109 Holly Circle Lot 110Davie Countv. NC
Tax Parcel Report Thursday, October 27, 2016
1097 y
,,� f ��r'/ ' 1116 • 9�i ^�
1106
1061 r!
,109
� • � G� 'ti ti 118 j
,r� 5t4 I
f•. 1078
r
115
All data Is provided as Is without warranty or guarantee of any Idnd 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 webalte 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
10:1
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:
D8070A0013
Township:
Farmington
NCPIN Number:
5872830727
Municipality: BERMUDA RUN
Account Number:
8303628
Census Tract:
37059-803
Listed Owner 1:
LARD KENNETH N
Voting Precinct:
HILLSDALE
Mailing Address 1:
109 HOLLY CR
Planning Jurisdiction:
BERMUDA RUN
City:
ADVANCE
Zoning Class: BERMUDA RUN CR
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
LOT 110 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
0.77
Elementary School Zone:
SHADY GROVE
Deed Date:
6/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009600873
Soil Types:
MrB2
Plat Book:
0004
Flood Zone:
Plat Page:
082
Watershed Overlay:
BERMUDA RUN
Building Value:
208870.00
Outbuilding & Extra
Freatures Value:
4410.00
Land Value:
75000.00
Total Market Value:
288280.00
Total Assessed Value:
288280.00
All data Is provided as Is without warranty or guarantee of any Idnd 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 webalte 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
10:1
NC or arising out of the use or Inability to use the GIS data provided by this website.
a1 -
Perraittee's!"7 J„ DAVIE COUNTY HEALTH DEPARTMENT
.Name: ' tS'd .f Environmental Health Section PROPERTY INFORMATION
y ' � P.O. Box 848
Directions, to property: IX �4` �tC Mocksville, NC 27028 Subdivision Name:. i �f f,1ra� e1
'J Phone #: 336-751-8760
Section: Lor.
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION 4208
- -
AUTHORIZATION NO: A Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction. MUST BE ISSUED by the Davie County Environmental Health Section prion
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) _ NEW SITE REPAIR SITE ✓�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTI-f � ROCK DEPTH 162,— LINEAR FT-`S�
OTHER,& ,/
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT /
SYSTEM INSTALLED BY:<
VIP y)) r
- r►v
r
v
AUTHORIZATION NO. � OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
DCHD 02/02 (Revised)
`6`20Q
663,
555
44 4
(90)
Iso
\` %o %%s
7
Iso28
1 ill".
ON
7Nx6-
�
------
112
11 � �-
6 N
11 ♦
6-3-
2
5165
15
` 0 ,� \ ` \ 4047
�o
2965 �
1846
16 0
1 0727 1\2
7 ° ti - 13 (13753) N 5725
,\ 0 33�
5
y1 o '----------
-IC 88
6 8646 F
\ - 361
��3 y 1681 g5
2� ♦` 7555 94 22g
6520 s 9479
)445' 1
141 134
\a, 0� (946)
�2A
f
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
)04
Environmental Health Section
P. O. Box 665
I /f� Mocksville, NC 27028
1. Application/Permit Requested By
C-- L
Mailing Address
Home Phone
2. Name on Permit if Different than Above.
Z"7/C:
Business Phone
3. Application/Permit for: ,General Evaluation ❑ Septic Tank Installation
4. System to Serve: A House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other
❑ Unknown
5. If house, mobile home: Subdivision ,�� l�-��'�� Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Sinks _
No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures,
7. Type of water supply: ❑ Public ❑ Private
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Yes ❑ No
❑ Community
"NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
This is to certify that the information provided is correct to the be
t of m nowled u s I a po si le r II c s
incurred from this application. a/h •
DATE SIGNA -
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
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 said site's suitability for a ground absorption sewage treatment
and disposal system. 1;
DATE
DCHD (12-90)
SIGNATURE
J%,� `% �_ 01+., ''4'�;,•..! `a•�lai �• . . ' ' "s )1 : y'r .,j" r tip: q�,, I'• t
Lo w
•+ :/d r• Jat-•fir ; ' � ?� • N, � r •/)
y��,�`t .1► a ?�� '04'L. :�, t ( %•: f • O + rz
S,vrA'.F.• Y � .. • (.t "W,� r fq�'•.•tF`rf`rLr'Ys`?/'++1 "�tly.•�,7Ni.'.,:p:+,�},iK.,�r. �Itr(,fU1,"'�fi',aq{�'.r!► u� r' .;.1f} ' �, y�f7�i ;' ++ r•r • �� O\ .rr
.41 Do,
+i�' ^itc{P • t t l.: 'i!1•�:
+�+G; '!:)-t:t.�.•���a.,'•'y• i:
j''„f�fit •� •µf'
• �.
