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2505 Farmington RdDavie County, NC I ' Tax Parcel Report Wednesday, September 28, 2016 Parcel Number: 8500000085 NCPIN Number. 5843757817 Account Number: 79099750 Listed Owner 1: WILLIAMS BERNIE RAY Mailing Address 1: 2505 FARMINGTON ROAD City: MOCKSVILLE State: NC Zip Code: 27028-0000 Legal Description: 1.91 AC FARMINGTON RD Assessed Acreage: 1.92 Deed Date: 2/1990 Deed Book/Page: 001520773 Plat Book: NORTH DAVIE Plat Page: GnB2,PcC2 Building Value: 39890.00 Outbuilding & Extra 27700.00 Freatures Value: Land Value: 35570.00 Total Market Value: 103160.00 Total Assessed Value: 103160.00 WARNING: THIS IS NOT A SURVEY Davie County, NC ---z° 'Parcellnformation` Township: Farmington Municipality: Census Tract: 37059-802 Voting Precinct: FARMINGTON Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R-20 Zoning Overlay: DAVIE COUNTY QD Voluntary Ag. District: No Fire Response District: FARMINGTON Elementary School Zone: PINEBROOK Middle School Zone: NORTH DAVIE Soil Types: GnB2,PcC2 Flood Zone: X Watershed Overlay: WS -IV -P 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. Davie County Health Department Uhf Environmental Health Section ..: �► 5 P.O. Box 848 ,� 210 Hospital Street `,�►a� 0„ Courier #: 09-40-06 Mocksville, NC 27028 r Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: �-� �- S Phone Number ! f F^ 73 V (Home) Mailing Addres • � o Jt"' � 1� fvl �� (Work) L Email Address: Detailed Directions To Site: ML- `j 3 BI Property Address: Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: Type Of Facility: Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes If Yes, For How Long? Any Known Problems? Yes (0 If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: 5713ft'qc- ��� Nu Pool Size: Gar ize: jher: 57*04-!�e r. ?iK! (-- Requested By aZ L 9 ate Requested: q (Signature) For Environmental Health Office Use Only Approv Disapproved Comments: /!`�/D/�'11d / �✓I �ia / �G !S %rU C�L-r' /�. .f� _ i �.1� 1 T �-1 ��'!/c%. �% • C Environmental Health Specialist V {' �/ — Date: y 15^ —/- *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:$_ Paid By: Received By:_ Account #: Invoice #: m M 1t' ' l . All data is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the implied `- tw T warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of U N� Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out Printed:Apr 15, 2014 of the use or inability to use the GIS data provided by this website.