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4450 Hwy 158 'a,xY � w,��:14 d►'t''1`'V+�ihJt�'i,,,,ha^5;.;'+�yl�r"i"'bL-r'"'-�"vb+� r }..,i.�`r_'.3r.�,i�yxl�n^np.j..-::..:<i:.'m�-rsT;t�,atr a:,,'.v�`..+ai `"A�.�`- -,AUTHORIZATIOMNO: �f 60 DAVIE COUNTY-HEALTH DEPARTMENT ' t-*,.,'E'iviron,mental Health Section PROPERTY INFORMATION Permittee's P.O. Boz 848 Name:` G� � > ;.; Mocksville,NC 27028 Subdivision Name: Phone# 336-751-8760 .Directions to pro erty: t Section: Lot: AUTHORIZATION FOR zvJ�y �, � G WASTEWATER Tax Office PIN:# - SYSTEM CONSTRUCTION Road Name: 1,/1 Zip:r ��� CIX **NOTE**This Authorization for Wastewater Sys �► n, c o C}�ST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building-Permits. is zation Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I 1 of G.S.Chapter l30A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) , ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION m/ i�Gvl IS VALID FOR A PERIOD OF FIVE YEARS. EN IRO ENTAL HE LTH SPECIALIST DATE ISSUED j.1... r�t� �_ +-,�.;-u ta..�riv,,.y,.!✓9f°yw i�'i i.:rr-3. _ , __ r—�,d -'o-d'.g7 i1_.-.. y7�,t` -_ .l.r ,+�,r} r "t/t'.K. Y.,. _ ,Y Y . 6 Off`DAVIE COUNTY HEALTH DEPARTMENT., liAL �J ` _lye IMP$O,yEMENT AND OPERATION PERMITS PROPERTY INFORMATION Penniftee's r _ Iyam'4 e., .:c: ._,: Subdivision Name: Directions to property: '� "?`� Section: Lot: k� •t IMPROVEMENT I : Aj, �'_ L -�C. Tax Office PIN:#—- - , . : Road Name: Zip t **NOTE**This Improvement Permit DOES NOT nz th ns(t� &ion or installation of a septic tank system or any wastewater system.An AUTHORIZATION FOR WAS TEW' ��6YSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system ore 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•rte^ ra'2—�--_ SYSTEM CONTRACTOR EMUST SED USE ETHISPERMIT BEFORE NGE.YOUR WASTE ATER ENn20TYMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION:BUILDING TYPF_(� #BEDROOMS".�� #BATHS #OCCUPANTS C� _GARBAGE DISPOSAL es r No :,COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) /%c J NEW SITE PAIRS SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK-______GAL. TRENCH WIDTH !Q ROCK DEPTH LINEAR Or OTHER �, O REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTER* *RISER(S) IF 6" BELOW FINISH"ED"GRADE � 7 r ©k o fi- 7Q006_i d/1i16 �i•I�� 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)6348760. fxxxxxxxxx OPERATION PERMIT `�' SYSTEM INSTALLED BYE �Zo �` 1-45-7 ov ra' e AUTHORIZATION NO.1704 OPERATION PERMIT BY: DATE: — J THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICAT T :SYTS�._DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREA DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. i-DCHD 05/96(Revised) -7"77. .r.. *.,...n..M..�,,. fu 'e.'.'baYa v. _ ♦ v-"�- v. '�! 'raw""' "a'r?'t. a! x .;,•..,, '�•:;i" •y:,yis :;:. .tPr•pyY �:'sJl .z G iF'}'r �` ''" ^r_.^s`.. W "'i l Cii'�(�.. •t' '' ." r i« �.r • .''-:; ` 7 60A DAVIE COUNTY HEALTH DEPARTMENT f IMP$O.VEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's me: j;: Subdivision Name: r ..Na ' �` - '!..,; _ r t * Directions to property:_,r l�• „�� t`� �" Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# - - r _ Road Name:, Zip. f s; **NOTE**This Improvement Permit DOES NOT.autOorizd`thel 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) 1- ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE J +� ,�. .• s. �;s;. : ..M. ;r:' :-` PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIROIVMENTAL'HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THLS PERMIT BEFORE „ INSTALLING THE SYSTEM. . n %, RESIDENTIAL SPECIFICATION:BUILDING TYPV #BEDROOMS`,•- #BATHS #OCCUPANTS GARBAGE DISPOSAL" es r No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE TYPE WATER SUPPL l DESIGN WASTEWATER FLOW(GPD NEW SITEEPAIR SITE, .. SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH�" LINEAR FT�� <, OTHER / -Ia r � REQUIRED SITE MODIFICATIONS/CONDITIONS: 1 IMPROVEMENT PERMIT LAYOUT ^` *APPROVED EFFLUENT FILTER* •r.RISER(S) IF 611 BELOW FINISHED GRADE* old --Ty�571'CA-t R.. Clr ..r **CONTACT A REPRESENTATIVE OF THE DAVIE COUHE4TH DEPARTMENT FORTINAL INSPECTION OF THIS SYSTEM' BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON TI[ DAY OF INSTALLATION.TELEPHONE#IS(704)6348760. xxkxxHxxx OPERATION PERMIT SYSTEM INSTALLED BY; ' MAI JLnO r 5 AUTHORIZATION NO., . +—OPERATION PERMIT BY: _ `` DATE: y **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T 11M.SYS M DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREAT AND DISPOSAL SYSTEMS",BUT.SHALL IN NOWAY BETAKEN ASA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. 