181 Concord LnDavie County, NC
Tax Parcel Report Friday. October 7. 201 f
WARNING: THIS IS NOTA SURVEY
P.v!
Davie County,
Parcel Information
Parcel Number:
H2O0000008
Township:
Calahaln
NCPIN Number:
5709344327
Municipality:
Account Number:
12308000
Census Tract:
37059-801
Listed Owner 1:
CALL LOIS B ESTATE
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
181 CONCORD LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-8131
Voluntary Ag. District:
No
Legal Description:
41 AC OFF CALAHALN RD
Fire Response District:
CENTER,SHEFFIELD - CALAHALN
Assessed Acreage:
48.78
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
12/1955
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
000570115
Soil Types: PaD,PcC2,CeB2,ChA,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
95730.00
Outbuilding & Extra
Freatures Value:
5860.00
Land Value:
167380.00
Total Market Value:
268970.00
Total Assessed Value:
147770.00
P.v!
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
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor
arising out of the use or Inability to use the GIS data provided by this website.
'
Well Construction Permit
a«u,,r4
Davie County Health Department
City:
210 Hospital Street
State/Zip:
P.O. Box 848
Phone #:
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Property Owner: David L. Call
Address: 181 Concord Lane
City: Mocksville
State/Zip: NC 27028
Phone M (336) 492-7432
For Office Use Only
*CDP File Number 200224
PIN Number:
Tax Lot #: Tax Block #:
Evaluated For: WELL /
VtKMI I VALIU UN 1 IL: 1/LL/LUL1
Applicant:
David L. Call —:—:::I
Address:
181 Concord Lane
City:
Mocksville
State/Zip:
NC 27028
Phone #:
��336)�492-74�32
Property Location & Site Information
idress/Road M Subdivision:
181 Concord Lane
Mocksville NC 27028
Latitude
Longitude
Site Address: 181 Concord Lane
Phase: Lot:
*Proposed use of Well:
If Other:
Directions
Directions: Hwy 64 west, right on Calahan Road, Left on
Concord Lane
Well Contractor Information
Drilling Contractor Driller Registration
M,a t,t h,e,w, Brown ,
Permit Conditions
*Permit Conditions
Well location, construction and protection must meet all state and local regulations and must be inspected and approved by an authorized representative of
the Local Health Department. The permit may be revoked at any time for failure to comply with existing regulations. The siting of approved well construction
area(s) by the Health Department is to provide protection from the known possible sources of contamination. The approved well area(s) may not be
changed without written permission from an authorized representative of the Local Health Department. No volume of quality of water is guaranteed by the
Health Department.
*Issued By: 2140 - Nations, Robert *Date of Issue; 0..2, / 2 , / , .2 , 0, 1, 6
Authorized State Agent:
Owner/Applicant Signature:
® Hand Drawing O ImportDrawing
**Site Plan/Drawing attached.**
Page 1 of 2
Characters
Remaining
4000
WELL CONSTRUCTION PERMIT 200224
•��a Davie County Health Department CDP File Number:
210 Hospital Street
P.O. Box 848 County File Number:
Mocksville NC 27028 Date: 0 a/ 2.2/ a 0 1 6
ww
Q Inch
Drawing Type: Well Permit Scale: Q Block
Q N/A ft.
Page 2 of 2
P1 P3
APPLICATION FOR PRIVATE WELL PERMIT
0CE Davie County Environmental Health
1 P.O. Box 848/210 Hospital Street
DOW
Mocksville, NC 27028
(336)753-6780 / Fax (336)753-1680
***IMPORTANT***
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name D Av!:7-0
Address C -,w co 4D 4 62
City/State/ZIP a a C k& ✓TLL6 ,V(-
Email
V(-Email NA
Name on Permit if Different than Above
Mailing Address
Contact Person
Home Phone 23l
Business Phone 33 7 51- a o
City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat (to scale)
Owner's Name L 079 C: A <L Phone Number 3-2C
Owner's Address Jkl C o,J C04G 0 Ld City/State/Zip /loCA-_S uz1_e_ P /V c a— OOa "
Property Address City
Lot Size 9, % 4 0— Tax PIN# "570 9 -=- 2?
Subdivision Name(if applicable ) Section//�Loa�f�#
Directions To Site: 1-1141 / (, % eTA) �2 In"619 14 /�G7', dN D
DEVELOPMENT INFOR1yIATION
Permit Type: New Well Well Repair Well Abandonment
Facility Type: Residential Food Service Church
Are There Any Septic Systems Currently On The Site? YES NO
Do You Intend To Install A New Septic System On This Site? YES
Other (specify)
Commercial Other
NO
TERMS AND CONDITIONS:
This application must be accompanied by a plat or site plan of the property that includes the existing and proposed propertylines
with dimensions, the specific location of the facility and any existing or futureappurtenances, the location of any existing septic
system, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for idenifying
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 permision for
Davie County Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary to
determin the best location for a well.
jco
Signed D to
7/30/09 Account # 00
Invoice #
CP Davie County, NC- Dffi. X • Davie County, NC - Gol, X Davie County, NC - Go' X ,'� Davie County.Documen XT Appraisal Card X
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Latitudei 354 35' 25.31" Longitudet -800 40' 17.41•