved well area(s)may not be changed
without written permission from an authorized representative of the Local Health Department.No volume of quality of water is guaranteed by the Health
Department.
*Issued By: 2140-Nations, Robert *Date of Issuei 0 , 6 1 / 1 2 1 1 1 / � a � 0 1 1 1 6
Authorized State Agent: OHand Drawing 0Import Drawing
Owner/Applicant Signature: **Site Plan/Drawing attached.**
WELL CONSTRUCTION PERMIT 218638
Davie County Health Department CDP File Number:
210 Hospital Street
P.O. Box Sas �= ' County File Number:
Mocksville NC 27028. Date: 0 6 ! 2 1 / 2 0 1 6
O Inch
Block
Drawing Type: Well Permit Scale: OQ N/A N/A
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