475 Fred Bahnson DrDavie County, NC
i
N
Tax Parcel Report °
N
Monday, October 10, 2016
r
WARNING: THIS IS NOT A SURVEY
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
Parcel Information
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
out of the use or Inability to use the GIS data by this wobsite.
Parcel Number:
C80000000109
Township:
Farmington
NCPIN Number:
5873602472
Municipality:
BERMUDA RUN
Account Number:
71445500
Census Tract:
37059-802
Listed Owner 1:
STRAND BLEEKER B
Voting Precinct:
FARMINGTON
Mailing Address 1:
475 FRED BAHNSON DRIVE
Planning Jurisdiction:
BERMUDA RUN
City: ADVANCE
Zoning Class: BERMUDA RUN,DAVIE COUNTY OS,R-A
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-8750
Voluntary Ag. District:
No
Legal Description:
70.044AC FRED BAHNSON DR
Fire Response District:
SMITH GROVE
Assessed Acreage:
82.79
Elementary School Zone:
PINEBROOK
Deed Date:
9/1992
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
001650295
Soil Types: AaA,PaD,WeC,PcB2,GnB2,PcC2,GnC2,RvA,ChA,WATER,MaB
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
BERMUDA RUN,DAVIE COUNTY
Building Value:
575180.00
Outbuilding & Extra
Freatures Value:
11720.00
Land Value:
729300.00
Total Market Value:
1316200.00
Total Assessed Value: 725810.00
r
Davie County,
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
NC
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
out of the use or Inability to use the GIS data by this wobsite.
or arising provided
AN
f-I�U11 Health Department
lmental Health Section
Phone: (336) - 753 -
P.O. Box 848
210 Hospital Street
Courier # : 09-40-06
Mocksville, NC 27028
ON-SITE WASTEWATER CERTIFICATION
Fax: (336) - 753-1680
(Check One) Replacement
vvRemodelin� Reconnection
eN��e15�I
�- /
/J
Name: ?l'OYt s , u C (� /� Ctr/l ►v CO�t 57,
Phone Number
(Home
Mailing Address: 023 (i C✓ �t
3�� rYo
3- 3S%8
(Work)rLC
(/GrvlC� /UC
Email Address: Cke-,-
noct 56? C
t
Detailed Directions To Site: 80) N OX --L,
� jz
}-
'%c u IcLk on Era Pah nSnA
Property Address: ?=S_Fi'GU e Pj _ �%PGl C t N�_ 2 %00 �n
Please Fill In The Following Informati bout Th. EXISTING Facility:
AS Name System Installed Under: ( '%4d If -;)M i/ _ J Type Of Facility: (,(es /Xowe
Date System Installed (Month/DateNear): 7 I � 3, --Number Of Bedrooms: Number Jf People:
OR—
Is The Facility Currently Vacant? Yes No If Yes, For How Long?0/1'IE
Any Known Problems? Yes kVjo If Yes, Explain:
Please Fill In The Following Information About The NEWAa�lity
Type Of Facility: �� io A Cir c... A `Nj um� ber Of Bedrooms: l Number of People_
Pool Size: Garage Size: Other: ",4 io k Apar} w�ex�- 12X Z 3
Requested By: (��r�_ eo „L,- Date Requested:
(Si atur
For Environmental Health Office Use Only
Approved Disapproved
omments:
Environmental Health Specialist / Date: Zdl
*The signing of this form by the Environmental Health StAr is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check MoneyOrder# o Amount:$ , O 0 Date:
Paid By: / Received By:
✓ l!J
Account #: 1 y Invoice #:
;AV�MRIZATION NO. j �� O 4W DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Sections PROPERTY INFORM TION
Permittees 1��-'�/' (� �1 P.O. Box 848
Name~ T %(J / ' 1 /�?0 L'
Mocksville, NC 27028 Subdivision Name
4' Alone # 336-751-8760
Directions to property: �f /tP ,d f' Ike f/ Section: Lot
AUTHORIZATION FOR
/.� WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# -
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
✓l a %yam S f� *G IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTALL EALTH SPECIALIST DATE ISSUED
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation. 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
"kir s', ✓ ;,;�, C'; "� ,<'' r'% f PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
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
CJ
LOT SIZESyJ11 C- TYPE WATER SUPPLYDESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
ell
SYSTEM SPECIFICATIONS: TANK SIZE C/(lU GAL. PUMP TANK GAL. TRENCH WIDTH J' ROCK DEPTH LINEAR FT.;' l
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
-r APPROVED EFFLULtJT FILTER*
Q -D
01 �''
RISER(S) IF 6" BELOI -,t�CI IED GRgD��
"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 (704) 634-8760.
x�:xxf€xxlcx ',
OPERATION PERMIT
\A0 05�
AUTHORIZATION NO. 1-75 s OPERA
SYSTEM INSTALLED BY:
t4.
