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311 Campground Rd (2)Davie Countv, NC Tax Parcel Report Wednesdav, October 12, 2016 WAK1V11V1T: lHl� 1� 1VU1 A JUKVLY Parcel Information Parcel Number: K100000030 Township: NCPIN Number: 4797438298 Municipality: Account Number: 82519644 Census Tract: Listed Owner 1: BRODAUF ROBERT A Voting Precinct: Mailing Address 1: 302 CAMPGROUND ROAD Planning Jurisdiction: City: STATESVILLE Zoning Class: State: NC Zoning Overlay: Zip Code: 28625-0000 Voluntary Ag. District: Legal Description: 1.155AC BRODAUF S/D Fire Response District: Assessed Acreage: 1.11 Elementary School Zone Deed Date: 10/2002 Middle School Zone: Deed Book I Page: 004430940 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: Land Value: Total Assessed Value: 51210.00 Outbuilding & Extra Freatures Value: 19230.00 Total Market Value: 71060.00 Calahaln 37059-801 SOUTH CALAHALN Davie County DAVIE COUNTY R-A No COUNTY LINE COOLEEMEE SOUTH DAVIE CeB2 DAVIE COUNTY 620.00 71060.00 9�V ��' 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 inerchantability 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 �'p� N,�'� NC or arlsing out of the use or ina6ility to use the GIS data provided by thls website. ' permi�tee's ,'�,,}� ; �j AAVIE COUNTY HEALTH DEPARTMENT �� v��'3'° y Nanie: ;�'� �;. tr''!'�;4'�1f/",�^ �?'.�:� ;' Environmental Health Section PROPERTY IN RMATION �, . �_ ..:.. � � � � P.O. Box 848 Directions to property,. r%''�r�:� �' ,�z,�/� �'','i.! �d'',f-r..� �',!dr"��qocksville, NC 27028 Subdivision Name: ..� -. r• d �`�- _ i f� �,,.^:- �,,�� ,,,,,�..-- Phone #: 336-751-8760 Section: Lor. .'.:�'C`,.�' �,.: � --' AUTHORIZATION FOR WASTEWATER � s��'r?�`"° � �� ;°' �' �� SYSTF.M CONSTRUCTION Tax Office PIN:# "� -�;/,'S'� _r •,.1 `,%�s a,��`: % ALJT'HORIZATION NO: �' �� A Road Namet :- -:-.•�� f � 1'tl;�.ry n2ip: **NOTE**'This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Perrnits. This Form/Authonzation Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln compliance with Artide 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) '� / a, , ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION � f�: ,s� f' , r? �� #�� '(''� � �;":,�+'� �.�, IS VALID FOR A PERIOD OF FIVE YEARS. ' NEALTH S�PECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEUROOMS �# BATHS �# OCCUPANTS C.�GARBAGE DISPOSAL: Yes or No . COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFI' # SEATS INDUSTRIAL WASTE: Yes or No �`��/� DESIGN WASTEWATER FI.OW GPD) U!� � NEW SITE REPAIR SITE ''�'��y LOT SIZE � TYPE WATER SUPPLY ( ,r �% / '� SYSTEM SPECIFICATIONS: TAN SIZ�E_/-- GAL. PUMP TANK GAL. TRENCH WIDTH �� ROCK DEPTH�!� INEAR FT. �S. C/ '� � l �6� �-��( ` `.:k ��m�� REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT �C�►� D o \ �� p O � �, �n�� ' R�� ✓ �� -��N 1 Nv�Q��yet,E-��P�`;�?;t E pAV\c **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 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT ��'�'��y �, �a�° � �� `U �� 4. SYSTEM INSTALLED BY: � � � �CG M� �'/'O' AUTHORIZATION NO. ��L,Q? g � DATE: '� � r,v v�— "'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. nct�n ovoz ��a> ��-�r :. �� = , , -�� ',. '_��emuttee�si ,�°: ��-;;; 3 y; I�AVIE COUNTY HEALTH DEPARTMENT �� i J��" j`" �-� , _. Natl��: � w '� � �'�'' �r' `_" �r'"r' �� : "�'� Environmental Health Section PROPERTY INFORMATION , �� ; f.. �.�_-.,. ; P.O. Box 848 �lrections to propertyi._ �> > : � ��°�`'- `- . •'�''�' � h'�qocksville, NC 27028 Subdivision Name: •> s� - . r � ' Phone #: 336-751-8760 .,s( + .' y r• : r.+^'. . . f. � � ' � Section: Lot: -j - - AUTHORIZATION FOR ; � � � � WASTEWATER Tax Office PIN.# % ��s'�� ' ' =�r �.�� __ SYSTF,M CONSTRUCTION —�-- ` ' �p��1� , AUTHORIZATION NO: �-' �' '"" A Road Name � � ,`-.': � �,`�`Zip: , **NOTE** This Authonzation for Wastewater System Construction MUST BE ISSUED by [he Davie Counry Environmental Health Section prior . to issuance of any Building Pernuts. 7'his Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln compliance with Artide 1] of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ..' .,f , %_ 3 "% ,�f' ,.