299 Riverbend Drive Lot 179Davie County, NC Tax Parcel Report Tuesday, October 25, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: BERMUDA RUN
State:
WARNING: 'FHIS 1S NOT A SURVEY
Parcel Information
D806OA0003 Township: Farmington
5882133797 Municipality: BERMUDA RUN
54025000 Census Tract: 37059-803
NICHOLS ROBERT C Voting Precinct: HILLSDALE
299 RIVERBEND DRIVE Planning Jurisdiction: BERMUDA RUN
NC
Zip Code: 27006-8501
Legal Description: LOT 179 BERMUDA RUN GOLF&COUNTRY
Assessed Acreage: 1.24
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
8/2005
006190412
0004
090
268020.00
93500.00
365300.00
Zoning Class: BERMUDA RUN CR
Zoning Overlay:
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 webska
Voluntary Ag. District:
No
Fire Response District:
CLEMMONS
Elementary School Zone:
SHADY GROVE
Middle School Zone:
WILLIAM ELLIS
Soil Types: MrB2,GaD,RvA,WATER
Flood Zone:
Watershed Overlay:
BERMUDA RUN
Outbuilding & Extra
3780.00
Freatures Value:
Total Market Value:
365300.00
Davie County,
1�T +
1\ C
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 webska
DAVIE COUNTY HEALTH • DEPARTMENT
IMPROVEMENTS; PERMIT AND CERTIFICATE OF COMPLETION `
*NOqTE: Issued in Compliance with G.S:of North Carolina.Chapter •130 'Article.l3c . '
:. it -, • ,:.:
Sewage Treatment arid•Disposal Rules (10 N,CAC 1OA .1.934-.1968) :' . PerMiU:Nufnber:' Y
Na a f. ! Date
Locatiori
Subdivision Name Lot No. Sec. or Block No.. •
Lot Size House _ yam• Mobile Home _ Business Speculation
No. Bedrooms _. No. Bdihs _ _ No.in Family -
Garbage Disposal YES fl •IVb Specifications for Sy em: �1
Auto Dish Washer YES p -NO'
Auto -W h a
i� as M chine YES p =N0 �/�✓( �'
Type Water Supply.
.*This permit Void if sewage system described below�is not installed within 36 months from date of issue
Improvements permit by '
I
*Contact a representative of the -Davie'bounty Health Department for final' inspection of ' this system between' 8:30- -
9:30 A.M... or, 1:00-1:30 P.M. on"day 'gf completion. -Telephone Number: 704-634-5985.
'APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT 2
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 7 24 -z� 23 Z
1. Permit Requested By 9Rl1E� //Ne! Business Phone 7 73 —404 R
2. Address 2 7D 7 L�iie.►/�I /fis7`9 �o/�d , /�ii►►s7`�.Y -S�lem �/ N_ a 716
3. Property Owner if Different than Above
Address
4. Permit To: a) Install ✓ Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division G.cn_.-alo% iRuN Sec. Lot No. / 79
5. System used to serve what type facility: Houses Mobile Home Business
IndustryOther
b) Number of people 6�5fyl-?I 22(Rr� 1-17. yeo/Z
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 9G X3Jdo -e4
Bed Rooms 3 Bath Rooms Den w/Closet / sTudY
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 of water -using fixtures:
commodes '9 urinals -0- garbage disposal
lavatory 4 showers washing machine
dishwasher / sinks
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yes V No
9. a) Property Dimensions /24 ' X -3711
b) Land area designated to building site
c) Sewage Disposal Contractor /Vg,? -tiN
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 ner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
US #iso 70 ��.zmud� .�u.v. C�ERmudf �I•P�v� � fsi' ,lef'�` o-✓
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7-
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DCHD (6-82)
DAVIE COUNTY HEALTH DEPART.^SENT
SITE EVALUATION CONSE14T FORM
INSTRUCTIONS/PREREQUISTES
1. Complete the form below and return it to the Davie Co. Health Department.
2. Along with the form, remit the amount due as shown an enclosed statement.
3. Carefully follow the procedures as outlined in the enclosed "Information
Bulletin".
4. Notify Health Department upon completion of item number 3.
NOTE: ALL THE ABOVE 14UST BE DONE BEFORE A SANITARIAN WILL BE ABLE
TO BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO THE(DAVIE COUNTY HEALTH DEPARTMENT,P.O. BOX 57)
(MOCKSVILLE, N.C. 27028)
DAVIE COUNTY HEALTH DEPARTMENT
SITE EVALUATION CONSENT FORM
LOCATION OF PROPERTY:
DATE RECEIVED
(office use only)
yes K
no(1.) I am the owner of the above described property.
