123 Bowman Rd (2)DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990000961 Tax PIN/EH #: 5813-89-7885.2
Billed To: Mike Wall Subdivision Info:
Reference Name: Mike Wall Location/Address: Hwy. 601 N.-27028
Proposed Facility: Residence Property Size: 1.8 Acre
** *Ngb&r: 2306
N is mprovement/Operation Permit DOES NOT authorize the construction 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). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People #Bedrooms #Baths S
Dishwasher: Garbage Disposal: ❑ Washing Machine: Cl"-- Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size 4 VA Type Water Supply Design Wastewater Flow (GPD) ��y Site: New Repair ❑
System Specifications: Tank Sizeled Z) GAL. Pump Tank
Other:
GAL. Trench Widthc'Ye-f Rock Depth �.2 � Linear Ft. e
Required Site Modifications/Conditions: 411alue " — 0
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
Environmental Health S Pecialist's Signature: ( 'JCJ , Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
990000961
Tax PIN/EH #: 5813-89-7885.2
Billed To:
Mike Wall
Subdivision Info:
Reference Name:
Mike Wall
Location/Address: Hwy. 601 N.-27028
Proposed Facility:
Residence
Property Size: 1.8 Acre
ATC Number: 2306
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONSTTRUCCT/ION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: </` . � YCy j/ Date: � n ? A
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
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.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
v
Law
-bur�l
Date: �' --�3 —(
_ r �f
APPUCATION FOR SITE EVAUJATION/IMPROVEMENT PERMIT & AT @ 15 O "
Davie County Health Department D
Environmental Health SeaGion JAN 2 7 2000
P.O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed / / f / - I Contact Person /7� j UJB /
Mailing Address - (� z�/ V11!;Ie a."'/' ' - Home Phone -2014 21 -J9
City/state/ZIP _ On A J!<, t.t , �T �1 C� `=O < Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/S
tate/Up
3. Application For: ❑ Site Evaluation a -improvement Permit/ATC ❑ Both
4. system to Service: ❑ House W19obi.le Home ❑ Business ^�❑ Industry ❑ Other
S. If Residence: # People # Bedrooms J # Bathrooms Z.-.
ishrasher U Garbage Disposal Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: Specify type
# People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats / Estimated Water Usage (gallons per day)
7. Type of Water supply: R--County/City ❑ Well ❑ Community
a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes &No
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: ! ,�f WRITE DIRECTIONS (from Mockcville) to PROPERTY:
Tax Office PIN: #��'�' ��,5 . '�- f� l/ �13�/� Ci/, %i�G.� ..
Property Address: Road Name �"
City/Zip /-Vpc
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot:
Date Property Flagged: /a'IJ 11
This is to certify that the information provided Is correct to the best of my knowledge. I understand that any permit(s)
issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information
submitted in this application is falsified or changed I, also, understand that 1 am responsible for all charges Incurred from
this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suitability.
f
DATE I -' ,.Z 7 - L) SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
I EHS•
Revised DCHD (07/99)
Account No.
Invoice No.
D
A
a
F'DEG X.99
TION FOR SITE EVALUATION/IMPROVEMENf PERMR & ATC
Davie County Health Department �s
Ent1fonmenta/Hea/th Sedan
P.O. Box 646/210 Hospital Street S
Mockeville, NC 27026
(336)751-8760 -,
L**
"THI$ PLICl1TION cue= = PROmmw 0=118 71T.L THl UQUI =
i2i>f'0 O?it'S ROVIDED. Refer to the IID'O3Q=XOSI BULLZTXX for instructions.
1.
Huai* to be Billed
Contact Person -7*v--
Moiling Address
ams, Phone c
City/state/sip
arsines Phone
2-
Hrw on *emit/LTC it DUtatent than Above
Hailing Address
City/state
3.
Application for:
el-,te lvsluation 0 Improvement Permith= 0 Both
s.
systea to service:
0 House ile some 0 Business 0 Industry 0 Other
s.
