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481 Dulin RdDa )16 161 �T All data is provided as Is without warranty or guarantee of any Idnd 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 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to l� C or arising out of the use or Inability to use the GIS data provided by this website. Parcel Information Parcel Number: G600000025 Township: Farmington NCPIN Number: 5850643454 Municipality: Account Number. 82521365 Census Tract: 37059-803 Listed Owner 1: FOSTER R T Voting Precinct: SMITH GROVE Mailing Address 1: 147 HOWARDTOWN RD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 152.34 AC DULIN RD Fire Response District: SMITH GROVE Assessed Acreage: 149.29 Elementary School Zone: PINEBROOK Deed Date: 1/1949 Middle School Zone: NORTH DAVIE Deed Book / Page: 000470257 Soil Types: SeB,EnB,EnC,MsC,ChA WATER,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 66780.00 Outbuilding 8r Extra Freatures Value: 0.00 Land Value: 941570.00 Total Market Value: 1008350.00 Total Assessed Value: 157900.00 161 �T All data is provided as Is without warranty or guarantee of any Idnd 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 County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to l� C or arising out of the use or Inability to use the GIS data provided by this website. ra:+i Vk,fi: AUTHORIZATION NQ:. DAVIE COUNTY HEALTH DEPARTMENT y Environmental Health Section PROPERTY INFORMATION Permittee's r. P.O. Box 848 Name:©L ` �'�/f'i Mocksville, NC 27028 Subdivision Name: �j�r� , it Phone #: 704-634-8760 Directions to property: �' %N Section: Lot: AUTHORIZATION FOR ; WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# - - 0l ; ,Dul�'k�� Road Name: Zip: o 70A 0 **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 Ofce,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. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DCHD 05/96 (Revised) , DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION " ::�erinittee's r a ' Name: _'l. - .. J, %' ` Subdivision Name: A Directions to property: -:�+ �i %� r `' z f Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# Road Name. Zip: **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/mstallation 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 /-7- # BEDROOMS # BATHS .0- # OCCUPANTS 4�— GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No k LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: - __- IMPROVEMENT PERMIT LAYOUT too NEW SITE REPAIR SITE L49'- _ ROCK DEPTH Sg7LJ �� LINEAR Fr. **CONTACT A REPRESENTATIVE OF THE DAVIE COU HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT > SYSTEM INSTALLED BY: AUTHORIZATION NO. JI / S OPERATION PERMIT BY: DATE: V `� **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED 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. DCHD 05/96 (Revised) r p'i W S IMPROVEMENT PERMIT (REPAIR) NAME /moi G - 1Z 1e41- PHONE NUMBER ADDRESS `'� - �Qt _ SUBDIVISION NAME V / / I"'� dti LOT # DIRECTIONS TO SITE t DATE SYSTEM SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING Lv DATE REQUESTEINFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193