153 Elrica LnDavie County, NC
Tax Parcel Report
Friday, October 7, 201 E
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: F30000000517 Township: Clarksville
NCPIN Number: 5811809810 Municipality:
Account Number: 82530186 Census Tract: 37059-801
Listed Owner 1: WILLIAMS GARY R Voting Precinct: CLARKSVILLE
Mailing Address 1: 896 WAGNER ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
State: NC Zoning Overlay:
Zip Code: 27028-4959 Voluntary Ag. District:
Legal Description: 4.478 AC TRACT 3 Fire Response District: WILLIAM R. DAVIE
Assessed Acreage: 4.48 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 10/2008 Middle School Zone: NORTH DAVIE
Deed Book / Page: 007721038 Soil Types: MnC2,MnB2,MdD
Plat Book: 10 Flood Zone:
Plat Page: 144 Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding & Extra 0.00
Freatures Value:
Land Value: 38060.00 Total Market Value: 38060.00
Total Assessed Value: 38060.00
No
t.v t
&"""
Davie County9
NC
All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
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
or arising out of the use or Inability to use the GIS data provided by this website.
Davie County Environmental Health.
P.O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax (3367753-1680
Account #: 990006162
Billed To: Blanche Parker
Reference Blare:
Proposed Facility: Residential Well
WELL PERMIT
Tax PINIEH #: F3-000-00-00-514
Subdivision Info:
LocationiAddress: Elrica Lane -27028
Property Size:
ATC Number: 0120
Actions of the employees of the Davie County EH Section shall in no way be taken as a guarantee that this
well will produce water of any particular quantity or quality or for any amount of time. This permit is valid
for a period of 5 years from the date of issuance. This permit may be revoked if it is determined that there
has been a material change in any fact/circumstances upon which this permit was issued.
Permit Type: New 4 Repair ❑ Abandonment ❑
Proposed Well Location Diagram
r �{
�Gp° �
36
r Q n
Comments:
W.P. 7-08
Certificate of Completion Diagram
Driller LJ P--
Certification #: //
Grout Inspected: Com' 3 d Jq✓f/(&
Well Head Inspected:
GPS Coordinates:
EUS: Date:
APPLICATION FOR PRIVATE WELL PERMIT
y Davie County Environmental Health
P.O. Box 848/210 Hospital Street
�tbd' Mocksville, NC 27028
(336)753-6780 / Fax (336)753-1680
***IMPORTANT***
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name (finContact Person o T
Address 1 3 tel(` C� (�G AQ Home Phone
City/State/ZIP Vi tk P; 0C Business Phone 33 Y-5
Email
Name on Permit if Different than Above
Mailing Address 7!5)qy\.t - 0�5 hV& City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must acco any this application. Included: C(to scale)
Owner's Name \ r i' Phone Number / IA
Owner's Address f, ' City/State/Zip (1( 01
Property Address City, _
Lot Size Tax PIN# GDD l.;C OG51
Subdivision Name(if applicable) Section/Lo
Directions To Site: n—0144,LWL 1 -1 t=%
,,�i_1.L R,.L., 1,.itir,�r..- Pilh A. -v-ul-A At, F1rErkl.6A0-
DEVELOPMENT INFORMATION
Permit Type: New Well X Well Repair Well Abandonment Other (specify)
Facility Type: Residential Food Service Church Commercial Other
Are There Any Septic Systems Currently On The Site? YES NO
Do You Intend To Install A New Septic System On This Site? YES NO
TERMS AND CONDITIONS:
This application must be accompanied by a plat or site plan of the property that includes the existing and proposed property lines
with dimensions, the specific location of the facility and any existing or future appurtenances, the location of any existing septic
system, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for identifying
and marking the property lines and corners. The applicant is responsible for making the site accessible.
n_, cionina thig application, the applicant signifies that they understand the terms and conditions and that they give permission for
Davie Cuunty Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary to
determliiie ttie best location it3r a weil.
A
ua.e
Account #
Invoice # /1t,_