357 Gordon Dr �avie County, NC Tax Parcel Report Monday, October 3, 201 E
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WARNING: THIS IS NOT A SURVEY
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Parcel Number: D70000002005 Township: Farmington
NCPIN Number: 5862653066 Municipality:
Account Number: 2776000 Census Tract: 37059-802
Listed Owner 1: ATWOOD ERVIN A Voting Precinct: SMITH GROVE
Mailing Address 1: 357 GORDON DRIVE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 1.885 AC GORDON DR Fire Response District: SMITH GROVE
Assessed Acreage: 1.89 Elementary School Zone: PINEBROOK
Deed Date: 1/1998 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001990877 Soil Types: Gn62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 126640.00 Outbuilding 8�Extra 2gg00.00
Freatures Value:
Land Value: 33960.00 Total Market Value: 190400.00
Total Assessed Value: 190400.00
t�Y� All data is provided as Is without warrenty or guarantee of any kind either expressed or Implied including but not Iimited to the
9 1PJ6�' Davie County� implied warranties of inerchantablllty or fltness for a particular use.Ail users of Davle County's GIS website shall hold harmiess the
�7 County of Davie,North Carolina,its agents,consultants,contrectors or employees from any and all claims or causes of action due to
�OUN�C� 1\C or arising out of the use or Inablilty to use the GIS data provided by this webslte.
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Da�ie County Health Depa�-tinent
�¢I836f'� Environmental Health Section
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;.: � P.O.Box 848 '
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,S„ 210 Hospital Street � � � '
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Q U�� Courier# :09-40-06 �, ;�;; 1
Mocksville,NC 27028
Phone:(336)-753-6780 Fax:(336)-753-1680
� ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name:' E���`�- � ��i%�66� Phone Number 3 3G - 3 �/S'�- 3 8'G G (Home)
Mailing Address: 3�7 G dt`�U� � /j. (Work)
f� V�rtc G ,�� G• 2 7dalo Email Address:����7�i�saa �V,ct!j`e/•vf/e.�F
Detailed Directions To Site:
Property Address:
Please Fill In The Following Information About The EXISTING Facility:
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Name System Installed Under: .l��'J`�'i c,,.t � V w v�v�. Type Of Facility: �
Date System Installed(Month/Date/Year): " IQumber Of Bedrooms: � Number Of People:
Is The Facility Currently Vacant? Yes � If Yes,For How�,ong?
Any Known Problems? Yes No If Yes,Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: �,sa y`, 7p'D �Iti �Acic D C S�a/"Number Of Bedrooms: Number of People
Pool Size: Garage Size: Other: 2.�X yd
Requested By: Date Requested: �' 3—/S
(Signature) .
For Environmental Health Office Use Only
A ro Disapproved
/► � � '
Comments:����'C�.U�Pd�. C�j' � �avl,t�v��-.T. ��r� /3 �'<.Q-�—�'-��,�'� ;�/ •
1'/ Cl'yl
Environmental Health Specialist Date: ''—
*The signing of this form by the Environmen�al Health Staff is in no way. intended,nor should be taken as a guarantee
(extended or limited)that the on-site wastewater syste ' � etion properl�r any given period of time.
Payment: Cash Check Money Order # mount:$ ' Date: /� " 3 �
Paid By: Received By:
Account#: Invoice#:
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� Printed:Aug 03, 2015
All data fs provided as ts without warranty or guarantee of any kind either expressed or implied including but not Ifmited to the implied
warranties of inerchantability 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. .