3706 Hwy 158���5 y✓Xo
AUTHORIZATION NO' DAVIE I
COUNTY HEALTH DEPARTMENT
nvironmental Health Section PROPERTY INFORMATION
Permittee'' r ' P.O. Box 848
Na e: if/ '1 1 0Qr j Ile, NC 27028 Subdivision Name:
Vj'F / PhonBkt 336-751-8760
irectionstdproperty:.?%A( of/�J�J IS;� Section: Lot:
TY— AUTHORIZATION FOR rJ�,E Q V1,$A4 00 0R
WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#
Road Name: � zip:. a?Vol Y
_
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permit,,;. This Form/Authorization Number should be presented to the Davie County Building Inspections
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)
p ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE
# BEDROOMS %�f # BATHS ;L_ # OCCUPANTS V GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE && TYPE WATER SUPPLY _(/70_ DESIGN WASTEWATER FLOW (GPD) - 160 NEW SITE REPAIR SITE v
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH —�l ROCK DEPTH 42 / LINEA FT, d
OTHER
REQUIRED SITE MODIFICATIONS/CONDI'rIONS: C -
IMPROVEMENTPERMITLAYOUT
M
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"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 830 - 9:30 A.M. OR 1:00. 1:30 P.M. ON THE DAY OF INSTALLATION !TELEPHONE # IS (336)751-8760.
OPERATION PERMIT /\\
U SYSTEM INSTALLED BY:
AUTHORIZATION NO./ tL _-`� OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATET 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 09% (Revised)
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AUTHORIZATION NO UNIT .11#
e1'0INFORMATION PROPERTY
prnittee
Na S�ifon_s tr� 27028 Subdivi'
„e
Sion Name:
properl36751-8760 onreca
AUTHORIZATION FOR' . Section Lot:
WASTEWATER' ,
SYSTEM CONSTRUCTION Tax Office PIN:#
�arr
Ro�e:o Zi
P�
**NOTE** This'Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health' Section prior
to issuance of any BuildingAecmits: This Fomi/Authorization Number'should be presented to the Davie County Building Inspections:
Office when applying for Building Permits.
in' comp compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage.Treatment and Disposal Systems) .t
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VA LID FOR A PERIOD OF FIVE YEARS.
+ —
ENVIRONMENTAL HEALTH SPECIALIST , DATE ISSUED
J
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�.�, �� Y�.t`"�;: y�.�`` ° , '. ;'� � � � ,' DAVIE, OUNTY�HEALTH;DEPARTMENT . , '' � �. � � � :
,' ��-�'`�' "`" ` � < �1�0 , MENT AND OP,ERATION PERMITS „ PROPERTY INFORMATION
Pertn�.t ��.�.�- .� ' '' �
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, �N'`a��'`� � � r� � � x � Subdivision Name: � �
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"�'� �iDire pns`toproperty� '� �''�`�'�'��f �%��'' .��:" Section: •Lot: ��_
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� .,<' ,��} ' n�RovE�iv�r , �j' : -�E o 3/� .: o0 0,�
�� _` PERMIT 'A Tax Office PIN:# �, - 3Qo
yy, , ; -��% l���o p�
� � Ro d Name: ��� ` Zip: `, o� A x
`'**NOTE** This Improvement Pemut DOESNOT,authorize theconst�uction,or installation of a septic tank system or any wastewater system. An ;
"' AUTHORTZATION FOR WASTEWATER.: SYSTEM CONSTRUCTION inust be obtained from this De artment rior to the
P P,
: construction/installation of a system or the issuance of a building pernut. r:
��(In compliance with Article l l of G.S. Chaptez •130A, Wastewater Systems, Sec6on .1900 Sevi+age�Treatment and Disposal'Systems) '"
�'` ;r .�• •` ***NOTICE*** THIS PERMIT�tS SUBJECT TO REVOCATION IF SITE :
' °, ,������� ' �'� �� ,;a ',. ` ` �
;� ,,r'` �t; : ; ��� PLANS OR TI�'INTENDED:ISSE CHANGE. YOUR WASTEWATER -; :
' EIVVIRONMENTAL;HEALTH ECIALIST ; DATE ISSUED "�STEM CONTRACTOR MUST SEE THI.S PERMTf BEFORE
INSTALLING.THE SYSTEM. °
1 '� A .. a �* �� .:.� � .' . . .� e }. � � � ; ., �:s r � F .�� i . �. Y ;.
