232 Odell Myer Rd Davie County, NC Tax Parcel Report Friday, October 7, 201 E
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ODELL.MYERS RD
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"` WARNING: THIS IS NOT A SURVEY
��.. _ .���..:., Parcel Information � �� � �� •�
Parcel Number::,. _. H90000004205 Township: Shady Grove
NCPIN Number: 5789548471 Municipality:
Account Number: - ._ 82518343 Census Tract: 37059-804
Listed Owner 1 t . -`_ DIGIOVANNI FRANCIS:J"' , Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 232 ODELL MYERS ROAD Planning Jurisdiction: Davie County
City: - ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-7435 Voluntary Ag.District: No
Legal Description: 1.000 AC ODELL MYERS RD Fire Response District: ADVANCE
Assessed Acreage: 1.02: Elementary School Zone: SHADY GROVE
Deed Date:. 1/2005 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 005890804 Soil Types: PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 83100.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 19550.00 Total Market Value: 102650.00
Total Assessed Value: 102650.00
9tivlAAll 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
�oUN S NC or arising out of the use or Inability to use the GIS data provided by this website.
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APPLICATION FOR PRIVATE WELL PERMIT
9 Davie County Environmental Health
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
\\ (336)753-6780/Fax(336)753-1680
***IMPORTANT***
TPPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name :5>cdfl Sr. .- Contact Person Sea f-'5%.A
Address $?.,cj ,Mini- A f- Home Phone
City/State/ZIP N.L x"1245 Business Phone 3 3 4.4 t-j--hu y 7
Name on Permit if Di erent than Above
Mailing Address ' City/State/Zip
PROPERTY INFORMATION 11.1-pit, *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale)
Owner's Name Phone umber
Owner's Address>32- t7d.-tj. M.tUr!S r4d City/State/Zip Vatic c N•c.._ 127oixf
Property Address'A-32— owl( ^4-J, r MCA city N c
Lot Size Tax PIN# S'?$4 ,p-)
Subdivision ame(if applicable) Section/Lot#
Directions To Site: 1�y 13Q� uA,-k\
DEVELOPMENT INFORMATION
Permit Type: New Well Well Repair Well Abandonment Other(specify)
Facility Type: Residential / Food Service Churcly 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.
By signing this application,the applicant signifies that they understand the terms and conditions and that they give permission for
Davie County Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary to
determine the best location for a well.
Signed r Date
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
7/30/09 Account#
Invoice#
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