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1691 Hwy 601S**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewate system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTIOIN 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) NAME 14A V C PROPERTY ADDRESS G�D�� .+�(0/ I — o�I < d� DATE LOCATION .�'�GPYCQ i� SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER -•.-- RESIDENTAL SPECIFICATION: BUILDING TYPE —=�'-� # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL:R Yes COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZETYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEN SITE REPAIR SITE f� SYSTEM SPECIFICATIONS: TANK SIZE S GAL. PUMP TANK GAL.. TRENCH WIDTH �, ROCK DEPTH. LINEAR FT. �. caY'/ ;a OTHER REQUIRED SITE.MODIFICATIONS/CONDITIONS: **}THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE JHIS PERMIT BEFORE INSTALLING THE SYSTEM. - y y 1 4 r/ y IMPROVEMENT PERMIT BY **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 i � �{ ��pr4Xayry f AUTHORIZATION NO. OPERATION PERMIT BY /N DATE L **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 .THATJHE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD"10/95 f ,� IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN T 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 17041 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY i AUTHORIZATION NO. �° OPERATION PERMIT BY DATE ✓�� F **THE ISSUANCE OF THIS.,OPERATION.PERMIT:SHALL INDICATE THAT THE SYSTEM DESCRII ABOVE HAS BEEN INSTALLED IN COMPLIANCE'WITH ARTICLE. it OF G.S. CHAPTER 130A,--SECTION_1 * ".SEWAGE -;TREATMENT, AND DI SYSTEMS', BUT SHALL IN_NO-WAY BE TAKEN AS A GUARANTEE -THAT ,THE SYSTEM. WILL FUNCTION SATISFACTORILY FOR ANY GIVEN'PERI "OF TIME. DCHD 10/95. DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT -IMPROVEMENT 'PERMIT '**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) NAME al, ,u GT PROPERTY ADDRESS ! V �r� .!1'(p/ I ' o� / U� � DATE - .'LOCATION iC'g SUBDIVISION -NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING. TYPE ✓h p # BEDROOMS {' # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes/l�o^� COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE'f� SYSTEM SPECIFICATIONS: TANK SIZE ZL& GAL. PUMP TANK GAL., TRENCH WIDTH s. � " ROCK DEPTH LINEAR Ft C2y, ,/ y OTHER { REQUIRED SITE MODIFICATIONS/CONDITIONS: f ,� IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN T 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 17041 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY i AUTHORIZATION NO. �° OPERATION PERMIT BY DATE ✓�� F **THE ISSUANCE OF THIS.,OPERATION.PERMIT:SHALL INDICATE THAT THE SYSTEM DESCRII ABOVE HAS BEEN INSTALLED IN COMPLIANCE'WITH ARTICLE. it OF G.S. CHAPTER 130A,--SECTION_1 * ".SEWAGE -;TREATMENT, AND DI SYSTEMS', BUT SHALL IN_NO-WAY BE TAKEN AS A GUARANTEE -THAT ,THE SYSTEM. WILL FUNCTION SATISFACTORILY FOR ANY GIVEN'PERI "OF TIME. DCHD 10/95. ►�ko • "� Davie County Health Department <` ENVIRONMENTAL HEALTH SECTION P.O. Box665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEYRTER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of �» - G.S. Chapter 130A, Wastewater Syste®s) ***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 Nusber.should be presented to the Davie County Building Inspections .office when applying`,for Building Permits.*** Z40AUTHORI NUMBER NAME ni DATE 2 ? NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION! J COM ENTS/CONDITIM ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM NAM ADD DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) DIRECTIONS TO SITE.% ONE NUMBER G.? v-.::, ?, ? P BDIVISION NAME lti LOT #_ DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY gxare NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY (_v SPECIFY PROBLEM OCCURRING DATE REQUESTEINFORMATION TAKEN BY This Is to certify that the Information provided is correct to the best of my knowledge, and th4 I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT, Rev. 1193 Parcel #: K510OA0029 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search View Properly Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: K510OA0029 Account #: 12038500 Owner Information Building: Tax Codes BXF• BYRNE ROBERT L& BYRNE ANNETTE J Land: ADVLTAX - COUNTY Market: 1691 US HIGHWAY 601 SOUTH ssessed: FIREADVLTAX - FIRE TAX TT eferred• MOCKSVILLE NC 27028 Property Information Township Land (Units/Type): 4.180 AC JERUSALEM ddress: 1691 S US HWY 601 Deed Information Local Zoning ate: 12/2002 Book: 00451 Page: 0996 Plat Book: Page: Legal Description PIN K. 179 AC HWY 601 5747115375 Property Values Building: 12180 BXF• 77,06 Land: 109,25 Market: 308 11 ssessed: 308 11 eferred• Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00165 0667 10 1992 WD Unqualified Vacant 30,000 2 00451 0996 12 2002 WD Unqualified Improved 2,500 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 A,. -v .1111 stio 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=763898 7/14/2016