169 Browder Ln Davie County,NC► Tax Parcel Report Thursday, February 23, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G707OA0011 Township: Shady Grove
NCPIN Number: 5860632218 Municipality:
Account Number: 8305962 Census Tract: 37059-803
Listed Owner 1: DAVIS MICHAEL E Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 435 MELVA LANE Planning Jurisdiction: Davie County
City: KERNERSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27284 Voluntary Ag.District: No
Legal Description: LOT 11 BALTIMORE TRAILS Fire Response District: CORNATZER-DULIN
Assessed Acreage: 12.12 Elementary School Zone: SHADY GROVE
Deed Date: 1/2016 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 010091153 Soil Types: GnB2,GnC2,EnB,RnD,MsC,ChA
Plat Book: 0008 Flood Zone:
Plat Page: 277 Watershed Overlay: DAVIE COUNTY
Building Value: 396640.00 Outbuilding&Extra 12720.00
Freatures Value:
Land Value: 81680.00 Total Market Value: 491040.00
Total Assessed Value: 491040.00
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
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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
r`oUp� NC or arising out of the use or Inability to use the GIS data provided by this website.
HEALTH DEPARTMENT RELEASEFor Office use only
*CDP File Number 234468-1
ems AA7gp
Davie County Health Department 5860632218
210 Hospital Street County ID Number:
P.O. Box 848
Evaluated For: HDR/WWC
Mocksville NC 27028
Phone: 336-753-6780 Fax:336-753-1680 PERMIT VALID 0 a i a 0 i a 0 a a
UNTIL.
Applicant: Mgic Pools and Spas Property Owner: Michael Davis
Address: 417 E. Glenview Drive Address: 169 Browder Lane
City: Salisbury City: Advance
State/Zip: NC 28147 State/Zip: NC 27006
Phone#:
(704)699-3975 Phone#:
Property Location&Site Information
Address 169 Browder Lane Subdivision: Phase: Lot:
Road#Advance NC 27006
SINGLE FAMILY Township:
*Structure: Directions
#of Bedrooms: #of People: Hwy 158 east,right on Baltimore Rd.then right into Baltimore Trails
then right Browder Lane
*Water Supply: PUBLIC
Type of Business:
Basement: �Yes�No
Total sq.Footage: No.Of Employees:
*Proposed Improvement:
Poo116x40
*Release Conditions Remaorem
Remaining
Stay 15'minimum off all parts of septic system. 702
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps. Signature Required? O Yes O No
Applicant/Legal Reps.Signature: *Date:
*Issued By: 2325-Mitchell,Brittany *Date of Issue: 0 a a 0 a 0 1
Authorized State Agent: i 1
**Site Plan/Drawing attached.**
4' ®Hand Drawing 0 Import Drawing
HEALTH DEPARTMENT RELEASE
Q+srq�a Davie County Health Department CDP File Number: 234468 - 1
210 Hospital Street 5860632218
F P.O.Box 848 County File Number:
Mocksville IVC 27028 Date: 0 .1 / ,20 a017
��Art nlar
O Inch
Scale: O Block
Drawing Type: Health Department Release O N/A
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Davie County Health Department
1836 Environmental Health Section
,
•,. �v P.O. Bot 848 . f,
0. .f vs C' 210 Hospital Street
Q U � Courier# : 09-40-06 i J1 E
Mocksville, NC 27028 f�
Plione:(336)-753-6780 Fia:(336)-753.1630
ON-SITEWASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: •� �D 5 '� Phone Number (Home)
Mailing Address: rl r ��4 ,1 �,3�'r� (Work)
Detailed Directions To Site: r^Gt.5Se,11Iq O fim,�.��0 kn
Property Address: - I E i1-04
Please Fill In The Following Information About The EXISTIYC Facility: =
Name System Installed Under: Type Of Facility: !C st?
Date System Installed(Month/Date/Year): -O'Zoo 7 Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? Yes o If Yes,For ljow Long?
Any Known Problems? Yes o If Yes,Explain:
Please Fill In The Following Information About The NEIYFacility:
Type Of Facility: Pd 0 / Number Of Bedrooms-�Number of People
Pool Size: �/11��f-(! G rage Size: Other:.
quested By: Date Requested: A/ ao
(Signature)
For Environmental Health Office Use Only
Approved Disapproved
Comments: >So• 'G u' 9670
Environmental Health Specialist Date:
*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 rder # fi6OA Amount:$ 100-OC) Date:
Paid By: Received By:
Account#: Invoice#:
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INFRINGE
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Davie County,NC Tax Parcel Report Tuesday, February 14, 2017
26 8 S -1 X I
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t'' i Q,p•L Y� �; t `.r y j 170 log
335f ` 243 os r 190,.1 �f' `153
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.............................................................................................................................._,..............................................................................................................................................................................7...;z-r..'.i....... .....................................................................................
WARNING: THIS IS NOT A SURVEY
Parcel Inforfnation ,
Parcel Number: G707OA0011 Township: Shady Grove
NCPIN Number: 5860632218 Municipality:
Account Number: 8305962 Census Tract: 37059-803
Listed Owner 1: DAVIS MICHAEL E Voting Precinct: WEST SHADY.GROVE
Mailing Address 1: 435 MELVA LANE Planning Jurisdiction: Davie County
City: KERNERSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27284 Voluntary Ag.District: No
Legal Description: LOT 11 BALTIMORE TRAILS Fire Response District: CORNATZER-DULIN
Assessed Acreage: 12.12 Elementary School Zone: SHADY GROVE
Deed Date: 1/2016 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 010091153 Soil Types: GnB2,GnC2,EnB,RnD,MsC,ChA
Plat Book: 0008 Flood Zone:
Plat Page: 277 Watershed Overlay: DAVIE COUNTY
Building Value: 396640.00 Outbuilding&Extra 12720.00
Freatures Value:
Land Value: 81680.00 Total Market Value: 491040.00
Total Assessed Value: 491040.00
161 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.
.� ,.7. F .Mmr
i vA COUNTY HEALTH DEPARTMENT
Environmental Health Section I
P.O.Boa 848/210 Hospital Street
Mocksville,NC 27028
(336)751-8760
Account #: 990003970 Tax PIN/EH#: 5860-33-5745.11 B
Billed To: David Wittlinger Subdivision Info: Baltimore Trails Lot# 11
Reference Name: Location/Address: Baltimore Road-27028
Proposed Fac*Ilty@ Residence Property Si7e, 12-26 acres
I
/(o Q 13e w(J G7Z LA t1
ATC Number: 4411
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
I.
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of
G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATER CONST IS V LID ORA PERIOD OF FIVE YEARS.
I
Environmental Health Specialist's Signature: Date:
Py rf
CERT CON LE ' O S'
**NOTE** The issuance of this Certificate of C o 1 indicat t e s em a cribed on Improvement/Operation Permit
has been installed in compliance w' cI o G.S. ter OA ion .1900"Sewage Treatment and
Disposal Systems,"but shall in Nth as a att tha a system will function satisfactorily for any
given period of time.
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(10 z41 Sep is Systt m I s alled By 1M a Dfilta
Environmental Health pecialist's Signature: D te:
DCHD 05/99(Revised)
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