365 Riverbend Drive Lot 187Davie Countv. NC Tax Parcel Report Thursday, October 27, 2016
Building Value: 0.00 Outbuilding & Extra 0.00
Freatures Value:
Land Value: 112200.00 Total Market Value: 112200.00
Total Assessed Value: 112200.00
91M data is provided as is without warranty or guarantee of any Idnd either expressed or implied including but not limited to the
County, o Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shag 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
[Dawie
vC or arising out of the use or inability to use the GIS data provided by this website.
WAKN1NU: 1Mb 1J PIVI A bUKVZ Y
Parcel Information
Parcel Number:
D806OA0010
Township: Farmington
NCPIN Number.
5882123617
Municipality: BERMUDA RUN
Account Number.
82519368
Census Tract: 37059-803
Listed Owner 1:
CASTELLANO VINCENT P
Voting Precinct: HILLSDALE
Mailing Address 1:
5452 BROOKBERRY FARM RD
Planning Jurisdiction: BERMUDA RUN
City: WINSTON-SALEM
Zoning Class: BERMUDA RUN CR
State:
NC
Zoning Overlay:
Zip Code:
27106-0000
Voluntary Ag. District: No
Legal Description:
LOT 187+ BERMUDA RUN GOLF&COUNTRY
Fire Response District: CLEMMONS
Assessed Acreage:
4.33
Elementary School Zone: SHADY GROVE
Deed Date:
8/2002
Middle School Zone: WILLIAM ELLIS
Deed Book / Page:
004330503
Soil Types: GnB2,GaD,RvA WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay: BERMUDA RUN
Building Value: 0.00 Outbuilding & Extra 0.00
Freatures Value:
Land Value: 112200.00 Total Market Value: 112200.00
Total Assessed Value: 112200.00
91M data is provided as is without warranty or guarantee of any Idnd either expressed or implied including but not limited to the
County, o Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS website shag 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
[Dawie
vC or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section �P e- -7'P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990002297 Tax PIN/EH #: 5882-12-3617
Billed To: Vincent Castellano Subdivision Info: Bermuda Run Lot # 187
Reference Name: Location/Address: Riverbend Drive -27006
Proposed Facility: Residence Property Size: see map
(TE*VW'ibefr: 3161
**
N s mprovement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater
system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this
Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with
Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT,TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type 41 #People #Bedrooms #Baths /
Dishwasher: O Garbage Disposal Washing Machine: Basement w/Plumbing: 0 Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) i 4�) Site: New,0-00'Repair ❑
System Specifications: Tank SizeAVAAL. Pump Tank GAL. Trench Width Qg-o, Rock Depth Linear
Other: c>/—
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 - BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
rs ss�
� 1
Environmental Health Specialist's Signature: Z
DCHD 05/99 (Revised)
ve,
Date:
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 990002297 Tax PIN/EH #: 5882-12-3617
Billed To: Vincent Castellano Subdivision Info: Bermuda Run Lot # 187
Reference Name: Location/Address: Riverbend Drive -27006
Proposed Facility: Residence Property Size: see ma
ATC Number: 3161
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, 54ion .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWA R ST - TION IS VALI R A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Date: e -T—P d ]�a—
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
has been installed in compliance with Article 11 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.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date:
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT &
Davie County Health Department
Environmental Heath Section
P.O. Box 848/210 Hospital Street
Mock ( N 7028
336) 7518760
IF FOODSERVICE: # Seats
7. Type of water supply:
Estimated Water Usage (gallons per day)
L2-'County/City
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If ycs, what type?
❑ Community
❑ Yes o
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQIIES'I'tsD
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
'(a/[('Kl x 12,-7' 3.96 �•)
Property Dimensions:22-7 X �O� x PRITE DIRECTIONS (from Mocksville) to PRUI'I-At'll':
Tax Office PIN: # O tLtSt— �Ib &'Y�ct' PcAA
b8g 2- I k
Property Address: Roadame p �11%P�tiCJP Q/' �C�
City/Zip &loin POA
If in a Subdivision provide information, as follows:
Name:;ZJyu-t1�X
Section: Block: Lot: 1 p�
This is to certify that the information provided is correct to the be;
issued hereafter are subject to suspension or revocation, if the site puns or mienaeu use cnange, or a ine uuormauon
submitted in this application is falsified or changed. I, also, understand that 1 ant responsible for all charges incurred from
this application. 1, hereby, give consent to the Authorized Representative of the Ravic Count Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suiopility. n
Date Property Flagged:
DATE S / -2,Y /Z7 Zr- SIGNATURE '1/ Alt"LGGA P
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. /
Revised DCHD (07/99) Invoice No.