I! Residence:
# People '2-1 # Bedrooms ? i Bathrooms
iahwaaher El Garbage Disposal U'lfaehing Machine 13 basement/Plumbing 0 aasenant/N* plumbing
S.
i9 aneinos•/industry/othoru specify type I People f sinks
# Commodes
# shorsre # Urinals # water Coolers
It >t=SZMCl: i) Seats lstimsted Nater Usage (gallons per day)
7. Type of water supply: 0 County/City
0 Well
a. Do you anticipate additions or expansions of the facllity this system Is intended to serve?
U yes, What type?
0 Community
0Yes 0 N
*1 *IMPORTANT*** CLIENTS MUST CIDMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the cleat with THIS APPLICATION.
Property Dimensions: - (D Ao- I -a � WRITE DIRECTIONS (from Mockevilie) to PROPERTY:
Ta: O®ce PIN: # Los - u' � lhld S'
Property Address: Road Name 1 �''� �� V� ��C- Gil o
City/Zip c/% / l ii f IFA y,�U i d c -'J5 )' SIX,- l % 6i
U in a Subdivision provide Information, as follows:
Name:
Section: Bloch Lot: Date Property Flagged:
This Is to certify that the Information provided is correct to the best of my knowledge. I understand that any permit(e)
Issued hereafter are subject to suspension or revocation, if the site plans or intended sae change, or if the information
submitted In this application is falslfled or changed I, also, understand that I ani responsible for all charges incamd ftom
this appUcadom I, hereby, give consent to the Authorized Representative of the Davie County Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suitability. J
DATE �- /� '�l / SIGNA
THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include all -A6 a following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
HERS:
Revised DCHD (07/99)
Account No.
Invoice No. / �G
APPLICANT INFORMATION
Account #:
990000879
Billed To:
Timothy Ruiz
Reference Name:
Timothy Ruiz
Proposed Facility:
Residence
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY INFORMATION
Tax PIN/EH #: 5813-89-7885.02
Subdivision Info:
Location/Address: U.S. Hwy. 601 N.-27028
Property Size: 1.836 Acre Date Evaluated:
Water Supply: On -Site Well ✓ Community_
Evaluation By: Auger
Pit
Public
Cut
FACTORS 1 2
3
5 6 7
Landscape position 4 -
Slope %
C
HORIZON I DEPTH
G e,
Texture group!
C -
Consistence
Structure
Mineralogy
HORIZON II DEPTH / It
Texture group
Consistence We I
l
Structure
1JL
Mineralogy <
<c
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEP'T'H
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
S
%
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: �.S�S• 'Z EVALUATION BY: X/w
LONG-TERM ACCEPTANCE RATZT
'
REMARKS: _ &x
OTHER(S) PRESENT:
v . LEGEND -
Landscape Position
R -Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Texture
S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
Wet
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky
NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic
Structure
SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD 05/99 (Revised)
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DAME COUNTY SIE_ UM DEPTbi NT
ENVIRONMENTAL HEALTH SECTION
P.O. Box 848/210 Hospital Street
Courier #09-40.06
Mocksvilie, NC 27028
Phone #: (336)751-8760
December 20, 1999
Ms. Betty Waters
123 Bowman Road
Mocksville, NC 27028
Re: Site Evaluation(s)/Lot(s) Site 2
Tax PIN: 5813-89-7885.2
Dear Client(s):
As requested, Robert B. Hall Jr., Environmental Health Specialist with this office on
December 16, 1999, evaluated the above -referenced property at the site designated on the plat/site
plan that accompanied your improvement permit application. According to your application the
site is to serve a 3 bedroom/2 bathroom Mobile Home with a design wastewater flow of 360
gallons per day. The evaluation was done in accordance with the laws and rules governing
wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title
15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules.
Based on the criteria set out in 15A, Subchapter 18A, of the North Carolina Administrative
Code, Rules .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a
ground absorption sewage system. Therefore, your request for an improvement permit is
DENIED. A copy of the site evaluation is enclosed. The site is unsuitable based on the following:
.1942 Soil Wetness Conditions
(a)
These severe soil or site limitations could cause premature system failure, leading to the discharge
of untreated sewage on the ground surface, in surface waters, directly into ground water or inside
your structure.
The site evaluation included consideration of possible site modifications, and modified,
innovative or alternative systems. However, this office has determined that none of the above
options will overcome the severe conditions on this site. A possible option might be a system
designed to dispose of sewage to another area of suitable soil or off-site to additional property.
