133 Tifton Street Lot 198Davie County, NC I Tax Parcel Report Thursday, October 27, 2016
WAKNI-N is 1Mb la PIVl A bUKVL' Y
Parcel Information
Parcel Number:
D806OA0020
Township:
Farmington
NCPIN Number:
5882043033
Municipality: BERMUDA RUN
Account Number:
82525525
Census Tract:
37059-803
Listed Owner 1:
WELCH ALAN
Voting Precinct:
HILLSDALE
Mailing Address 1:
133 TIFTON STREET
Planning Jurisdiction:
BERMUDA RUN
City: BERMUDA RUN
Zoning Class: BERMUDA RUN CR
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 198 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
0.82
Elementary School Zone:
SHADY GROVE
Deed Date:
12/2005
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006390771
Soil Types:
MrC2
Plat Book:
0004
Flood Zone:
Plat Page:
090
Watershed Overlay:
BERMUDA RUN
Building Value:
186630.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
110000.00
Total Market Value:
296630.00
Total Assessed Value:
296630.00
9 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 Mness for a particular use. Ali 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
r'p N.t NC or arising out of the use or Inability to use the GIS data provided by this website.
0 D
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:; Issued in Compliance With Article I I of G.S.Chapter 13oa
Sanitary Sewage Systema Permit ' Number
Name �--o
-"Z 14, Date Z7 N2
Location 1�f 5� 6841
Subdivision Name �//21'0 j- — Lot No. —Zy-i Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer YES NO E]
r
Auto Wash Ma^hine YES NO E]
4aw'. *�e
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This. permit is subject to revocation if site plans or theintendeduse change.
Improvements permit by —��/
*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 day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion A'q Date
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
�Jc ...
Sanitary Sewage Systems ;�f� �' Permit `Number
Name lIV Date Z' N2
6841
' Location
Subdivision Name !�/'�> f�* '� z,� Lot No. Sec. or Block No.
Lot Size House _— Mobile Home Business Speculation
No. Bedrooms I.No. Baths_ No. in Family _
Garbage Disposal YES NO ❑ Specifications for System:
Auto Dish Washer. YES NO ❑
Auto Wash Ma shine YES NO ❑ r ��• r (� 57–dlV..<_
Type Water Supply
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
r
Improvements permit by _la-!
*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 day of completion. Telephone Number 704-684-5985,
Final Installation Diagram
System Installed by -422 -
r
� t
Certificate of Completion /C' �� Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
a DAVIE COUNTY HEALTH 'DEP T '''
AR MENT`r• • •
_ = .-IMPROVEMENTS PERMff AND CERTIFICATE' .OF J COMPLETION, `
`NOSE: Issued in. Compliance with G.S. of North Carolina Chapter 130 Article 13c '
;.: Sewage Treatment and .Disposal;.Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Ky 0ASff Date 4 -%8 ?SPig3 '366 .
• Loc , - II.. .:•. � .. - , '' ... .
ation r ;{
Subdivision Name XVI Lot No. l qlr Sec. or Block No. `
Lot -Size 171.4x ZT3,q 931ouse ? " .. "✓ Mobile-Home — Business Speculation
No. Bedrooms ..No. Baths in FamilyG
Garbage Disposal YES No, Specifications for -System: /Z5Q tlg1/�
0:; fa�,k
Auto Dish' Washer •YES Nd p- 10
Auto Wash Machine ' -YES NO; �00 X 3 X �z , S�N� E.
4
��Q C Iz` i
• Type Water Supply �OV[�f' _ ��YY B x ON Coni r'
"This permit Void -if sewage system described below is not installed within 36 months from date of': issue.
:. T is iMpeRaToVti -V IA-r A
..•• ,r�,. - ., . _ .. ..' I�¢r'itfSFrrTAT�v1 OF' 'jf115 OF�FIC>� Mf�4".
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(S'`t.io1L� WTAQ_A.n7u" QF SyLiFM•
SyiTfM. I hUVT •fit it.l�,ALC4 a
' SHAlLow AS Pa.S4iCLL * o iNor
•' DIS"l"u(Z�3 .-n So,L IN '11-ti 6A(.K• Y/kkO
IS
i
No Mol?
f THAn1' Cogtj'! 04tiL cwgS
i:. -Improvements ermit b S
, � Y .
`Contact a•representative of the Davie County Healtti Department for final,'! nspection of this,•.system between 8:30-
'9:30 A.M., or 1:004:30 Rlk.on day of. completion.' Telephone. Number: 704-634-5985. .
