216 McAllister Rdfav
All 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
�oUp�4 NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
130000004502
Township:
Calahaln
NCPIN Number: -
5728058857
Municipality:
Account Number:
82530992
Census Tract:
37059-801
Listed Owner 1:
MOSER STEVE BRYAN
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
216 MCALLISTER ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LT 2 COLONIAL YARDS 1.992
Fire Response District:
CENTER
Assessed Acreage:
1.96
Elementary School Zone:
MOCKSVILLE
Deed Date:
12/2013
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
009460841
Soil Types:
GnB2,MsD
Plat Book:
0009
Flood Zone:
Plat Page:
188
Watershed Overlay:
DAVIE COUNTY
Building Value:
218030.00
Outbuilding & Extra
8820.00
Freatures Value:
Land Value:
23640.00
Total Market Value:
250490.00
Total Assessed Value:
250490.00
All 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
�oUp�4 NC or arising out of the use or Inability to use the GIS data provided by this website.
Davie County Environmental Health
P.O. Boa 848210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax (336)753-1680
WELL PERMIT
Account # : 990006169 Tax PINIEH #: 13-000-00-045-02
Blued To: Covenant Building company LLC Subdivision info:
Reference Dame: Steve Moser LocationiAddress: McAllister Road -27028
Proposed Facility: Residential Well Property Size: 1.96 Ac.
ATC Dumber: 0122
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 Repair ❑
Proposed Well Location Diagram
/ G,
Comments: h Q �..s ,2 C f-
W.P. 7-08
101
Driller.
Certificate of Completion Diagram
kkk'-'b—
Certification #: - ddp, \
✓Grout Inspected: l 7
Well Head Inspected:
GPS Coordinates:
EHS:
Date:
WELL CONSTRUCTION RECORD
North Carolina - Depatiment of En\•ironment and Natural Resources - Division of NVater Quality- Groundwater Section
WF -11. (*()%Tlt lcTi)R IINDI'%IDEI.\t.) X:14IE tpriati a4 &ay 12 417 CERTIFICATIo.N kA 0.2 //4
PHONE # Q�-9s� jv yd
50.1'r WE -1.1. C()1.%-rltt'C-rl()\ PEIM17178 22!? :LSSnCLiTFn WQ VERNItT#
tiia sic --able) tib licable)
1. 1\'I:LI. USE t(; hcck Applicable Soxv Rtsiidt-%tialJg--l�lunicipaLtPublic ❑ Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Hcat Pump Water Injec=tion ❑ Other ❑ If Other. List Use
"_. WELL LOCATION: t
Ne -tri -a Tu\\ n: Caunty��441 _
iSirwi t'otnsnunit): 5uM%isiut>_ Lrn:Vu.. Lip Cadc1
:. OWNER:
Address
ttilnZt +r � c {Ju.l
t n. i
or l tmnStale • Lip 'n;&�
: ira3 aY+k- Mme numb:,_ t' r
.1. DATEDRILLED
i. 'TOTAL DEPTH: /DD
b. IUOI:S WELL RE -PLACE EXISTING Vi1L'LL'> YES ❑ NO W
7. S'r.,%*rtC WATER LEVE,. Beloit Tap of Casing:—____1717.
M. -c Topt.rcasing)
S. TOP OF CASING IS FT. Above Land Surracc$
� rop of custag teradoatcd atfor bclaw land surface requires a
rar)ance in accordance with ISA NCAC 2C -01M
y. ,YIELD QTml: MlsTKOD OF'iESt=: •c r
v
Topom hic/Land setting,
❑Ridgc OSlopc ❑Valley Mat
t cheek appn priatc bva i
Latinttle longitude or\nell location
idegn�ntinut�:a:atunds 1
Latituda: longitude source:MPSCIToppgraphic nwp
tcluxk tuuet
DEPTH DRILLING LOG
Fmm TO Fornlati n Description
M. %v.,x I r.n 20N>:S (depth):
1,,0CATION Si:h?CH
If. DIS1NFI't:T1UN: Type
Amount
Show direction and distance in milt=s from at least
12. CASING:
r,wait
Thickness
two Stint; Roads or County Roar - Include the road
Depth
Dia lar
or Weighv'Ft. Matefiat
64mbers and common road names.
From_ To
Ft.
Frtnn To
Ft.
13. CTRUITr: Depth
Material
Method
d
Froin To ._
Ft.
_
I=ron) To
Ft.
14. SCREEN: mpol
Uiatncter
Slot tiiac Material
FmnL Tu
Ftt—in.
in.
Fntn) Ta
Ft,in.
in.
15. SANWGRAVEL, PACE:
Depth
Size
Material
Fmm Tc_
FtL
1+
Fmnn To
Ft.
re
16. REMARKS:
I t)O i IEiii!u ' t'kR ilI-l' TH.-xT THIS WELL,.:SAS CONSTRUCTED INg(.IfRDANCE W)TH I5A NCAC 2C. WELL
CON.STRULTION STANDARDS. AND TH:iT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERWK C'UNSTRULTING THE WELL DATE
Submit the arlginul to the Dieision of 1Vater Quality, Groundwater Section. 16..6 Mall Sem ice Center- Raleigh. NSC
—"lA nt.. - Na t919) 733-3221, within 30 (lays. GW -1 REV. 0712001