618 Riverbend Drive Lot 1 GolfdominiumsDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT Date .3 _ /3 - % o-�
JHmer/Occupant To:
Address _ Address
Building Contractor;�t 6 �/Address
Cal. / o7xy Manufacturer's Name Address
! 3/
No. of lines ` Width _ min. Total length /a ft. No. sq. ft._3-20-�
Type of filter material /o ,cam, Shp Total tons used S
Minimum REquirements: House Trailer Tank cap. 800 Sq. ft. line 400
Two-bedroom house 800 600
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health Offic
or his agent.
Date of Final Approval Signed:
Sanitarian
I hereby certify that the above septic tank has been installed according to spe 'ficatior
Signed: ti___
Septic Tank Contractor
Note: Make sketch of disposal system on back of sheet and mail to Davie County Health
Center, Box 57, Mocksville, North Carolina 27028.
e<�
Davie County, NC Tax Parcel Report Wednesday. October 26. 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City: BERMUDA RUN
WAKNIIN is 'fill, IS 1VU'1' A JUKV NAY
Parcel Information
D8100B0007
Township:
Farmington
5872829147
Municipality:
BERMUDA RUN
8303488
Census Tract:
37059-803
MCGEE JOHN W
Voting Precinct:
HILLSDALE
618 RIVERBEND DRIVE
Planning Jurisdiction:
BERMUDA RUN
Zoning Class:
BERMUDA RUN CR
State: NC
Zip Code: 27006
Legal Description: LOT 1 BERMUDA RUN GOLFDOMINIUMS
Assessed Acreage: 0.12
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
512014
009580152
0005
002
100020.00
45000.00
145020.00
Zoning Overlay:
Voluntary Ag. District:
Fire Response District:
Elementary School Zone:
Middle School Zone:
Soil Types:
Flood Zone:
Watershed Overlay:
Outbuilding & Extra
Freatures Value:
Total Market Value:
W.
CLEMMONS
SHADY GROVE
WILLIAM ELLIS
MrB2
BERMUDA RUN
wo
145020.00
9 t�� 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
NC or arising out of the use or inability to use the GIS data provided by this website.
Davie
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Phone: (336) - 753 - 6780
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W
County Health D
P.O. Box 848
210 Hospital Street
Courier # : 09-40-06
Mocksville, NC 27028
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement o e Reconnection
Fax: (336) - 753-1680
Name: Phone Number 93 6 -322- 3 % 6 _(Home)
Mailing Address: 2 7 0o �/Z X11, (Work)
,4/ vt�Kfd� lf/ NG 2.%4.Lg- Email Address: (j�7tG����1.���' �E' �%���/• ��"i
Detailed Directions To Site: %.Sd 'Aa 14? tj Z"'e u,40.a X'j PA ZzA
� I � Oj i''l liekbl't>
Property Address:
Please Fill In The Following Information About The EXISTING
Name System Installed Under:
Of Facility:_
Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? Yes dq If Yes, For How Long?
Any Known Problems? Yes119 If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: Number Of Bedrooms:(2�Number of People
Pool Size: IV 14 Garage Size: i./ ,4 Other:
Requested By: Date Requested:
(Si'gna� )
For Environmental Health Office Use Only
A ved isapproved
Comments:
Environmental Health Specialist%ij� j�� ,�//�'/ Date: 7 —,A Y
*The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$ Date:
Paid By: Received By:
Account #: Invoice #: