187 Hawthorne Road Section 1 Lot 4 + P/O 5Davie County, NC Tax Parcel Report Tuesday, January 17, 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WAKNI-NG: '1'Hl, 1S 1VUT A SUKVEY
Parcel Information
J605000002 Township: Fulton
5758802565 Municipality:
60475000 Census Tract: 37059-804
RENFROE WILLIAM O JR Voting Precinct: FULTON
187 HAWTHORNE ROAD Planning Jurisdiction: Davie Countv
MOCKSVILLE
Land Value:
Total Assessed Value:
NC
27028-0000
LOT 4+P/O 5 HICKORY HILL SECTION 1
0.61
10/1991
001610134
0004
105
Zoning Class: DAVIE COUNTY R-20
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
FORK
Elementary School Zone:
CORNATZER
Middle School Zone:
WILLIAM ELLIS
Soil Types:
Gn132,GnC2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
91m: AAll 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 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
1�
C or arising out of the use or Inability to use the GIS data provided by this website.
Jun 13 11 02:06p
I
r a i
i
C4 836
Phone: (336) - 7.5:
Name: P i %le,
Mailing Address
Detailed Directic
Property Addre
Please Fill In
Name System I
Date System In
Is The Facility 1
Any Known Pn
Please Fill In
Type OfFacilit
Pool Size:
Requested By:_
Information Services
3367531680 p.1
AJeel y 11. I 1 �jt ' y
Daly' , County Health Department
En -onmental Health Section
P.O. Box 848
210 Hospital Street
Courier 9 : 09-40-06 1911
Mocksville,1\ C 27028
gV'•
s7so ON-SITE WASTEWATE FICATION Fax: (336) - 753-1680
(Check One) Replacement emodelin_ Reconnection
--------------
�.�✓�h = %/�iwe.�* iyh tt r_ —Phone Number (Home)
(Work-)
AZ1,tACA..1j e4e, 'Lt 0 0 t- Email Address: QM.^t * Ile- 7 y.rd�-
ns To Site: ws• GY O �It DIC �'lot�4&V,#h'e. O,rt(
• Or1 71J_. Ad of /97 /�7 h..r_ 'Ti -,1
e Following Information About The EXISTIAG Facility: A�oc 0�
lied Under: Type Of Facility:
ed (Month/Date,h"ear): Number Of Bedrooms: 3
eptly Vacant? Yes 60)
If Yes, For How Long?
ms? Yes V if Yes, Explain:
Following Information
1
'Garage Size:
G'1Ci�
SFU
Number Of People: .3
The VEWlF11'
,Number Of Bedrooms: Number of People
Other:
Date Requested: 19 -3 - t /
For Environmental Health Office Use Only
Environmental Health SpecialistLt Date:y����
*The signing f this form by the Environmental Health St 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: CasChec More/y O//rder # Amount:5 Date:
Paid By: ((w e Vy: %
Account f,: _tover 4:
® a Bbl
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57`
PrCCKSVILI:E, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement_Permits
and/or Site Evaluations
NA "1 .00 if DATE. ISSUED
`
(`,y'� �y,✓ % PERMIT 'NO.
ADDRESS �, j ,t7,,•/i .6 �.�� ,�' . / S��'�
Explanation of charge
SAN
PLEASE
AMOUNT DUE n.`
PLEASE REMIT -THE ABOVE AMOUNT ON RECEIPT OF THIS STATEt_RENT.