3290 Hwy 158 t+,{.i_ t? i �!d c".-.rf�;:.r:"s er'... �r 1,..-t`n.::,,r':•n i.... �•-t ... •- --,. ,
DAVIE COUNTY HEALTH DEPARTMENT
1
i IMPROVEMENTS PERMIT AND CERTIFICATE OF..COMPLETION .
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name �R� o e,�_ Date ,LQ ° N2 17 3 5
LID
Location ,
Subdivision Name Lot No. Sec. or Block No ' _ s
Lot Size HoUsey Mobile HomeBusiness_— Industry
'No. BeEsooms 2 No. Baths _ No. nJFamily � _ Public Assembly Other
Garbage Disposal- YES ❑ NO Specifications for Systqrq:
Auto Dish Washer YES Ej NO ❑ 'x.;; "' 3 t t ^S') •_.a l u �� k�
Auto Wash Ma shine YES 0 NO�
Type Water Supply;� h�o
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocati n 'f site plans of he in nded use change.
F. F
A C7
x 1t`+euw
n
Improvements permit by
9
*Contact a representative of the Davie County Health Department.,"for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704634-5985.
Final Installation Diagram: System Installed by _ x �
Certificate of Completion - Date 'a
*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 way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
�- � DAVIE COUNTY HEALTH :DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
_
*NOTE:IssLed`in-Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name -. ���� �j C?G��'w Date � tO N2 17 3 5
Location
Subdivision Name Lot No. Sec. or B10,A N'ey
Lot Size G'r-" House V Mobile Home Business_- Industry
-filo. Beooms 2 "'.No. Baths — No Family — Public Assembly Other
Garbage Disposal YES ❑ NO [v1/ Specifications for Syst
Auto Dish Washer YES [�'j NO ❑ „Y 3 1 u D -
'�
Auto Wash Ma^hine ' YES R NO ❑t '�a �' '"a S
Type Water Supply e
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocati n 'f site plans o he in nded use change..
1
AJ
o� L
Y
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5985.
Final Installation Diagram: System Installed by,.-
<)
y<)
}
i
Certificate of Completion - Date"
'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 way be taken as a guarantee that the system will function
satisfactorilyfcr any given period of time.
y++ DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
` APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAMEVkg� PHONE NUMBER
ADDRESS 'a-Q( `''\W 1 SUBDIVISION NAME o u�Z-
c>c-V-g k\� 2 �y �- LOT #
4DIRECTIONS TO SITE - Z- �
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY o S NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY C_- SPECIFY PROBLEM OCCURRING �\
DATE REQUESTED 2�' `Z 4 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best ofmy'nowledg ,a d that nde d Xonnor all charges Incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93
Parcel#: F60000007502 Page 1 of 1
oP�r�
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Parcel#: F60000007502 Account#: 7808000
Owner Information Tax Codes
GER GREGORY MARK ADVLTAX-COUNTY TA
290 US HIGHWAY 158 FIREADVLTAX-FIRE TAX
OCKSVILLE NC 27028
Property Information Township
ype): 1.050 AC FARMINGTON
�dd�ress: 0 US HWY 158
Deed Information Local Zoning
ate: 06/1981 Book: 00113 Page: 0857
lat Book:
age:
Le al Description PIN
1.40 AC HWY 158 5850379955
Property Values
uildin : 84,52
BXF: 22,28
nd• 26,05
Market: 132 85
ssessed: 132 85 T
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00113 0857 06 1981 WD Unqualified Improved 0
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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=1473479 6/9/2016