186 Chinquapin RdDavie County, NC Tax Parcel Report Friday, October 7, 201 E
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: B30000002901 Township: Clarksville
NCPIN Number:
5813955691
Municipality:
Account Number:
82528018
Census Tract:
Listed Owner 1:
GENTLE JIMMY DALE REV TRUST
Voting Precinct:
Mailing Address 1:
186 CHINQUAPIN ROAD
Planning Jurisdiction:
City: MOCKSVILLE
Zoning Class:
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
Legal Description:
1 AC OFF CHINQUAPIN RD
Fire Response District:
Assessed Acreage:
1.00
Elementary School Zone
Deed Date:
4/2007
Middle School Zone:
Deed Book / Page:
007110102
Soil Types:
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
Building Value: 101480.00 Outbuilding & Extra
Freatures Value:
Land Value: 10360.00 Total Market Value:
Total Assessed Value: 116160.00
37059-801
CLARKSVILLE
Davie County
DAVIE COUNTY R -A
COURTNEY
WILLIAM R DAVIE
NORTH DAVIE
MnB2
DAVIE COUNTY
4320.00
116160.00
No
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Davie County,Implied warranties of merchantability or fitness for articular use. All users of Davie County's p ty p GIS website shall hold harmless the
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
�ooN Sa NC or arising out of the use or Inability to use the GIS data provided by this website.
Well Construction Permit
Davie County Health Department
a �su'ta
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Property Owner: Jimmy Gentle
Address:
186 Chinquapin Rd
City:
Mocksville
State/Zip:
NC 27028
Phone #:
(336) 463-5456
For Office Use Only
*CDP File Number 187996
PIN Number:
Tax Lot #: Tax Block #:
Evaluated For: WELL
NtKMI I VALIU UN I IL: 1/29/2020
Applicant: Jimmy Gentle
Address: 186 Chinquapin Rd
City: Mocksville
State/Zip: NC 27028
Phone #: (336) 463-5456
Property Location & Site Information
Address/Road M Subdivision:
186 Chinquapin Road
Mocksville NC 27028
Site Address: 186 Chinquapin Road
Phase: Lot:
*Proposed use of Well:
Directions If Other:
Directions: Hwy 601 North left on Chinquapin Rd
Well Contractor Information
Drilling Driller Registration
/ V 4I.A.J KI/. 0 t� . PY r� N ,
Permit Conditions
*Permit Conditions
Characters
Remaining
4000
Well location, construction and protection must meet all state and local regulations and must be inspected and approved by an authorized representative of
the Local Health Department. The permit may be revoked at any time for failure to comply with existing regulations. The siting of approved well construction
area(s) by the Health Department is to provide protection from the known possible sources of contamination. The approved well area(s) may not be
changed without written permission from an authorized representative of the Local Health Department. No volume of quality of water is guaranteed by the
Health Department.
*Issued By: 2140 - Nations, Robert *Date of Issue; 0 , 1 , /,,2,9 , /.,2,0, 1,5
® Hand Drawing O Import Drawing
Authorized State Agent: **Site Plan/Drawing attached.**
Page 1 of 2
WELL CONSTRUCTION PERMIT
�4 Davie County Health Department
210 Hospital Street
P.O. Box 848
"7 J Mocksville NC 27028
Drawing Type: Well Permit
CDP File Number: 197996,i
E
County File Number:
Date: 01 /D9/2015
O Inch
Scale: 0 Block
O N/A
Page 2 of 2
P1 P3
WELL CONSTRUCTION PERMIT
Davie County Health Department
210 Hospital Street
�q P.O. Box 848
Mocksville NC 27028
CDP File Number: 187996
County File Number:
Date: .0.1./ - 9/ 2 0 15
Drawing Type: Well Permit
Page 2 of 2 P1 P2