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492 Chinquapin RdDavie County, NC Tax Parcel Report Tuesday, September 27, 2016 I � r 0 co 0 r E1#1 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, NC 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 ail claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Number: B200000047 A Township: Clarksville NCPIN Number. 5813569583 Municipality: Account Number: 82526789 Census Tract: 37059-801 Listed Owner 1: HOBSON MARY M REVOCABLE Voting Precinct: CLARKSVILLE TRUST Mailing Address 1: 492 CHINQUAPIN ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 4.85 AC CHINQUAPIN RD Fire Response District: COURTNEY Assessed Acreage: 4.85 Elementary School Zone: WILLIAM R DAVIE Deed Date: 8/2006 Middle School Zone: NORTH DAVIE Deed Book f Page: 006730666 Soil Types: MnC2,MnB2,MdB,MdE Plat Book: 103 Flood Zone: x Plat Page: 358 Watershed Overlay: - Building Value: 107660.00 Outbuilding & Extra 13970.00 Freatures Value: Land Value: 32810.00 Total Market Value: 154440.00 Total Assessed Value: 154440.00 E1#1 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, NC 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 ail claims or causes of action due to or arising out of the use or inability to use the GIS data provided by this website. E C E � W Vi Health Department tal Health Section' v >-: F .0. BOX 848��¢1 �.. k� r 21.0 Hospital Street Y Cou ler # : 09-4.0-06 i, ^1YSY7M:(� Plione: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection Name: _ /7 0 p Q Phone Number J3 16 4 � �`�� YY (Home) Mailing Address: y qZ C ; w/��u��402_rj�lr}e'h ea� (Work) JUN 21�r>�!�o ENVIRONMENTAL HEALTH DA COUNiY Mocicsville, NC 27028. Detailed Directions To Site: oE(Y l qa (o �.�r n I A24& ISI% on -R 40— Property Address: Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: a D6/�� Type Of Facility: �� S i CrCYI Cf_ Date System Installed (Month/Date/Year): Number Of Bedrooms: ' a-- Number Of People:_ Is The Facility Currently Vacant? Yes N9 If Yes, For How Long?, Any Known Problems? Yes ©o If Yes, Explain: Please Fill In The Following Information About The NEW Facility: Type Of Facility:�hoP_ /��iA �e� f'o Aa5� Number Of Bedrooms:,3y.Y3o Number of People Requested By: J. Date Requested: / - a't — � 61d (Signa re) For Environmental Health Office Use Only Approved 'DisapproveeP Comments: A00rou'e-rl DYl (V tjR �Clsjl7jka`t- �"�►P GIS yV1l�5% �-Q =/Clamed AAA I V_ �._.o//I reDA e- .rSu ,F � si11uX`aH �,� il/osrt w.TA;'Lel�% Environmental Health Specialist �® Date: *The signing of this form by the Environmental Health 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 rhecl� Money Order # Amount:$ 161-C4 Date: li - Zy 1d Paid By: /n" 46bYN� Received By: Q�� Account #: 25,53s" Invoice 4:-77 �i