232 Goldman LnDavie Countv, NC Tax Parcel Report Friday. October 7, 201 E
WARNING: THIS IS NOT A SURVEY
t V All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 eM Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
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County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
ull
N1\ C or arising out of the use or Inability to use the GIS data provided by this website.
Parcel Information
Parcel Number:
K50000009308
Township:
Jerusalem
NCPIN Number:
5747404855
Municipality:
Account Number:
82525657
Census Tract:
37059-807
Listed Owner 1:
BEAUCHAMP MATTHEW ANDERSON
Voting Precinct:
JERUSALEM
Mailing Address 1:
232 GOLDMAN LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
9.253 AC OFF WALT WILSON
Fire Response District:
JERUSALEM
Assessed Acreage:
9.30
Elementary School Zone:
CORNATZER
Deed Date:
1/2006
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
006430989
Soil Types: PaD,PcC2,CeB2,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
23650.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
59600.00
Total Market Value:
83250.00
Total Assessed Value:
83250.00
t V All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 eM Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
7�7
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
ull
N1\ C or arising out of the use or Inability to use the GIS data provided by this website.
Davie County Environmental Health ,titi11,
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760/ Fax (336)751-8786
WELL PERMIT
Account #: 990004057
Billed To: Structural Designs LLC
Reference Dame: PiPt4hew ��wcccr cn+�
Proposed Facility: Residential -Well
ATC Number: 0036
Tax PIN/EH #: 5747 -40 -4855 -Well
Subdivision Info:
Location/Address: Goldman Road -27028
Property Size: 9.25 Acres
Actions of the employees of the Davie County EH Section shall in no way be taken as a guarantee that this
well will produce water of any particular quantity or quality or for any amount of time. This permit is valid
for a period of 5 years from the date of issuance. This permit may be revoked if it is determined that there
has been a material change in any fact/circumstances upon which this permit was issued.
Permit Type: New' /Repair ❑ Abandonment ❑
Propos
Well Location iagram
Certificate of Completion Diagram
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Commen •
Driller:
Certification #:
Grout Inspected:
Well Head Inspected:
GPS Coordinates:
EH S: Date:
EHS:OrMlDate: '
W.P. 7-08
EN pp�i�E
TION FOR PRIVATE WELL PERMIT
vie County Environmental Health
P.O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)75178760/ Fax (336)751-8786
***IMPORTANT***
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name to be Billed A S% LLQ Contact Person 4%1 l3ew11C'%1Q/11p
Billing Address . S Q D Home Phone
City/State/ZIP S✓' Ne 2 OU Business Phone ,3qr- 0
Name on Permit if Different than Above Gi Iteazy 17112
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat (to scale)
Owner's Name 547�� Phone Number
Owner's Address City/State/Zip
Property Address n City _
Lot Size * q,2,6 -)q6_ Tax PIN# qd Fs
Subdivision Name(if applicable) Section/Lot#
Directions To Site:
I 60LIV 910=1_90 1 alemelaffly I1116MI
Permit Type: New Well V Well Repair Well Abandonment Other (specify)
Facility Type: Residential Food Service Church Commercial Other
Are There Any Septic Systems Currently On The Site? YES NO
Do You Intend To Install A New Septic System On This Site? YES NO
TERMS AND CONDITIONS:
This application must be accompanied by a plat or site plan of the property that includes the existing and proposed property lines
with dimensions, the specific location of the facility and any existing or future appurtenances, the location of any existing septic
system, sewer lines, water lines, any existing water supplies and any surface waters. The applicant is responsible for identifying
and marking the property lines and comers. The applicant is responsible for making the site accessible.
By signing this application, the applicant signifies that they understand the terms and conditions and that they give permission
for Davie County Environmental Health representatives to perform necessary field evaluations and procedures deemed necessary
to determine the best location for a well.
ig `ed /
7/1/08
ow/09
Date I If
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account #
Invoice #
(jo.N4APN -.Uavie Uounty INU FUMIC ACCeSS
Davie County, NC - GIS/Mapping System
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