327 Salmons RdDavie Countv. NC
Tax Parcel Report L t.o(o � Thursday. October 6. 2016
WARAUNU: TH15 IS 1VU1' A SURVEY
Parcel Information
Parcel Number: E20000000308 Township: Clarksville
NCPIN Number: 5801469656 Municipality:
Account Number: 82532252 Census Tract: 37059-801
Listed Owner 1: BROCKWAY FRED H II Voting Precinct: CLARKSVILLE
Mailing Address 1: 397 SALMONS ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
Salmons Rd
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
0.77
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
9/2010
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
008370321
Soil Types:
Mn62
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
0.00
Outbuilding & Extra
Freatures Value:
1880.00
Land Value:
14350.00
Total Market Value:
16230.00
Total Assessed Value:
16230.00
9 lain F
Davie County,
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C+p L'N�i
NC
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1AITHOAIZATION No. DAVIE COUNTY HEALTH DEPARTMENT
/C/�ry Environmental Health Section PROPERTY INFORMATION
Permittee',s' / t (''� P.O. Box 848
Name: 1f�1� sa` �3 �',✓�ii'z MocksvillF, NC 27028 Subdivision Name:
Phone # r 336-751-8760
Directions to property: f' � �� ! ' � _' -''` Section: Lot:
^rte f j J. AUTHORIZATION FOR
i� •/� ! 'a� �'` f / ; G� ` ii WASTEWATERce
_ _
/ SYSTEM CONSTRUCTION 5�T�ax Offi Aamf�""�P N:#. �—KoadZi
r:
**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 l 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
% IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
'� DAVIE COUNTY HEALTH DEPARTMENT "�-�%�'
fi
IMPROVEMENT AND OPERATIOl fgRMITS PROPERTY INFOR�V�IATION
.01
Permittee s �J {
Name:
Directions to property:
IMPROVEMENT
r 1 PERMIT
Subdivision Name:
Section: Lot:
Tax OPamer:
N1
0
Road/71 �`5
**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 # BEDROOMS BATHS Z # OCCUPANTS 5 GARBAGE DISPOSAL: Yes or No
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
j f
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 13e' ROCK DEPTH 1l5 LINEAR 17k/ 7/ /
REQUIRED SITE MODIFICATIONS/CONDITIONS:
�•_�"+ :/.:^ 4.'�%i" .,. f�. �!"�?rte,.,:
� ( i
IMPROVEMENT PERMIT LAYOUT-MAPPROVED EFFLUENT FILTER* -01S R(S)
IF 6" Ii3LO'J FI14ISHEED GRME)E,10
C', t.
cr
11:
**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 (7WV4£8760' IS
(336)751-13760
I OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION
AUTHORIZATION NO. dOOPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SY7VEN
DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMEND DISPOSAL SYSTEMS", BUT SHALL IN NOWAY BETAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY PERIOD OF TIME.
DCHD 05/96 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
.' IMPROVEMENT AND OPERATION PERMITS PROPERT INFORMATION
Permitfee'so ; ^r
-' Nar&. `
Directions to property:
IMPROVEMENT
PERMIT
Subdivision Name:
Section: Lot:
Tax Office PJN:# - -
..? �oad'Nai,� l
**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 # BEDROOMS --a—# BATHS _/ # OCCUPANTS _ ' ✓ GARBAGE DISPOSAL: Yes or No
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 lel LINEAR FT/
t j p
REQUIRED SITE MODIFICATIONS/CONDITIONS:
t
IMPROVEMENT PERMIT LAYOUT it AP ?E(1t;1EI) EFFLUEVi F FILTER%-rRISETI(S) IF 61, EEL014 F'I1rIS`t$` D EIYABE-t., ='
,r
"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 ('raj 48764
(3326)751—G760
OPERATION PERMIT
SYSTEM INSTALLED BY:
AUTHORIZATION NO. /46HOPERATION PERMIT BY: DATE: 7
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSDESCRIBEDDESCRIBED 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. -
I]pCHD 05/96 (Revised)