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243 Bonkin Lake Rd Davie County,NC Tax Parcel Report �oal Monday, September 26, 2016 II r� 231- m234 i 223 +r 217 243 rr�f� , 208 196 205- r + 19 7~ f j 248 F7 186 191 WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 840000001601 Township: Clarksville NCPIN Number: 5833061463 Municipality: Account Number: 82522411 Census Tract: 37059-801 Listed Owner 1: BISHOP JOHN Voting Precinct: FARMINGTON Mailing Address 1: 243 BONKIN LAKE ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028-6113 Voluntary Ag.District: No Legal Description: 5.411 AC BONKIN LAKE ROAD Fire Response District: FARMINGTON Assessed Acreage: 5.22 Elementary School Zone: WILLIAM R DAVIE Deed Date: 7/2004 Middle School Zone: NORTH DAVIE Deed Book/Page: 2004EO219 Soil Types: EsC,EnB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding&Extra 20520.00 Freatures Value: Land Value: 61430.00 Total Market Value: 81950.00 Total Assessed Value: 81950.00 I v Alt data Is provided as Is without warranty or guarantee of any kind 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 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 NC 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.O.Boa 848/210 Hospital Street2� Mocksville,NC 27028 4U�6, O Top- J (336)751-8760 Account #: 990002007 Tax PIN/EH#: 5833-05-5959 Billed To: John Hutton Subdivision Info: ai(3 Reference Name: Location/Address: Bonkin Lake Rd.-27028 Pro osed Facility: ATC Number: 3027 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,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTE W NS IS U LID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: 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. � c vast \1 1 y Z� Q T = 14o G 1 L40 f � a TASK ��� to -t2 Septic System Installed By: �' c Environmental Health Specialist's Signature: Date: 2 DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT 12. • Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002007 Tax PIN/EH#: 5833-05-5959 Billed To: John Hutton Subdivision Info: 0?q3 Reference Name: Location/Address: Bonkin Lake Rd,-27028 Proposed Facility: Residence Property Size: see map ATC Number. 3027 **NOTE**This Improvement/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 BEFOREN' STALLING SYSTEM. Residential Specification: Building Type �lJtk, #People L4 #Bedrooms �1 #Baths 2• S Dishwasher: Garbage Disposal: ❑ Washing Machine: d Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size- %A' kS Type Water Supply i')� Design Wastewater Flow(GPD) 4$0 Site: New d Repair❑ 4ADJol N%t46 3.-Z M Aa,2-S System Specifications: Tank Size I CM GAL. Pump Tank GAL. Trench Width Z(2 Rock Depth t 2Linear Ft. 60D' Other: & 1Aa 121 W T-I O rJ �jXt=.S . �t�1STo tJL t_t..1 r� 9'D.e,. w,,,J, EXL•20113 VAl-v+% Required Site Modifications/Conditions: O �°-�'iOc92, Y ��� �a�S�, 1L t o off' IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 K 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.**** A Ved 5YSTEt' ICd Peop, uaG 1 j� • 3� z� OGrJTA.LT -T14 IS, oW-t Cr,- Environmental Health Specialist's Signature: T, X1, Date:oft DCHD 05/99(Revised) . i ION FOR SITE EVALUATION/IMPROVEMENT PERMIT&ATC U Davie County Health Department _ Environmenta/Hea/th Section D 5 :O. Box 848/210 Hospital Street D�G Mocksville, NC 27028 L���`NEpLSN (336)751-8760 ONM 1 ** IMPORT THIS APPLICATION CANNOT BE PROCESSED UNLESS -ALL THE REQUIRED IN TION IS PROVIDED. Refer to tithe INFORMATION BULLETIN for instructions. t 1. Name to be Billedfim It/-;Cal �p/tt G r / C e- Contact Person /IK _ Mailing Address .3,2-3a st I k.S Cheek 'F'nQ/Ky home Phone 3346 City/State/ZIP UJIn51oil ^ ScLlfir►. 