3010 Hwy 801S Davie County,NC Tax Parcel Report 0 Wednesday,September 28,2016
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Parcel Number: 1800000063 Township: Fulton
NCPIN Number: 5788282254 Municipality:
Account Number: 71276000 Census Tract: 37059-804
Listed Owner 1: STOCKTON JERRY WAYNE Voting Precinct: FULTON
Mailing Address 1: 3020 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20,H-B
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 1.15 AC HWY 801 Fire Response District: ADVANCE
Assessed Acreage: 1.07 Elementary School Zone: SHADY GROVE
Deed Date: 11/1969 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 000810540 Soil Types: PcB2,PcC2
Plat Book: Flood Zone: X
Plat Page: Watershed Overlay: WS-IV-P
Building Value: 181950.00
Outbuilding&Extra 6330.00
Freatures Value:
Land Value: 25490.00
Total Market Value: 213770.00
Total Assessed Value: 213770.00
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,NC 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
°r et causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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Davie County Health Department
0�►s f� Environmental Health Section
P.O. Box 848
S„ 210 Hospital Street
O Courier# : 09-40-06 1911
Mocksville, NC 27028
r Phone:(336)-753-6780 ON-SITE WASTEWATER CERTIFICATION Fax:(336)-753-1680
(Check One) Replacement Remodeling Reconnection
Name: { r-" Phone Number L� (Home)
Mailing Address: /} 0 11 10 '610 C9 - f>/c v,v S� _�: L (Work)
Email Address:
Detailed Directions To Site:
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Property Address:
Please Fill In The Following Information About The EXISTING Facility:
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Name System Installed Under: Type Of Facility:
Date'System Installed(Month/Date/Year): 0 j_ Number Of Bedrooms: Number'Of People:
Is The Facility Currently Vacant? YesNo If Yes,For How Long?
Any Known Problems? Yes No If Yes,Explain: '
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Please Fill In The Following InformationtAbout The NEW 1~acility:
Type Of Facility: k a ` �' �,`�( 11 t` Number Of Bedrooms: ---- Number of People
Pool Size: Garage Size i �� .__...,.— -Other:—
Requested By _ , ,� `.J Date Requested: � �-
�-
igriature
f;---- For Environmental Health Office Use Only
Approved Disapproved
omments: 1
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Environmental Health Specialist .( \,r ; , I � i ( ;sDate:
*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: Cas l Check Money Order # !>Z--'66-- Amount:$ // d —Date:—
Paid
ate:Paid By: i�� /! Received By:
Account#: Invoice#:; r 2774-41
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��1' <E warranties of merchantability or fitness for a paNculm use.All users of Davie County's GIS website shall hold hamdess the County of OfJ tib
Davie,North Carolina,its agents,corsrdtants,contractors or a nployees from arty and ag"ahrta or causes of action due to or arWM out Pri tnted:Se 19, 2012
g of the use or Inability to use the GIS data provided by this website p