For the reasons set out above, the property is currently classified UNSUITABLE, and an
improvement permit shall not be issued for this site in accordance with Rule .1948(c).
However, the site classified as UNSUITABLE may be reclassified as PROVIONALLY
SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A
copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop
a plan under which your site could be reclassified as PROVISIONALLY SUITABLE.
You have a right to an informal review of this decision. You may request an informal review
by the environmental health supervisor with this office. You may also request an informal review
by the N.C. Department of Environmental and Natural Resources regional soil specialist. A
request for informal review must be made in writing to the Davie County Health Department,
Environmental Health Section.
You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must
file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail
Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of
Administrative Hearings or call the office at (919) 733-0926. The petition for a contested case
hearing must be filed in accordance with the provision of North Carolina General Statutes
130A-24 and 150-B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute
130A-335 (g) provides that your hearing would be held in the county where your property is
located.
Please note: If you wish to pursue a formal appeal, you must file the petition form with the
Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The
date of this letter is (DATE). Meeting the 30 day deadline is critical to your right to a formal
appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that
you might request. Do not wait for the outcome of any informal review if you wish to file a formal
appeal.
If you file a petition for a contested case hearing with the Office of Administrative Hearings,
you are required by law (N.C. General Statute 15013-23) to send a copy of your petition to the
North Carolina Department of Environment and Natural Resources. Send the copy to: Office of
General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service
Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of the petition to Davie County Health
Department. Sending a copy of your petition to Davie County Health Department will NOT
satisfy the legal requirements in N.C. General Statute 150B-23 that you send a copy to the Office
of General Counsel, NCDENR.
Please call or write this office if you have any questions or need any additional assistance, as
follows: Telephone number: (336) 751-8760
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
Sincerely,
Robert B. Hall, Jr.
Environmental Health Specialist
RH/mp
Enclosure(s): Soil -Site Report
Rule .1948
Invoice
Mail To: 4 Zed M-0 bre-.., n CQ. �.,� �r..e . Z'7 A 1 a,2-
'Minstrumentwas ptepuodby: Wade H. Leonard, Jr.
DEED OF TRUST—Form -304 Printed and for ad* jams Wmiams & Co , Inc., YedktnAk, N. C.17055
STATE OF NORTH CAROLINA, Davie County.
THIS DEED OF TRUST, Rcecutedthis 30 day of - January ,19��,byand mioig
John Dale Waters and wife, Betty A. Waters
hereinafwr eailea Grantor:
Wade H. Leonard, Jr. Trustee.
William A. Driscoll, Jr. hereinafter called
hereinafter called Note Holder;
r WITNESSETH: nut whereas said Grantor bas this day executed and delivered to mid Note Holdet a promissory tote in the tom of
6 Twelve thousand, Three hundred, Fifty and 00/100--- -- --------Dollars, with interesttherecra (wen data atdorate
of 5.50 per ant per annum, said principal and Interest being payable as follow.:
as evidenced by Note of even date
If any one of aid payments or any put thereof be overdue and unpaid for days. the holder of the note hereby secured may declare the
entire tam due and payables and with the further right in Grantor to make additional payments theceun or to pay said note In full at any time without penalty
for such prepayment.
AND WHEREAS, It has been agreedthat tits payment of old note shall be secured by the conveyance of the land hereinafter dcxHbed•
NOW, THEREFORE, in eonsideran of the premk a and for the purpose aforesaid end for one dollar paid by the Trustee. the receipt ofwhkh is hereby
acknowW,4, said Grantor has bargained sad soM and by these presents does bargain. sell and convey unto said Trustee, his heirs, successors, end worm,
premises in Clarksville . T„m,Inp, Davie County, North carcina,
Lying and being in Clarksville Township, Davie County, North Carolina and beginning at
an iron rebar set, said iron rebar set being located in the Eastern right-of-way of U.S.
