351 Ivy Circle Lot 22Davie County, NC. ITax Parcel Report Wednesday, October 26, 2016
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WARNING: THIS IS NOT A SURVEY
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website &hall hold harmless the
F—&
Parcel Information
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising of the use or Inability to the GIS data by this website.
Parcel Number:
D807000015
Township:
Farmington
NCPIN Number:
5872649114
Municipality: BERMUDA RUN
Account Number:
60527500
Census Tract:
37059-803
Listed Owner 1:
REVELLE WILLIAM D
Voting Precinct:
HILLSDALE
Mailing Address 1:
351 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 22 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
0.77
Elementary School Zone:
SHADY GROVE
Deed Date:
3/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
002000813
Soil Types:
MrB2,GnB2
Plat Book:
0004
Flood Zone:
Plat Page:
082
Watershed Overlay:
BERMUDA RUN
Building Value:
203580.00
Outbuilding 8r Extra
Freatures Value:
480.00
Land Value:
75000.00
Total Market Value:
279060.00
Total Assessed Value:
279060.00
Davie County,
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie Countys GIS website &hall hold harmless the
F—&
NCor
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising of the use or Inability to the GIS data by this website.
out use provided
. . DAVIE COUNTY HEALTH DEPARTMENT '
. � ` UMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
~~
-*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 18o
Sewage Treatment and Disposal Rules (10 NCAC 10A .1Q3Permit1S08) ����� Number/ -'--
Name �Location
Subdivision Name Pn�
Lot No. J^2
Sec. orBlock 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 NO E]
Auto Wash Machine
YES NO E]
Type Water Supply
--'
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
y
Improvements permit bv
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M.
:3O'S:30A.K8. or 1:00'1:30 P.M. on day of completion. Telephone Number: 704'G34'5Q85.
` ` \
Final Installation Diagram: System Installed by
`
^
/-_
\.
__-
Certificate of Co
mpetion `` Date
'The signing of this certificate ohnU indicate that the system described obnvo 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
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 _ '�_ �' Date
Location'
Subdivision Name A
Lot No. - _ Sec. or Block No.
Lot Size ^f
Ll—j 4%''1House
Mobile Home _ Business Speculation
No. Bedrooms %
_ No. Baths
No. in Family T
Garbage Disposal
YES [T] NO
Specifications for System:
Auto Dish Washer
YES �NO
Auto Wash Machine
YES NO
,0
Type Water Supply
'This permit Void if sewage system described below is noLinstalled within 36 months from date of issue.
I ,
Improvements permit by
'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:
System Installed by
Certificate of Completion Date
*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.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT %
Davie County Health Department
Environmental Health Section
P. O. Box 665 I
I�
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By A(Z I/ Business Phone
2. Address _ 4[,!3 &tr_K
3. Property Owner if Different than Above G, `�� �`k 7/2,
Address `60:� 7 Gl Q ,1 n-oPs rJ .0 _ Z1 U l Z- P( to �J � `7 g -3 11 7
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division am�
Ruda N Sec. Lot No. 12-
5. System used to serve what type facility: House—' Mobile Home Business
Industry Other
b) Number of people! - 3
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 3 ° X (o 5
Bed Rooms 4 Bath Rooms � z Den w/Closet
b) If Business, Industry or Other, State: Number of persons served tj
What type business, eta
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes 'I
lavatory -4
urinals
showers 3
garbage disposal '
washing machine
dishwasher I sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes ✓ No
9. a) Property Dimensions 119.50 63 zc 1 `�q. i X -2 C 9
b) Land area designated to building site 36 A0
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 iscor ect to the best of my knowledge.
ly6-T . (, / S �� - �_ - A ci,� -, '4-1—
Date ner Sign ure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
v.N '
ray
Eur
(-4wyr5$
2e e 5
(4-5 10Y Ci 2c(e
DCHD (6-82)
TL��o
Name—
Address
FA r.Tr) RC
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date —Ai
Lot Size
ARFA 1 APPA 7 AREA .q ARFA A
) Topography/ Landscape Position
2)
3)
4)
5)
6)
7)
8)
9)
S
S
S
PS
PS
PS
U
U
U
U
Soil Texture (12-36 in.) Sandy,
��
S
S
S
Loamy, Clayey, (note 2:1 Clay)
(/PSS
PS
PS
PS
U
U
U
Soil Structure (12-36 in.)
