258 Howardtown Circle (2) Davie County, NC Tax Parcel Report �3�� Thursday, September 29, 2016
• �'�� �36 ����� I
� '
� � �
� �
� I
�� . �
,...-' �k a�
��l �y �
25$ �Q� I
I
�'°�2 i
i
�� �
'�� �
_ ' ��'�,
� .� I
� � , ,
...................................... ._._........................_..............._. ............................_....................................._........_:............................. _.._......___................_....._...._...._._..............�.�...._��.._�............._........................_....:..____............_..................1
WARNING: THIS IS NOT A SURVEY
: - Parcel Information �
Parcel Number: E60000008001 Township: Farmington
NCPIN Number: 5861130818 Municipality:
Account Number: 9864000 Census Tract: 37059-803
Listed Owner 1: BREWER JOSEPH ALLEN Voting Precinct: SMITH GROVE
Mailing Address 1: 258 HOWARDTOWN CIRCLE Planning Jurisdiction: Davie Counry
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27028-7701 Voluntary Ag.District: No
Legal Description: 3.50 AC HOWARDTOWN CIR Fire Response District: SMITH GROVE
Assessed Acreage: 2.54 Elementary School Zone: PINEBROOK
Deed Date: 10/1990 Middle School Zone: NORTH DAVIE
Deed Book/Page: 001560645 SoU Types: MrC2,MrB2,GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 160450.00 Outbuilding&Extra 36750.00
Freatures Value:
Land Value: 38690.00 Total Market Value: 235890.00
Total Assessed Value: 235890.00
9����, A�I data Is provided as Is without wartanty or guarantee of any kind elther expressed or Implied including but not Iimited to the
Davie County, Imp�ted warrantles of inerehantability or fltness tor a partitular use.All usen ot Davie County's GIS website ahall hold hartntess the
County of Davie,NoRh Carolina,Its agents,consuttants,contracton or empioyees trom any and all claims or causes oi adion due to
�O���C� NC or adsing out oi the use or Inabllity to use the GIS data provlded by thls websita
� �
� � ,
� ,
Davie County Health Department
4�►s I� Environmental Health Section ' �,:,:. , -
t '� P.O. Box 848 ` �
u . �. `
� � ,�"�, 210 Hospital Street ��►� �
O U�'�. Courier.# : 09-40-06 � �
Mocksville, NC 27028 �
Phone:(336)-753-6780 Fax:(336)-751-8786 �
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING �
(Check One) Replacement Remodeling Reconnection
Name:�,/�/If �/LII�ICr PhoneNumber 3��` 7��' 77a , (Home)
Mailing Address• � .3YlO � 907—d�� 7lii (Work)
. Em�� � B��NPrs� y�ad T�. N��
v
DetailedDirectiorisToSite: �,����� uRA� IC14�� aN �0�.�1A�Cl /CJ�1 �,r 11�_
� ,�l,e �/,'l� �'il �3� 2N� /�r,se o� R����
Property Address: ��,�� d4✓A I'Cl�4//�/ C�%�' �Q'' 1�e �� .��
� Please Fill In The Following Information.About The EXtSTING Facility:
Name System Installed Under: �l . ��c.r(�tl� Type Of Facility: Uw�
Date System Installed(Montli/Date/Year): "6 J Number Of Bedroomsc V - Number Of People: �
Is The Facility Currently Vacant? Ye��� If Yes,For How Long? � � . �
Any.Known Problems? Yes No If Yes,Explain:
Please Fill In The Following Informatio� About The NEW Facility:
Type Of Facility: �c.t �u�l��� (S�t/x � Number Of Bedrooms: '� Number of People
xRequested By: �/L. Date Requested: �d�,��(�,,/�_
� � ( ' a e)
For Environmental Health Office Use Only
Approyed Disapproved , � . .
Comments: �
Environmental Health Specialist Date: /
*The signing of this form by the Environmental ealth 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 giveri period of time.
Payment: Cash Check Money Order # Amount:$ Date:
Paid By; Received By:
Account#: Invoice#:
���_- ' ` ��eW e�
�I��� �
� � s� /���R�/o�✓,� �
� �
� -�'����..�
�
�
r
� ,
Q� �9 '�pl�►"�`� . � � ��
. � �� a �o �
.� ��, a����,-�
. , . , --�. ______a
�.`.�o : .
_ �� �
,
F . � .
__ , ,�
� ��� �
�� ��.
- ��; l�'�
� � � , , ' ��
� � .
t � ^ _� � ��JSG ��z �
- ,�. � _ -
. s ��G �6r _ -
� � �
_ ,��5 �$, ����, . - .
. �.� ►� �'� � ��� .
• rRQ,� : �
_ , �
_ �
. �
, ��ARd�"�.w �,r� _
, _ . . . .
.: . ., ♦,,-
� . Y. � . .
..; . :. .� .. , . . : .,.._ �
,; . • _ , _
�'� � DAVIE COUNTY HEALTH DEPARTMENT ��� ' �
, • .,- , ''
- . �MPROVEMENTS PERMIT AND CERTIFICATE_ OF COMPLETION �
� 'NOTE:`IssUed in Compliance vliith G.S. of North Carolina Chapter 130 Article 13c � ---• ;,
Sewage Treatment and Dispos Rules (10 NCAC 10A .1934-.�sss) Permit Number
Name �o� e;� ��e�.) R,Q'.�:� �.� Date �U� .��^ ' �� N� �rj�L�L�,
�
.1 �� �\ �.n�S. �' 1 0�.�
Location � ,�
� � ��� � - R. � � ������� ��.. � �..� � �� � �s-� �*,`;�- a�� ��
,,�. -- : . ;
�Subdivision Name Lot No. Sec. or Block Na �i
Lot Size ,`�" " House Mobile Home _ � Business Speculation '�
.t4 ��
No. Bedrooms 1� No'Baths „�� �' ;No. in Family� " "�
Garbage Disposal ,., YES p NO � `-t� �`�W {' • � �I�
Specifications for�System:
Auto Dish Was�her {'�' 1�ES��' NO �p�h. .. ` '.�,/ a oo. c���`�, `'"�a"s�_ .<- � - �-� c,� l.