Highway 601 and being located South 29 degrees, 07 minutes, 30 seconds East 745.16 feet
from an existing angle iron, said existing angle iron being located in the Eastern
right-of-way of said U.S. Highway 601 and being the Southwest corner of Fred W. and Eloise
M. Pratt, Deed Book 92, page 480; thence from said beginning iron rebar set, North 44
degrees, 32 minutes, 50 seconds East 182.04 feet to an iron rebar set; thence South 68
degrees, 15 minutes, 00 seconds East 250.00 feet to masonry nail set, said masonry nail
being set-in the center of. Bowman Road (SR 1726), thence with the center of said road,
South 21 degrees, 45 minutes, 00 seconds West 34.70 feet to an existing masonry nail
set in the center of said road; thence with the center of said road, South 23 degrees,
06 minutes, 20 seconds West 101.59 feet to an existing masonry nail; thence with the
center of said road, South 23 degrees, 33 minutes, 55 seconds West 283.17 feet to a
masonry nail set; thence with the right-of-way of U.S. Highway 601, North 29 degrees,
07 minutes, 30 seconds West 398.52 feet to the POINT AND PLACE OF BEGINNING and containing
2.01 acres more or less as surveyeiJ by Allied land Surveying Company, P.A. January 23,
1996.
NORTH CAP,OUNA, DAME "XJNW
The Original of this ins6ment fteft frith the Acle
waved thereby. twoll 8de day been pdvhW t0 Mit
andersignA maAed Paid and Satisfied by rte dollar, I
hereby cancel the Sime of telmrd'
HENRY L SHORE, Register of Deeds
Ass'"w""'startjBm/sty Reetsur in Deeds�
The above land was conveyed to Grantor by . See Book No. , Page
TO HAVE AND TO HOLD the above described ptemiaat together with ail the rights, p� cps, and appurtenances thereunto belonging unto said Trustee and -
his heirs, successors and arsigm forever upon the terns and conditions and for the ma and purposes following:
FIRST: Grantor shall pay all taus and other use uments within the time Prescribed by" and shall keep the buildings on said premises Ina proper auto of
m pak and preservation, and insured against lox by fin and storm in some reliable btanance company having an office in the County of
i in the emonut off which policies duce be payable to the Note Holder as his' or may
a .id be deposited with him, to be applied In case of lo•r, so far as the same may extend or orgy be oecasary in the payment of said now: and further,
rG armor shall keep 0. property herein conveyed hes and ever of any and all eftcum ncas whkh by hw may hue a in
over the lien created by this trust.
And if Grantor shell fail to parr aid wxq or aaex ocu%or to aaaintain saitl pro 1v a proper sum of repair and presetvadon, or to effect and continue
mid inwrence in fora, a sites 4i1 to kap sahf ppccopaty free of oil eneumbranus, aha ote Holder sites have the right m pay old taxes or wessment$, or to
make aid repairs or to effect and continua said htaueana or to pay off and remove said encumbrances, aid any atuonm so expeuded by hint 9" be deemed
D. t BOOKx'33 PAGE -Z -4 -
al money secured by this trust bearing Interest at the rate o [ per coat per annum, and be due and payable when the next ensuing in.
nt onatal
SECOND: :If the aW note Grantor shall well and tidy pay in full the hufebtedaea hereby secured, than the title to the had hcreia conveyed shall become to -
voted in him free and discharged from the lien of this trust.
. THIRD: But if aid Grantor shall fag to pay any Installment of either principal or interest as the area may hereafter become due, or any amount expended
by the Note Holder for insurance or for taxes or for atseumenta, or to remove any encumbrances as herein provided, then upon any de[ault a breach of the
Creator hereunder for a period ofdays, it shall be lawful for and the duty of the Trustee, upon demand of the Note Holder, or his
assigns or other person wey
ho may be entitled to the mons doe on said Note, to sell add land at publk sacdon to the highest bidder for cab, after fast giving
notice of the time, place and roma of such We by posting the same at the courthouse door in said County and after due notice of hearing and advertisement as
provided by law in the state of North Carolina for sales of red stare under mortgagee or deeds of trust, and upon such sale to make and deliver to the purchaser
or purchasers a good and satficient deed or deeds to aid Lind.
And the Trustee, after loving retained out of the proceeds of such sale five per cent commission for making such sale, together with the costs of advertising,
selling and reporting to the court shag apply the residue, to far as it my extend or may be necessary, to the payment of said now and all interest then accrued
and any ams advanced by the Note Holder as berein provided, and shall, pay the balance thereafter ramaining, If any, to said Grantor. or other party entitled
thereto.
