110 Bramblewood Ln (2) Davie County,NC Tax Parcel Report Wednesday, February 15, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: C30000001901 Township: Clarksville
NCPIN Number: 5823347029 Municipality:
Account Number: 37788000 Census Tract: 37059-801
Listed Owner 1: HOWELL CHARLIE LESTER Voting Precinct: CLARKSVILLE
Mailing Address 1: 110 BRAMBLEWOOD LANE Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-6120 Voluntary Ag.District: No
Legal Description: 1.99 AC OFF HWY 801 Fire Response District: COURTNEY
Assessed Acreage: 1.99 Elementary School Zone: WILLIAM R DAVIE
Deed Date: 12/2001 Middle School Zone: NORTH DAVIE
Deed Book/Page: 004000960 Soil Types: EnB,MsB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 9460.00 Outbuilding&Extra 9000.00
Freatures Value:
Land Value: 17570.00 Total Market Value: 36030.00
Total Assessed Value: 36030.00
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
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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
�O�NSC NC or arising out of the use or Inability to use the GIS data provided by this website.
'HEALTH DEPARTMENT RELEASE Forofroeuseonty
` *CDP File Number 233364- 1
Davie County Health Department 5823347029
210 Hospital Street I County ID Number:
P.O.Box 848 Evaluated FoHDR/WWC
r.
Mocksville NC 27028
Phone:336-753-6780 Fax:336-753-1680 PERMIT VALID 0 a l 0 .2 a. 0 2 2
UNTIL:
FApplicant: Charlie and Emma Howell Property Owner: Charlie and Emma Howell
Address: 110 Bramblewood Lane Address: 110 Bramblewood Lane
City: Mocksville City: Mocksville
State2ip: NC 27028 State/Zip: NC 27028
Phone#: (336)940-6194 Phone#: (336)940-6194
Property Location&Site Information
Address 110 Bramblewood Lane Subdivision: Phase: Lot
Road# Mocksville NC 27028
SINGLE FAMILY Township:
'Structure: Directions
#of Bedrooms: 3 #of People: 2 US Hwy 601 North Right on Hwy 801,Right on Bramblewood on the
right
'Water Supply: N/A
Type of Business:
Basement: n Yes a No
Total sq.Footage: No.Of Employees:
'Proposed Improvement:
Replace Mobile Home
'Release Conditions `
Maintain 5 foot setback from any portion of the septic system I
This release in no way expresses or implies that the existing subsurface sewage treatment and disposal
system serving the site will continue to function for any period of time.
Applicant/Legal Reps.Signature Required? Oyes j1No
Applicant/Legal Reps.Signature; *Dated
*Issued By: 2140-Nations,Robert *Date of Issue: 0 2 0 2 .2 0 1 7
Authorized State Agen
**Sit Plan/Drawing attached.**
y . (YHand Drawing Olmport Drawing
HEALTH DEPARTMENT RELEASE 1
sKsTk Davie County Health Department CDP File Number: 233364 - 1
210 Hospital Street 5823347029
P.O.Box 848 County File Number:
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Mocksville NC 27028 Date: 0 2 / 0 2 / 20 17
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Scale: QBlock
Drawing Type: Health Department Release 4N/A
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Page 2 of 2
Davie County Health Department
40 18 ffi environmental Health Section
P.O.Box 848
C, g . (p 210 Hospital Street
U Courier#:09-40-06
Mocksville,NC 27028
Photic:(336)-753-6780 Fax:(336)-753-1680
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling (Reconnection
Name: C, 1,arb e Q/'tdmo••__ � y�1 J Phone Number ��to"`7 76-to I qU (Home)
Mailing Address: (� �t1mHo(�(�� Ldnc— (Work)
p -LC y i l Ce. N 0 16,29 'Email Address:
rIJDetailed Directions To Site:�0a . OM �V W'1 ZS Df' 61-( 114h./e(066 Q
Property Address:
Please Fill In The Following Information About The EUSTEVG Facility:
Name System Installed Under: 'V' Type Of Facility: T`�7Y1 e,
Date System Installed(Month/DatetYear): l (I I Number Of Bedrooms.-_3 _Number Of People: 11-91
Is The Facility Currently Vacant? Yes �If Yes,For How Long?
Any Known Problems? Yes �1`To`�If Yes,Explain:
-914
Please Fill In The Following Information About The NEWFacility: 14 V`� S
Type Of Facility: n E' Number Of Bedrooms:__3_Number of People_
t •
Pool Size: Garage Size: Other: n
Requested By: ��it�l� L[jili2ed Date Requested:1aT�-11'
(Signature)
For Environmental Health Office Use Only
=Approvedisapproved /
Comments: I ✓G?.//I / G! Q /`Old ��✓ '�
Environmental Health Specialist Date: 02 —,,7- 7
*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: Casheek Money Order # Amount:$ 166,00 Date: xoY
Paid By: 2 !/ Received By:
Account#: %� 3 3 &q Invoice#:
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