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138 Sparks RdDavie County, NC x Tax Parcel Report GI � Thursday, October 6, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: WARNING: THIS IS NOT A SURVEY Voluntary Ag. District: Parcel Information 870000000804 Township: 5863256220 Municipality: 51145750 Census Tract: MINER MARK A Voting Precinct: 138 SPARKS ROAD Planning Jurisdiction: ADVANCE Zoning Class: NC Zoning Overlay: Land Value: Total Assessed Value: 27006-0000 Voluntary Ag. District: 4.49 AC SPARKS RD Fire Response District: 3.64 Elementary School Zone: 8/1987 Middle School Zone: 001390348 Soil Types: 11 Flood Zone: 160 Watershed Overlay: 121960.00 Outbuilding & Extra Freatures Value: 58840.00 Total Market Value: 180800.00 Farmington 37059-802 FARMINGTON Davie County DAVIE COUNTY R -A DAVIE COUNTY QD FARMINGTON PINEBROOK NORTH DAVIE PCC2,CeB2 DAVIE COUNTY irI�k�dr>(�I� No 9A1�, 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 websfte 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 SOU pS� NC or arising out of the use or Inability to use the GIS data prodded by this websfte. .. Davie County Health Department Environmental Health Section ' a P.O. Box 848 J.t�•. { E (; E:210 Hospital Street 7w Courier # : 09-40-06 Mocksville, NC 27028 Phone: (336) - 753 - ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fac: (336) - 753-1680 Name: 14 4 y- A'U Phone Number 30 G'% 5 '7-7 7 (Home) Mailing Address: 312 - `3 9 7''7 '7,3'52 (Work) t AD,,4,j4-,-- , 3k- 2-70 aG Email Address: 1q.44 -"e z- (E 7/-V-waa • ea ,.l Detailed Directions To Site: .N cel q FA i Property Address: /J $ S �'Ar2 4,0 4& - Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: /441-11- /NlNL}- Type Of Facility: soveo-mac iA .cs•� Date System Installed (Month/Date/Year): / / �� Number Of Bedrooms: 3 Number Of People: y Is The Facility Currently Vacant? Yes(N / If Yes, For How Long? Any Known Problems? Yes C 10o If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: GA !LA 6,e' Number Of Bedrooms: Number of People Pool Size: Garage Size: Z/ 2 -'x -3O Other: Requested By: Date Requested: (Signature) For Environmental Health Office Use Only Approved.' Disapproved Environmental Health Specialist �� c k �A )O�y%I Wf _Date:���C) l� *The signing of this form by the Environmental Health Staff is Vi 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 (Checy Money Order # I -I Amount:$ - Paid By: F` wi / Received By:_ Account Invoice #: U -L D