Final Installation Diagram: System Installed by� '� ) �4
r
ev
Certificate of Completions Date .3_` • "'Y� '
The signing'of this certificate -shall indicate -that the system described above has been installed in compiiance'with
the standards set forth in the above'regulation, but shall. in NO,way be taken as'a guarantee. that the°system will function
satisfactorily for any given period of time. ;
Name
Address _
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
FACTnRS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position
�§
S
'-f S
S
PS
U
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)(PS>
PS
S
PS
U
U
I) Soil Structure (12-36 in.)
Clayey Soils
&
S
<M
S
S
PS
U
U
U
l) Soil Depth (inches)
S
S
S
PS
S
PS
U
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
U
U
U
External
S
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Available Space
S
S.
S
S
PS
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE
Recommendations/Comments:
S—Sl 11TAR1 F
Described by w" Title
SITE DIAGRAM
li
DCHD (6-82)
PS—Provisionally Suitable o /�
L ,
c
Date g' (/" gj
3
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT����
Davie County Health Department _ ?'
s Environmental Health Section /�✓
S1�f� P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 01 S %- (o 11%
1. Permit Requested By Business Phone ?el -A' 5 19.5
2. Address I S �,n..r4 ti ;.-o - ha.4, 859 a � 'r, G A'7 00(o
3. Property Owner if Different than Above J Qu - - -
Address Lli6 , d 'Y"' �04 tdet 4-1 C.
4. Permit To: a) Install Alter Repair
b) Privy Co I nventional_±L Other Type
Ground Absorption
c) Sub -Division Sep. Lot No.
5. System used to serve what type facility: House ✓ Mobile Home Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensipns
Bed Rooms Bath Rooms— Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type o water -using fixtures:
commodes urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions
b) Land area designated to, building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signa re
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
pp,Directions to property:
ZVA~ 1_0 o"--�
3
2SS• ?
93.9
Z�3•y5
DCHD (6-82)
I SA -3 &40�
DAVIE COUNTY HEALTH DEPARTMENT
SITE EVALUATION CONSENT FOIRM
LOCATION OF PROPERTY:
yob a� sem. aA �+► �g a)
SL
`18Loraw.- a.a.... RC1 C.• A.'i 00 �.
DATE RECEIVED
(office use only)
7- 7,5--60.3
yes no (1.) I am the owner of the above described property.
1 ( 1-/
yes no (2.) I am not the owner of the above described property, however, I
� certify that I have consent fromAou. �s.oA�,, ,owner to
owner's n6ke
obtain a site evaluation by the Health Department for the purpose
of determining the suitability for a ground absorption sewage
disposal system.
yes no (3.) I hereby give consent to the authorized representative of the
Davie County Health Department to enter upon the above described
property and conduct all testing procedures necessary to
determine its suitability for a ground absorption sewage
disposal system.
� C M �
TATE cIGNATURE
(4.) I hereby authorize the Davie County Health Department to release
site evaluation results from the above described property to the
following:
Mk %ZL ��a3
DATE
IQ1,J -�MAAJM
SIGNATURE
0 Owner Only
Owner's designated representative
a Anyone requesting results
Q Only those listed below
" DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
r
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position
9)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
PS
`A U
U
U
U
f) Soil Structure (12-36 in.)
V
S
S
S
S
Clayey Soils
PS
PS
PS
PS
U
U
U
U
g Soil Depth (inches)
S,
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
S
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
S
S
PS
PS
PS
PS
UUJ�,//
U
U
U
1) Restrictive Horizons
f '
' /
vCl�'I&'
gp'
Available Space
S
S.
S
S
PS
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisional y
Recommendations/ Comments:
Described by Title
SITE DIAGRAM
LZ7
l
Suitable
Date r_.
DCHD (6-82)
Davie Caz( ty YfealtI De artment
life Aen
and .dome mea y cy
210 HOSPITAL STREET/ P.O. BOX 885
MOCKSVILLE. N.C. 27028
PHONE: (704) 834-5985
October 25, 1988
Merrill Lynch
Attn: Mary Nell Humes
3051 Trenwest Dr.
Winston-Salem, NC 27103
Re: Sewage System Check
Terry Cash
Bermuda Run/Lot 198
105 Tifton Drive
Dear Realtor:
As per your request, a representative from this office visited the
aforementioned site on October 24, 1988. The purpose of this visit was to
determine the condition of the sewage disposal system. At the time of the
visit, there was no evidence of any problems and everything appeared to be
functioning properly.
Please advise should this office'be of further assistance.
Sincerely,
Charles E. Little, R.S.
Environmental Health Section
CL/wd
Enclosure