1869 Hwy 601S0
Permittee'_s �, / 1 �1 DAVIE COUNTY HEALTH DEPARTMENT
Name:CT �^ Environmental Health Section PROPERTY INFORMATION
P.O. Box 848 ,
Directions to property: r 1 r UGt ri) Mocksville, NC 27028 Subdivision Name:
{a LPhone #: 336-751-8760 ,
Section: Lot:
ti AUTHORIZATION FOR _
WASTEWATER Tax Office PIN:# �' 72 q - �%'
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002889 A Road Name: �r^//� Zip: 2XI-7
**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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
Cj ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIkONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 2 # BATHS # OCCUPANTS '$ GARBAGE DISPOSAL: Yes or N(r
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE f!x TYPE WATER SUPPLY �� ' DESIGN WASTEWATER FLOW (GPD) Z '1'4 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE 1 -0 --GAL. PUMP TANK –AIA GAL. TRENCH WIDTH ROCK DEPTH �O LINEAR FT..?DD
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OTHER Jf7 NlGt1L4.,�` f1��� �flsd han,c -�—A( - V,-, y)- + �ho)~l�-
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT tr411-11 ) Fug %' P ` `' I I CIO
SYSTEM INSTALLED BY:
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AUTHORIZATION NO. Z� OPERATION PERMIT BY: DATE: - Q
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S, STEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 1 I 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.
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DAVIE COUNTY HEALTH DEPARTMENT
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Environmental Health Section
PROPERTY INFORMATION
ons
P.O. Box 848
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-Direr to'property:
Mocksville, NC 27028
Subdivision Name:
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Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER-
Tax Office PIN:#
;,
SYSTEM CONSTRUCTION
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_AUTHORIZATION NO: 002809 A Road Name: ' "� f' Zip:2%r"27
**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 Fonn/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)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
"`+� ``L • ( G • I 'f IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ # BEDROOMS 2 # BATHS / # OCCUPANTS `/4 GARBAGE DISPOSAL: Yes or?40*
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE G 41k TYPE WATER SUPPLY �O • DESIGN WASTEWATER FLOW (GPD) Z S44 NEW SITE REPAIR SITE A -"
SYSTEM SPECIFICATIONS: TANK SIZE 11/l GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH �✓� LINEAR FT. l %),`)
OTHER Srl /U YA) 41 1 ' �\� r... /j. tf, S`i � � �1 � . � i ,, 1(- t:w 9
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IMPROVEMENT PERMIT LAYOUT I y. 11 `I ° /
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FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:44
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AUTHORIZATION NO. Z� (/' OPERATION PERMIT BY: DATE: � a/
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE Sr STEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE i
WITH ARTICLE 1 I 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.
Doan =2 (9Aisea) ! 1�,N . ,,.�1 (0&3v
GoMAPS - Davie County NC Public Access
Davie County, NC - GIS/Mapping System
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Parcel #: H300000093
Davie County, NC - Basic Estate Search
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Parcel #: H300000093
Account #:44228000
Owner Information
uildin :
Tax Codes
BXF:
LANGSTON ROBERT& LANGSTON MARIETTA R
nd:
ADVLTAX - COUNTY T
arket•
1.922 US HIGHWAY 601 NORTH
ssessed:
READVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 4.880 AC
MOCKSVILLE
ddress: 1869 N US HWY 601
Deed Information
Local Zonin
Date: 08/1967 Book: 00078 Page: 0180
Plat Book: age:
Le al Description
PIN
064 AC HWY 601
5729563863
Property Values
uildin :
24,47
CCCC
BXF:
nd:
48,49
arket•
72,96
ssessed:
72 96
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00078 0180 08 1967 WD Unqualified Improved 0
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Dav
ie 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/itsnettView.aspx?prid=1449365 8/23/2016