2198 Hwy 801NDAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005973 Tkk'Pl64.%EH #; C500000080
Billed To: Nicholas Barnhardt : SukScli isibn lrtfo:
Reference Name: LocationiAddress: 447 Pinebrook School Rd. -27.028
Proposed Facility: Residential Pf6per#,y Size;: 0.97 Ac
Site Type: ONew IRRepair ❑Expansion
ATC -Number: 6002
**NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to.issuance of any building permit(s), (in compliance with Article l l of G.S. Chapter 130A
Wastewater Systems,, Section. 1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat
or the intended use change.
Residential Specifications: # Bedrooms # Bathrooms 4 People Basement❑ Basement plumbingO
Non -Residential Specifications: Facility Type # People # S eats
Square Footage(or Dimensions of Facility)
LotSize Type of Water Supply: [.County/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow (GPD) o)w Tank Size1C( GAL. Pump Tank l GAL.
Trench Width Max. • Trench Depth �' Rock Depth Linear Ft.
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Health Section for final inspection of thi§ system between
8:30 — 9:30a.m. on the day of installation. Telephone # 33 6)751-8760.
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Environmental Health Specialist Date: 111,27112
DCHD 11106 (Revisedj,
Davie County Health Department
9 � 8r� I e ental Health Section ;
! - rC ZD12 . P.O. BOX 848 •
� 11 210 Hospital Street
O U �'� sy: Courier # : 09-40-06 1911
yiocksville, NC 27028
Phone: (336) - 753 - 6780 ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680
(Check One) Replacement Remodeling Reconnection
n
Name: l "2 j1 S 6fiRJ1HA-j1 Phone Number Vt�' I , 1�� /Zi (Home)
Mailing Address: *7 r� (Work)
Email Address:
Detailed Directions To Site:
Please Fill In The Following Information About The EXISTING Facility:
D -
/� n�lr�g ?'d�NS-1 ;.0
Name System Installed Under: 91-a ha k" Type Of Facility:
Date System Installed (Month/Date/Year): / ��Y Number Of Bedrooms:_42�_Number Of People:
Is The Facility Currently Vacant? Ye5�0 If Yes, For How Long?
Any Known Problems? Yes No If Yes, Explain:
Please Fill In The Following Information Ab/�u� hNE)W Facility: % X
Type Of Facility: r 'K t%d 111 !'I UI / i b' Number Of Bedrooms:_ Number of People
Pool S
I)<.
Requested By:
Approved Disapproved
.. Environmental Health Specialist
Garage Size: Other:
rn,
Requested: 11-9-12
For Environmental Health Office Use Only
Invoice #: 0a0
Parcel #: C500000080
Davie County, NC - Basic Estate Search
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Parcel #: C500000O80 Account #:8300550
Owner Information
Building:
Tax Codes
BXF•
EARNHARDT NICHOLAS JAMES
Land:
ADVLTAX - COUNTY T98
Market:
HWY 801 N
ssessed:
FIREADVLTAX - FIRE TAXCKSVILLE
Deferred:
NC 27028
Unqualified
Improved
Property Information
2
Township
Land (Units/Type): 0.980 AC
12
FARMINGTON
ddress: 2198 N NC HWY 801
Improved
73,000
Deed Information
00347
Local Zoning
Date: 12/2011 Book: 00878 Page: 0388
2000 WD
7771
Plat Book: Page:
68,000
4
Le al Descri tionPIN
0452
01
10.977 AC HWY 801
Qualified
5842884189
Property Values
Building:
68,51CI
BXF•
31CI
Land:
23,83
Market:
92 65
ssessed:
92,6501
Deferred:
2011 TD
Sales Information
No.
Book
Page
Month
Year Instrument
Qual/UnQual
Improved
Price
1
00872
0609
10
2011 TD
Unqualified
Improved
65,500
2
00878
0388
12
2011 WD
Unqualified
Improved
73,000
3
00347
0285
09
2000 WD
Qualified
Improved
68,000
4
00646
0452
01
2006 WD
Qualified
Improved
106,500
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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01-orill-6Davie 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/itsnetfView.aspx?prid=1461888 8/24/2016