"i.•=.5�'#v , "�'�,'i- L S7•'ly!'� YI li.�i r,i��ry r'S+, ' • �' •` ^� } rt l 1 •r ., Q �r, r r N.'S' t! t.' ,.i' ,�kl, !r
.. •�. •�. 1r1' y.!^ (i •1`.i ri "i' * , . �� � il'"'}+ f r F % • ,;.tr t f � �1��. ,S `c . .. ` ;
�• ,r: ,t,-!��,` ':� r..v.�, . y�j,��• �cdy�.►. , ''t�..5'' a.. rY• rye' ty'�,� 1 +'1 t � r � ' •���• �•.!;, .
y� � �.� "'lir �•/y .,.. " ' xiS,�:; 11!,t; !�� .!•.: ( '�«�l'{'i.si . ; 1 � ♦�,,r7 yyrryr .,, ,, f, � � pv-, ,,! ;"•t� .
. i •9' ; M(y'YI:�I ,. o�C21rt q';�e ; \ f_� �,� . '! � tS� t,t, •k;*� .i:.. .rl. ,,•;
•! '�,' �,N�,' , �'`+� �tirC� ,A•fr`�� y ,1r'�i`•1'�Ri;'+t �r�, ,•�.Y a.l� 1, •� `'i � •
µ r4V •.r.r w. •.
v %� R•f .,,,S• ! i,F' ,r }�. d<trf.t•'r .,ti �} r•i l �`..U' .,• * •`•...• •+••(� .. �r 1. +'' , •.
( ,ld.. J C5. 1{>�,' ,wi ,'�,ty"i;?� r�'-,y +I,t'��yn...' • �� � \ k t 1•. � f `xJUD);,- .. • • , .T', ' J,.
'< Ri 'i ►kw t' r+� Yj.`+' •�',,,fT,y,r-blrV,.t .� p. v.Z�'.. +..?�' ,4. ! ,'' rn,I •I.
' IQ?` •• • ` - .., .riii% ;,f�J ♦_,.n \r �.L. r N r !".. r , t. .:)•rr
' `1NN ' rc' ' f •.s�. ,r -i• t ,�'S;r •j�l•�'..''37 ,Cl. c `9't.• ,it� . w r sM'{ `'f i1 ' ,P •ir"�i
6f ,rr , " _� .,3 �f „yR17+1 ♦ C• r1f/;' •r�5.+.. :, •,,•1• ��ti +`•!" Yir ' - ...• �'t '�
tea. .,t, •. A �?•^` ...' ; + f. ' Z'• , ,iy' �. ... {a'�,� t;.
"� . '• r► � ��.I i''° +'G ria'•.: '. �!:ia •�,r,:, •' iti�r . y.' t
+. `;'';,• + :� r�' •. . •�1,'•'A ' Y � t� :T -M.',( +� �`t� ti.ri'l'h.~ ' ��,� •�• ':• �'1 �r : {Sy..." ,
1',�� • . ,) ,'..tt:�,
to i • rp' '{A I' ..•6i' .• •r +' !_") O c` , 1.L
co
N� ' w� . �t ! r L rlf � • � � :!, �yj,' rj? r" yr' +.'• ! o.. . r . "y • .S �` � y�5-• � i
l � ,r ���!' t..^ roJR .�t '1•la'i�t).fi,r {, '!'• r" •i
I'll
.:C Al
s
jI
t/ L i � ,.,iil,+ .',IVt •`. �` .. :.qr� r ;l: t,,�w'1�,`rru .r � .,', I ,
DO
Vmi
10
It Ae
iD
�� �! � t. .. ,� �a #>•,ii tc rr I a./SAr 11. R ;
ON
bD
til s ��✓ 'r �/ 1(% ,�I It ro�DO
rad ... ' .�`� •� 4 v L r�.� � 4'�,�.+ I ,+'C:.�,�, � w „
nNl
411
�\1 , �•�}j�p/`�o `� ,��L*��f`'"tit + N�O,. �:�tfi �� to
�, • {9 . �� .+• ?,i )� `{�� �Y fps L/
fA r,
,��• '�:•�A. �'� �' ,' i, �EK•cY'ti ''M1� ^� off► •,'• "�
loo
In
�1 �' , �i�t �y 1 •' • 1 .. to
In
0 -1 1 -1
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
'APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME a-- /V- —S r,� S PHONE NUMBER
ADDRESS 1 D u� C t R -c - SUBDIVISION NAME
a& L-_ 6_/s t L e_ H C' LOT #
�
DIRECTIONS TO SITE y
DATE SYSTEM INSTALLED 7o-7-2- NAME SYSTEM INSTALLED UNDER �-
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING,0
d Lt ,� s
DATE REQUESTED t�o 3 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT.
Rev. 1/93