(" � �„ �, ` ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ,, �;�t%'�c ,�,' ,�' Y; 4� '� ,�'�:: .'-�".�`' � ,! �:; ' / ��',� IS VALID FOR A PERIOD OF FIVE YEARS. ' ENVIRONMENTAL HEALTH SPECIAUST DATE ISSUED .r--�.;�^ .� RESIDENTIAL SPECIFICATION: BUILDING TYPE �# BEllROOMS �_ # BATHS �# OCCUPANTS � GARBAGE DISPOSAL: Yes or No , , COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE �# PEOPLFJSHIFI' # SEATS INDUSTRIAL WASTE: Yes or No � / ` „_.,,,,r� �,,,,,,,,., LOT SIZE �� TYPE WATER SUPPLY �� DESIGN WASTEWATER FLOW (GPD) L%(� �✓ NEW SITE REPAIR SITE ''� ,,.�/ � / /r ....j-� SYSTEM SPECIFICATIONS: TAN SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �<� ROCK DEPTH � LINEAR FT. � ' ` ��D! c�� 6t � f�� g��l P`" - ir�,-� 1 ,r: REQUIRED SITE MODIRICATIONS/CONDITIONS: �� **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR I:00 - 1:30 P.M. ON THE DAY OF [NSTALLATION. TELEPHONE # IS (336)751-8760. ,-• � 1 OPERATION PERMIT \�� ,�. �� c -� ,� �U _ � G � L{ 'V� 0 � ' r' SYSTEM INSTALLED BY: � � ,�---- /�� , ( !. ��i �'/rit-z. .. ��'�-•> ___-.__.___�_ � � __.. r -. �} AUTHORIZATION NO. � OPEIF'ATI�N-PBRMIT-HY�- __ _�_��( /� � i i�/�%r �-'� DATE: ',-� l CJ � *'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 ! GUARANTE& THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. , . DCHD 02/02 (Revised) . � r � r - � �� . � .. �\�� .. .. . ,f"f . ��r`� � r '/ , ' . NAM DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) ;� P"' O u Q w� PHONE NUMBER ADDRESS SUBDIVISION NAME LOT # DIRECTIONS TO SITE DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REC�UESTED INFORMATION TAKEN BY This ia to certify that the informatio� provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 / COMPLAINT FORM , n A/';n,f DAVIE COUNTY HEALTH DEPARTMENT �e,,,'r�� ENVIRONMENTAL HEALTH SECTION � Name of Complainant �1'�� Telephone ��Z � "/ h ��'�� Address Complaint Date Received � Received By Person Responsible for Complaint Address �/�� A/►'»(�l Directions `' ^"'-''��` Telephone Date Investigated _ Complaint Justified Action Taken Investigated By Complaint Not Justified Date Environmental Health Staff Signature (DCHD 1/85) Phone: (336) - 751- 8760 Mr. Robert Brodauf 302 Campground Road Statesville, NC 28625 Davie County Health Department Environmental Health Section Re: Septic Tank System 311 Campground Rd. Mr. Brodauf P.O. Box 848 210 Hospital Street Courier # : 09-40-06 Mocksville, NC 27028 January 15, 2009 Fax: (336) - 751- 8786 It has come to the attention of this office that the septic tank system at the above referenced location is in need of repair. The enclosed permit was issued to you by this office in September 2002. Our records indicate that the system recovered and that no repair was needed at that time. However, on August 28, 2007, you renewed the original permit in order to repair the system that was having problems then. The last of December 2008, this office was notified that the system was again in need of repair. The system needs repaired as per the attached permit. Should you have questions concerning this matter contact this offce immediately. Be aware that you have 30 days from the date of this letter to address the existing problem. You may contact this office Monday-Friday from 8:30-5:00 at 336-751-8760. Sinc rely, � Robert Nations, EHS Enclosure �cvn� �bia �; NAME �e�i�� ADDRESS�� DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) i �vl PHONE NUMBER � .. � -• - - ✓! l� �� ION NAME LOT # DIRECTIONS TO SITE y �� • T d �'�1 r `�0 L �� "�� D 0�� 6l DATE SYSTEM INSTALLED ��U NAME SYSTEM INSTALLED UNDER TYPE FACILITY DUS'ejQUMBER BEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUP�LY Gi�G�� SPECIFY PROBLEM OCCURRING S�Gtx1�'P� Gli�Qir ' � , i�c/� / W�shfrv� DATE REQUESTED I'Cc i �'vs NFORMATION TAKEN BY Ji � e This is to csrtify that the information provided is cortect to the best of my knowledge, and U�at I understand 1 am nsponsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. t/93