1050 Salisbury RdDa
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WARNING: THIS IS NOT A SURVEY
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
161
Parcel Information
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
Parcel Number:
J5160B0005
Township:
Mocksville
NCPIN Number:
5737971745
Municipality:
Account Number:
19692000
Census Tract:
37059-805
Listed Owner 1:
DANIEL ERVIN GRAY
Voting Precinct: SOUTH MOCKSVILLE
Mailing Address 1:
131 TARUE LANE
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class: MOCKSVILLE GI,HC
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 234-238+P/0 111-118 JACOB EATON
Fire Response District:
MOCKSVILLE
Assessed Acreage:
5.86
Elementary School Zone: MOCKSVILLE
Deed Date:
/
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
Soil Types:
GnB2,GnC2
Plat Book:
0001
Flood Zone:
Plat Page:
091
Watershed Overlay:
MOCKSVILLE
Building Value:
59490.00
Outbuilding & Extra
Freatures Value:
13860.00
Land Value:
381590.00
Total Market Value:
454940.00
Total Assessed Value:
454940.00
Davie County,
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
161
NCor
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
Davie County Health Department
4
1836 Environmental Health Section x .
.4^ 4 P.O. Box 848
210 Hospital Street
Q �'S Courier #: 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780 Far (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION qq
(Check One) Replacement Remodeling Reconnection n e(,) t'e/1a
/� 67(Home)
Name: a'M /� � � f LuQ� �I Phone Number � 3 6 " 71 - T76 Home
Mailing Address: 1,75 Qr (Work)
o L5Vi Ile- VC- 'Z-702--y-
Detailed
ooa-YDetailed Directions To Site: Gd W arl 1 G Gw o b v i ld(,.,l I S
Oil �e e-� QGi0�5 dc� fa e G� (i
Property Address: (OlrO IV ocA 5�.� e0 C N, ZLL��
Please Fill In The Following Information About The EXISTING Facility: r r
Name System Installed Under: Type Of Facility: 0 % C e
Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? YesNo
If Yes, For How Long?
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The Follow' In or m ti About The NEIV Facility:
Type Of Facility: Car e efS 1,, Number Of Bedrooms: Number of People
Pool Size: ,��Garage Size: Other:.
Requested By: G C��CT ADate Requested: Z Z 6
(Signature)
For Environmental Health Office Use Only
Approved Disapproved r` I� II ,� (,,�, I _
Comments: bv` u e -kn Vit' Q' l S C�tl,l �s nye meA 10 S wf-f C
Environmental Health Specialist�� �a,—� D Date:
*The signing of this form by the Environlntntal ealth 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 #:Q� Invoice )