Apr N
"THE ISSUANCE OF THIS OPERATION PERMIT SHAL INDICATE TH T THE SYSTEM I
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .19 "SEWAGE T EATMENT AND
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIS ACTARILY FOR ANY GIVEN
DCHD 05/96 (Revised)
►Z,100
Li
AT t j
Sv`
ED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
LL SYSTEMS", BUT SHALIN NO WAY BE TAKEN AS A
OF TIME.
i "91; DAVIE COUNTY
HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittee's
°;':.i
#
le? AIV
blame'' , . a' �'y;
4 +: ,�"r' ',.%,'a C
Subdivision Name
' Directions to property: �'% r.:1,, �'
Section:
Lot`-
IMPROVEMENT
PERMIT Tax Office PIN:#
l
Road Name:
Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation. 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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
"kir s', ✓ ;,;�, C'; "� ,<'' r'% f PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
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
CJ
LOT SIZESyJ11 C- TYPE WATER SUPPLYDESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
ell
SYSTEM SPECIFICATIONS: TANK SIZE C/(lU GAL. PUMP TANK GAL. TRENCH WIDTH J' ROCK DEPTH LINEAR FT.;' l
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
-r APPROVED EFFLULtJT FILTER*
Q -D
01 �''
RISER(S) IF 6" BELOI -,t�CI IED GRgD��
"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 (704) 634-8760.
x�:xxf€xxlcx ',
OPERATION PERMIT
\A0 05�
AUTHORIZATION NO. 1-75 s OPERA
SYSTEM INSTALLED BY:
t4.
Apr N
"THE ISSUANCE OF THIS OPERATION PERMIT SHAL INDICATE TH T THE SYSTEM I
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .19 "SEWAGE T EATMENT AND
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIS ACTARILY FOR ANY GIVEN
DCHD 05/96 (Revised)
►Z,100
Li
AT t j
Sv`
ED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
LL SYSTEMS", BUT SHALIN NO WAY BE TAKEN AS A
OF TIME.
Ilk
APPUCAMN FOR SITE EVALUATION/IMPROVEMENT PERMIT &
Davie County Health Department -•
En I* vnmen[al Health Section HAY 1 8 L�! �:J
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDE/D. Refer to the /}INFaf�_ TION BULLETIN for instructions.
1. Name to be Billed_ J ✓�i'+%�l ' Contact Person 'e 1
Mailing Address _ „'5-,�/ rke,0Jt�}j�� Home Phone C7 ! 0 '31
!7
City/state/ZIP (l /�jG C jj� _ .CQ Business Phone g971 7172
2. Nae„-- cn P===i./=C _Z DiZ:Eerent than Above b-+�Z BL, -,g11, -P v5f kr4,1 � e-�
Mailing Address �i oF'e�'A ��Nj''J Ak City/state/Zip _ �%AI�C /lo� Rel?o
g U'f1 iliL��l2;CioZrj��
3. Application For: ❑ Site Evaluation ❑ Improvement Permit/ATC Both
$11,Vi 1
4. system to service: ❑ House ❑ Mobile Home ❑ Business ❑ Industry fi Other )VA PAN
A
5. If Residence: # People # Bedrooms # Bathrooms
11 Dishwasher 11 Garbage Disposal II Washing Machine 11 Basement/Plumbing
6. If Business/Industry/Other: specify type
# Commodes
# showers
IF FOODSERVICE: # Seats
# People
# Urinals
II Basement/No Plumbing
# sinks
# Water Coolers
Estimated Water Usage (gallons per day)
z. Type of water supply: ❑ County/City
till
e. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED I
BELOW. Fitt . aDlkT -2..CrT!
ov tae cheat with THIS APPLICATION.
Property Dimensions: ,-q 3 o Pc- , P— 't WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: # ! g% 3: !Z `� o C to 19,7 l � 7o F9.W _ Rto �ik
Property Address: Road Name �J J2 X tQ�'"io .
R A, >r� , CN'k/eit�-
City/Zip�i i�%'L .�t !/� << n.. 51 �1
If in a Subdivision provide information, as follows:
Name:
Section: BI Date Property Flagged:
This is to certify that the information provided is correct to the best of my knowledge. I 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 changed. 1, also, understand that 1 am responsible for all charges incurred from
this application. 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 b7 -Xe jai d A ke
to conduct all testing procedures as necessary to determine the site suitability.
DATE -5'`2 _ / U — a- 0 d 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
Date(s):
Client Notification Date:
EHS•
Revised DCHD (07/99)
Account No.
Invoice No.