337 Bracken Rd Davie County,NC Tax Parcel Report 1 b Monday, September 26, 2016
r
~` t
a � `
Y, ;'�' BRACKEN R
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: F300000070 Township: Clarksville
NCPIN Number: 5821402585 Municipality:
Account Number: 75467000� Census Tract: 37059-801
Listed Owner 1: VOGT KENNETH L Voting Precinct: CLARKSVILLE
Mailing Address 1: 337 BRACKEN ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 9.89 AC BRACKEN RD Fire Response District: WILLIAM R.DAVIE
Assessed Acreage: 9.88 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 5/1978 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001040914 Soil Types: WeC,MnC2,MnB2,MdD,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 106360.00 Outbuilding&Extra 11180.00
Freatures Value:
Land Value: 63310.00 Total Market Value: 180850.00
Total Assessed Value: 180850.00
101 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
NC County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
or arising out of the use or Inability to use the GIS data provided by this website.
k it arw-,,r� '"c� rrt.z+`" � t �*7{+-y'—nt ;r°} Y6 •5 x%t�,. i' 4r1 es'�'. { . rr `!„'
'AUTHORMATION NO: 1049, -DAVIE COUNTY HEALTH DEPARTMENT �• �
Environmental Health Section PROPERTY INFORMATION
Permittee's : P.O.Box 848
Name: Mocksville,NC 27028 ' Subdivision Name:
/ Phone#:704-634-8760
Directions to property: '1Gf Section: . Lot:
AUTHORIZATION FOR
'' WASTEWATER Tax Office IN:#
SYSTEM CONSTRUCTION 22 - -
},. Road Name: h s� t,�'.1�?�Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage.Treatment and Disposal Systems)
�- -via
_Q ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
o' i IS VALID FOR 1.A PERIOD OF FIVE YEA.11ARS T;
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 'kit
9- DAVIE COUNTY HEALTH DEPART NT
IMPROVEMENT AND OPERATION ) S PROPERTY INFORMATION
NameSubdivision Name:
Directions to property: l��-} tj rt`- Section: ,..... Lot:
IMPROVEMENT
PERMIT Tax Office IN:# "
Road Name:
.9.4r�s� < Zip: _
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or.any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance'with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED. SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFOR]',
INSTALLING THE SYSTEM. .
RESIDENTIAL SPECIFICATION:BUILDING TYPE 6Q 50 #BEDROOMS 3 #BATHS #&" CUPANTS D- GARBAGE DISPOSAL:Yes 40,
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) Lo
— NEW SITE REPAIR SITE Y
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH: ROCK DEPTH LINEAR Fr._�b
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: y `'
IMPROVEMENT PERMIT LAYOUT
**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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760.
OPERATION PERMIT \\11
SYSTEM INSTALLED BY: l �N
�S
AUTHORIZATION NO. 1 OPERATION PERMIT BY: ,fin DATE:
**THE ISSUANCE OF THIS OPERATION PERMrr SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
10 9
DAME COUNTY HEALTH DEPN 'R ENT
- 4
'' IMPROVEMENT AND OPERATIC S I S PROPERTY INFORMATION
PBrlriltte 'S
Name: 10 -�` Y Subdivision Name: _ #
Directions to property: = 1'Y '� Section: Lot:
IMPROVEMENT
PERMIT Tax Office IN:# -
r r
Road Name: `- Zip: 00
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit. -
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE o0 #BEDROOMS #BATHS #O CCUPANTS �- GARBAGE DISPOSAL:Yes ot,
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY ��`" DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ✓ ROCK DEPTH_ULLINEAR FT. _
OTHER "' Q
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT r
'N'4
r a O
� T �
{ v
**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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760.
OPERATION PERMIT ` ;r
SYSTEM INSTALLED BY:
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION'PERMIT SHALL INDICATE,THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised) ''
3 b�
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
\` APAP-LICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAMEPHONE NUMBER
ADDRESS 3 3-1 SUBDIVISION NAME
LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED V 17, NAME SYSTEM INSTALLED UNDER U o
TYPE FACILITY aJ NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY � ,n SPECIFY PROBLEM OCCURRING
DATE REQUESTED C� I-7 INFORMATION TAKEN BY l 'jk
This is to certify that the information provided is correct to the best of my knowledge, at I un tand I m e onsib f all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193