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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 nw! 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 articular use. All users of Davie County's p ty p 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 �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