213 Ivy Circle Lot 8Davie Countv. NC
Tax Parcel Report Wednesday, October 26, 2016
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provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. Ail users of Davie Countys 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
FV -
NCor 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:
D8020A0013
Township:
Farmington
NCPIN Number:
5872855203
Municipality: BERMUDA RUN
Account Number:
82532266
Census Tract:
37059-803
Listed Owner 1:
LAWRENCE DC TRSTEE OF REV TRST
Voting Precinct:
HILLSDALE
Mailing Address 1:
213 IVY CIRCLE
Planning Jurisdiction:
BERMUDA RUN
City: BERMUDA RUN
Zoning Class: BERMUDA RUN CR
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 8 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
0.75
Elementary School Zone:
SHADY GROVE
Deed Date:
3/2016
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
010121095
Soil Types:
MrB2
Plat Book:
0004
Flood Zone:
Plat Page:
081
Watershed Overlay:
BERMUDA RUN
Building Value:
319220.00
Outbuilding 8t Extra
Freatures Value:
0.00
Land Value:
75000.00
Total Market Value:
394220.00
Total Assessed Value:
394220.00
Ali data Is
provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. Ail users of Davie Countys 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
FV -
NCor arising out of the use or Inability to use the GIS data provided by this website.
i__ V DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name �J . C r /'..,urs t we r. Date 6>
Location l=' - I ur-: `i-\) �$ r_ r IC c ;
Subdivision Name �� �= rz I'i�.ts-viny "j Lot No. Sec. or Block No. 11
Lot SizeL i Y ?� " House Mobile Home __-- Business -- Speculation
No. Bedrooms .3 —No. Baths _ `> No. in Family— —
Garbage Disposal YES FV] NO ❑ Specifications for S stem: ii:..
Auto Dish Washer YES NO ❑ /
Auto Wash Machine YES , NO F-1C)L x f �" s c sa
Type Water Supply r -s ; :.f --- �k 01-, ( r-) c: Id r s
*This permit Void if sewage system described below is not installed within 36 months from date of issue
ANky r j:1 Lit,
Improvements permit by
i~—
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
Certificate of Completion_` V - Date' --
*The signing of this certificate shall indicate that the system describedabove has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taen as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name C., Date
Address iP.o • -f3">` CJ2-G Lot Size /13'z- n z� a
hi C- 2-z o -z
Ger.TnQc AREA 1 ARFA 9 AREA 3 AREA 4
F, F,
Topography/ Landscape Position
S
S
PS
PS
PS
PS
U
U
U
U
!) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
(55
(M
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
S
Clayey Soils
®
®
PS
PS
U
U
U
U
Soil Depth (inches)
SS
S
PS
S
PS
U
U
U
U
�) Soil Drainage: Internal
S
S
S
S
®
-d!s)
PS
PS
U
U
U
U
External
SS
S
PS
S
PS
U
U
U
U
i) Restrictive Horizons
') Available Space
S
PS
S.
PS
S
PS
S
PS
U
U
U
U
3) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
f) Site Classification
pU
1 S
5-
U—UNSUITABLE
Recommendations/Comments:
Described by
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE �S—Provisionally Suitable
Title Date
Lk
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 9 19 — 76 6 71'X
1. Permit Requested By Q 4C., Business Phone
2. Address _ j ,j5g:� 9 aG M'Q.
3. Property Owner iL Different than Above
Address W �a.T'�. �'r'+''1
4. Permit To: a) Install ✓Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division 9L,-, Sec.— Lot No. .-
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people a-
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 9 �
Bed Rooms g 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)
7. Number and type of water -using fixtures:
commodes '� urinals garbage disposal f
lavatory showers washing machine
dishwasher / sinks
8. a) Type water supply: Public V"� Private Community
b) Has the water supply system been approved? Yes P --*'No
9. a) Property Dimensions
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)
.,r
DAVIE COUNTY HEALTH DEPART,^TENT
SITE EVALUATION CONSENT FORM
INSTRUCTIONS/PREREQUISTES.
1. Complete the form below and return it to the Davie Co. Health Department.
2. Along with the form, remit the amount due as shown on enclosed statement.
3. Carefully follow the procedures as outlined in the enclosed "Information
Bulletin".
4. Notify Health Department upon completion of item number 3.
NOTE: ALL THE ABOVE MUST BE DONE BEFORE A SANITARIAN STILL BE ABLE
TO BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO THE(DAVIE COUNTY HEALTH DEPARTDIENT,P.O. BOX 57)
(NOCKSVILLE, N.C. 27028)
DAVIE COUNTY HEALTH DEPARTMENT
SITE EVALUATION CONSENT FORM
LOCATIOiV OF PROPERTY:
/ , 9- 8 ##'
,e—,�su�c2J,a
DATE RECEIVED
(office use only)
yes no (1.) I am the owner of the above described property.
Q I ,
yes no .) I am not the owner of the above describedrogerr�oweevverr, I
0j certify that I have consent from /yle, �i9 9`7 e to
1 owner's name
obtain a site evaluation by the Health Department for the purpose
of determining the suitability for a ground absorption sewage
disposal syster:,.
yes no (3.) I 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 necessary to
determine its suitability for a ground absorption sewage
disposal system.
ATE SIGNATURE
(4.) I hereby authorize the Davie County Health Department to release
site evaluation results from the above described property to the
following:
Owner Only
-f Owner's designated representative
Q -Anyone requesting results 4—
�'i Only those listed below