108 Bramblewood Ln Davie County,NC Tax Parcel Report �` I Monday, September 26, 2016
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C30000001902 Township: Clarksville
NCPIN Number: 5823336796 Municipality:
Account Number: 82522115 Census Tract: 37059-801
Listed Owner 1: NAYLOR ANGELA CECELIA Voting Precinct: CLARKSVILLE
Mailing Address 1: 108 BRAMBLEWOOD LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay:
Zip Code: 27028-6120 Voluntary Ag.District: No
Legal Description: .99 AC HWY 801 Fire Response District: COURTNEY
Assessed Acreage: 0.99 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 8/1989 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001500107 Soil Types: EnB,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 98340.00 Outbuilding&Extra 970.00
Freatures Value:
Land Value: 12540.00 Total Market Value: 111850.00
Total Assessed Value: 111850.00
161
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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
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5—/310
er�.Kee'sA DAVIE COUNTY HEALTH DEPARTMENT GIS#' =-Yco
rNarrie: Atic,L-LA JAY t Environmental Health Section PROPERTY INFORMATION y
P.O. Box 848
Directions to property: � ( � !� (� �, Mocksville,NC 27028 Subdivision Name:
. - Phone#:336-751-8760
11)t_�1 l �l� { �w• Z ,WvG r•I Section: Lot:`
l j { AUTHORIZATION FOR
(2, WASTEWATER WASTEWATER
ry SYSTEM CONSTRUCTION Tax Office PIN:#
AUTHORIZATION NO: . 1 96
A Road Name: 107 15A y C�t% •
ip: �..
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
�-- -ERVIRON T� I!HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE�L'WM�4 BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE Aa- TYPE WATER SUPPLY jt� DESIGN WASTEWATER FLOW(GPD) U NEW SITE REPAIR SITE /
�1
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ,� LINEAR FT. 0D
OTHER ( IJ�511C�rJV�w►�
REQUIRED SITE MODIFICATIONS/CONDITIONS: OV , ��ti�
- Mop, u rj
IMPROVEMENT PERMIT LAYOUT
N
� l.
UPS'bLAJ 14 NL
:=>>
}DIST I O&,
**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 INSTALLATION.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT
SYSTEM INS L ED BY:
-XVewy Q0cAlLy r
LAS;I
�I
DI)S'
AUTHORIZATION NO. OPERATION PERMIT B DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S SI DESCRIBED VE AS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL STE ",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DC HD 07/02(Revised)
r
~ H1tliN3'�NO2SIf�N3 AVIS COUNTY HEALTH DEPARTMENT
Environmental Health Section
MAS 3 203 PO Box 848/210 Hospital Street
Mocksville,NC 27028
Q Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT T ❑ REMODELING ❑ RECONNECTION ❑
2
Name: U Q 1 b1� Phone Number: 33 C` q 73 (Home)
Mailing Addr . 6 o Z6tye (Work)
A/ C_
Detailed Directions To Site: b c)I b W o., a WGr-\V,i I Q, 4uv,4 , b n go I , -"h e -,
1 rj2s Y^lr1 —}— n� L ) (A ,,-A P �nc� Lc2n� �-kr-, Mcr & CA-'n in.ca jia—k
1 r ,
Property Address:
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: S Type Of Dwelling: S
Date System Installed(Month/Day/Y ): Aq Number Of Bedrooms: Number Of People: 22
Is The Dwelling Currently Vacant? Yes No E if Yes,For How Long?
Any Known Problems?Yes❑ No;If Yes,Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: b W a e Number Of Bedrooms: 3 Number Of People: 3
Requested By: Date Requested:
(Signa e)
For Environmental Health Office Use Only
Approved 0 Disapproved 0
Comments: /03 -r016VtA2&6
Environmental Health Health Speci ' Dat l-�
'"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: Cas ❑ Check 8-1C�Ioney Order❑ # g2fQ Amount: $ � Date:
IV
Paid By: Received By:
Account #: o'�-�� �.. Invoice #: ��.
f •
r��r
DAVIE COUNTY HEALTH DEPARTN"T
Environmental Health Section
PO Box 848/210 Hospital Street
' Mocksville,NC 27028
A
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT) ❑ REMODELING ❑ RECONNECTION ❑
Name: ( (D►� �,/_' (� �_�� J�
` Phone Number: �( (Home)
r; >
MailingAddr �� )) >6n (Work)
Detailed Directions To Site: TG l J%'nv; i I 4L(lr\- n
rir.r, �>'� li n�l�Q ,.�nn �� �an'C_ � )_( �� ;a�c� /�� 6-D
44�� )
Yn 01I (%
Property Address:
Please Fill In The Following Information About The Existing Dwelling.
Name System Installed Under: r 10 o-) S Type Of Dwelling:
Date System Installed Month aY/Y ). a r � Number Of Bedrooms: Number Of Peo -
is The Dwelling Currently Vacant? Yeess❑ Not It Yes,For How Long?
Any Known Problems?Yes❑ No CI If Yes,Explain:
Please Fill In The Following Information About The New Dwelling.
Type.Of Dwelling: .�" a>>F C �'�1 nI a e Number Of Bedrooms: �, Number Of People:
Requested By: /t/ '� '" !' ( �C/� � Date Requested: �j w /i`
(Signature)
For Environmental Health Office Use Only
Approved ❑ Disapproved [I 1
Co _. 1SS(�71� Q4 aI� �i -1 l l5 Qj -ro�,VLAZL e,
Environmental Health Speci Date l
*The signing of this form by the Environmental Health Staff is in ay intended,nor should be taken as a
ZI
guarantee(extended or limited)that the on-site wastewater systei4,Cvi function prpMr,1'
.J6r,a.;iy_Zjyen period of time.
Payment Cas ❑ Check 9�Money Order❑.# ount: $' -� e + mate:• r 0
Paid By: _i �-- TRecivedBy. to
Account # � Inv 1
k DAVIE COUNTY HEALTH DEPARTMENT ''`' ) ' �O•
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A`.1934-.1968) Permit Number'
Name < ���,.,, � ,- 1t� \h �,.v���sDateE N2 5679
Location �''•� � -� �� �a ��1` ��„���sv \��\ •� � ��� �..
Subdivision Name Lot No. Sec. or Block No.
Lot Size '�� House Mobile Home _✓ Business Speculation
No. Bedrooms__. _� No. Baths___�__._ No. in Family-'
Garbage Disposal YES 0 NO t/ 'Specifications for System:
Auto Dish Washer. YES p NO
Auto Wash Machine YES Ey NO 0 t
.
Type Water Supply C , •,.;.;�, _ x
`This permit Void If sewage system described below is not installed within 36 months from date of issue.
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y'' . is ':. .;.ti?°... ..•, 34'ilclfll
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 by
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