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� �T �� �� DAVIE COUNTY HEALTH DEPARTMENT / ' '���� � �
F�UTNU�ZIZAji'ION NQ�. � � �7 �
� ` `` � - ' ` ' Environmental Health Section ROPERTY INFORMATION
,. ,,, Y P
`Perm�ttee s`�'�' �� �� � -7"'"" % � ` P.O: Box 848 ,
Name ~- - '}�J � �t� �V ✓ l") �, Mocksville, NC 27028 Subdivision Name:
�-:.. -- w . ,
,._.. , ,l �y Phone # 336-751-8760
µ;D'uections to�property:' ���� O Sec[ion: Lot: "
y AUTHORIZATTON FOR ,
:_ �f/ .�'t .�,/�f�I�� '� r .' � - WASTEWATER ' _ _
F.' ,�%� �r'G..� �� Tax Office PIN:#
, . , _ . . SYSTEM CONSTRUCTION' - - "
� Road Name: Zip:
**NOTE** This Authbrization for Wastewater`System Construction ]NUST;�BE ISSUED by the Davie County Environmental Health�Section prior
to issuance of any Building�F?ermits. This Fomi/Authorization Number should be presented to the Davie County; Building Inspections'.
:' Office when applying for Building Permits.
(ln compliance with Article l.l",of G.S. Chapter 130A; Wastewater Systems �Section .1900 Sewage Treatment and Disposal Systems)
:.� ,
�`� j ***NOTICE*** THISAUTHORIZATION FOR WASTEWATER.CONSTRUCTION
��' l�: .4�j" "�A : ' IS VALm FOR A PERIOD OF FIVE YEARS: ".
"' ENVIRONMENTAL HEALTH SPE IACIST ' DATE ISSUED � , 4 '` �4
I ,
� „ , _ s _ � ,_ .
i tl •i�r- + ..., _ .+" - 'bY. r� .V..._ , .F-•�:�„ wi :.E �.:. „.. �- •i.i 4 - .. . fir-" i ..::.. - , .r.'r1.�ir
7524DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
j Subdivision Name:
ame wr
Dtrectlons to property: '. �'�'.�' ,�'f''w Section: Lot:
PERMIT Tax Office PIN:#
1 Road Name: Zip:
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. Ah
Af JTHORIZATION 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 witfi Article 11 of G.S."Chapter 130A, Wastewater Systems, Sectio,` 1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
�^ 1t P •r. • r/C.`" , %' 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 I # BEDROOMS # BATHS #OCCUPANTS �� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY3YPE # PEOPLE # PEOPLE/SHIFT ,#„SEATS INDUSTRIAL WASTE:'Yes or No .
LOT SIZE TYPE WATER SUPPLY C DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE I'
SYSTEM SPECIFICATIONS: TANK SIZE., /O { GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.�� ”
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT +�.....,� -
*nDPROlIEn FFFLTIRIT
FF tFR* *RISER(S) IF 619 BELOW FINISHED GRADE*
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 # IS (704) 634-8760.
xxxxxxxxx
E3.01 1.31
DCHD 05/96 (Revised)
a..,�:�-r*r'�t''°v'a."�""'s'•vi.�.-:"1�.^.-:..#l<-:....-.t+:,v �l,:;'.Ye*rr,�x.:-:.x'ci,.-:."K�^'_; F`�",' .rd'..`= y.,�. � _ ... � .iyeti z�.F �
r a Y�1 _ -. i tr „`v.��•%w�.,,,;,��r`.,f..- i'CY-:(�t�ry ., ;:s'°r:'�fa vr..,9-rwv^"'mow`" ,r'/./-_ /� � r:,s�.,.:-°'`rc
r7 DAVIE COUNTY HE TH DEPARTMENT 4
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
�Permltte�e's T
�. ,Name ' ,� * f`" ",�� Subdivision Name:
Dlrections to -property:, ' %` �` Section: Lot:
'a IMPROVEMENT
PERMIT Tax Office PIN:#
- -
'ekt
4
DA AT7—
**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/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
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 � # BEDROOMS +Q_ # BATHS _/ # OCCUPANTS 'r GARBAGE DISPOSAL: Yes or No
4 COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE / # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) .. NEW SITE REPAIR SITE
sir �ir 1 i
SYSTEM SPECIFICATIONS: TANK SIZE 2 ') GAL. PUMP TANK GAL. TRENCH WIDTH . + ROCK DEPTH LINEAR FT., ZM)
OTHER t
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT **.- �
*APPROVED 0--FI_ll� T F En* �RISvRt3) :IF 6*' BE-LOWFINISHEDGRADIE*
**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 # IS (704) 634-8760.
xxxxxxxxx
OPERATION PERMIT
1001ICD
wa__- k
AUTHORIZATION NO. 17,1��l OPERATION PERMIT BY:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL: ICA Ti31
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION I SEWAGE
GUARANTEE THAT THE SYSTEM WILL FUNCTIO$ SFACTORILY FOR
r
DCHD 05/96 (Revised)
DATE: * )
)ES BED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
p OSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A .
PERIOD OF TIME.
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME zz a PHONE NUMBER
_ADDRESS SUBDIVISION NAME
vi LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED 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
Rev. 1/93
Parcel #: G500000075
Davie County, NC - Basic Estate Search
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Parcel #: G500000075 Account #: 49528000
Owner Information
Tax Codes
ADVLTAX - COUNTY T
READVLTAX - FIRE TAX
CDANIEL TROY E JR& MCDANIEL TAMARA T
17 DE RON KEL LANE
OCKSVILLE NC 27028
BXF•
1,73
Property Information
Township
nd (Units/Type): 1.360 AC
ddress: 2684 US HWY 158
MOCKSVILLE
ssessed•
76,18
Deed Information
Local Zoning
Date: 01/2008 Book: 00741 Page: 0845
Plat Book: 0002 Page: 029
Legal Description
PIN
LOTS 27-34+76+78-79 CORNZSECTION 1
5840740637
Property Values
Buildin
47,26
BXF•
1,73
nd:
27,19
Market:
76 18
ssessed•
76,18
Deferred-
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00086 0156 08 1971 WD Unqualified Improved 0
Z 00741 0845 01 2008 WD Unqualified Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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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/itsnet/View.aspx?prid=1472721 6/8/2016