296 Vogler Rd �
Davie County Health Dep�u tinent
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� � ,5,� 210 Hospital Street ��� �. �
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Q U�'S. Cotuzer# : 09-�10-06 -. �"�����:�:�-'
Nlocksville,NC 27028
Phone:(336)-753-6780 F�.�:(336)-753-1680
ON-SITE�VASTE`VATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
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Name: � � Phone Number (Home)
Mailing Address:�< � � �Q' !/ (Work)
� � �i o�7V��0
Detailed Directions To Site:
PropertyAddress: �Pi
Please Fill In The Tollowing Information About The EXISTIIVG Facility: - ,
...—� ( �
Name System Installed Under: � ' N1�1� V�� �� Type Of Facility: (,(S
Date System Installed(Month/Date/Year): -1�;..�(l S Number Of Bedrooms: Number Of People: - -
Is The Facility Currently Vacant? Yes �Qo If Yes,For How Long?
Any Known Problems? Yes (�1� If Yes,Explain:
��
Please Fill In The FollowinQ Information About The�E�VFacili • ���v�� � 1�0 5�_ j���
Type Of Facility: � l� ����. �e(�f u�/��� um� f Bedrooms. Number of Peo le
� � r
Pool Size: Garage Size: Other:.
�Requested By: — Date Requested: �'.3 �-I�v
(Signature)
For Environmental Health Office Use Only
Approve Disapproved
Comments: � �d � �T � ���'
Environmental Health Specialist n Date: ,3 ;�/ ,6
*The signing of this fonn by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee
(extended or limited)that the on-site�vaste�vater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$ Date:
Paid By: Received By:
Account#: Invoice�:
HEALTH DEPARTMENT RELEASE For office use on�v
1 -- � ' *CDP File Number 122442- 1
�s��o� Davie Countjr Health Depa�tment Fs-000-oo-ozs
, ,�., , 210 Hospital Street County ID Number:
�,;�'- ;w •� P.O. Box 848 Evaluated For. HDR/VIIWC
'`���'` Mocksviile NC 27028
� Phone: 336-753-6780 Fax:336-753-1680 PERMir vAu° 0 7 / 3 0 / 2 0 1 8
UNTIL:
Applicant: Tim and Amy Vogier Property Ovmer: Ronaid 8�Timothy Vogler
Address: 296 Vogler Road Address: g28 Brookmeade Drive
City: Advance C��Y: Winston Salem
StatefLip: NC 27006 StatefLip: NC 27106
Phone#: Phone�:
Propertr Location&Site Information
Address296 Vogler Road Subdivision: Phase: Lot
Road# Advance NC 27006
SINGLE FAMILY Township:
'StruCture: Directions
#of 6edrooms: 3 #of People: 3 158 to 801 S. Tum L onto Underpass Rd. Go under train trussel. L
onto Vogler road. 4th house(Brick)on Right. (6th concrete driveway.
'Water Supply:
wA green 296 on mail box
Type of Business:
Basement: �Yes❑No
Total sq_Footage: No.Of Employees:
`Proaosed Improvement:
Pool
, 'Release Condkfons
keep pool at least 15'from any part of septci system
This release in no way expresses or implies that the existing subsurFace sewage treatment and disposal
system serving the site will oontinue to function for any period of time.
ApplicantlLegal Reps.Signature Required? QYes C�No
ApplicantlLegal Reps. Signature� *Date: � �
*Issued By: 2244'Daywalt,andrew *Date Qf Issue:_ 0 7 � 3 0 l 2 0 1 3
Authorized State Agent: W.�
*�Site PIanlDrawing attached.�� TotalTime:(HH:MM)
�Hand Drawing �Import Drawing 0 1 Hours 0 O Minutes
.
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= �� - Davie County Health Department
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'=y�� �..'.:.
