271 Ivy Circle Lot 14Davie Countv. NC Tax Parcel Report Wednesday. October 26. 2016
WARNING: THIS IS NUT A SURVEY
Parcel Information
Parcel Number:
D802OA0007
Township:
Farmington
NCPIN Number:
5872748757
Municipality:
BERMUDA RUN
Account Number:
47816000
Census Tract:
37059-803
Listed Owner 1:
MATAMOROS RONALD A
Voting Precinct:
HILLSDALE
Mailing Address 1:
271 IVY CIRCLE
Planning Jurisdiction:
BERMUDA RUN
City: BERMUDA RUN
State: NC
Zip Code: 27006-0000
Legal Description: LOT 14 BERMUDA RUN GOLF&COUNTRY
Assessed Acreage: 0.75
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
1/1900
001280362
0004
081
213200.00
75000.00
288200.00
Zoning Class: BERMUDA RUN CR
Zoning Overlay:
Voluntary Ag. District:
No
Fire Response District:
CLEMMONS
Elementary School Zone:
SHADY GROVE
Middle School Zone:
WILLIAM ELLIS
Soil Types:
MrB2,GnB2
Flood Zone:
Watershed Overlay:
BERMUDA RUN
Outbuilding & Extra
0.00
Freatures Value:
Total Market Value:
288200.00
9h .IA 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 rltness 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
na 6N�� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
{
'(Septic Tank) Improvements Permit and Certificate of Completion �,� ksl,—,
(Grout'id Absorption Sewage is osal ystem - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR` DATE —�— PERMIT a
- - - T� Y
LOCATION )P,'n��svvri / X lr
SUBDIVISION NAME
HOUSE
BUSINESS
NO. BE&OOMS NO. BA(T�HRRQPMS,
GARBAGE DISPOSAL UNIT YES LY NO 13AUTO. DISHWASHER -YES 0 ❑
AUTO. WASH. MACHINE YES Q" NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK / dU gal.
NITRIFICATION FIELD eaD sq. ft.
DEPTH OF STONE IN LINES: jR
f/
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY �
S. R. NO.
LOT NO. SECTION OR BLOCK NO.
CERTIFI
TF OF COMPLETION
(8/16/73)
LOT lREA
O
� o
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
A-
800
800
Gal.
400
Sq.
Ft
800
Gal.
600
Sq.
Ft
9_00
Gal.
900
Sq.
Ft,
x.000
Gal.
1200
Sq.
Ft.
j L ;lie's ?9'���X
44, A -
BY
By
*Construction must co with all other applica
DAVIE COUNTY HEALTH DEPARTMENT
Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorptionewage.DisRosal ystem - G.S. Chapter 130 -Article 13C)
a.�c� ° "j`t��' ��S'� rt_ j ~ -- `,�(�� PERMIT
OWNER OR CONTRACTOR il• ; .. `- r »� DATE
LOCATION '_R:�w `'r,:-a.,r d o if �� 844
S.R. NO.
SUBDIVISION NAME.,'
�`.,<s•e �,,_�r> �ylj LOT NO. SECTION OR BLOCK N0.
HOUSE EN MOBILE HOME ❑ BUSINESS
N0. 1BE ROOMS N0. BATHROOMSY`
--
GARBAGE DISPOSAL UNIT YES lam`" NO
AUTO. DISHWASHER YES Et --NO ❑
AUTO. WASH. MACHINE YES Ca'' NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK ,Vb gal.
NITRIFICATION FIELD 5';;;1":M sq. ft.
DEPTH OF STONE IN LINES: �r
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY
CERTIFICATE OF OF COMPLETION
By.
(8/16/73) *Construction must
LOT AREA
House Trailer
Two Bedroom House
Three Bedroom House
Four Bedroom House
800
Gal.
400
Sq.
Ft.
800
Gal.
600
Sq.
Ft.
900
Gal.
900
Sq.
Ft.
1000
Gal.
1200
Sq.
Ft.
BY
Date;: ,', / +:,:►
with all other applicable State and localreg tions
,. t
-..tea •.
4 w J)
BY
Date;: ,', / +:,:►
with all other applicable State and localreg tions
,. t
-..tea •.
INFORMATION FOR SEPTIC SYSTEM REPAIR PERMIT
NAME Ste, \\ O.S�� PHONE NUMBER (OIL
ADDRESS C �� SUBDIVISION NAME
SUBDIVISION LOT #
DIRECTIONS TO SITE
_ _, r_ tie- _r. ��w n4 C. _ �1 I Y ►\+
DATE SEPTIC SYSTEM INSTALLED
<--6 -1 b _ 94
V
NAME SEPTIC SYSTEM ORIGINALLY INSTAJUED UHREY,
SPECIFY PROBLEMS THAT ARE OCCURRING
DATE REQUESTED b �� _ l INFORMATION TAKEN BY �-
DAVIE COUNTY HEALTH DEPARTMENT
-IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
1
`NOTE: Issued in`,ompliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name / i" ;' Date
Location
Subdivision Name T VM,- S'Ses Lot No. L Sec. or Block No.
Lot Size! !' '�� / House Mobile Home _ Business __ Speculation
No. Bedrooms %� No. Baths — — No. in Family
Garbage Disposal YES ❑ NO ❑, Specifications for System:
Auto Dish Washer YES y NO ❑ t
Auto Wash Machine YES 0 NO ❑ - '".✓ii' �i 'ii„ l
Type Water Supply __—
*This permit Void if sewage system described beloW—is-not installed within 36 months from date of issue.
Improvements permit by
r
*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: -- , S s em Installed by
PC
Certificate of Completion ____� Date X&Ak
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
s;,is w U
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone 2 87 413 �
1. Permit Requested By �Pry�y NL C l N L Business Phone��j(�- ?u�
2. Address rl&oX S%y
3. Property Owner if Different than Above
Address
4. Permit To: a) Install� Alter Repair`
b) Privy Conventional - Other Type
Ground Absorption , /
c) Sub -Division Sec. Lot No. -7
5. System used to serve what type facility: House ✓Mobile Home Business
Industry Other
b) Number of people Y_
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 5k X 29
Bed Rooms 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
lavatory 2
dishwasher
urin
showers
sinks
8. a) Type water supply: Public ✓ Private Community
b) Has the water supply system been approved? Yes_No
9. a) Property Dimensions :�, o 0 Y?00
garbage disposal
washing machine l
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? A/D
What type?
This is to certify that the information is correct to the best of my knowledge.
3 -2S -8C,
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property.
.M Fc. r /`) I q ro G j
m a r'o c {J 14 c �. L d �-
DCHD (6-82)
FOA
Lu'Ar) LAruz
je -0- -
T6 k4vt_ 4--,i�j V,
f
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— Date
Address Lot Size-Ap)
FACTORS ARFA 1 AREA 7 ARFA R APPA A
1) Topography/ Landscape Position
PS
S
PS
S
PS
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
�j
S
PS
S
PS
U
U
3) Soil Structure (12-36 in.)
Clayey Soils0
`QCT
S
PS
S
PS
U
U
1) Soil Depth (inches)
--��
(P�!
S
PS
S
PS
U
U
i) Soil Drainage: Internal
VS
S
PS
U
S
PS
U
External
y
S
S
PS
U
S
PS
U
i) Restrictive Horizons
Available Space
S
0
PS
S
PS
S
PS
U
U
U
U
i) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U�-^
U
U
U
)) Site Classification
U—UNSUITABLE
Recommendations/ Comments:
Described by
SITE DIAGRAM
DCHD (6-82)---' w
S—SUITABLE PS—Provisionally Suitable
Title Date