328 Riverbend Drive Lot 194Davie County, NC
Tatir PnrrPl'PPrint
Thursday, October 27, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D806OA0014
Township:
Farmington
NCPIN Number:
5882131244
Municipality:
BERMUDA RUN
Account Number.
8305534
Census Tract:
37059-803
Listed Owner 1: HIBMA
PIERCE PHILIP
Voting Precinct:
HILLSDALE
Mailing Address 1:
328 RIVERBEND DRIVE
Planning Jurisdiction:
BERMUDA RUN
City: BERMUDA RUN
0004
Zoning Class:
BERMUDA RUN CR
State:
NC
Zoning Overlay:
BERMUDA RUN
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
LOT 194 BERMUDA RUN GOLF&COUNTRY
Fire Response District:
CLEMMONS
Assessed Acreage:
0.75
i
Elementary School Zone:
SHADY GROVE
Deed Date:
9/2015
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
010010101
Soil Types:
GnB2
Plat Book:
0004
Flood Zone:
Plat Page:
091
Watershed Overlay:
BERMUDA RUN
Building Value:
264870.00
Outbuilding & Extra
Freatures Value:
180.00
Land Value:
110000.00
Total Market Value:
375050.00
Total Assessed Value:
375050.00
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County of Davie. North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
n0 NC or arising out of the use or Inability to use the GIS data provided by this webslta
DAVIE COUNTY HEALTH DEPARTMENT
• 1i� �• !`t _S
• °" IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name fire✓ J1 l Date <%%'%. $"
3
Location
i
Subdivision Name F' Lot No. ' Sec. or Block No.
Lot Size %//� House 'R Mobile Home _ Business Speculation
No. Bedrooms No. Baths --- — No. in Family
Garbage Disposal YES NO ❑ ! wz ``' o A
Specifications ,for System
Auto Dish Washer YES t NO I �%:- `'` t6-1
Auto Wash Machine AYES ® NO 'O'4i"
Type Water Supply �`j•-~�--� __—
*This permit Void if sewage system described below is not installed within 36 months from date of issue
"
1 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. ora 1:00-1:30 P.M. on day oVcompletion. Telephone Number: 704-634-5985.
Final Installation Diagram.
01
A
•'! System Installed by1" �wT,,,j �z �c fAoj E:�-
t
'i
r
d
;Certificate of Completion
*The signing of this certificate shall indicate that the system descr,r!I
the standards set forth in the above regulation, but'shall in NO waylb
satisfactorily for any given.period ofitime._ '
�.
Date
i
�d above has been installed in compliance with
taken as a guarantee that the system will function
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
te: Issued in Compliance with G.S. of North Carolina Chapter 130 --Article 13c.
Permit Number
ie
't Date r
ation
)division Name // Lot No. / ' Sec. or Block No.
Size House _fG— Mobile Home _ Business Speculation
Bedrooms— No. Baths ,_ No.' in Family !' ;
irbage Disposal YES NO Secifications r m:' �'
ito Dish Washer YES NO ❑ Od�/'�.�%y�i%�'/C.. /
ito Wash Machine Y S ❑ NO ❑ G�1
rpe Water Supply _
67 Ail
(his permit Void if sewage system described below is not installed within 36 months from date of issue.
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 b f` L 1t.1 :�:irI iC -.jAV JL
Q Z� FALi
�` xf F L L,
Certificate of Completion Dat
`The signing of this certificate shall indicate that the system described above has been installed incompliance with
the standards set forth in the above regulation, but shall in NO waybe taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
rt `� SITE EVALUATION CONSENT ropm
IbCATIO]N OF PROPERTY:
Highway 158 Bermuda Run Lot # 194
DATE RECEIVED
(office use only)
yes no (1.) I am the owner of the above described property.
yes
ox
yes
W
Y es.;7
no
I-1
no
I
,!,
(2.) I am not the owner of the above described property, however, I
certify that I have consent from , & 1, aG ,owner to
owner's name
obtain a site evaluation by the Health Department for the purpose
of determining the suitability for a ground absorption sewage
disposal system. /Oer/n,ssiGr, Per C4)0740t A71►-&men7-'
(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:
ri
O 1
Owner n y
Owner's designated representative.
( Anyone requesting results
Only those listed below
a
DAVIE; COUNTY HEALTH DEPARTI 14T
PERCOLATION TEST RESULTS
Rec. Eval, fee
5/21/79 �„o+``'
DATE
NA.MIE Rarbara Potter, Anent
LOCATION Bermuda Run Lot # 194
FINDINGS: HOLE NO.
;a D�
ZdP,3„=lf,'
4
5
LOT DIAGjWI
C01 MENTS
O'du��
By:
-�'-�'L .
4L ,o3
X a
ti
� C/
DAVIE COUNTY HEALTH DEPARTMENT
803 Hospital Street
14ocksville, N.C.
Information Bulletin
I. The Sanitarians of the Davie County Health Department are anxious to
assist you in designing a conventional septic tank system. It is very
important that you cooperate with these instructions to save you and the
sanitarians wasted time and trips to your property. If all the steps are
not completed', extra trips will be necessary.