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED \/
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions._ J
1.
Name to be Billed
////�'���,�
Vr� P-l_LGi►neei
I L�O Contact Person
Mailing Address
Rf- t 5— J�I S mote—
Home Phone
City/State/ZIP
Cj-eAUtt,(, 4, -S� NC,
/
�� IZ Business Phone ;;4
2.
Name on Permit/ATC
if Different than Above
S� et?
Ti7�1,(
Mailing Address
City/State/Zip
3.
Application For:
❑ Site Evaluation
improvement Permit/ATC Il Both
4.
System to service:
House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5.
If Residence:
# People
�
# Bedrooms # Bathrooms
�
I ishwasher I Garbage Disposal [ a[ashing
Machine U•eBasement/Plumbing Il Basement/No Plumbing
6.
If Business/Industry/Other:' Specify type
# People # Sinks
# Commodes
# Showers
# Urinals # Water Coolers
IF FOODSERVICE: # Seats
7. Type of water supply:
Estimated Water Usage (gallons per day)
L2-'County/City
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If ycs, what type?
❑ Community
❑ Yes o
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQIIES'I'tsD
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
'(a/[('Kl x 12,-7' 3.96 �•)
Property Dimensions:22-7 X �O� x PRITE DIRECTIONS (from Mocksville) to PRUI'I-At'll':
Tax Office PIN: # O tLtSt— �Ib &'Y�ct' PcAA
b8g 2- I k
Property Address: Roadame p �11%P�tiCJP Q/' �C�
City/Zip &loin POA
If in a Subdivision provide information, as follows:
Name:;ZJyu-t1�X
Section: Block: Lot: 1 p�
This is to certify that the information provided is correct to the be;
issued hereafter are subject to suspension or revocation, if the site puns or mienaeu use cnange, or a ine uuormauon
submitted in this application is falsified or changed. I, also, understand that 1 ant responsible for all charges incurred from
this application. 1, hereby, give consent to the Authorized Representative of the Ravic Count Health Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suiopility. n
Date Property Flagged:
DATE S / -2,Y /Z7 Zr- SIGNATURE '1/ Alt"LGGA P
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. /
Revised DCHD (07/99) Invoice No.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department 1
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone'2217— /0 Z
1. Permit Requested By f'loc/ef� 62a T-6- Business Phone�2--
2. Address 37 ���t-t 64.c l�'`l Pr• H- C . 272-15
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 Ad, >*ti* &I Sec Lot No. l g7
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people Go (f—Y Sa1C
6. a� if house or mobile home, state size of home and number of rooms.
House Dimensions—
Bed Rooms Bath Rooms Den w/Closet
b) if Business, Industry or Other, State: Number of persons served _1
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures: ('LOI {Q'h Sa e) c t9.e yp t' c a•( %I orH
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 Z h_,e_g `tA I= — Ale )'ra� - y"
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 Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6.82) S
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, R O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
! of /,57 14 d,2 (office use only)
y_ no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent fro
, owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 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 as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DCHD (11 /84)
D TE SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
—Owner only
Owners designated representative
Anyone requesting results
Only those listed below
SIGNATURE
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Jox 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone,22 !2 — ld 7
1. Permit Requested By RO�e 1� Oa f t'e S Business Phone _22!7
2. Address 37 �Gt�il�i �u J -z: -`i Pt-. ll3Nr1,'n g fi-i; ,, iv. c. 27.-,)-l5
i
3. Property Owner if Different than A ove
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub-Divisiode k4 R(fN- Sec Lot No./ S"7
Hot Mobile Ho
5. System used to serve what type facility: Home Business
Industry Other
b) Number of people Gad' fit
6. ay aT If house or mobile home, state size of home and number of rooms.
House Dimensions C Lv •}' 4"°t' -9a D
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) p
7. Number and type of water -using fixtures: frLof- �r sa.l e� ms •e Xl t ca,( h or►► e } f�-•+ -12 1--"C
commodes
urinals garbage disposal
lavatory
showers washing machine
dishwasher
sinks
8. a) Type water supply: Public Private Community 11�
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions 9l- 4 "/+':� te,5
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 Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
Address
s
FACTORS
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
AREA 1 AREA 2
.�o e7
Date `•5-/ad/Ir?
Lot Size (— !w,
AREA 3 AREA A
1) Topography/ Landscape Position
PS
S
S
-:P:
S
PS
-u
2) Soil Texture (12-36 in.) Sandy,
Loamy, CIT aYey. (note 2:1 Clay)
PS
/ P5/
S
PS
PS
3) Soil Structure (12-36 in.)
