398 Log Cabin RdDavie Countv. NC
Tax Parcel Report Friday, October 7, 201 E
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by I All 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
�pUN� NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D20000000903
Township:
Clarksville
NCPIN Number:
5801594085
Municipality:
Account Number:
8303622
Census Tract:
37059-801
Listed Owner 1: LANKFORD MILLARD KENNETH
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
398 LOG CABIN ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
Yes
Legal Description: TRACT 3-61.25AC LOG CABIN
Fire Response District:
WILLIAM R. DAVIE,SHEFFIELD - CALAHALN
Assessed Acreage:
61.68
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
6/2014
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009600713
Soil Types: MnC2,MnB2,MdD,ChA,WATER
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
194170.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
290550.00
Total Market Value:
484720.00
Total Assessed Value:
230600.00
by I All 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
�pUN� NC or arising out of the use or Inability to use the GIS data provided by this website.
,. Well Construction Permit
er Davie County Health Department
�- 210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Property owner: Kenneth Lankford
Address: 530 Berry Oak Road
City: Statesville
State/Zip: NC
Phone #: (704) 241-5058
' For Office.Use Only
*CDP File Number 123825
PIN Number: D2-000-00-009-03
Tax Lot #: Tax Block #:
�,— Evaluated For: WELL
PERMIT VALID UNTIL: 12/15/2019
F
ant: Kenneth Lankfordss: 530 Berry Oak Road
yStatesville
State/Zip: NC
Phone #: (704) 241-5058
Property Location & Site Information
r
Q% Address/Road #: Subdivision:
3 Off Log Cabin Road
Mocksville NC 27028
Site Address: Off Log Cabin Road
Phase: Lot:
Proposed use of Well:
Directions If Other:
Directions: Hwy 64 West, right on Sheffield Rd. go to
Turkey foot Road, turn right, go to Log Cabin Road on
right turn, after you pass house number 370 and tree
line, there is an entrance around those trees.
Well Contractor Information
Drilling Contractor Driller Registration
Permit Conditions
*Permit Conditions
Well location, construction and protection must meet all state and local regulations and must be Inspected and approved by an authorized representative of
the Local Health Department. The permit may be revoked atany Ume for failureto comptywith existing regulations. The siring of approved well construction
area(s) by the Health Department Is to provide protection from the known possible sources of contamination. The approved well area(s) may not be changed
without written permission from an authorized representative of the local Health Department. No volume of quality of water Is guaranteed by the Health
Department.
`Issued By: 2140 - Nations, Robert *Date of Issue:, 1 , a , / , 1 , 5 , / , 2 , 0 , 1 , 4
Authorized State Agent:�ryr Viand Drawing 01mport Drawing
Site Plan/Drawing attached.
WELL CONSTRUCTION PERMIT 123825
Apr 1� • Davie County Health Department CDP File Number:
210 Hospital Street
y � County File Number: a2"000-00-009-03
P.O. Sox 848
Mocksville NC 27028 Date: 1;?/ 1 5 1 a.0. 1.4
Q Inch
Drawing Type: Well Permit Scale: ON/A k
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APPLICATION FOR PRIVATE WALL PERMIT
Davie County Environmental Health
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
evedb ' (336)753-6780 / Fax (336)753-1680
***IMPORTANT***
THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED.
APPLICANT INFORMATION
Name KeAALc-,A orc) Contact Person
Address _ 5110 (-2)ecr)� P-8 Home Phone -704 2-4 l 505 9
City/State/ZIP S -kc 4e5✓t l le OL- Business Phone
Name on Permit if Different than Above
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 Lr -L- (orc.. Phone Number
Owner's Address City/State/Zip
Property Address City
Lot Size Tax PIN#
Subdivision Name(if applicable) Section/Lot#
Directions To Site:
DEVELOPMENT INFORMATION
Permit Type: New Well ✓ Well Repair Well Abandonment Other (specify)
Facility Type: Residential Food Service Church Commercial Other Fcu v✓�
Are There Any Septic Systems Currently On The Site? YES NO ►/
Do You Intend To Install A New Septic System On This Site? YES t/ 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 corners. 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.
Signed
7/30/09
11- Int -1
Date
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account #
Invoice #
fW.
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