������;"�r�'�,. Environmental Health Section �� ,. ':�:,:�
�, jr 4 `y�l 1j P.O. �Ox g�g f ;� �r 1',1� �,,y
�`�;��tis''� Eivfi,� 210 Hospital Street '� � ��� i �� �-`',
. :. ; �``� Yrl. �C Courier# . 09-40-06 �,� '�U '
�=- }� �,��-�3 Mocksville, NC 27028 °•4j;:,-,.,....,.-r:=•
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1'l�ot�c:(336)-753-6780 Fax:(336)-753-1680
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: T'.rn � Qm�t V oa�ec- Phone Number__ 331a- R'Z\- (Home)
MailingAddress: a,ql,, �1oq��c 1�c1 (Work)
�cavancc NC a'Iobin
Detailed Direetions To Site: 15Q, ko �b\ S Tucc� (L� b�� �,,�1c.a�t�s5 �c� qo � c �c'4�c�
-�r�.ss�\ . � bc� �loa\cr 41�.. L��`�" �o.,se (bc�cl�lo� c.e.h� � Cv��" c�c�Vcwa►-� — Cor�re��
-- a�e� �a o�, �mo��\��c
PropertyAddress: �q� �loq�cc �c�
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: �`�M \)m�e� Type Of Facility: houSe
Date System Installed(Month/Date/Year): �g-r',� Number Of Bedrooms:�_Number Of People:�_
Is The Facility Currently Vacant? Yes � lf Yes,For How Long?
Any Known Problems? Yes No If Yes,Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: pob� Number Of Bedrooms: C Number of People
Pool Size: 10 X 3to Garage Size: Other:
Requested By: �q1� Date Requested: ''1-I q- 13
(Signature)
For Environmental Health Office Use Only
Approved Disapproved
Comments:
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 guazantee
(extended or limited)that the on-site wastewater system will function properly for any given period of time.
Payment: Cas Check Money Order # ���j � Amount:$ � Date:
Paid By: Received By:
Account#: Invoice#:
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,.Appraisal Card Page 1 of 1
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DAVIE COUNTY NC 7 25 2013 10:45:12 AM
OGLER RONALD H CO-TRUSTEE VOGLER TIMOTHY A C0.TRUSTEE Retum/Appeal Notes: F9-000-00-026
96 VOGLER RD UNIQ ID 9923
301767 D376-P16 ID N0:5880860556
COUNTY TAX(100),FIRE TAX(100) CARD N0.1 of 1
Reval Year:2013 Tax Year:2013 12.91 AC VOGLER RD 15.660 AC SRC=Inspection :
ralsed b 19 on 11/03/2008 07003 VEOPLES CREEK RD TW-07 C- EX-AT- LAST ACTION 20130131 ;;�
CONSTRUCTION DETAIL MARKET VALUE DEVRECIATION CORRELATION OP VALUE '-�
oundation-3 Eff. BASE Standard 0.4000 T
ontinuous Footin 5.0 US MO Area UA RATE RCN EYB AVB REDENCE TO MARKET
ub Floor System-4 01 OS 2 523 135 94.50 241124 197 195 %GOOD 60.0 DEPR.BUILDING VALUE-CARD 144 67 ^
I wood 8.0 DEPR.OB/XF VALUE-GRD 12,31 `-
xterior Walls-21 TYPE:Single Family Resfdential Single Famlly Residential
MARKET LAND VALUE-CARD 163,10 F'
ace Brltk 34.0 STORIES:1-1.0 Story OTAI MARKET VALUE-CARD 320,08 -
oofing SYruc[ure-04 -
i 10.0 �
ooFlng Cover-03 OTAL AP7RAISED VALUE-CARD 320,08
ha�[or Com sition Shin le 3.0 OTAI APPRAISED VALUE-PARCEL 320,08
nterlor Wall Construction-5 s
wall/Sheetrotk 20.0 OTAL PRESENT USE VALUE-VARCEL 187,51 r
