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1620 Farmington RdDavie County, NC ` Tax Parcel Report 6W Wednesday, September 28, 2016 3424 11T1129 I 173 ... :_ ._ .rte 2 10130 l 920, 7266 9252 '5293 1620 3189 > �._40 t 8089 1927----157 A 141 Davie County, NC 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. s Parcel Number: D500000075 Township: Farmington NCPIN Number: 5842743189 Municipality: Account Number: 82514806 Census Tract: 37059-802 Listed Owner 1: KAPP JERRY W Voting Precinct: FARMINGTON Mailing Address 1: 1620 FARMINGTON RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY OD Zip Code: 27028 Voluntary Ag. District: No Legal Description: 1.39 AC FARMINGTON RD Fire Response District: FARMINGTON Assessed Acreage: 1.35 Elementary School Zone: PINEBROOK Deed Date: 11/2001 Middle School Zone: NORTH DAVIE Deed Book/ Page: 2002E0117 Soil Types: MrB2,EnB Plat Book: Flood Zone: x Plat Page: Watershed Overlay: - Building Value: 262340.00 Outbuilding & Extra 1490.00 Freatures Value: Land Value: 29480.00 Total Market Value: 293310.00 Total Assessed Value: 293310.00 141 Davie County, 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. 4N1s r� 160 52�% 0 Davie County Health Department Environmental Health Section ____ hIAY 0 2012 P.O. Box 848 210 Hospital Street -ourier # : 09-40-06 [ocksville, NC 27028 61 - L L 1-I -e--e JI )t ep'e: davmfffts— Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680 (Check One) Replacement Remodeling Reconnection G� Name: , 'c�11 /� Phone Number 3g 9-5 O (Home) Mailing Address: zo 64- &C)55/1''`tdS 4 (Work) CIe vvwva-4S f •C, 72-70/7- Email Address: M r� / `�`-' VY r ct Tr,�J , jr, 4:'VsA Detailed Directions To Site: !bD 't �V-6'/y�( 6(-'� ��• T�t'{"N R! /lel OL4—Se 0,4 JJ5-0000067,5- Property -oo00067� Pro arty Addres1s:-/�6��/mIre-�� Jg � L- Please Fill In The Following Info�rymation About The EXISTING Facility: f Name System Installed Under:(/(,1 �� Q Oro e Type Of Facility: 51'/!j'1 E �,XnAU ► Date System Installed (Month/Date/Year): t Number Of Bedrooms: 1' Number Of People: Z Is The Facility Currently Vacant? & No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: Ul & Se ✓LSI C 1 Cos Number Of Bedrooms:Num er of People Pool Size: Garage Size: Other: Requested By�(Siature) Date Requested: For Environmental Health Office Use Only rXpprove�disapproved ------------ Comments: Environmental Health Specialist Date: *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• Cash Check Money Order # Amount:$ l 00. �" /" Date: Paid By: V4.4 Received By: C/�h J(/l�,d/?f Account #: Invoice #: a �� Davie County Health Department --W '0�is36lt�` environmental Health Secd n ` P.O. Box 848 C� 210 Hospital Street O U T; Courier # : 09-40-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780_ ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fax: (336) - 753-1680 Name: 1 Phone Number Home) Mailing Address: 20 TJJ r, \ T (Work) C e vAv,�s (.C, i2 (7 % Z Email Address: M Detailed Directions To Site: J�' 00000-m- Property'Address: Aa M I t4` 1'3 9 Please Fill In The Following Information About The EXISTING Facility: Name S r n ystem Installed Under: � f t 17�� i� Type Of Facility: 5 !'!^�`r�te fcu"u i Date System Installed (Month/Date/Year): M y Number Of Bedrooms:' �7�` Number Of People: Is The Facility Currently Vacant? Yes No If Yes, For How Long? Any Known Problems? Yes No If Yes, Explain: Please Fill In The Following Information About The NEW Facility Type Of Facility: C). d U t '101 C I Number Of Bedrooms:jf_�__Number of People Pool Size: Garage Size: Other: Requested By: Date Requested: (Si ature) For Environmental Health Office"Use Only Approved Disapproved (fomments: Environmental Health Specialist AX i rfl, 'L'' Z) Date:, *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 as Check MoneyOrder # Amount:$ j on. n� /" Date: 5 7 Paid By: Received By:� Account #: ��7�' Invoice #:��J N) roo 20 m obi Page I of I 0' 1�85'1 Longitued: LatitijdE: 36" - 8, I - 31` 1` 4, http://iiiaps.roktech.net/davie_gomaps/index.hti-nl 5/9/2012