195 Buckeye Trail Davie-County, NC Tax Parcel Report ,� Monday, September 26, 2016
212
(� E 1
j 1
i
i I
t I
E
1
t �
t 184
J`
t r*
195
178
tj�_- -- -- ------ --
157
WARNING: THIS IS NOT A SURVEY
__. -- Parcel Information _ „ ,.,, w . ...., .__ ... .�
Parcel Number: E40000004607 Township: Farmington
NCPIN Number: 5831697366 Municipality:
Account Number: 56061000 Census Tract: 37059-802
Listed Owner 1: PEELE JAMES CLAYTON Voting Precinct: FARMINGTON
Mailing Address 1: 195 BUCKEYE TRAIL Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-6125 Voluntary Ag.District: No
Legal Description: 5.00 AC OFF PUDDING RIDGE Fire Response District: FARMINGTON
Assessed Acreage: 5.16 Elementary School Zone: PINEBROOK
Deed Date: 11/1992 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001660319 Soil Types: GnB2,MsC,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 257110.00 Outbuilding&Extra 5410.00
Freatures Value:
Land Value: 56750.00 Total Market Value: 319270.00
Total Assessed Value: 319270.00
I.v AlIdata is provided as N 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.
Ali 4�11�c, Pil(_rn
Davie County Health Department
17
Environmental Health Section
r P.O. Box 848 � "` �
F
210 Hospital StreetFy
y',
J-y
Courier # : 09-40-06
Mocksville, NC 27028T.
Phone:(336)-753-6780 Fax: (336) -753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: Q GL a.4 Arh ,o yJ Phone Number -3 3&-72 7/— 7202— Home
Mailing Address:A06 6Vev — y sTreef -1aA 46 72 1" ��_(Work)
r1/G a7/0 f -
Detailed Directions To Site: �� fGt' pCd/h Oki fi k ceY Ve m Gfj,F�
Property Address: GfG (/P ?A/
.Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: meType OfFacility:
Date System Installed(Month/Date/Year): I"/�� Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? Yes If Yes,For How Long?
Any Known Problems? Yes No If Yves,Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: �Q�dr�%6/� SuN bo In Number Of Bedrooms: - Number of People
Pool Size: Garage Size: Other: T_A
Requested By: Wate Requested:
(Signature)
For Environmental Health Office Use Only `
Approved Disapproved
Comments:
Environmental Health Specialisi IfivIi Date-
TT-
ate-
*The signing of this form by the Environmental Health taff 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 # Z7i Amount:$ Date:-S /
Paid By: T.. f"D�StL)L- Received By: LQ.I
Account#: �(h7-! Invoice#: -7��/