1036 Hwy 801N;a 6S i� •`r G �� f'�'i•jP �`;,,,� i K 4"` � +v ia a+-:`* 3r ;,,�;^s�c } t g!r'�E�.3 � s�' w r �� „}i ,r: 5. Vk jrsr $,� s, .d-..�+.� y vy�v' �,(•¢'et �" "` f L i ��' � i-�'`/�/ ..�+�
,{�, yr q /) �i'•,.` /�
, . .:� � '' `, .
�.. F� � �I���f'//,I�Gf'� / .. ' . . Y�pi }'S� . A .� ��" � O; :
AUTI� _� AT, I�N NO �;:� �� DAVIE, COUNTY HEALTH; DEPARTMENT
� ' ' '� " � „r � Env�ronmental Health Section ; PROPERTY INFORMATION
f � �PernuC�ee's' P.O: Box 848:;; .
'��"'.Name �' � Mocksville, NC 27028 Subdivision Name: •
,r � ,
� , . � v' � . �Phone #: 704-634=8760 `
f 15uections to property: �.S , ' � Section: Lot.:
' ' , AUTHORIZATION FOR , ;, , � .
''i -- .r!'.��T ' % �(' ' WASTEWe�'ER . _
_ y�.� � Tax Off ce PIN.# -
SYSTEM CONSTRUCTION _ �� � f �
f,LI Y 17LrP/"' � 1�%�'7 G" ,.; t� �+ �/
�1 Road Narrie• l� ��. �y • Zip: �f!b
**NOTE** This Auttiorization'for Wastewater.System Construction MUST.BE'ISSLJED by the Davie County Env'vonniental Healt}i Section prior �
'to issuance:of any"Building Pernuts: 'I'his Form/Authorization Number should be presented to the Davie County Building Inspections
� Office when applying for Building Permits. '
:(In compliance: with Aiticle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
� ' ' ' , l' - �„ , *NOTTCE*** THIS'AUTI-IORIZATION FOR WASTEWATER CONSTRUCTION,
**
, , ` �*� ' �� S ' ` % � `,��. IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALI�T ., DATE ISSUED a� �. °
g`f *r
64
DAVIE.COUNTY HEALTH DEPARTMENT
MPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
r rr,
4fA Subdivision Name:
lr� ctlons to Property: - 6 / � ` P "* " Section: Lot-
,- IMPROVEMENT
fi „` ,� i,,;•1, r , �',� /',�
PERMIT Tax Of c PIN:#
r' Hk Road Name: 01 Zip: d
**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 # BEDROOMS # BATHS # OCCUPANTS GARBAGE'DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS _L22, INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY_ DESIGN WASTEWATER FLOW (GPD) - NEW SITE REPAIR SITE
!I 10
SYSTEM SPECIFICATIONS: TANK SIZE bad GAL. PUMP TANK GAL. TRENCH WIDTH, ROCK DEPTH LINEAR FT. �\ l/,5
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
r ,y
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH MENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY O STAL TION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT �h
SYSTEM I ALLED B i+
1�
AUTHORIZATION NO. OPERATION PERMIT BY: �. �/ �a' L- DATE: '+i�e,24 VP
**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)
r�XTi' ar n Y-�yZ :rta tf ���. s`s ��i^g..�i,y:.,--31r r g'..w.M ��w.;:_i' v'"11"'d' •• ,+.,!a.)�,` g .{ro Zfw'ia:•r4 y, }+._ - (WrJ - .:ate-', ,.
iDAVIE COUNTY HEALTH DEPARTMENT
iMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Names T�r�°�'y ')�1 a' f P +?�' r� Subdivision Name:
�irectio s to property: Section: Lot•,
IMPROVEMENT
PERMIT Tax Office, PIN:# -
,/' �# Y G�.. / =' F Road Name:rt'. c, Zip: C$1 1/006.
**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)
i'
a r _ ***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 4? j# OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFr t+'T— # SEATS ---- jj�Z INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY _ DESIGN WASTEWATER FLOW (GPD)_ NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE BIW GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH ! LINEAR FT: /�'
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
t
t
**CONTACT A REPRESENTATIVE OF THE DAME COUNTYHEALTH ENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30 A.M. OR 1:001- 1:30 P.M. ON THE DAY OF STAL TION. TELEPHONE# IS (704) 634-8760.
OPERATION PERMIT
SYSTEM ALLEDB
S
y 1 o�3Xi�
AUTHORIZATION NO. OPERATION PERMIT BY: V 'C 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)
VIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME PHONE NUMBER
ADDRESS DcS,� �cy ��D% SUBDIVISION NAME
of
DIRECTIONS TO SITE
zqAe
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE
UBDIVISION LOT #
0
NFORMATION TAKEN BY
Parcel #: E815OA0004
Davie County, NC - Basic Estate Search
I
Basic Search Real Estate Search Tax Bill Search Sales Search
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #:E815OA0004 Account #:82532802
Owner Information
Building:
Tax Codes
BXF:
YD ALLEN M & BOYD JULIE M
Land:
ADVLTAX - COUNTY
Market:
1036 HIGHWAY 801 SOUTH
ssessed•
Td
FIREADVLTAX - FIRE TAX
Deferred:
DVANCE NC 27006
Property Information
Township
(Units/Type): 2.960 AC
Ess:
SHADY GROVE
1036 S NC HWY 801
Deed Information
Local Zoning
Pate: 08/2011 Book: 00865 Page: 1007
Plat Book: Page:
Legal Description
PIN
96 AC HWY 801
5871727164
Property Values
Building:
171,08CI
BXF:
5,73CI
Land:
47,71CI
Market:
224 52
ssessed•
224,52
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00058 0201 03 1956 WD Unqualified Improved 0
2 00865 1007 08 2011 WD Qualified Improved 222,000
View Property Record for this Parcel View Man for this Parcel View Tax Bill Information
« Return to Basic Search
Page 1 of 1
oP.tcZ
000rill-S
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=1474126 8/31/2016