1240 Hwy 801N""'k,"`V ``,3+`:�f"d 7� .e- "�i- '-` y.'"�r.4e,�ts'.Rr.;�`�f 4a3.�` �'�+.�r } �'` � * y+ . �3'� ' h "`a"g K�i:'�a�y.i,F�rt�-i0�y�ia..�'{•s:,y,.t�w �, D���:%�y �' �v+y�'P� '�°'i'x.'P''''va..-�,r•� �; •w�'aa.<r`� 1�;/�A ,�,�./i'y��i,s.s. y�� �7-pw:i'.
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�u�Rt�Iotv 1vo: '� � � o DAVIE C UNTY HEALTH:DEPARTMENT , ; � `� ""
, • y , � +EnvironmentaLHealth Section PROPERTY INFORMATION '
Permittee'c P.O. Box 848';:. :
� Name � r`, Mocksville; NC 27028 Subdivision Name:
�'►,-a l e.i A 2.£SS
� `. . Phone # 336-75I-8760 �. °
Directions to property: �� � �%�S . Section: I '� Lot:
AUTHORIZATTON FOR
l a �✓�.,,�'(� ' i�.� WASTEWATER Tax Office PIN:# - .-
� SYSTEM CONSTRUCTION ��
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Ro d N me: �Q�/Y. . Zip• o`� � O(O
�**NOTE** This Authorization for Wastewater System Construction MUST BE ISStJED by the Davie County Environmental Health Secdon prior
to issuance of any BuildingPermits. This Form/Authorization Number should be presented to the Davie County Building Inspections :
• O�ce when applying for Building Perrriits. :
,'- (In compliance with Article 11.of G.S. Chapter 130A, .Wastewater Systems Section .1900 Sewage Treatment and Disposal Systerris)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCI'ION .
� oZ �� ; IS VALm FOR A PERIOD OF FTVE YEA�iS. '
` ENVIRONMENTAL HEALTH SPECIALIST " DATE.ISSUED
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" ��.-�'r �� ',: TMPRO 4 MENT AND OPERATIONPERMITS PROPERTY INFORMATION
�?srmittee's � :., �' ` � _, ,
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Name. - d ' ���,%��j� � �r"� � ' � 3ubdivision Name:
'�� ,;�qt��N(r' AR.�5,5. "
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` .,Directions to property: -� ?f�%� � Section: Lot:
IlVIPROVEMENT
�, ' r/ � .,�"(' � I� � _ PERNIIT Tax Office PIN:# - -
�l ,,. , ' � Ro���ago1/�. �Z�P: oo�
. . . . � .
' **NOTE** This Improvement Pernut DOES NOT authorize the conshuction or,installation of a septic tank system or any wastewater system. An
ALJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Depaiv�ent prior to the
�' ' coristruction/installation of a system or the issuance of a building pernut. '� ` �� ��.
,�(In comphan�e with Articlell of G.S.� Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
: . �:
,�'' ► "**NOTICE*** TI�IIS PERNIIT IS SUBJECT TO REVOCATION IF SITE !:
• � � . � , :. � , ' //(" ,. ' PLANS OR TEIE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRO ENTAL' ALTH SP CIALIST .�•. DA� ' SYSTEM CONTRACTOR MUST SEE TfIIS PERMIT,BEFORE " `
... .
;, . , , , , INSTALLING TI� SYSTEM.
,
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RFSIDENTIAL SPECIFICATION: BUILDING TXPE,�� ,# BEDROOMS _� # BATHS # OCCUPANTS ��.— GARBAGE DISPOSAI.:.Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE ,� ,. # PEOPLE # PEOPLFJSHIFT # SEATS INDUSTRIAL WASTE: Yes or No
/,��,� dse _ � ��f��P�Pn �
LOT SIZE ��'U )_„ TYPE WATER SUPPLY � DESIGN WASTEWATER FLOW (GPD) �Z� NEW SITE ' REPAIR SITE `
�
'. `,. ,. • �� :
SYSTEM SPECIFICATIONS: TANK SIZE DA% GAL. PUMP TANK GAL. TRENCH WIDTH ��1, ROCK DEPTH � LINEAR FT. �Q�� `
OTHER k3C!// !i[ /1/t�' pl �',f�'�
REQUIRED SITE MODIFICATIONS/CONDITIONS: � � ' ;
�
' ` IMPROVEMENTPERMIT LAYOUT ` , , � ' ; � '
. ; , ; .
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_ ' . . . . . ' . . . ...- � 4 -
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*'CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM �' ;. �,�Y ;
BETWEEN 8:30 - 9:30 A.M. OR 1:00 -1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. t� � r. ;.
'.
� �OPERATION PERMIT � � � � � � �� a� � .
SYSTEM INSTALLED BY: 1 �� ��'_'�`' �,: �`
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� AUTHORIZATION NO. �� OPERATION PERMTT B. DATE: � -r
I��.l.l... r ,'
''•THE ISSUANCE OF THIS OPERATlON PERMTT SHALL INDICATE THAT TE� SYSTEM DESCRIB ABOVE HAS BEEN INSTALLED IN COMPLIANCE { `
WTTH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYST'EMS", BUT SHALL IN NO WAY BE TAKEN AS A�
GUARANTEE THAT THE SYSTEM WII.L FUNCTION SATISFAGTORILY FOR ANY GIVEN PERIOD OF TIlv1E.
" L1CHD 03/96 v�aed ' �
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IJ/\bAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
l �y
NAME s �L-� PHONE NUMBER
ADDRE S -1 A O e SSUBDIVISION NAME
� ✓oma•-�- C� o� � � �O
_ SUBDIVISION LOT #
DIRECTIONS TO SITE �" c�L. 'ZgAil
6.9 4to Wyk I PAW I -Ai
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER A&-
SPECIFY PROBLEMS OCCURING 012
��--�/if0 Oif�/•C�l afM ,,, -moi /L off/ & `%l_oo-.r
DATE
mm
FORMATION TAKEN BY
Parcel #: C600000100
davie County, NC - Basic Estate Search
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Parcel #: C600000100
Account #:25522000
Owner Information
Month
Tax Codes
Qual/UnQual
SHER PHILUP A& FISHER YVONNE L WOOD
1
ADVLTAX - COUNTY T
0839
O BOX 423
1986 WD
READVLTAX - FIRE TAX
Vacant 0
DVANCE NC 27006
00177
0554
Property Information
1994 WD
Township
nd (Units/Type): 4.720 AC
3
FARMINGTON
ddress: 1240 N NC HWY 801
12
1994 WD
Deed Information
Vacant 70,000
Local Zoning
ate: 12/1994 Book: 00177 Page: 0554
lat Book: age:
Le al Description
PIN
14.715 AC HWY 801
5862096068
Property Values
uiidin :
BXF•
nd• 69,01
arket: 69,01
ssessed• 69,01
eferred•
Sales Information
No.
Book
Page
Month
Year Instrument
Qual/UnQual
Improved Price
1
00134
0839
12
1986 WD
Unqualified
Vacant 0
2
00177
0554
12
1994 WD
Unqualified
Improved 70,000
3
00177
0554
12
1994 WD
Unqualified
Vacant 70,000
View Property Record for this Parcel View Map for this Parcel View Tax, Bili Information
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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=1017663 9/8/2016