289 Riverbend Drive Lot 178 (2)Davie County, NC
f Tax Parcel Report
Thursday. October 27. 2016
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Parcel Information
Parcel Number:
D8060A0002
Township:
Farmington
NCPIN Number:
5882133879
Municipality: BERMUDA RUN
Account Number:
42692500
Census Tract:
37059-803
Listed Owner 1:
KETELS ROBERT HERMAN
Voting Precinct:
HILLSDALE
Mailing Address 1:
289 RIVERBEND DRIVE
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 178 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
1.29
Elementary School Zone:
SHADY GROVE
Deed Date:
3/1993
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001670573
Soil Types: MrB2,GaD,RvA,WATER
Plat Book:
0004
Flood Zone:
Plat Page:
090
Watershed Overlay:
BERMUDA RUN
Building Value:
274420.00
Outbuilding & Extra
Freatures Value:
0.00
Land Value:
93500.00
Total Market Value:
367920.00
Total Assessed Value:
367920.00
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DAVIE • COUNTY ' HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION. ;
' *NOTE 9lssued-in Compliance with G.S.-of North. Carolina Chapter 130 Article 13c
Sewage Treatment'and Disposal Rules (10 NCAC 1.0A .1934. 1968y.Permit .Number
Name RN �.A'L. ' Date -1- Net25.
Location
Subdivision Na .4 Lot No. 0 Y Sec. or Block No.
Lot Size a y w 319, House : Mobile Home'_ Business • Speculation.
No. Bedrooms_ No. Baths No. in Family_
Garbage Disposal. YES 9, NO
Specifications for System:' t o oa •et o.0.. T- K
Auto• Dish Washer YES g. NO -O =
Auto Wash Machine YES 2' NO (] ' :? b a y Z I/
Type Water Supply
*This permit Void if sewage system.desc.ribed below is not installed within. 36 months from date of. issue.
• is •
Improvements' permit' by .1 • y"A0_ 0Zk,
1 *Contact a representative of the Davie County Health Department for 'final .inspection ;of this system between: 8:30-
9:k 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 .' . /T� -,Date
*The signing of this certificate -shall- indicate that Illie system described above has 'been : installed in- bbmpliance. with
the standards set forth in the above regulation, but shall in NO way. be. taken ;as a guarante' 411the system,will,function'
satisfactorily for any given period of -time. : '
APPLICATION FOR SITE EVALUATION/i T` fr'�
Davie County Health Department n
Environmental Health Section ( _
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
D / /� Home Phone
1. Permit Requested By Ro ��"�� 4, - /����� At"�41/4mousiness Phone (7/9) 9 '740-0300t
2. Address ��f00 II-OW/y „G -y1— G✓: ,mss r-5Ztcam, /Y• C• az 7/0 3
3. Property Owner ``iff Diffrent than /Above
Address 1 flI,C,4oW-v �
4. Permit To: a) Installer Alter Repair
b) Privy Conventionade!!�Other Type
Ground Absorption /791
,791 AJL., 1/7
c) Sub -Division ' n►`^"'r� 01 Sec. Lot No. VX___
5. System used to serve what type facility: HouseJe!!!!5Mobile Home Business
IndustryOther
b) Number of people
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 3 Y X A
Bed Rooms Bath RoomsDen 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 3 urinals R
lavatory showers
dishwasher sinks 3
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes_J�No
9. a) Property Dimensions Sao X 32A-22 Z 133.9-2- K 1 2 /:
garbage disposal
washing machine /
b) Land area designated to building site f A-+, /PA' � � N 46
c) Sewage Disposal Contractor 0A (c Co,�c, d o sa 4W -4.a- t -`� �i ac /a I-)
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? WO
What type?
This is to certify that the information is correct to the be o ledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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DCHD (6-82)
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION ,
Name Date
—T -
Address Lot Size -
FAr.TnR.R AREA 1 AREA 2 AREA 3 AREA 4
Topography/ Landscape Position
6)
7)
8)
9)
S
PS,-�
S
PS
S
PS
U
U
U
�) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, 2:1 Clay)
`PS
S
PS
S
PS
(note
U
U
U
U
1) Soil Structure (12-36 in.)
Clayey Soils
S
S
� PS�
S
PS
S
PS
�1SS�
U
U
1) Soil Depth (inches)
S
S
S�,
PS
PS
U
U
U
) Soil Drainage: Internal
S
S
S
PS
S
PS
U
U
U
U
External
S
PS)
S
(rg-7
S
PS
S
PS
U
i -U
U
U
Restrictive Horizons
Available Space
S
S.
S
S
PS
PS
PS
PS
U
U
U
U
Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
Site Classification
e S
U—UNSUITA E S—SUITABLE PS—Provisio y-Suitabl111—.
Recommendations/ Comments:
Described by 2Title Date
SITE DIAGRAM �,'✓�.{
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DCHD (6-82)
Pattie (gountU Pealt4 Department
nub Ratne Realt4 �genq
P. O. BOX 665
"Eacksbille, �qurth Carolina 27028
OFFICE OF THE DIRECTOR
January 21, 1985
Rod Eller
Lambe -Young Realty
3400 Healy Drive
Winston -Salem, -
North Carolina
Mr. Eller:
On January 18, 1985 this office evaluated lot #178 in
Bermuda Run in order to determine its suitability for a
septic tank system.
Based on the soil conditions that exist the lot is class-
ified provisionally suitable for a septic tank system. However,
due to lack of space the system size is limited to a 4 bedroom
system. It is imperative that the driveway hug the property
line in order to ensure enough area for proposed installation.
Before the improvements permit is issued the house must be
staked off and driveway located.
Please contact this office when house is staked off. If
you have any questions please contact this office.
Sincerely,
Robert B. Hall, Jr. R.S.
Jh
TELEPHONE
17041 634.5985