468-476 Swicegood St':)avie County, NC Tax Parcel Report Friday, October 7, 201
Parcel Number:
0CP1NNumbon
Account Number:
Listed Owner 1: E
MaU�gAddress 1:
City:COOLEEK8EE
State:
�
Zip
Legal Description: 5.958/
Assessed Acreage:
Deed Date:
Deed Book /Page:
Plat Book:
Plat Page:
Bo|ld|nQ�a�e:
Land
Total Assessed Value:
WARNING: THIS IS NOT A SURVEY
Davie County,
NC
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
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.
M50000001011
Township:
Jerusalem
57454405A8
Municipality:
69980000
Census Tract:
37059'807
443
Voting Precinct:
440
POBOX T38 '
Planning Jurisdiction:
Davie County
450
Zoning Class:
D/YV|ECOUNTY R -2O
NC
Zoning Overlay:
DAV|ECOUNTY C2OD
458 461
Voluntary Ag. District:
No
\CSVV|CEGOODSTLOT 1U
4-65-8
5.95
475
COOLEEN1EE
12/1998
Middle School Zone:
GOUTHDAV|E
002080484
Soil Types:
GnB2.GnC2.EnB
Flood Zone:
49.2
495
496
DAV|ECOUNTY
498 9
Outbuilding �E�trm
�—
900000
'
Fn*otuveoVa7ue:
Parcel Number:
0CP1NNumbon
Account Number:
Listed Owner 1: E
MaU�gAddress 1:
City:COOLEEK8EE
State:
�
Zip
Legal Description: 5.958/
Assessed Acreage:
Deed Date:
Deed Book /Page:
Plat Book:
Plat Page:
Bo|ld|nQ�a�e:
Land
Total Assessed Value:
WARNING: THIS IS NOT A SURVEY
Davie County,
NC
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
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.
M50000001011
Township:
Jerusalem
57454405A8
Municipality:
69980000
Census Tract:
37059'807
�P|LLK8AN ROGER P ' -�'
Voting Precinct:
COOLEEK1EE
POBOX T38 '
Planning Jurisdiction:
Davie County
Zoning Class:
D/YV|ECOUNTY R -2O
NC
Zoning Overlay:
DAV|ECOUNTY C2OD
27014-0738
Voluntary Ag. District:
No
\CSVV|CEGOODSTLOT 1U
Fire Response District: COOLEEK4EE
5.95
Elementary School Zone:
COOLEEN1EE
12/1998
Middle School Zone:
GOUTHDAV|E
002080484
Soil Types:
GnB2.GnC2.EnB
Flood Zone:
Watershed Overlay:
DAV|ECOUNTY
OOO
Outbuilding �E�trm
�—
900000
'
Fn*otuveoVa7ue:
�
18210.00
Total Market Value:
27210.00
25590.00
lull
Davie County,
NC
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
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
Account #: 989900024 Tax, PIN,EH #: 5745 -44 -0598 -Well
Billed To: Roger Spillman Subdivision Info:
Reference Name: LocationfAddress: Swicegood St. -27028
Proposed Facility: Residential Well Properiy Size:, 5.958 Acres A
ATC Number: 0066
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 ❑ Abandonment ❑
Proposed Well Location Diagram
i
• �' ..'.. rill] r/ � .
1
EHS:
W.P. 7-08
Date:
Certificate of Completion Diagram
Driller: I k
Certification
Grout Inspected:
Well Head Inspected:
GPS Coordinates:b��/T`�/
EHS: Date:
r Dec ��1, 10 11:36a Information : Services 336753168E p.2
!' PPLICATIO'' FOR PRIVATE WELL PE16MIT
JAN 2 uX
' 01
t Davie Cunt} Envirotlmental Health
+ P.O. Bt £48/210 Hospital Street
:1'iocksN,ille. NC 27035
j (336)753-6780 r Fax (336)753-1680
* * *MfPORT,I NT* * *
THIS APPLICATION CAMVOT BE PROCESSED UNLESS ALL OF THE REQUIRED NFO-MATION IS PROVIDED.
it
APPLIC.A"NT INFOR'y1ATION'
K'
' fes_ e�
Name Q,i'" ► MC0 Contact Person
Address D Home Phcne 33�
City/State P I 1JL / Business Phone 3��—
Name on Permit'if Different. than Above'
Mailing AddressI CityfState/Zip
PROPERTY INFORMATION
*Date HouseiF'aci:ity Corners Flagged
NOTE: A survey plat onsite plan must accompany this application. Included: G Site Plan OPlat (to scale)
Owner's Name Phone ;�uix�be;
Owner's Address.) ! amity/ tateiZip
Properly
j Lot Size i Tax,,PIN# b'7S/S��l�10-qg-We6
Subdivision Name(if applicable) SectiO:LZCt4
Directions To Site: .FRw FLU S tkX
DEVELOPMENiT INFORMATION
Permit T -pe: New Well ✓ Well Repair Well"•Abandonment
Facility Type: Residential,- Food;Service Church
I Are There Any Septic Systems Currently -0n The Site? YES NO-
Do
O_Do You Intend To' Install A New Seotic System On This Site? YES
Other (specif}•) _u•
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 property lines
wid: dimensions, the speciec location of the facility and any existing or•iuture appurtenances.. the location of any existing se;.tic
syste n, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for identiryirg
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 tenns and conditions and that they give permission or
Davie Co;:nty Environmental Health representatives to perform necessary field evaluations and procedures deemed neeessa_-y :o
deie rthe best` 6! ratio fora well.
e
Sigt.ed .. ppg Date ----
P ' P Site Ret: isit Charge
I A 4 �� , , 1U i l A. Date(s):
i ® Client Notification Date:
' IEHS:
I DY, - -_
7/�O;u9 I I Account n �()z
_'rvaice #
Page I
35.81404 N 80.53753 W
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