110 Bramblewood LnZy avk e"a.::.FdMy • r"kif.';. vT d.;w: -' ti..:a,;„ ,:,c aat+a .; tid;',`: 7 {y,i ,k;:i',,: . i?': AY..y.. ,"' ... ,--
DAVIE COUNTY HEALTH DEPARTMENT °
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 C �, �� ���,.., z\� \,tip VL\ � ,v� Date �� 1 N2 0679
Location ''C
CA _ ..
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 / "Specifications for System:
Auto Dish Washer. YES 0 NO g--'
Auto Wash Machine YES [ty NO 0
Type Water Supply
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
v
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 ar���
r -
Certificate of Completion Date O
`The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
1. Permit F
2. Address
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section %
- R 0. Box 665 l
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Q1A�.� "---f1____ Home Phone�7_3/l
_ I I
�
rnicactarl Rv l 1 r J4 (1Z L ► -P_� t+- l.tl e_.1 usiness Phone
3. Property Owner if Different than Above
Address / Y6 lr.x
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House 1, o ile Business
Industry Other
b) Number of people
6. aj If house or mobile home, state size of home and number of rooms.
House Dimensions 2 ( IV GL, C-"'
Bed Rooms Bath Rooms— Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes.
lavatory
dishwasher
urinals
showers
sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system
9. a) Property Dimensions
n approved? Yes No
—
A
b) Land area designated to building site
—
c) Sewage Disposal Contractor
garbage disposal
washing machine
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is corre the best of my owl
Date Owne na e
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions teproperty:
Th-7—'s_prlsrroTh )1.,2— /') IG�
0� Iah rgA4-'
A
MA4V
DCHD (6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— Date C,
Address Lot Size
FA['T(1RC AR� ARFA 9 l AREA 3 1 ARFA
1) Topography/ Landscape Position
S
- S
S
S
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
�
S�
1)Soil Structure (12-36 in.)
Clayey Soils
S
_
L P5�
PS
�) Soil Depth (inches)
P5/
-10
PS
S
PS
U'
S
PS
—U
i) Soil Drainage: Internal
S
PS
S
PS
S
S
PS
U
U
�PS
C__PJ
U
External
S
PS
S
PS
4tp
S
PS
U
U
U
U
�) Restrictive Horizons
Available Space
S
/PS)
S
S
PS
U
i) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
i) Site Classification
U—UNSUITABLE
Recommendations/ Comments:
Described by _
SITE DIAGRAM
S—SUITABLE PSS—Provisionally Suitable 1 1
Title Date _ 3
DCHD (6-82)
Parcel #: C30000001901
Davie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search Q
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: C30000001901 Account #:37788000
Owner Information Tax Codes
OWELL CHARLIE LESTER& HOWELL EMMA LOUISE ADVLTAX - COUNTY T
110 BRAMBLEWOOD LANE READVLTAX - FIRE TAX
OCKSVILLE NC 27028
uildin
Property Information
Townshi
nd (Units/Type): 2.000 AC
ddress: 110 BRAMBLEWOOD LN
CLARKSVILLE
17,57
arket:
Deed Information
Local tonin
Pate: 12/2001 Book: 00400 Page: 0960
Plat Book: Page:
eferred:
Legal Description
PIN
1.99 AC OFF HWY 801
5823347029
Property Values
uildin
9,46
BXF:
9,00
Land:
17,57
arket:
36,03
sessed•
36,03
eferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00394 0458 11 2001 WD Unqualified Improved 0
2 00400 0960 12 2001 WD Unqualified Improved 0
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
« Return to Basic Search
Page 1 of 1
o�-.vtc�
ZO
Davie County Web Site
All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be
consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsneWiew.aspx?prid=1470711 9/22/2016