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AUTHORF.ATION NO: 0653 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permitte_ e's P.O. Box 848
Name:" '. illl t'r % �' Mocksville, NG 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to property:' 4. Section: Lot:'
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - W �f7/�� Zip: 270At,
,-Ro
**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
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)
t , ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS. '.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUE15
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DAVIE COUNTY HEALTH DEPARTMENT
_+ IMPROVEMENT AND OPERATION PERMITS . PROPERTY INFORMATION
P -
�' Subdivision Name:
Direcrtions to property: �` % ,vim %�. " -. r"L+i-� Section: Lot:
IMPROVEMENT
► .,� PERMIT Tax Office PIN:# - -
411 Road W.- o / zap:
**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.
(II 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 /V # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) C;/;lO NEW SITE - REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ,ROCK DEPTH LINEAR FT.
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 (704) 6348760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
jF]
Y
rc' l
AUTHORIZATION NO. v OPERATION PERMIT BY: it 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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. `
DCHD 05/96 (Revised)
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�` T DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
4
Subdivision Name:
Directions to property: Section: Lot:
EWPROVEMENT
PERMIT Tax Office PIN:#
Road-70
ha 6: 100 !y • Zip: 0 0 9Y
**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 16� # BEDROOMS 7 # BATHS I # OCCUPANTS --/—GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE �_ # PEOPLE # PEOPLE/SHIFT .���, ��jj��,# SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK (/ GAL. TRENCH WIDTH, ROCK DEPTH. LINEAR FT.
X r, a i�• } V,�,� •..t: '"� "i,ii.. :'. ,� ick,:
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
P •
"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.
OPERATION PERMIT
SYSTEM INSTALLED BY:
Y
AUTHORIZATION NO. 645 3 OPERATION PERMIT BY: 1/f`ti! / 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 NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
mmij u3/96 (Kevised)
7
�,z
NAME
ADDRESS
" G
DIRECTIONS TO
® //Yr
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
i
PHONE NUMBER
/��
DIVISION NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS .2 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY -.40
This is to certify that the information provided is correct to the best of my knowledge, and thpt I understand I am
SIGNATURE OF OWNER OR AUTHORIZED AGENT,
Rev. 1193
for all charges Incurred from this application.
Parcel #: C300000049
Davie County, NC - Basic Estate Search
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Parcel #: C300000049 Account #:38199940
Owner Information
Tax Codes
ADVLTAX - COUNTY 7
FIREADVLTAX - FIRE TAX
HUDDLE WILLIAM D
629 US HIGHWAY 601 NORTH
OCKSVILLE NC 27028
BXF•
Property Information
Township
Land (Units/Type): 1.090
Address: 4629 N US HWY 601
CLARKSVILLE
53,86(
ssessed:
53,86(
Deed Information
Local Zoning
Date: 03/2016 Book: 01014 Page: 0112
Plat Book: Page:
Le al Description
PIN
HWY 601
38199940
Property Values
Building:
36,65(
BXF•
8
Land:
17,13(
Market:
53,86(
ssessed:
53,86(
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00178 0128 01 1995 WD Qualified Improved 40,000
2 01014 0112 03 2016 WD Qualified Improved 50,000
View Prooerty Record for this Parcel View Mao 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.claviecountync.gov/itsnet/View.aspx?prid=1460037 8/10/2016