Clayey Soils
S
S
S
/moi
S
S
V;
1) Soil Depth (inches) -41g--/I
S
S
WS
U
U
U
U
i) Soil Drainage: Internal
pS
SS
(!P
PS
U
Tj
U
ExternalA^�,
S
S
S
U
US
i) Restrictive Horizons
') Available Space
�
�.-..�
S-,
LP,,S�
S
U
Lam/
U
U
U
1) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE S—SUITABLE PS— Provisionally Suitable UA/YjUd
Recommendations /Comments: Zw-s- ,,/y�� de c�s'iIQD/Rt c� � e4 A—'nua
Described by � / Title d79 Date
SITE DIAGRAM
UCMD (6-82)
,� frost
Davie County NealK De artment
and. XOh7e Nealtfi ffyeflcy
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
June 6, 1989
Lambe Young
Attn: Shirley Clubb
3411 Healy Dr.
Winston-Salem, NC 27103
Re: Site Evaluations
Roger Oakes
Bermuda Run -Lots 186'& 187
Dear Ms. Clubb:
This letter is in regard to 2 site evaluations done on lots 186 and 187 in
Bermuda Run.
Please note the findings below for lot 186:
Topsoil - Sandy loam from 8-10"
Subsoil - Red clay soil to and excess of 48"
Topography - Provisionally suitable on front portion 'but unsuitable on
back due flood plain
The present classification for'lot 186 is provisionally suitable; however,
this does not constitute an approved blanket approval. Before any final
approval can be made the proposed house must be staked off and number of
bedrooms stated. Then this office will determine if there is adequate space
for the proposed use.
Please note the findings below for lot 187:
Topsoil - Sandy loam from 8-10"
Subsoil - Red clay soil to and excess of 48"
Topography - Provisionally suitable on front portion but unsuitable on
back due flood plain
The present classification for lot 187 is provisionally suitable; however,
this does not constitute an approved blanket approval. Before any final
approval can be made the proposed house must be staked off and number of
bedrooms stated. Then this office will determine if there is adequate space
for the proposed use.
If you have any questions feel free to call.
Sincerely,
Robert B. Hall, Jr.
Environmental Health Section.
RH/wd
cc: Roger Oakes
Enclosure
1-t
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NUBVEY G A8 O=a= H7c nM NC CODE 81
VW= W BAND AM OTRtC. Q SUL Tm Df►Y OT .
LUMOR NO. LAND SUR IR OR
LOT 186
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Boundary & Topographical Survey For:
VINCENT P. CASTE.L.LANO and wife,
r CYNTHIA G. CASTE'.LLANO
• i / �I
�, Owrw-. Roger w. t& Dkme M Oakes
=y Dr.
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')ID Tox ,81ock D8060, Lot A10
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THAT THK RM Or PR03M As CAIL'UUM IS 1:10,000+; TW UDS NAP 'EAS
PREPARED IN ACCORUMM V=AN
= STANWW D MAO= M LARD
NUBVEY G A8 O=a= H7c nM NC CODE 81
VW= W BAND AM OTRtC. Q SUL Tm Df►Y OT .
LUMOR NO. LAND SUR IR OR
LOT 186
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40 ars
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1 Inch 40 &
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Boundary & Topographical Survey For:
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r CYNTHIA G. CASTE'.LLANO
• i / �I
�, Owrw-. Roger w. t& Dkme M Oakes
=y Dr.
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')ID Tox ,81ock D8060, Lot A10
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SHM AS WEIN W= PIMM MM nuMMUM TOUND IN MW A8 LWW,
THAT THK RM Or PR03M As CAIL'UUM IS 1:10,000+; TW UDS NAP 'EAS
PREPARED IN ACCORUMM V=AN
= STANWW D MAO= M LARD
NUBVEY G A8 O=a= H7c nM NC CODE 81
VW= W BAND AM OTRtC. Q SUL Tm Df►Y OT .
LUMOR NO. LAND SUR IR OR
LOT 186
PB4PG81
i
GRAPHIC SCIALE
40 ars
r. I
t IN FEET !.
1 Inch 40 &
1z
Boundary & Topographical Survey For:
VINCENT P. CASTE.L.LANO and wife,
r CYNTHIA G. CASTE'.LLANO
• i / �I
�, Owrw-. Roger w. t& Dkme M Oakes
=y Dr.
�1m, NO 27215
')ID Tox ,81ock D8060, Lot A10
Lot 187 Picthook 4 Pape 91