1 DCHD 05/96(Revised) r.~-• f rte» i Z64 4� I 1 DAVM COUNTY HZ,ALTH DEP1,R71MT SEPTIC TANK PEM-IIT No. of Dedrooms �J Date This permit is granted to Q-for the installation of a Septic Tank at the residence of Address_j_ Duilding Contractor 61¢� Address_Af L-.g&iV_'txg_ Septic Tank Specifications; Length gollidth3G.e�Depth32, � Capacity alv Gal. Manufacturer's Name � �� Address No. of lines Width 36 in. Total length Ft. No. of Sq.Ft._ izvDu Type of filter material Total tons used :3D:v U ]lei;ninum Requirements; Tank Capacity Square Ft. of Line House Trailer 800 400 Two-Bedroom House 8001 600 Three-Dedrocm House 900 �` 900 No one shall install a septic tank in Davie County without a permit from the Health Officer or,his agent. Date of final Approval Signed: Sanitarian I hereby certify that the above ,septic tank has been installed according to specifications._ .__ r Signed - Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to the Health Center in Iiocksville. bu DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ` •C"l��`�' APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) - NAME 11fArmt ¢/ PHONE NUMBER �Vey' t-/f1'2 ADDRESS Vysy WJ AV /.f*' Ag10- 27004 SUBDIVISION NAME LOT # DIRECTIONS TO SITE /-rte Ski!!'% -Dy-y,& DATE SYSTEM INSTALLED I9G3-G y NAME SYSTEM INSTALLED UNDER�Lgio4G yf.CT�+►�i/'� TYPE FACILITY ///'Tlk . NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED Z' TYPE WATER SUPPLY AICI1 j-LO- //,? SPECIFY PROBLEM OCCURRING Lew `�/rr.� .l✓�av 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 /0 A 0- 9900-t5W 0/a<6- ,,9c�,� ���s '11�i -*1�/ ? Asa GAS y�� av DAVIE COUNTY HEALTH DEPARTI.tENT SEPTIC TANK PM-1IT No. of Bedrooms Date This permit is granted to LXX-�f/�'�P for the installation of a Septic Tank at the residence of d? tl, „ury Address�R_1_ Building Contractor as,_� Address Septic Tank Specifications: Length 3A011idth 2 ,* Depth Capacity .? Gal. Manufacturer Is Name ��vt,�� � _ Address No, of lines Width '36 in. Total length 160 Ft. No. of Sq.F`t. eliD� Type of filter material �j Total tons used 30-o U 1b d mtm, Requirements: Tank Capacity Square Ft. of Line House Trailer 800 100 Two-Bedroom House T 800 600 Three-Bedroom House 900 900 No one shall install a septic tank in Davie County without a permit from the Health Officer or his agent. Date of final Approval Signed; Sanitarian I hereby certify that the above septic tank has been installed according to specifications. Signe _a_a_-J____0_ d ry Septic Tank Contractor Note: Make sketch of disposal system on back of sheet and mail to the Health Center in Mocksville. , �1 h/ lb`s , US—, (��1 Parcel#: E700000076 Page 1 of 1 vNVI'll Davie County, NC - Basic Estate Search 1- ' r DUKE . 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 Parcel#: E700000076 Account#:33340000 Owner Information Tax Codes [450 RTMAN GEORGE G&HARTMAN NANCY P ADVLTAX-COUNTY TAX US HIGHWAY 158 READVLTAX-FIRE TAX VANCE NC 27006 Property Information Township nd (Units/Type): 0.980 AC FARMINGTON ddress:4450 US HWY 158 Deed Information Local Zoning ate: 03/1967 Book: 00076 Page: 0561 lat Book: age: Le al Description PIN 1.45 AC HWY 158 5861570893 Property Values Buildin 84,87 BXF• 2,71 nd• 29,42 0011 Market: 117 00 ssessed: 117.00 Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00076 0561 03 1967 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/itsnetiView.aspx?prid=1474462 6/14/2016