1Je C, -77/03 Business Phone^ 7GS'S�SS 2. Name on Permit/ATC if Different than Above.,. t9 d A „ V 116/7 /� �/ �+ Q Mailing Address /:347 C/o i S Iter 5-f,, City/State/Zip _/VQCKS Ui//e / / 3. Application For: ❑ Site Evaluation Improvement Permit/ATC fl Both 4. System to service: X House ❑ Mobile Home ❑ Business n Industry I I Other 5. If Residence: # People A;_ # Bedrooms _ # Bathrooms a IJ Dishwasher 0 Garbage Disposal 1.1 Washing Machine II Basement/Plumbing II Basement/No Plumbing 6. If Business/industry/other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. pipe of water supply: ❑ County/City Well 1.1 Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? El Yes PJNo If yes,what type? ***IMPORTANT***CLIENTS MUST COMPLETE.THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with TMS APPLICA'T'ION. Property Dimensions: F•5'56- 9-5- It,21,786 WRITE DIIZLCI'IONS(from Alocluville) to PRO11IsRTY: Tax Office PIN: # .�f333'!��-Sq`-� 9 p1 /lf. — R D Q L Property Address: Road Name IBuo"n 4e,kt' City/Zip fQ rm;tic, on. N. C. If in a Subdivision provide information,as follows: Name: Section: Block: Lot: Dale Properly Flagged: This is to certify that the information provided is correct to the best of my knowledge. 1 understand that any permit(s) issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or cliangcd. I, also,understand that I anh responsible fur all charges incurred front this application. I, hereby,give consent to the Authorized Representative of the Davie Coun't� 1-1.... lh Departmcul to enter upon above described property located in Davie County and owned by �____ to conduct all testing procedures as necessary to determine the site suitability. Q Q DATE f -'�-O / SIGNATURE 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 Datc(s): Client Notification Date: S. ails 5 EHS• 'k-t/ C. S/ M C - Account No. Revised DCHD(07/99) Invoice No. (p 12/04/2001 19:27 3367221444 WHITT LAND SURVEYTNG _ PAGE 02_ NIP GLORIA E4RNES D.B. 142, PO, 40 F 2io 80, j . t+► 24 .5' N/f PATUE SAMS � Z D.B. 97, PO, 464 J. 202.4• 20.0 PFtOPOSED PART Of RLN. SM-03-50H •� j 2.96 AC. . 14 .4' 00, Let 1o",�s, s24yo. `W E3QNk/ 8,4a R N �AKROAD t�169.54 6 'E RQ + saoo /V{r SR 1419 PROPOSED SITE PLAN OF PRELIMINARY PLAT 2.96 ACRE TRACT, FORMERLY PROPERTY OF PATTIE JEAN TRIVETTE SAMS NOT FOR SALES. CONVEYANCES. FARMINGTON TWP., DAME COUNTY, NORTH CAROLINA OR RECORDING PLAT OF SURVEY FOR JOHN AND KIMBERLY HUTTON Whitt Land SurveyingAMERICA'S HOME PUKE 839 WATSON AVENUE WINSTON-SALEM.:NC 27103 DATE: SCALE: DEED RECORDED IN (336) 722-1444 12/03/01 10=180' BOOK 395 PACE 790 • 7, APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE•RNUT&ATC Davie County Health Department OGS 0 ^L�Q� Environmental Health Section P:O. Box 848/210 Hospital Street Mocksville, NC. 27028 ENVIRg M041ALVI LTN (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS •ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. ! r- tt1 ((�� 1. Name to be Billed ..J�Oh.1 � UtTOr1 Contact Porsonloo 1 #d Mailing Address 1 3 9 C 61 54er S�- Home Phone _33Z-_33Z- f//Sl— t1 �fsa 7 City/State/ZIP �eC I�SrJ i l�G _ �. C� ��l7 Business Phone _,,/fir^ &SO-000 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC II Both 4. system to Service: House ❑ Mobile Home ❑ Business ❑ Industry I1 Other 5. If Residence: # People -- # Bedrooms it Bathrooms 3 X Dishwasher U Garbage Disposal P( Washing Machine LI Basement/Plumbing II Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City D( Well 1.1 Community 8. Do you anticipate additions or expansions of the facility-this system is intended to serve? ❑ Yes K No If yes,what type? ***IMPORTANT***CLIENTS MUSTCONiPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUSTBESUBMITTED by the client with THIS APPLICATION. 