3113 Hwy 64E ,� Gh�1., N�e ..•.6Y1�, ♦�....; ...r-�
, .�,..�� , r t. � . -_ y a .r.v . :tr.s 7','�.�- V�.�,.S...J+ .�4ip�;.. — r.�n..,..� �.�:�� , .--w.� �^-'� .. �" ..ti.,..•.:...:y., •.�;,
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�AU�/�ttIZATION NO: j � � ��DAVIE COUNTY HEALTH DEPARTMENT
T r ,, . Environmenfal Health Section PROP TY INFORMATION �
�ermittee's. ,�p � P.O.;Box"848 : O� ��"�:(� 2.
�. ,Name: ` �i�► ly//gd�1.� M�ocksville,NC 27028 Subdivision N me: � . �
. �.�,r .". .
,� � r�-�b phone# 336-751-8760
_Directions to piope y: �,/�f'� 1J�*�� �,,�'.'' ` ' ' ' Section:� Lot:�
`t ,y� ,d�,,,c�' ,', ;.;� ;�,'' "„.,`:' �. ,,;� ,+4 AUTHORIZATION FOR
�+r''f.f r� �f'�?`;ir� � < r��9i..� �1''r �. t 1 : _ WASTEWATER � - _
,� � i� . 'Tax Office PIN:#
� � r"j' SYSTFM CONSTRUCTION :
� {' �' r. v
Road Name: G��` ' Zip; 102�l`
**NOTE**This Auth6rization for Wastewater Syst�m'Consuuction MUST BE ISSUED by the,Davie:County Environmental Health Section prior
�.: tq issuance of any,Building Permits.Tt►is Forin/Authorization Number should be presented to the.Davie County Building Inspections `
Office when applying for Building Permits.
, ' (ln comp�ance;with Article i l'of G.S.Ghapter.130A,Wastewater Systems,Section.1900 Sewage Treafinent and Disposal Systems) .
i
'` � ' ,/� ' ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
.�- �r- ��/ - � � f
• , IS VALm FOR A PERIOD OF FIVE"YEARS. ;'
• AL HEALTFf SPECfALIST' DATE ISSUED � � � �
� �,. �� , .�'
ENVIRONMENT
. „ � , . " ,. _ .
f�♦ %' � ti..-_ r _. ...-.y �e iyr, ..F .. .rig,. L� . �_. .i -. 4
h. Z:3
X DAVIE COUNTYHEALTHDEPARTMENT -Y
IMPROVEMENT AND OPERATION PERMITS PROP TY INFORMATION '!
'err tte'S , Oi y� O.,
Name:: yrs
-,�J�''%S` Subdivision N me: J;
41
Directions to property: 3! + a Section: Lot:
IlVIPROVEMENT •A
. , t; f PERMTT Tax Office PIN:# - -
u/+
T Road Name: G Zip: 2 76
"NOTE** This Improvement Permit DOES NOT authorize the constriction 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. f
(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
' 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 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION:. FACILITY TYPE # PEOPLE #PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY GPD) ' –L— DESIGN WASTEWATER FLOW ( NEW SITEREPAIR SITE !� .
SYSTEM SPECIFICATIONS:. TANK SIZE _GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH J F/ LINEAR FT.
' OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
"*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION 0 STEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # I� (�� ���60 ,
DCHD 05/96 (Revised)
y
4 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION :
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAMEy,�,�,5 PHONE NUMBER
ADDRESS /6 SUBDIVISION NAME
1),i) X li. �/ LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS oZ NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
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
Parcel #: J712OA0008
Davie County, NC - Basic Estate Search
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Parcel #:3712OA0008
Account #:82531235
Owner Information
Tax Codes
NKER KIM E BOWERS
E0CO(CKSVILLE,
ADVLTAX - COUNTY T
BOX 902
FIREADVLTAX -FIRE TAX
NC 27028
a rket:
Information
Township
EressProperty
(Units/Type): 0.380 AC
FULTON
:3113 E US HWY 64
Unqualified
Deed Information
Local Zoning
Pate: 10/2009 Book: 00809 Page: 0382
11
Plat Book: Pa e:
Unqualified
Le ai Description
PIN
10.487 AC US HWY 64 EAST
5777185880
Property Values
ulldin :
53,04 10311
BXF:
1 00651 0264
nd:
805
a rket:
61 09
ssessed:
6109
eferred
2007 TD
Sales Information
No. Book Page Month Year Instrument
Qual/UnQual
Improved
Price
1 00651 0264
03
2006 WD
Unqualified
Improved
0
2 00727 0912
08
2007 TD
Unqualified
Improved
46,000
3 00735 0709
11
2007 WD
Unqualified
Improved
30,000
4 00809 0382
10
2009 WD
Unqualified
Improved
34,000
5 00648 0852
02
2006 WD
Qualified
Improved
70,000_
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Page 1 of 1
oP� F
riot
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
httn://maps.daviecountvnc.gov/itsnet/View.asvx?grid=1468718 6/21/2016