..i�: . � . . . „ .. �. . � , � . .• . . , n. . ._ �. r .i .�'. t..'.
.. RESIDENTIAL SPECIFICATION BUILDING TYPE _�.� # BEDROOMS � # BATHS �_ # OCCUPANTS "� _ GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECiFICATION: FACILITY TYPE .�,.__ # PEOPLE � # PEOPLEJSHIFf ` :# SEATS INDUSTRIAL WASTEi Yes or No
LOT SIZE r '1'YPE WATER 3UPPGY _�' DESIGN WASTEWATER FLOW (GPD) ��, NEW SITE ' - REPAIR SITE ',�
�
� . `. " ��� "' '; ' ; , � , � . � �, � �. ;' � `�� � . '�� � �, � � ,,,�
SYSTEM SPECIFICATIONS: TANK SIZE GAL: PUMP TANK GAL TRENCH WIDTH �� �� ROCK AEPTH �� LINEA FT�d_
� " ,; , ' ;; OTHER _ `
, ','.
REQUIRED STT� MODIFICATIONS/CONDITIONS: �� '"
�_ � , �
IMPROV .
EMENT: PERMIT LAYOUT � �-------""- ;' ' %/ : .`
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�**CONTACT: A REPRESENTATIVE OF THE DAVIE COUNTY HEAI.TH DEPARTMENT FOR FINAL INSPECTIOId OF THIS SYSTEM
' BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALtiATION "T`ELEPHONE # IS (336)7S 1-8760 �'
OPERATIQN PERMIT , , = � �
� ��j�� - �SYSTEM� INSTALLED BY: � ' '
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�, 'AUTHpRIZATION NO. � OPERATION PERMIT BY: DATE:: /
; . .,, ... , , . . ,
_ , ,, _. . _ , . . , .
`< ••THE ISSUANCE OF THIS OPERATION PERMTf SHALL INDICATE AT TEIE SYSTEM.DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE �
,..
'.; WfTH ARTICLE 11 OF G.S. CHAP'TER 130A; SECI`ION :1900 "SEWAGE TREATMENT AND DISPUSAL SYSTEMS' ; BUT SHALL IN.NO WAY BE TAKEN AS A
4; GUf►RANTEE THAT THE SYSTEM WII,L FUNGTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
" � : ,DCHD OS/96 (Revised) . ' - " , '
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k DAVIE, OiJNTYHEALTH DEPARTMENT
tOMENT AND OPERATION
PERMITS PROPERTY INFORMATION
Olt {
Naln�""` reit.
V't"U1�, '
Subdivision Name:
lre�dpns to property.
a,. ., d " _
Section: Lot:
IMPROVEMENT
Cf Gf% �iE�'O 3I • 00
PERMIT
Tax Office PIN:# - cAAA1,
V Rod Naml: ! 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/installation of a system or the issuance of a building permit:
(In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 SewagTe, reatment and Disposal Systems)
.r
j ***NOTICE*** THIS PERMIT,IS SUBJECT TO REVOCATION IF SITE
� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH 9PECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
� 9
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE .J/JY TYPE WATER SUPPLY ( DESIGN WASTEWATER FLOW (GPD) n NEW SITE REPAIR SITE v
SYSTEM SPECIFICATIONS:: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH _ S l ROCK DEPTHS LINEA FT.L>b
.w
OTHER
REQUIRED SITE; MODIFICATIONS/CONDITIONS: +
**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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: 4,01221M /If
�—
AQ
-----------------
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE AT 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)
Parcel #: F6OOOOOO52O1
Davie County, NC - Basic Estate Search
. Basic Search Real Estate Search Tax Bill Search Sales Search Q
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #:F60000005201 Account #:67271750
Owner Information
Building:
Tax Codes
BXF•
SMITH GROVE METHODIST CHURCH
Land:
ADVLTAX - COUNTY TA
Market:
492 US HIGHWAY 158
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 1.200 AC
FARMINGTON
ddress: 3705 US HWY 158
Deed Information
Local Zoning
Date: 03/2002 Book: 00411 Page: 0454
Plat Book: Page:
Le al Description
PIN
1.46 AC HWY 158
5851727160
Property Values
Building:
109,19cl
BXF•
6001
Land:
2757
Market:
137
ssessed:
137
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00116 0234 01 1900 WD Unqualified Vacant 0
2 00411 0454 03 2002 WD Unqualified Improved 63,500
View Prooerty 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=1468368 6/8/2016