1347 Hwy 64E4rs*i`^i,:tr'nt�I�.
. -� .:AUTHORIZATION NO: 0 912 DAVIE COUNTY HEALTH DEPARTMENT. r.
Environmental Health Section PROPERTY INFORMATION
Permittee's ' P.O. Box 848
Name: Mocksville, NC 27028 Subdivision Name:
Phone #: 704-634-8760
Diiections to property: ' Section: Lot:
AUTHORIZATION FOR
De -V /Z/&—. WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# - -
i3 47 �
Road Name- T .. Zip:
**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) ,
r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.,
ENVIRONMENTAL HEALTH §ECIALIST DATE ISSUED
R ` ,
b +r`<s^5.�a 1+ e�, J i.;' dY..7-•, �,�',�,�, 4i W;J"v `''. t a4 � (_ '%e,. .r .-2' -� x". ,�.,.,'ti'r .,' .. ,-, p r. -,,,#_ d..:?y.,��-1:
"'� ' ` ✓ f `= DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
etee's. �j"FC+~,K
1"Name: :iqr -v6W Subdivision Name:
brie ttions-"to property: x` r• a` .. - .._ _ Section: Lot.
IMPROVEMENT
'All 6+`�' w PERMIT Tax Office PIN:# - -
_4 . 4"
**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
constructionlinstallation 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)
•••NU'11Uk;**W '1,kM FERMI' IS SUB,IEC17 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 # BEDROOMS '� # BATHS # OCCUPANTS .1- GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION ;'-FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT_ SIZE '1 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.
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) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
n.i
y.
AUTHORIZATION NO. OPERATION PERMIT BY. i 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)
"V7
DAVIE COUNTY HEALTH DEPARTMENT
—A
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name:
Dnpetionsdo property:
A�,4f Section: Lot:
IMPROVEMENT`
PERMIT
Tax Office PIN1
do Nate_Zip:z9Ye$A4?
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 PERMrr IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE E14ITMED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE _ f7 # BEDROOMS -V # BATHS # OCCUPANTS GARBAGE DISPOSAL: Ye's or No
COMMERCIAL SPECIFICATION:t-FACILITY TYPE— #PEOPLE— #PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
'5�
LOT SIZE M&ATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE -__ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH 1, LINEAR Fr.
OTHER 49�j�
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:
)d
AUTHORIZATION NO. (Dqj �-OPERATION PERMIT BY: -DATE: rh
"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 0196 (Revised)
Nov 09 00 01:52a Cool Pool 9108912665 p.1
County Health Departrnent _
8 �612014N mental Health Section
P / 3 P.O. Box 848 :
MENIN-HEH 2 t U Hospital Street
O �NticoUNn Courier #: 09-40-06
Mo svillc, NC 27028
l lxxb= (MG) - 753 - X80 liar. f33ti) 753-1686
ON-SITE WASTE ATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: Phone Number tQ Q ?J 1— �'rJci� (Home)
Mailing Address: xack n < i
Nov 09 00 01:52a Cool Pool
.10 ".
A
V r.P, =
RI
9108912665 p.2
s
m
113 1 A -C, A
1?(C4 p(ah,
Parcel #: J50000001402 Page 1 of 1
9
Davie County, NC - Basic Estate Search t
°vts�
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View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #:J50000001402
Account #:82526989
Owner Information
uiidin :
Tax Codes
BXF:
RAGA LARRY
Land•
ADVLTAX - COUNTY TA
Market:
1347 HWY 64 EAST
ssessed:
READVLTAX -FIRE TAX
Deferred
OCKSVILLE NC 27028
Property Information
Townshi
nd (Units/Type): 17.360 AC
MOCKSVILLE
ddress: 1347 E US HWY 64
Deed Information
Local tonin
ate: 08/2006 Book: 00677 Page: 0651
Plat Book: 0008 Pa e: 0388
Le al Description
PIN
17.362AC US HWY 64 TRACT1SD LAND FIRST
5748923143
Property Values
uiidin :
323,44
BXF:
11,42
Land•
144,12
Market:
478 98
ssessed:
478,98
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00660 0100 04 2006 WD Unqualified Vacant 0
z 00677 0651 08 2006 WD Qualified Improved 475,000
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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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/itsnetfView.aspx?prid=1475179 6/28/2016