183 Circle M Farm LnDavie County, NC Tax Parcel Report Fridav, October 7, 201 E
Building Value: 15010.00 Outbuilding & Extra 77860.00
Freatures Value:
Land Value: 315020.00 Total Market Value: 407890.00
Total Assessed Value: 278560.00
WARNING: THIS IS NOT A SURVEY
All data is provided as is without warranty or guarantee of any kind 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
�oCty C�
Parcel Information
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.
Parcel Number:
1200000020
Township:
Calahaln
NCPIN Number:
5718056933
Municipality:
Account Number:
52156000
Census Tract:
37059-801
Listed Owner 1:
MOTLEY DANIEL L JR
Voting Precinct:
SOUTH CALAHALN
Mailing Address 1:
866 FARMINGTON ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
Yes
Legal Description:
84.69 AC GODBEY RD
Fire Response District:
COUNTY LINE,CENTER
Assessed Acreage:
79.69
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
11/1970
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
000830380
Soil Types: PaD,ApB,WeC,RnC,PcC2,RnD,RvA,ChA,CeB2,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value: 15010.00 Outbuilding & Extra 77860.00
Freatures Value:
Land Value: 315020.00 Total Market Value: 407890.00
Total Assessed Value: 278560.00
Davie County,
All data is provided as is without warranty or guarantee of any kind 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
�oCty C�
NC
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.
Davie County Environmental Health
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780/Fax(336)753-1680
WELL PERMIT
Accnunt #: 990005503 Tax. PINIEH #: 1200000020 -Well
Billed To: Scott Smith Subdivision Info:
Reference Dame: David Motley LocationlAddress: Godbey Road -27028
Proposed Facility: Residential Well
Property,Size: 79 Acres
ATC Number: 0094
Actions of the employees of the Davie County EH Section shall in no way be taken as a guarantee that this
well will produce water of any particular quantity or quality or for any amount of time. This permit is valid
for a period of 5 years from the date of issuance. This permit may be revoked if it is determined that there
has been a material change in any fact/circumstances upon which this permit was issued.
Permit Type: New Z Repair ❑ Abandonment ❑
Proposed Well Location Diagram
Certificate of Completion Diagram
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Driller: b1'' as i
Comments: j
Certification #:
Grout Inspected: 3�y�Zd/Z
Well Head Inspected:
GPS Coordinates: °SqA) PoA
EHS: )dA Date: 0 2-
EHS: Date:
A A
W.P. 7-08
M
I
N/ PPLICATION FOR PRIVATE WELL PERMIT
Davie County Environmental Health
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
oy _ - (336)753-6780 / Fax (336) 753-1680
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name to be Billed 15tcr }" JIM, -44 Contact Person :rs, 41,
Billing Address 11 7� Dr- r Home Phone
City/State/ZIP Moc.kS., ll a N. L 7 -7 y -t 55 Business Phone "x'39.- 14
Name on Permit if Different than Above loom Moi-\.
Mailing Address Statfl rall"I'MO,,•. ulk City/State/ZipM'Dt I—\\ , N.c.- -i?uZ.f?
PROPERTY INFORMATION *Date House/Facility Corners Flagged
or site plan must accompany
Owner's Name vjj, Phone Number
Owner's Address %U r,n., R City/State/Zip Ay cl[s-. l t c AL . c_ -2')02k
Property Address Ga.N o: R c.{ City/►'locks ,I l - ,Il i
Lot Size Z4 ikL Tax PIN# 5`71 %oSta471 T2-00000020Subdivision Name(if applicable) Section/Lot#
Directions To Site: \\►.,,.,v cow (Q &.XiN .v R -k- -,-D -L 'J, —: Pry o o.. (
i— br tda ,-
DEVELOPMENT INFORMATION
PermitType: New Well X Wellepair Well Abandonment Other specs
Facility Type: Residential( - Food Service Church Commercial Other
Are There Any Septic Systems Currently On The Site? YES NO _X
Do You Intend To Install A New Septic System On This Site? YES 7�— NO
TERMS AND CONDITIONS:
This application must be accompanied by a plat or site plan of the property that includes the existing and proposed property lines
with dimensions, the specific location of the facility and any existing or future appurtenances, the location of any existing septic
system, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for identifying
and marking the property lines and corners. The applicant is responsible for making the site accessible.
By signing this application, the applicant signifies that they understand the terms and conditions and that they give permission for
Davie County Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary to
determine the best location for a well.
V&n�l-�
Signed Date
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
7/30/09 Account #
Invoice # -----}'7
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