3 5b ' d x c Property Dimensions: 300 � C�np✓ok. WRI'TE DIRECTIONS(from h1ocktiville) l0 1'ItO1'1,R'1 : Tax Office PIN: # 5933"056Q59 AWy &0/ N �0 r:►ah"rf bn 1 �,V 90) VJ Property Address: Road Name &k;n Lake i\01 q p ro ,(. c►tyiz;p_111vCk5 VNIC lP, N C a�aa8 goh k Ij k) Lake R8 . R-o eAx Va m%le If in a Subdivision provide information,as follows: (9n )e Name: Section: Block: Lot: Date Property Flagged: This is to certify that the information provided is correct to the best of my knowledge. I understand that any permil(s) issued hereafter arc subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed. 1, also,understand that I ani responsible for all charges inc•nrreil from this application. 1,hereby,give consent to the Authorized Representative of the Davie County health Departmeml to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suita ility. DATE. I SIGNATURE - A& e . THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN(Include all following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Da tc(s): . Client Notification Date: s �T� • �� '-'r � EHS• Account No. Revised DCHD(07/99) Invoice No. (28.34A) 8063 7948 g 1617, ( 1583 rp O i x t Z 3 m \ (12.99A) ;o (17.18A) O � 2211 8252 V (5.30A) � 1 on G1\VPS M (32n 1 0/ rZM au �. G" f� . (13.99A) 9598 (5.52A) O 7552 , IZV- J � (12 --070 .y +nn nr t - + (6.07A) (25.71A) - -1 --_-- 775 .os 8071 5959 !�?- --- VS (2.77A) y C, 2601 (1213A) y 1 4551 8441 (M 178376 (s.Rq 5474 (3.02A) f 1225 » p � , 9120 15.66A) (17.19M (15.57A) 7 2048 6087 ti 1784 7617 » 4546 (20.67A) s 3177 ("°°) me - ` tsm) 6 5015 (MAA A) ` $ ` 8 . 7740 e -tpCL I a_ 6e� �rss sP C' 8.32c r s P ��► -'� C r22- P& 2PS PS 30 DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section • Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990002007 Tax PIN/EH#: 5833-05-5959 Billed To: John Hutton � Subdivision Info: Location/Address: Bonkin Lake Rd.-2702 Reference Name: - Date Evaluated: Proposed Facility: Residence Property Size: see map l� 10175-10) Water Supply: On-Site Well / Community Public - Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 �c;' Landscape position t, L L L• L L �- Slope% (P22 (o7 7 �o7n HORIZON I DEPTH - o- - (p0. 74 19- 2-7 - O- Texture group -5ielt, Consistence S 755.5 g Q Structure 64 CtZ A6k k 2:1 Mineralogy 2! `► HORIZON II DEPTH -19 W- -1- 2 - 4 Texture group120 C< k Consistence S ` Structure �G a Mineralogy HORIZON III DEPTH Texture groupt,,14a0 Consistence Structure Mineralogy HORIZON IV DEPTH - Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE 'CLASSIFICATION LONG=TERM ACCEPTANCE RATE SITE CLASSIFICATION: V 5 � 2•-��GQu `�'r EVALUATION BY: /, TiC> LONG-TERM ACCEPTANCE RATE: ©•2_ OTHER(S)PRESENT.:: � �tcr+429 t�>t�Q P PSI; I REMARKS: ILS-l `SIT - LEGEND Landscape Position p R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope -_ t-U CC-Concave slope CV Convex slope T-Terrace FP-Flood plain H-Head slope Texture R 3`10 S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay,loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Dist 3y y2 VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic �� O Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1,2:1,Mixed Notes Horizon depth-In inches Depth of fill-In inches Restrictive horizon-Thickness and inches from land surface Saprolite-S(suitable),U(unsuitable) Soil wetness-Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification-S(suitable),PS(provisionally suitable),U(unsuitable) LTAR-Long-term acceptance rate-gal/day/ft2 DCHD 