S
S
S
Clayey Soils
S
PS
PS
PS
U
U
U
Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
U
U
Soil Drainage: Internal
S
S
S
PS
PS
PS
U
U
U
External
S
S
PS
S
PS
S
PS
U
U
U
U
Restrictive Horizons
Available Space
PS
S
PS
S
PS
S
PS
U
U
U
U
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)
S—SUITABLE PS—Provisionally Suitable
Date
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 665 y
Mocksville, N.C. 27028
4
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. cs°
( II Home Phone 9.1��
1. Permit Requested By �-4 I c ��' I �� Business Phone
2. Add ress ? / rXs o-0 d )�.—�
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
fV-0-111r,
c) Sub -Division Sec Lot No.
5. System used to serve what type facility: House Mobile Business
Industry Other
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
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 urinals garbage disposal
lavatory showers washing machine_
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes 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 cor t the best of my knowl dge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: ��� as�w ,�, �y3
. �,!!� p -03oID
DCHD (6-82)
'Z�7 clkc— _
DAVIE COUNTY HEALTH DEPAPMMENT
SITE EVALUATION CONSE14T FORM
INSTRUCTIONS/PREREOUISTES
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 WILL BE ABLE
TO BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO THE(DAVIE COUNTY HEALTH DEPARTMENT,P.O. BOX 57)
(MOCKSVILLE, N.C. 27028)
LOCATIUN OF PROPERTY:
J
/Y-3
DAVIE COUNTY HEALTH DEPARTMENT
SITE EVALUATION CONSENT FORM
�'iE3�'•r. trsd�� 7''�s p
DATE RECEIVED
(office use only)
yes no-, (1.) I am the owner of the above described property.
yes no (2.) I am not the owner of the above described property, however, I
ti certify that I have consent from ,owner to
owner's Hama
obtain a site evaluation by the Health Department for the purpose
of determining the suitability for a ground absorption sewage
disposal system:,.
yes no (3.) I hereby give consent to the authorized representative of the
�t 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.
DA E
SIGNATURE
(4.) I hereby authorize the Davie County Health Department to release
site evaluation results from the above described property to the
following:
� �Z �
E
SIGNATURE
Owner Only
M Owner's designated representative
,Anyone requesting results
0 Only those listed below
Name—
Address
ame Address
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date Zl„�c�
Lot Size 4P
FACTORS ARFA 1 ARFA 9 ARFA .q APPA n
1) Topography/ Landscape Position
3)
4)
5)
6)
7)
8)
9)
S
S
51
PS
S
PS
U
S
PS
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)PS
S
U'
S
PS
U
S
PS
U
Soil Structure (12-36 in.)
Clayey Soils
S
&5)
S
P
S
PS
S
PS
U
U
U
U
Soil Depth (inches)
C�
S
P
S
PS
S
PS
U"
U
U
Soil Drainage: Internal
S
PS
P ,
S
PS
U
S
PS
U
External
S
pS
S
PS
S
PS
S
PS
U
U
Uj
Restrictive Horizons
�_
Y
Available Space
PS
U
S
PS
U
S
PS
U
S
PS
U
Other (Specify)
S
PS
U
S
PS
U
S
PS
U
S
PS
U
Site Classification
,
U 5-
U—UNSUITABLE S—SUITABLEPS—Provisionally Suitable
Recommendations /Comments:
Described by
SITE DIAGRAM
DCHD (6-82)
Title ��L� Datell
, 111f,"ll
�e 114s
I'l V,
pu
i/
�tti�iP noun#� �Pti�#� � P;J2Yr#mPn#
Mnii �vmE �PiI�#� ��Ent�
P. O. BOX 665
Auchsbille, North Carolina 271iZ8
OFFICE OF THE DIRECTOR TELEPHONE
July 16, 1986 (704) 634.5985
Mr. Donald B. Polley, dr.
Lambe Young Realty
3400 Healey Drive
Winston Salem, NC 27103
Mr. Polley:
On July 15, 1986 this office evaluated lot 22 in Bermuda Run. Soil
borings on this lot reveal a red clay soil in the front portion of the
lot and is classified provisionally suitable. The back portion of the
lot contains a heavy red clay with moderate to severe shrink/swell poten-
tial thus the back is classified unsuitable.
Before any permit can be issued the prospective buyer must fill out
the appropriate application and the house staked off.
If you have any questions, feel free to call.
Sincerely, 1
C�
Robert B. Hall, Jr. R. S.