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2150 Hwy 158 i.�, j .,. .-"".•r t:.".r {n r.r., h vi-s•:s`s4.^M i%'+•.k rrt.-+'•+•.r,�.. .g..�:ss9t ^T �w'i'.t.,t s -:;'vz.z:.ti G.�+ jai,.- °.'rra.w f ..���s.a,�a %-v i,... t .1..;i,. RIZATION NO _ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee s - P.O.Box 848 ' . Name: cc Mocksville,NC 27028 Subdivision Name: Phone# `336-751-8760 Directions to property:. Section: Lot: / V AUTHORIZATION FOR WASTEWATER - - ( ' SYSTEM CONSTRUCTION Tax Office PIN:# Road Name: Zip: *.*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 a ,Office 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 ! �.. ';• r'+ —1'7"LIZ IS.VALID FOR A PERIOD OF FIVE YEARS.. ENVIRONMENT L HEALTH SPECIALIST DATE ISSUED '� DAVIE COUNTY HEALTH DEPARTMENT 7 ^ '� ' v 1' t r - , 19 � � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee s 1 `` Subdivision Name: ' Directions to property;; fl�',y' '"��4 �� Section: Lot: .- s" IMPROVEMENT PERMIT Tax Office PIN:# Road Name: Zip: iY **NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.An F 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 -• ,_�`, 'f`, f r r,. <` - PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER i ENVIRONMENTAL HEALTH SPECIALIST'r DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS�_#OCCUPANTS_ GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPLY`J��—L�— DESIGN WASTEWATER FLOW(GPD) l5 lO(J NEW SITE REPAIR SITE r� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.1QD OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT*APPROVED EFFLUENT FILTER* *RISER(S). IF 6" BELOW FINISHED GRADE* Oil � Qr x 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#IS4�j tWo (3.1751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: n W . U ' AUTHORIZATION NO. / OPERATION PERMIT BY: DATE: **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 NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96(Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) -N, NAME C - © :�, v PHONE NUMBER r do ADDRESS �- g SUBDIVISION NAME (� GAS tJ LOT # DIRECTIONS TO SITE J DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED a� U Z INFORMATION 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 9 / Parcel#: G500000125 Page 1 of 1 oN.—V 111 Davie County, NC - Basic Estate Search otra--111: Davie County Web Site Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information �4arcel#:G500000125 Account#: 82529665 Owner Information Tax Codes GER CLYDE B REV LIVING TRUST&BOGER CLYDE B TRUSTE4 IC ADVLTAX-COUNTY T 150 US HWY 158 FIREADVLTAX-FIRE TAX MOCKSVILLE NC 27028 Propertv Information Townshi Land (Units/Type): 0.940 AC MOCKSVILLE ddress: 2150 US HWY 158 Deed Information Local Zoning ate: 05/2008 Book: 00758 Page: 0377 lat Book: Pa e: Legal Description PIN 94 AC HWY 158 5749390209 Propertv Values "din : 125,14 BXF: 1,24 nd: 22,60 Market: 148 98 ssessed: 148 98 [Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 00167 0237 02 1993 WD Unqualified Vacant 0 00758 0377 05 2008 WD Unqualified Improved 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search 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/itsnetfView.aspx?prid=1458096 6/9/2016