If foreclosure Is commenced but no sale is actually held. -the Trustee dtag.recelve such compensation for his services, as may be allowed by order of the Clerk
of the Superior Court, not exceeding the compensation for holding the sale as above provided.
FOURTH: It is further stipulated and agreed that any statement of facts or recital by aid Trustee in his deed in relation to oho nonpayment of the money
cured to be paid, the amount due, the advertisement, sale, receipt of the money, and the execution of the deed to the purcbaer shag be received as prim* fscle
ce ofsuch five.
P1F fH: The irrevocable power to appoint a substitute trustee or trustees is hereby expressly granted to the Note Holder, his successors or assigns, to be
exercised at any thus hereafter, without notice and without specifyiogany season therefor, by filing for record in the office where this instrument is recorded an
instrument of appointment. The Grantor, for itself his or Its heirs, executor, administrators, successors and asa;pu, and the Trustee herds named, or that may
be substituted hereunder, expressly waive notice of? the exercise of this power, and any necessity for making cath or giving bond by any trustee, a well a any
requitement for application.to any court for the removal a po)ntment or substitution of a� trustee hereunder and the NNota Holder, his accesrors a assigns.
ma elect to apppomt • substitute trustee in accordance wit the law% of North Carolina.
1IXTN: That when any reference Is herein made to the Grantor or to the Trustee or to the Note Holder. or to the note hereby secured, the singular shall
include the plural and the masculine shall include the feminine or the neuter.
THE GRANTOR DOTH HERE COVENANT AND AGREE that he is owner in fee simple of the land herein conveyed, and has the right to convey the
same; that the some is free and clear of all encumbrances except as herein sated-. that he will forever warrant and defend the title herein conveyed against the
lawful claims of all, persona whomsoever; and that he will execute such further assurances a may be necessary or proper to carry out the true intent and purpom
of this trust.
IN TESTIMONY WHEREOF, said Crantor has hereunto set his land and sed the aidda and
Year fret share write n.
(SEAL) , (SEAL)
(SEAL) -.SEAL)
(SEAL) (SEAL)
(SEAL) [SEAL)
•
Grantor, personally appeared before me this day and acknowledged the execution of the foregoing deed of trust.
Witmer my hand and notarial teal, thisday of
My Commission "Pitts: , N. P. (SEAL)
STATE.OF NORTH CAROLINA. Davie COUNTY.
The foregoing eertificate(4of Donna Strnud, Notar^Plnhlic of flavin Crnmt)c, NC,
is (Sop certified to be correct. This instrument was presented for registration this 3.D day of ..Hien y
at 10,16 A. M., JIM, and duly recorded in the office of the Register of Deeds of Day ie County,
North Carolins, In Book 233 page 76 -
Thu the.. _ day of Januar . A. D„ 19 96
Hwn,wL. Rhora B
Register of Deeds y 16zdWaIR Deputy Regiusr of Dada
tib
Parcel #: B30000000606
Davie County, NC Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search 0
View Property Record for this Parcel View Mao for his Parcel View Tax Bili Information
Parcel #: B30000000606 Account #:77031750
Owner Information
Buildin :
Tax Codes
BXF•
ATERS JOHN DALE& WATERS BETTY A
Land:
ADVLTAX - COUNTY T
Market:
123 BOWMAN ROAD
ssessed:
FIREADVLTAX -FIRE TAX
Deferred
OCKSVILLE NC 27028
Property Information
Township
nd (Units/Type): 2.010
Vddress:
CLARKSVILLE
123 BOWMAN RD
Deed Information
Local tonin
ate: 03/2016 Book: 01012 Page: 0840
Plat Book: Page:
Legal Description
PIN
01 AC BOWMAN ROAD
5813898538
Property Values
Buildin :
64,25
BXF•
10,30
Land:
25,81
Market:
100 36
ssessed:
100 36
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00185 0232 01 1996 WD Qualified Vacant 12,500
2 01012 0840 03 2016 WD Qualified Improved 99,500
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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Davie County Web Site
All information on this site Is prepared for the Inventory of real property found within Davie County. All data Is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public Information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the Information set forth on this site whether express or
implied, in fact or In law, Including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsneWiew.aspx?prid=1475910 8/24/2016