405 Burton RdDavie County, NC Tax Parcel Report J ( (I Tuesday, September 27, 2016
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcel Information
Parcel Number:
1900000007
Township:
Fulton
NCPIN Number:
5798183166
Municipality:
Account Number:
82518718
Census Tract:
37059-804
Listed Owner 1:
PAN PETER H
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
PO BOX 307
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
21.109 AC BURTON ROAD
Fire Response District:
ADVANCE
Assessed Acreage:
21.63
Elementary School Zone:
SHADY GROVE
Deed Date:
5/2002
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
004220173
Soil Types:
PcB2,PcC2,RnD
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
WS -IV -P
Building Value:
216410.00
Outbuilding & Extra
48860.00
Freatures Value:
Land Value:
213170.00
Total Market Value:
478440.00
Total Assessed Value:
478440.00
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implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
Davie County, NC
harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
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18 rr;
Davie County Health Department
Environmental Health Section
'! MAY 11 2011
Phone: (336) - 753 - 6780 — n
P.O. Box 848
210. Hospital Street
Courier # : 09-40-06
Mocksville, NC 27028
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Fax: (336) - 753.1680
Name: Pr��'4&x .4- kiae/ / Plil Phone Number �9 q1e*' 3 / (Home)
Mailing Address:r�_��ii�. 307l✓ P,`/ A1140,(4hAik)
tiEmail Address-/A/4r,4?b1ff
n
Detailed Directions To Site: �' CAW t`K i, 9- i xywK/nllG'S ®u6d p�L°S L%/Q-k,
N
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: Type Of Facility: (Ccs e
Date System Installed (Montb/Date/Year): �`'( �� Number Of Bedrooms:_41_LNumber Of People: v
Is The Facility Currently Vacant? Yes No If Yes, For How Long?
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The Follow n information About The NEW Facility:
Type Of Facility: `�v�Z/�G'' Number Of Bedrooms: Number of People
Pool Size: / IGarage Size: Other:
'{Requested By: Date Requested: A ,
(Signature)
For Environmental Health Office Use Only
Approved Disapproved
Environmental Health Specialist
*The signing of this form by the Environmental
Date:.
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 # Amount:$ It4 Date:
Paid By:
Account #:
ived By:_
Invoice #: