190 Brook Dr 1
bavie County, NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: 1400000026 Township: Mocksville
NCPIN Number: 5728699436 Municipality:
Account Number: 38399300 Census Tract: 37059-806
Listed Owner 1: HUMPHRIES FRED RUSSELL Voting Precinct: NORTH MOCKSVILLE COUNTY
Mailing Address 1: 1701 COOPER STORE RD Planning Jurisdiction: MOCKSVILLE
City: MONCKS CORNER Zoning Class: MOCKSVILLE GR
State: Sc Zoning Overlay:
Zip Code: 29461-8338 Voluntary Ag.District: No
Legal Description: .50 AC BROOK DR Fire Response District: CENTER
Assessed Acreage: 0.31 Elementary School Zone: MOCKSVILLE
Deed Date: 5/1988 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001430518 Soil Types: MrB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: MOCKSVILLE
Building Value: 65010.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 25000.00 Total Market Value: 90010.00
Total Assessed Value: 90010.00
161 Alldataisprovided 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 Countys GIS website shall hold harmless the
County of Davis,North Carolina,its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of&use or Inability to use the GIS data provided by this website.
Mar 25 11 11:10a Information Services :" 531680 p.2
,
�Y Health Department
Davie County lth `�u
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4N►8s6 Environmental Health Section
t GEIVE P.O.Box 848 _
210 Hospital Street
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MAR 2 2011 Courier#: 0940-06
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Mock-wilic,QVC 27028
'hone:(336)-7-53-6780 r;m(3.'.6)-753-1680 .
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: Phone Number (Home)
Mailing Address: i o� &-ok r,I2/r rs,. e (Work)
Detailed Directions To Site: Oxxyg, � Z.2� �ie00�'
Property Address:
.Please Fill In The Following I��n--f
ormation About ThJe/=TINGYacility:
Name System Installed Under: /9—,&-,o�2- ,C,p ,Q�� �� ll�.r n P.fwrg 5 Type Of Facility:
Date System Installed(Month/DatcfVear): t ' Number Of Bedrooms: _Number Of People: 2
Is The Facility Currently Vacant? Yes If Yes,For How Long?
Any Known Problems? Yes (.% if Yes,Explain:
+ C'oy Al LUAI g4 mamma
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: 6H Qd:f£ Number Of Bedrooms: - Number of People
Pool Size: Garage Size: X %k 3o Other.
Requested By: Date Requested:_
(Signature)
For Environmental Health Office Use Only
A Disapproved
Comments
Environmental Health Specialist Date:
*The signing ofthis form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee
(extended or limited)thea t the on-site wastewater system will function properly for any given period of time.
Payment: Casli: Ch 'Money Order # Amount$ Date:
Paid By: Received By: Let
Account#: U'/ 7 invoice#: rib(��!
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I HEREBY CERTIFY THAT THIS MAP IS THE
RESULT OF AN ACTUAL, FIELD SURVEY BY ME SITE PLAN FOR:
ON MARCH 14, 2011. FRET RUSSTLL HUMPHRIE'S
PREPARED BY:
ON THE LANDS DESCRIBED IN DEED BOOK 143 HELMS SURVEYING COMPANY
PROFESSIONAL LAND SURVEYOR N0. L-3087 AT PAGE 518 OF DAVIE COUNTY REGISTRY. P.O. BOX 734
LYING IN MOCKSVILLE TOWNSHIP, DAVIE CLEMMONS, NC 27012
COUNTY, NORTH CAROLINA. 336-766-6949
DRWG II-0307