345 Hobson DrDavie County, NC I Tax Parcel Report `i g 9 10 0 aoOThursday, September 29, 2016
WARNING: THIS IS NOTA SURVEY
Parcel Information
Parcel Number:
M500000045
Township:
Jerusalem
NCPIN Number:
5745586166
Municipality:
Soil Types:
Account Number:
69973000
Census Tract:
37059-807
Listed Owner 1:
SPILLMAN ROBERT STEVEN
Voting Precinct:
COOLEEMEE
Mailing Address 1:
219 HOBSON DRIVE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY 1-1,11-20
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028-6658
Voluntary Ag. District:
No
Legal Description:
15.07 AC HOLIDAY ACRES
Fire Response District:
JERUSALEM
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
6.59
Elementary School Zone:
COOLEEMEE
4/1998
Middle School Zone:
SOUTH DAVIE
002010871
Soil Types:
GnB2,GnC2
0003
Flood Zone:
111
Watershed Overlay:
DAVIE COUNTY
83650.00
Outbuilding 8r Extra
0.00
Freatures Value:
97350.00
Total Market Value:
181000.00
88770.00
OAll
Davie County,
data is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
�o p S
NC
County of Davie, North Carolina, its agents, consultands, 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 webshe.
Davie County Health Department
'I'D his Environmental Health Section
P.O. Box 848
210 Hospital Street
Q ZT �'t Courier # : 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: r l� d Phone Number ,T (Home)
Mailing Address:. l (Work)
i
Email Address:
Detailed Directions To Site: (0/ .�acr f�i �vr� /°t Ci /i i� /y`�'fJ%Il /4111"
Property Address:
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: Wo1k, I /� ff, l'rYl h{ N\ Type Of Facility:
Date System Installed (Month/Date/Year): 1 q _/ Number Of Bedrooms:__g _Number Of People:
Is The Facility Currently Vacant?es No If Yes, For How Long?
Any Known Problems? Yes If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: In Number Of Bedrooms: ��Number of People
Pool Size: Garage 'ze: Other:
X,,Requested By: Date Requested: ,— %S` /2
(Signature)
�---- For Environmental Health Office Use Only
Approved Disapproved
Comments: - /
It V
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.
Paym Cash Check Money Order # Amount:$ Date:
Paid By: 'X .S�I f" C1/" Received By:
Account #: Invoice #: ��
oil
Davie County Health Department
r
APs t,46', - Environmental Health Section F
�+
P.O. Box 848
C�
210 Hospital Street
OU �'t Courier# : 09-40,06 1911
Mocksville, NC ,2792
Phone: (336) - 753 - 6780 ON-SITE WASTEWATE' k CERTIFICATION Fax: (336) - 753-1680
(CheckOne) :..Replacement Remodeling Reconnection C
Name: i. /f'Vj G Phone Number ?�- 2P 1 "';-J 2XHome)
Mailing Address: (Work)
0e i Email Address:
Detailed Directions To Site: V C� / ��U /0� �v rA , / /7/
Property
Please Fill In The Following Information.,About The EXISTING Facility:
Name System Installed Under: Wo')� f 1 1 1 ii1 wi i� Type Of Facility:
Date System Installed (Month/Date/Year): CI . Number Of Bedrooms:Number Of People:
Is The Facility Currently Vacant?es No If Yes, For How Long?
Any Known Problems?' Yes If Yes, jExplain:
Please Fill In The Followinq Info1
Type Of Facility:=
Pool Size: '
About The NEW
actnty:
Dumber Of Bedrooms: Number of People
Other:
kReque$ted By: Date Requested: �Z-
rK-,/(S ignature)
For Environmental Health Office Use Only
Approve Disapproved J / r`
Comments:
Environmental Health Specialist(t a ,( {( �(,(-%%Li%j' Date:
*The signing of this form by the Environmental Health ;Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payme Cash Check Money Order # Amount:$T(Z60Date:
/ n ��
Paid By: )+ (' /11 �) / " Received By: 4
Account #: ! �nq 0 0?10r/ Invoice