I-]
yes no (2.) I am not the owner of the above de
C
cribe property, however, I
certify that I have consent fromi.0 ,�ipq� �,� ,owner to
1 owner's name
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.
ATE
SIGNATURE
(4.) I hereby authorize the Davie County Health Department to release
site evaluation results from the above described property to the
following:
DAA
SIGNATURE
0 Owner Only
L,3 Owner's designated representative
Mt Anyone requesting results
'6 -only those listed below
Name_,.
Address
FAr.TORC
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION l
Date
Lot Size';
ARFA 3 ARFA A
APPA 1 APPA 9
Topography/ Landscape Position
#)
�)
6)
.t)
S
S
S
S
PS
PS
U
U
U
'.) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
PS
U>
U
U
1) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
�S
(ir%
PS
PS
U
U
Soil Depth (inches)
S
S
S
p
PS
PS
PS
U
U
U
Soil Drainage: Internal
S
S
PS
S
PS
U
U
External
S
S
S
PS
097)PS
PS
U
U
U
Restrictive Horizons
Available Space
S.
S
PS
S
PS
U
u—
-lT
U
U
Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
Site Classification
U—UNSUITABLE S—SUITABLE
Recommendations/Comments:
Described by _
SITE DIAGRAM
DCHD (6-82)
Title
A1.
Date
a
f APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department. �f
Environmental Health Section
P. 0. Box 665 l
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone Z2 `7-03,5P 5
1. Permit Requested By ' �� lci �e Business Phone — 3 Vold
2. Address .r'iS /7c1 le"lye le-13min ZC ?' )�e_C'lzudw
3. Property Owner if Different than Above .4':57Ze1:Z W1'41
Address'7� �� f,�, l� 'ed— PA "�4
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House_Je�f`Mobile Home Business
IndustryOther
b) Number of people 21
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions '500 � 177 'dc/
Bed Rooms _i Bath Rooms Den w/Closet %!4
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 of 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? Aj C)
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
tol
DCHD (6-82)
�- Ate '4 ��✓
"I, i� Q CSujolf�J certify that on S— Q , 19'7 Z. 1 surveyed the property shown on this plat;
that the property lines and location of all structures are accurately shown hereon- that no structure located on this property
encroaches on any adjacent street or property, and that no structur a ¢ prope y nc "14s premises
surveyed." Ate,_ ..•••• '
Y D K 1 'N R IV R �,�'�"^
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3 0 �g��,•
2 0, ao'
N /�° 06'32"W
R IVFRpEND DRIVE
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qD
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Set
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Address
FACTORS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
AREA 1 ARFA 9 ARFA A AREA A
1) Topography/ Landscape Position
.3)
�)
5)
�)
9)
S
S
S
S
PS
PS
PS
PS
'
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
PS
U
U
U
U
Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
PS
PS
PS
PS
U
U
U
U
Soil Depth (inches)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Soil Drainage: Internal
S
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Restrictive Horizons
) Available Space
S
S_
S
S
PS
PS
PS
PS
U
U
U
U
) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
U—UNSUITABLE S— UITABLE P —Provisionally Suit ble
Recommendations/Comments: ' v " l �'
- r
Described by -S_ Title Date
SITE DIAGRAM
11
379
DCHD (6-82)
i9LO
� �i111tP �IILt2t��1 �PtiC�� �E�J�IX�I1tE2t�
� iilt� �IIItIP �Piitt� ��Ettt�1
P. O. BOX 665
c4lotksilitte, �qortti Qlarotintt 27028
OFFICE OF THE DIRECTOR
June 5. 1984
Martha Sturkie
Helms -Parrish Properties
3447 Robinhood Road
Winston-Salem, NC 27106
Dear Ms. Sturkie:
As requested, a representative of this office visited lots 179
and 1819 Bermuda Run, in order to determine if they are suitable for
the installation of a septic tank system.
TELEPHONE
17041 834-5985
Lot 7#181 can be classified provisionally suitable for the instal-
lation of a septic tank system. The system must go in the front yard,
the house can have no more than three bedroomst and there can not be
a circle driveway. An Improvements Permit will not be issued until
the house is staked off and a specific application is submitted to
this office.
Lot #179 has not been thoroughly evaluated due to rock problems.
In order to complete the evaluation I suggest that a backhoe be brought
to the site so that the soil characteristics may be observed. This lot
has severe topographical and available space limitations so that the
current classification is unsuitable.
If you have any questions, or we may be of further service, please
feel free to contact this office.
Sincerely,
Eas, R. S.