"'-�x:� � ;,*�,�" +�+ � ,_�
Auto Wash Machine � YES �� �� � �� � ��� w� 3 � � ���,
,�.,;
Type Water Supply _ — �•
*This permit Void if sewage system.described-below is not installe�i wit�._ h���6 months from date of issue. �
.:..,
y \�1�a,,� \�2�T.�.st ',
� ,,s
. . � . ::M. . . � .. . ,
. . � . - - � . . .;1'-/. � ii �.
, . . Y, . . i 1 . �(:r
�16
� . � . . �`r+a 2 �w. f . . � ��
, _eN
. � . .. . . ' . . . ..�C:..... .
� . . . . - . � .. �
\ \ �"'''�� D0 , � I'!
� T� +—""— ',
. . . , �O ��— �-��_ . I.
.�..r--�'`— . � - i
. • • � �
___ _� � . �
; "....�----�'_'�'--- —�---' i
�--_..
q
. . . ... .1 . . , . .
� � � ry, A�.. � .
� . . _ � . . � � .....k�� . .
, . . � . .. . '.[.� . . ,
_. � ... ,_ ,,� . � � �
. . .. . .. . .. .. . ` .,,y._.�,... ..._._ � � : . .
. . . . .. . :.:.._...
__..__. <
...��... .....,. . .��a
Improvements permit by — ����`�-��-f: ���`
..
,.._
,_. �
*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 � eC'
i ����'q� '
�''' p � . �an ��
, � �� �/b/ o a� ,
.- �,,,,,�� �,� ,��, �� ,
. . {�/ 1�/�/�' II�'� r�� �_V J^�/'�'�rrvyr . . �� . . . . � . ' . �� .
�� � � W�•`V �..Ar�`� .•/�� �Y�' � .
� .rv_,��... �
�
� , � . �
�. 70
,�-�-P
�
Certificate of Completion �`ate 'g s
"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 waybe taken as a guarantee that the system will function
satisfactorily fpr any given period of time. �
�
..♦ •j �
• . .
1
+`� �.* �� , . . •APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
. Davie County Health Department
� Environmental Health Section . '
P. O. Box 665
� Mocksville, N.C. 27028 � ��///��
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. �jfVl 3�//
Home Pnone 99g-3068 — 9��
1. Permit Requested By 3o56A� AII� QRE���R Business Phone 98" ��ya
2. Address oC .` E' r10o2
3. Property Owner if Different than Above
Address
4. Permit To: a) Install�Alter Repair
b) Privy Conventionai.�Other Type
Ground Absorption .
_ _ _. . _,
� c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home�Business " -- --
Industry Other
b) Number of people T�d
6. a}If house or mobile home, state size of home and number of rooms.
House Dimensions ly X �O
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 2 urinals garbage disposal
lavatory a. showers a� washing machine 1
. dishwasher � sinks �
8. a) Type water supply: Public Private�Community
b) Has the water supply system been approved? Yes No� �
9. a) Property Dimensions � �r ,�
b) Land area designated to building site 14DD�Cdk. � AG,Q� ��7,I� �� 3 ��p.G� d'd��
_
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? T f�
What type? f�DNJE' 3 Becl a2,�A3�i S
This is to certify that the information is correct to the best of my knowledge.
J o��s���`�
D te Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
�� —�' /`YOLvr�iZ ��4�rrs✓ --
s �S� �.��/,� ��`- D.� P e�'/ r--
. ��s � c � '�' �
�
OCHD(6-82) � .
i f . . �/ , 1 � � • . . �
1
,II �_ 1 . , � . ..
� � � . ' pAVIE COUNTY HEALTH�DEPARTMENT
� � � Environmental Health Section
` P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name l/�Gl�f.aO _ _ _ Date 18��/�r?3
Address Lot Size /���'
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
PS � PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, � S S
Loamy, Clayey, (note 2:1 Clay) S PS PS
U U U
3) Soil Structure (12•36 in.) ' S S S
Clayey Soils S ((� PS PS
YI U U
4) Soil Depth (inches) : S S S
g �Qr PS PS PS
U U U
5) Soil Drainage: Internal . S S S
_ g (� PS PS
Zr u u
External . S S
g � PS PS
U U
6) Restrictive Horizons L��i�
7) Available Space � S S
p PS PS PS
� U U U
8) Other (Specify) S S S
g PS PS PS
U U U .
9) Site Classification U�, I%�
U—UNSUITABLE S—SUITABLE PS—Provisionaliy Suitable
Recommendations/Comments: o�� ��p f .
Desc�ibed by l���� Title '/�j� Date f11��`� ���
SITE DIAGRAM .
�r�GlJ'�' �/.�lGS Y�',�j{' �'IO��
�d3
�� up -- ,���'� ��T�;� `s
�� �ro w �} . ` !
i.�St,��'C� ����'�r�I�� e'
11`�"T � f �f �'<' l.� Ct1i1 N Gd/'GGt
v.S.
,=�. sD�` �°
, �/����� .
�s�
D��J '
. ia'a � �
I�'J �
. �/`'�� �'o'`�.�,
P �
� ��
�
CHD(6-82) � _ � �