492 Chinquapin Rd (2)Davie County, NC Tax Parcel Report Tuesday, September 27, 2016
1Q, I 8020
CID/
to
281
314
0
U')
I 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 all 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
Z7
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:
VOLLIAM R DAVIE
Dead Date:
8/2006
Middle School Zone:
NORTH DAVIE
Deed Book I 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
I 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 all claims or
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
�Perrruttee's t DAVIE COUNTY HEALTH DEPARTMENT
me:
Na' �� iw" t *-%µ ' Environmental Health Section PROPERTY INFORMATION
U,P O. Box 848
ert :
Directions to property: C. }�r1.1 (Itc, �,L"t i�(�
P P Y a Mocksville NC.27028 ...- Subdivision Name:
Phone #: 336 751-8760
t t '
.... ._ ,.... Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# - -
AUTHORIZATION NO: 00.2870 A Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S: Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
/ J j'� R ; ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
I "t��i tft k.�� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE /-!SC # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE Cti.: TYPE WATER SUPPLY `C DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE . r (TTf ► AL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH % LINEAR FT. ZOa 4q
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
01
CO
IFOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT SYSTEM INSTALLED BY: Ivy C1 G h1 Q�
I� Q`pL\P
AUTHORIZATION NO.CO` OPERATION PERMIT BY: DATE:
•*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM D SCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) r1f <✓ . iiv ✓` V VC/ /
•.., 4 � ,', t ;� ..� 1 ♦',..t� I - 'r ,;. .,4.t�3P-. tip.-f'�,._ - •. ' � ��r�y:
i.>
-P� s��
DAVIE COUNTY HEALTH DEPARTMENT
r� �``�
Name: I
Environmental Health Section
PROPERTY INFORMATION
���
P.O. Box 848
Directions to property:
i ` %'' ' �.' < t"t
Mocksville NC 27028 --.. ,
Subdivision Name:
} r
ii.t'�.f',(
Phone #: 336-751-8760
r •. ,:;, i til► �.
rpt :
Section: Lot:
AUTHORIZATION FOR
WASTEWATER
Tax Office PIN:# - -
SYSTEM CONSTRUCTION
002870 A
AUTHORIZATION
NO:
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEA TH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE_ /3'C:' # BEDROOMS --- # BATHS # OCCUPANTS GARBAGE DISPOSAL, Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY "I DESIGN WASTEWATER FLOW (GPD) -�? l • NEW SITE REPAIR SITE k
SYSTEM SPECIFICATIONS: TANK SIZE f 5 tGAL. PUMP TANK r GAL. TRENCH WIDTH ROCK DEPTH ? / o LINEAR FT. C'�rr� 61
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
14(� l
,ttt► ( v
{
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
latO �\0 pJ{--
,L�
owl
,t
AUTHORIZATION NO.v ~ OPERATION PERMIT BY: / ( ( / v DATE: D
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM D SCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised) * f ( /
�f-j `J qmr ��
/1-2-t/ —/o
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
'HONE NUMBER 163-5/?
UBDIVISION NAME
n /j / -J LOT #
DIRECTIONS TO SITE & U l / � nCI 11001 /1 k - a tiJ Leo
DATE SYSTEM INSTALLED M51 NAME SYSTEM INSTALLED UNDER V h/U t JLV
TYPE FACILITY e- NUMBER BEDROOMS 22 NUMBER PEOPLE SERVED
If
TYPE WATER SUPPLY WP/G/ SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
PAW. 1193
Map Frame
Davie County, NC - GIS/Mapping System
pNY7.N. y
r Click Here To Start Over
Ac tiv a Layer. ❑ Use htao Tips
PARCELS (Map Tips Available)
r
Do t84ft
Page 1 of 1
Quick Search: (County IQ or Owner N:
Ma
Addre
J 1 f -.,-
i
http://maps.co. davie.nc.us/GoMaps/map/mapframe.cfm?CFID=4129&CFTOKEN=616408... 12/7/2010
R, eP'`.��i3rt.^t'z-'.",�,�}':ti.i�a:,�iY,•�.�;�ry�..i_:.p ....,:y.v....s' nY. �}.�;„ ;iY''iv4-�f'�.',v '�' yT �'����, 7 �L���'�+�. x��V`�;�1�j J��i"i�. :�.i "Y' -J Y''i'it ;�'s asriw'1t}t °L"ti �� _. '`1.r.,<t^7c•«•rk•[r'•. r�,' "1
dA
`--AftHORIZATION NO:' 18.7 4/4 DAVIE COUNTY HEALTH DEPARTMENT
y
Environmental Health Section PROPERTY INFORMATION
Permittee's *-•� " f / P.O. Box 848
Name:%% //l/sG f1 MocksvSlle, NC 27028 Subdivision Name:
/� Phone # 336-751-8760
Directions to property:Section: Lot:
fJ / AUTHORIZATION FOR
v WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building -Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits. `
(In compliance with Article 1 I of G.S. Chapter I30A, Wastewater Systems Section .1900 Sewage Treatment and Disposal Systems)
i< ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
!" ff- ■R� �4i " !. "� `� C ��i IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
r""r�:'r.>rFr T,'k F's.5 '.t v: Y'ir e,-�•., v. '` t"` ..,:y,y�. _-1. 4 v -F .�.-.�- ..-F't' .p +i.ti a•.y .<:—+T.-.e,t..; .+ y .,,• ..
..
7 4 DAVIE COUNTY HEALTH DEPARTMENT _r` V
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
ermittee -
Nam . tom;... ,'-"�
tf�%>. ' i' t? .+1 Subdivision Name:
Directions to'poperly: -' �.'.« r 1. ;.{ Section: Lot:
- / IMPROVEMENT
PERMIT Tax Office PIN:#
Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the constriction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department, prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
' f ***NOTICE*** TILS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS y,/-- # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)NEW SITE REPAIR SITEy
t� `I
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.'��
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THI 'STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS!
(0751-8760
DCIID 0$/96 (Revised)
•i . i•Y.. .i+ .. •,jai . . •'a, '..i�rsr v`" .t. _ i'
+ DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
:. Phone: (396)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑
Name: <Td h a / /� f' `z Phone Number: b . 1-��1 a- 5 4 D (Home)
Mailing Address: /1 q a , C- �i Y,R CA A /•1^ (Work)
P
Detailed Directions To Site: GO c)
^ -.t r o )'►^ d "� l f / L5 a 4'
C i.�}-,.mac �. D �• (/�J S "C"l-C / 13 1 - c
Property 'Address: !F/ Oa.ey
Please Fill In The Following Information About The Existing Dwelling.
Name System Installed Under: 75 o b d a S a �-% Type Of Dwelling:
Date System Installed(Month/Day/Year): 1 / �y�" �S Number Of Bedrooms: --Number Of People:
Is The Dwelling Currently Vacant? Yes ❑ No &--V Yes, For How Long?
Any Known Problems? Yes ❑ Noe❑ - f Yes, Explain:
Please Fill In The Following Information About The New Dwelling.
Type Of .Dwelling: . ! 1"�' Number Of Bedrooms: Number Of People:
Requested By: Date Requested: /
(,(Signature)
For Environmental Health Office Use Only
Approved Disapproved
cowmen f•..�fsc, P
Environmental Health Specialist I - Date `i
"The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a
guarantee(extended or • ted) that the on-site wastewater system will function properly for any -given period of time.
Payment Cash LC -heck ❑ Money Order ❑ # Amount: $ 6 • a O Date:
Paid By:"`��a-- - Received By:
Account #•
/ Invoice #: /
'