II. The following'inforamticn is necessary for providing service on a site:
1. 14=a F1h?ej eI -a%i wajjs ep)
2. Present address to o / C.l se s sfo
3. Telephone number ?,(eS - gS 3 7
4. Lot size (dimensions) /fir v A X /� 5• n /9 `�•3 9
5. Section and lot number if in a subdivision Sec. 13 Aa tom/9 c/ 0CV-M 4a Rwh
6. Number of proposed bed and bath rooms wn N n o au n A i- '►h j s T ;0,
7. Type of ban-VA,FHA, Conventional C 2s h
8. Accurate directions to the site C h e c K Ar G- a+ e_
III. Please complete the following items before requesting a sanitarian to
visit your property. A septic tank permit cannot be issued until each
item has been completed.
1. Locate and flag the percolation holes.
2. Locate and flag lot corners.
3. Locate and flag the proposed corners of the home, mobile home, or
building.
4. Mark driveways, water lines, power or telephone cables (underground).
5. Locate proprosad well site (if not County water)
IV. Remember that a septic tank system is only a temporary means of sewage
disposal. The system, to function properly, must be located on a site of
suitable percolation topography, and all other factors involved. In
addition, the tank should be pumped approximately every two years.
Office hours for Sanitarians are: Monday through Friday
8:30-9:30 A.M.
1:00-1:30 P.M.
Telephone number: 704-634-5985
- Pro ha��e site No'F stab/ig.Zc� AT 37�me•(Sy co ►1 Yrac�or,
I�awgv,kr pv1oSpe-4;v� b4yer, S4ate-s-Ce-n+er of /d Y' -Size e9wiriJent t°GN ms
� Pow .er And or Tey-Iohore Cable -s oh
Aid Across b ac K
rcpeee
r -r y /,#n- Wafle.r Nle{�crs on Nd Ja�r�0�
�
In &1 eaf01 )4,0 .
�ltt%ic (ll�aittt#u ���rtl#I� �>•prir#tttrxt#
P. O. BOX 87'
��}l'Inrlt4ui11r, ;iVnrfti (llaruliun 27i1�R ,
OFFICE OF THE DIRECTOR IE'LI I'IIONL
May 24, 1979 104/ 634 511:;,
Barbara Potter
Century 21
Nading Realty Co.,Inc.
Thruway Shopping Center
Winston -Salem, N.C. 72103
Dear Ms. Potter:
On May,23, 1979 this office conducted a soil/site evaluation
on lot #194 in Bermuda Run, Advance, N.C.,. for the purpose of
determining .the soil suitability for the installation of a
conventional ground absorption sewage disposal systema Please
note the findings below:
1. Percolation rate is provisionally
suitable at 40200 min/inch.
2. Topography is suitable.
3. Soil structure somewhat plastic with
mixed mineralogy, very rocky. Soil
structure and texture provisionally
suitable.
This lot is.classified provisionally suitable for the installation
of a Conventional Ground Absorption Sewage Disposal System, provided.
that the open area in the back left side of the lot, which is adjacent
to large oak tree be left undisturbed. This is the area that the
Conventional Ground Absorption Sewage Disposal System would be installed,
If you have any questions regarding the above findings, please
contact this office.
Sincerely,
C_
Buck Hall, Sanitarian I
Davie County Health Department
BH/gh
ilbir (ITou itu illtil rVart1 unit
�11i1 -lvIII V 71 raIt11 1�—A
P.O. BOX 57
c�,iurk�Uillr, �'nrlll (l;aTuli►ta ��tt2ti
OFFICE OF THE DIRECTOR TELEPHONE
August 31, 1979 /041 634.59135
Mrs. Barbara Potter
3657 Oak hollow Court
Winston-Salem, N.C. 27100
Re: Lot #194, Bermuda Run
Finley Clay Watts, Owner
Dear Mrs. Potter:
Find enclosed a copy of the site evaluation completed by
Mr. Hall of this office. This lot has been classified as
provisionally suitable for the installation of a conventional
ground absorption sewage disposal system. To this date no
improvement permit has been issued. In order for this office
to issue the permit, we must meet at the site with the prospective
homeowner and/or hitildei-, to properly design the sytem.
Please advise if this office may be of further service.
Sincerely yours,.
9�
Joe Mando, Sanitarian Supervisor
Davie County Health Department
JM/gh
DAVIE COUNTY,HEALTH DEPARTMENT
ENVIR01114EI1TAL HEALTH SECTION
P.O. BOX 57
MOCKSVILLE, N.C. 27028
(704) 634-5985
ia)
STATEMENT FOR SEPTIC TANK, IMPROVEMENTS PERMITS AND/OR SITE �,VALYATIONS
of
1E
DATE
ADDRESS PERMIT NO.
it/
EXPLANATIO14 OF CHARGE
A4MOUNT DUE
SANITARIAN
PLEASE REMIT THE'ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT.
*NOTICE: Evaluation(s) can not be completed until payment is received.
Improvements Permit(s) can not be issued until payment is received.