05/99(Revised) ■■sM■M■e■■M■MMM■MM■MMMM■■MM■MMMM■MM■■■■■■■■■■■■■■■■■■■■■■MMMMMO■MS ■■■■■eMMM■MMM■M■■MM■M■■■M■M■■■■■�■■■■■M■MM■M■MMMM■MMM■M■■■■sMM■■■ ■■MM■■■■■■■■■Mee■■E■MM■■■■■■■M■■ ■■■■■■■■■■■■■■■■■■■■■M■■■■■■■■■■ ■■■■■■■MM■■MM■■O■MMM■M■■■■■■MMM■■■■■■■■■■■■■■■■■■M■■■■■■■■■■■■■■■■ ■■■■M■MMM■■■M■MM■M■■M■■E■■MM■■■MM■■■M■M■■MM■MMM■■M■■M■■■■■■■■M■M■■ No ■■■■■■■■MM■■■■■■■■■■■■■■■■■■■■■■■■■s■■■■■■■■■■■■■■Mee■■■■■■■■■■■■■ ■■■■■■■■■■■■■MMM■■■■■■■■M■■■■■■■ ■■■■■■■■■■■■M■■■■■■M■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■eMMMMM■M■MMM■■■■■■M■■■■■■■■M■■M■e■■■■■M■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■=■•■n■.■_■ erre■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■n■tr�■■ee ■■■■■■■■■■■■■■■Mee■■■Mee■■■■■■■�>t■■■■■■■■■ MEMMEM MMENIMiMENSWE .-dowio i iMENNENMMMEEMMENNEN" ■■■■■■■■■■■■■■ ■r�*` ■tr■■■■■■■■■■i1■■■■■■■■■■■■1�■■■■■■■■■�■■■■■■■■■■■ ■■■■■■■■■■Me►�■■■■■�■■■■■■■■■■■■u■■■■■■■■■■■■■■■■■■■■erg■■■■■■■■■■■■ ■■■■■■■■■■ ■s■■■■r ■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■�1■■■■■■■■■MEMO ■■■■■■M■■11■■C\►/I/■■■■■■■■■■■■■■■■ ■1'isle■■■■M■M■■■■M■�■■■■■■■■■■■■■■ ■■■■■■■■Ii■■■■■��iiii��iii����eiiO!�7� n�■■■■e■■■■O■■11■■■MMMM■MMMO■■ ■■■■MM■■/1■■MIDI,■■■■■■■■■■■■■■■■MM■■ii�/�YY►L'�■■■MM■MMM■OIl■■■■■■■M■E■OM■ ■MMM■■■O■■■■\11/■■■■MMC!'t7■M■■M■M■■M■■■■■M■■■■M■■■M■■�,■■■■■■■■■■■MM■■ ■■■■■■■/■■■■i!le■■■■■■■i■l9■■M■■■■■IOMM■■■■■■■MM■■MO■M�1■■■■■MMM■■■■■M■ ■■■■■■■■I■■■\tel■■■■■■■■■■■■■■■■■iii'�"�■■■■■■■■■■■■■■■■1/■■■■■■■■■■■■■■■ ■■■■■■■■1■■■■IfE■■■■■■■■■■■■■■■■■M■ ■■■■■MM■M■■■■MMMII■■■■■■MMMMMMO■E ■■■■■■■SIM■■`Oi■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■ ■■■■MM■11■■MMMI■■MMM■■/,i17■■■■■■■■■■■■■■Mr■1��\■IM■■■■■■■/,■MM■■M■■■■■MMM■■ ■■■■■■■�■■■■■�1■■■■■■l�,•"flwl■■■■■Rii7■■■■■IVI�i!■\■■■■■■■tl■■■■■■■■■■M■■■■■ ■M■■■■MMM■■GI11�M■■■■■VV■■■■■■11■■I■■■■■■■■■i�\■■■OO■■r1■■Mee■■■■O■■■■■■ ■M■■■M■■M■e■■ae■■■■■■■■■■■■■1�_era■■e■■■■■■e►�■■■■■r�■■■e■■■■■■■■■■■■■ ■■■■■■■■■■►\■■[411►�■■■■■■■■■■■■■■■■■■■■■■[�■►�Vr■■■■■rl■■■■■■■■e■■■■M■■■ ■■■■■■■■■■i1■■GSE■M■■■■■■■■■■■■■■■■■■■■�■■■■■■■■ll■■■■■■■■■■■■■■■■■ ■■■■■■■MMM■\■G:ty\\■e■■■■■■■■■■■■■■MMM■■■■■■■■■■■ MMM■■■OMMMMMMM■■■■ ■■■■■■■■■■■■MM■■■\\■■■■■■■■■■■■■■■■■■■■■■■■MMM■■/1■■■■■■■MMM■■■■■■■■ ■■■■■M■■■■■■■■�J■■■1�■M■■■■■■■■■■■ ■■■■■■■■■M■■■i■■■■■■■■■■■MMM■■■■ Davie County Nealth Department Environmental Wealth Section PO Box 848/210 Hospital Street Mocksville,NC 27028 Phone: (336)751-8760 October 29, 2001 John Hutton 139 Cloister Street Mocksville,NC 27028 Re: Site Evaluation- 2.5 Acre Tract/Bonkin Lake Road Tax PIN#: 5833-05-5959 Dear Mr. Hutton: As requested, a representative from this office visited the above site on October 16 &25, 2001. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed,the site was found to be unsuitable for the installation of an on-site sewage disposal system. However,the inclusion of the adjoining 2.5 acre tract through conveyance or deeded easement will allow this classification to change to allow the installation of an oversized, modified on-site sewage disposal system. Due to shallow soil depths,rock and poor soil characteristics on the site, we will require that the septic system be sized at approximately 200 linear feet per bedroom, or 800 linear feet for a four-bedroom residence. Additionally, due to house location and size of the septic system, a pump station will be required. This is subject to change as actual design and dimensions of the septic system will be determined at the time a permit is issued. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct, the appropriate application must be completed in full and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at 751-8760_ Sincerely, Jeff G. Beauchamp,R.S. Environmental Health Section- -- Enc(s) it 1 76 cfl o � t BK3g5PGIg01 09129 FILED FOR REGISTRATION DAVIE COUNTY li-20-0i November 20,_ 2_001 2:10 P.M. DATE TIME AND RECORDED IN BOOK395 PAGE 790 $60 - 00 M. BRENT SHOAF, REGISTER OF DEEDS DAVIEnCOUNTYY, NC Assistant Excise Tax$ 6 0.00 Recording Time,Book and Page Tax Lot No. Parcel Identifier No. Verified by County on the day of ,2000 by Mail after recording to Grantee 139 C_101'640. 6 Re ef, nock,&v-IIc. IUC a-7OQS This instrument was prepared by Hinshaw&Jacobs,Attys. Brief description for the Index: NORTH CAROLINA GENERAL WARRANTY DEED THIS DEED made this i' day of November_, 2001 / / , by and between GRANTOR(S) GRANTEE(S) BILLY JOE SAMS and wife, JOHN R. HUTTON and wife, PATTIE JEAN TRIVETTE SAMS KIMBERLY C. HUTTON Enter in appropriate block for each party:name,address,and,if appropriate,character of entity,e.g.,corporation or partnership. The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,and shall include singular, plural, masculine, feminine or neuter as required by context. WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged,has and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot or parcel of land situated in the City Of County of Davie , North Carolina and more particularly described as follows: See attached Exhibit A The property hereinabove described was acquired by Grantor by instrument recorded in Book 97 Pages 464 . A map showing the above described property is recorded in Plat Book at Page(s) ; TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee simple. N.C.Bar Assoc.Form No.3©1976,Revised©1977 DEED TRANSFER CHECKED�/ BK395PG191 And the Grantor covenants with the Grantee,that Grantor is seized of the premises in fee simple,has the right to convey the =.-flame in fee simple,that title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend the title-against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated. Title to the property hereinabove described is subject to the following exceptions: Restrictions and easements of recons, if any. IN WITNESS WHEREOF,the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors,the day and year first above written. (SEAL) 7 ae ( 9 ��(SEAL) BILLY JOE S PATTIE J TRIVETTE SAMS •---------------------------------------------------------------------------------------------------------- 0Tasp�Ow NORTH CAROLINA, County: w ev I, eehl L. ids a Notary Public of County and State aforesaid, Lie certify that Billy Joe Sams and Pattie Jean Trivette Sams Grantor(s), personally appeared F before me this day and acknowledged the execution of the foregoing instrument. WITNESS WOO my hand and official stamp p� s r seal thi _day of November 2001. SEAL-STAMP ( 1/.No hd X. Notary Public My commission expires: lo- Is-c - •----------------------------------------------------------------------------------------------------------- NORTH CAROLINA, County: I, a Notary Public of the County and State aforesaid, certify that , Grantor(s), Personally appeared before me this day SEAL- STAMP and acknowledged the execution of the foregoing instrument. WITNESS my hand and official stamp or seal this day of , 2001, Notary Public My commission expires: •---------------=------------------------------------------------------------------------------------------- The foregoing Certificate(s) of Cheryl L. Folds NP of Davie County is/a:e certified to be correct. M. Brent Shoaf REGISTER OF DEEDS FOR � DAVIE COUNTY ,f By �� _moi Deputy/Assistant-Register of Deeds N.C.Bar Assoc.Form No.3©1976,Revised©1977 BK3g5pGIg2 Exhibit A BEGINNING at a new iron pipe located in the East property line of Gloria R. Barnes, (Deed Book 142, Page 40, Davie.County Registry), said pipe being located South 23 deg. 44 min. 46 sec. East 500.00 feet from an existing stone located in the Northeast corner of the Barnes property as set out above; thence from said beginning point with the South line of Barnes North 23 deg. 44 min. 46 sec. East 210.80 feet to a point;thence on a new division line North 87 deg. 51 min. 22 sec. East 434.76 feet to a point in the West right of way line of Bonkin Lake Road (SR 1419); thence continuing South 87 deg. 23 min. 37 sec. East 30.00 feet to a point located in the center line of said Bonkin Lake Road; thence with the center line of said roadway South 13 deg. 23 min. 30 sec. West a chord distance of 179.64 feet to a point in the center line of said roadway; thence continuing South 24 deg. 10 min. 37 sec. West 131.02 feet to a point in the center line of said roadway;thence continuing South 23 deg. 02 min. 12 sec. West a chord distance of 107.46 feet to a point in the center line of said roadway;thence on a new line, and crossing a new iron pipe at 30.02 feet,North 65 deg. 46 min. 50 sec. West, a total distance of 451.75 feet to a new iron pipe, being the POINT AND PLACE BEGINNING. Said property containing a total of 3.285 acres more or less, including property within the right of way, and being all according to a survey by Kenneth L. Foster, dated November 6, 2001. Said property also being a tract from that 27 acre tract conveyed to the Grantor herein in Deed Book 97, Page , 464, Davie County Registry. Appraisal Card Page 1 of 1 DAVIE COUNTY NC 9/4/2014 10:13A2 AM ISHOP JOHN Retum/Appeal Notes: Parcel:B4-000-00-016-01 43 BONKIN LAKE RD PLAT:/ UNIQ ID 643 2522411 ID NO:5833061463 Ownt COUNTY TAX(100),FIRE TAX(100) CARD N0.1 of 1 eval Year:2013 Tax Year:2014 5.411 AC BONKIN LAKE ROAD 5.000 AC SRC-Inspection %ppralsed by 02 on 06/28/2007 03003 CEDAR CREEK TW-03 CI- FR-08 EX- AT- LAST ACTION 20120524 CONSTRUCTION D MARKET VALUE DEPRECIATN CORRELATIONOF VALUE DETAIL TOTAL POINT VALUE IEff. BASE BUILDING USE MOD Area I QUAL RATE RCN EYB AYB REDENCE TO AD3USTMENTS Oil 00 1 1 1 %GOOD EPR.BUILDING VALUE-CARD TOTAL ADJUSTMENT TYPE:Single Family Residential 3EPR.OB/XF VALUE-CARD 20,52 ACTOR 4ARKET LAND VALUE-CARD 61,43 TOTAL QUALITY INDEX STYLE: rOTAL MARKET VALUE-CARD 81,95 TOTAL APPRAISED VALUE-CARD 81,95( - OTAL APPRAISED VALUE-PARCEL 81,9501 TOTAL PRESENT USE VALUE-PARCEL TOTAL VALUE DEFERRED-PARCEL TOTAL TAXABLE VALUE-PARCEL 8195 PRIOR UILDING VALUE BXF VALUE 23,76 ND VALUE 61,43 RESENT USE VALUE DEFERRED VALUE rarAL VALUE 85,190 PERMIT CODE I DATE NOTE I NUMBER AMOUNT OUT:WTRSHD: SALES DATA FF. ECORD ATE DEED INDICATE SALES OOK IPAGE k4OjYR I TYPE /U / PRICE 004E 219 7 004 WL E I 0501 133 7 003 WD I I 20000 0465 269 2 003 WD C I 0405 006 1 002 WD B I 3000 0395 790 11 001 WD B V 3000 HEATED AREA NOTES SUBAREA UNIT ORIG% ANN DEP % OB/XF DEPR GS RPL ODE ESCRIPTD DUN TH H NIT PRICE COND LDG#LAYBIEYSI RATE V CON D VALUE TYPE AREA CS 02 IGARAGE 1 1 301 3CI 901 30.00 01 00512001 S31 1 761 2052 REPLACE OTAL OB/XF VALUE 20,520 BAREA OTALS UILDING DIMENSIONS ND INFORMATION IGHEST 'OTHER ADJUSTMENTS LAND TOTAL D BEST USE LOCAL FROM DEPTH/ LND COND D NOTES O UNIT LAND UNT TOTAL ADJUSTED LAND OVERRIDE LAND SE CODE ZONING TAGE�EPT SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP AD]ST UNIT PRICE VALUE VALUE NOTES URAL AC 0120 600 0 1.3000 4 1.0500 OS+00+00+00+00 I RP 1 9,000.01 5.00C AC 1.361 12,285.01 6142 OTAL MARKET LAND DATA 5.00C 61,43 OTAL PRESENT USE DATA b � 3 tea, C http://66.226.39.229//ITSNet/AppraisalCard.aspx?parcel=B40000001601 9/4/2014