n[erior Floor Cover-12 OTAL VALUE DEFERRED-PARCEL 132,57 ^'
ardwood 10.0 OTAL TAXABLE VALUE-PARCEL 187,51
nterior Floor Cover-14
et 0.0 PRIOR
eating Fuel-02 BUILDING VALUE 155,48
il Wood or Coal 0.0 BXF VALUE 23,01
eatlng Type-04 � ND VALUE 163,10
PRESENT USE VALUE 27,40
orcedAir-DuRed 4.0 +-----------60--------��'+ DEFERREDVALUE 135,70
ir Conditioning Type-03 =V B M I
entral 4.0 I I OTAL VALUE 341 59
edrooms/Bathrooms/Hatf-Bathrooms I I
I I
/2/0 12.00 2 2
drooms 8 8 PERMIT
AS-3 FUS-0 LL-0 I I CODE DATE NOTE NUMBER AMOUNT
throoms I I
AS-2FU5-OLL-O I I
+"""""'(p"""""'+ ROUT:VJTRSHD:
ffice
AS-0 FUS-0 LL-0 SALES DATA
FF. 2NDICATE
OTAL VOINT VALUE 110.00 +-1 2-+4+-1 6--+ RECORD DATE DEED SALES
BUILDINCa AD7USTMENTS 1 W D D 1 F 1 P 1 gOOK PAGE M R TYPE PRICE
uatf 4 ABAVG 1.200 1 1 1 1
+-12-+4+-16--+----26-----+ 0928 293 6 Ol QC E I =
ha e Desi 4 FACTOR 4 1.050 4 g p 5 = 0899 177 8 O1 TR E I
ize 3 Size 0.980 +---22---+-12-+ I 0144 767 8 198 WD E V
OTAL ADJUSTMENT FACTOR 1.23 I F G D I U E P I I 0053 421 7 1952 WD X I T
OTAL QUALIN INDEX 13 I I I I 'c
2 2 2 2
0 0 0 8 -
I I I I
+---22---+-12-+ I HEATEDAREA1,900 =
4 I
+"'""""'gp""""""'+ NOTES �.
WNER DOGS• `
.59 AC TO 7ANINE VOGLER
SUBAREA UNIT ORIG% ANN DEP % OB/XF DEPR.
TY�E GS AREA % RVL CS ODE DESCRSPTIONLTH HUNIT PRICE COND BLDG#L B AVB EVB RATE OV COND VALUE
AS 1 68 30 15876 � UONSET 36 4' 1,51' 16.00 100 _ L 197 1986 SS 0
EP 22 07 1455 1 TORAGE 1 30 120 15.00 300 _ L 197 1994 53 43 774
GD 44 04 1871113 REENHOUSE 1 12 7.5 10 _ L 194 001 S 4 38
BM 1,68 02 31752 4 HED 1 6 96 5.1 10 _ L 195 195 5
1 TORAGE 1 1 21 15.0 10 _ L 194 199 5 43 1355
EP 24 OS 1134 30 ON PAVING 10 1 1,20 4.0 10 _ L 198 198 5
DD 1� 02 330 1 ORAGE 2 3 86 15.0 10 _ L 199 199 S 4 5184
3-1 Story 3 RPORT 2 1 36 30.0 L 001 001 53 230
IREPLACE Sin le 2'��
3 RVORT 2 1 36 10.0 L 001 001 5 2304
UBAREA 4 43 q1,12 OTAL OB XF VALUE 12 305
OTALS
UILDING DIMENSIONS BA5=W28FEP=W20N11E20S11=W36WDD=N11W16511E16fW1654UEP=WI2FGD=W22520E22N20$520EI2N20$524E60 N28S�R-N20
BM=N28W60528E60 520 .
LANDINFORMATION
IGHEST TMER AD)USTMENTS LAND TOTAL
ND BEST USE LOCAL FRON DEPTM/ LND COND ND NOTES ROA UNIT LAND UNT TOTAL ADJUSTED LAND LAND
SE CODE ZONING TAGE DEPTH SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP AD)5T UNIT PRICE VALUE NOTES
URALAC 0120 459 0 1.0420 4 1.0100+O1+20+00-30-10 PW 9 900.0 15.66 AC 1.05 30 414.8 16309
OTAL MARKET LAND DATA 15.66 163,30
L HOMSITE 5000 0 0 1.0000 5 2.5000 9 900.0 1.00 AC 2.50 24 750.0 2475 1200
GRIII 5230 0 0 1.0000 5 1.0000 590.0 2.09 AC 1.00 590.0 123
GRIIiI 5310 0 0 1.0000 5 1.0000 385.0 1.13 AC 1.00 385.0 43
RSTI 6110 0 0 I.0000 5 1.0000 415.0 6.94 AC 1.00 415.0 288
RSTIi 6210 0 0 1.0000 5 1.0000 270.0 4.50 AC 1.00 270.0 121
OTAL GRESENT USE DATA 15.66 30 53
http://maps.co.davie.nc.us/ITSNetlAppraisalCard.aspx?parce1=F900000026 7/25/2013