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329 Georgia RdDavie County, NC Tax Parcel Report Thursday, September 29, 2016 WAR1 LNG: THIS 1S NOTA SURVEY -Parcel hifbiih ori Parcel Number: F20000002307 Township: Clarksville NCPIN Number: 5801903670 Municipality: Account Number: 82529793 Census Tract: 37059-801 Listed Owner 1: HURT DANIEL L Voting Precinct: CLARKSVILLE Mailing Address 1: 329 GEORGIA RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-5802 Voluntary Ag. District: No Legal Description: 5.00 AC GEORGIA RD Fire Response District: SHEFFIELD - CALAHALN Assessed Acreage: 5.07 Elementary School Zone: WILLIAM R DAVIE Deed Date: 6/2008 Middle School Zone: NORTH DAVIE Deed Book / Page: 007610708 Soil Types: MnC2,MnB2,MdD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 7010.00 Freatures Value: Land Value: 34410.00 Total Market Value: 41420.00 Total Assessed Value: 41420.00 101 All data is provided as Is 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. Davie County Health Department q '1836 t� &vironmental Health Section P.O. Box 848 210 Hospital Street . Courier #: 09-40-06 Mocksville, NC 27028 Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection Fax: (336) - 751-8786 Name: nril%.-e, y r Phone Number � 3 o I i 2 U D6rt/ (Home) Mailing Addr�:-,��J- - .r—on i ei_44 G d 6 -% fi % (Work) dG 1lv� iI 4 Email Detailed Directions To Site'_5 r 6, /1 d {� du sr n kJ 16e) r Property Address: 3 Z t<<Qv jT a Please Fill In The Following Information. About The EXISTING Facility: j Name System Installed Under: Td 4 S pO W p \1 Type Of Facility: Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is The Facility Currently Vacant? Yes 61 If Yes, For How Long?. Any.Known Problems? Yes & If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility: v1 , Number Of Bedrooms: Nber of People Requested By: Date Requested: (� %� 3` (Signtune) For Environmental Health Office Use Only Approved Disapproved Comments: - - • - I��.�.�1�/.I��lild;Rl!1L � • - :CJI►%/ *The signing of this form by the Environmental Health Staf9s 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 Paid By: Money Order #. Amount:$ Date: Received By: Account #: Invoice #: n L� nc P�,)po5eA :�, ec