7045 Hwy 801S (2) k0
AUTHOKLATION NO: 5 0 DAVIE OUNTY HEALTH DEPARTMENT.
Environmental Health`Section ' , ATION
• - ` . PROPERTY:INFORM,
P.O.Box 848;
Name. ',`m� 1' le�-�1�`> � # Mocksville,NC 27028 Subdivision Name:
Phone# 336-751-8760
Directions to property: Lbt31 S- "T. le F q o P Section: Lot:
AUTHORIZATION FOR
WASTEWATER N:#PI
Tax Office - -
SYSTEM CONSTRUCTION : y�Office PI
70y.S `J r'wr `colas 11 SDG/c'l .'/�s i z �Z Road Name: �Q Zi 1��0
P.,
**NOTE**This`Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building�rmits.This FonydAuthorization Number should be presented to.the Davie County Building.Inspect ions
Office when applying for Building Perrmits.
(In compliance with,Article 1 I of G.S.Chapter.130A,Wastewater Systems,Section:1900Sewage Treatment and Disposal,Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION '
IS.VALID FOR A PERIOD OF FIVE YEARS. ,
ENVIiONMEWTAL;HEALTH;SPECIALIST "''DATE ISSUED
� *�,+.. �� 4 }Y�" �++(^"'b 'Y+- ✓'N J.; � —.a;i '!` a"f'.. d4 hA$J hl•'A � }A �+,l � a` �, u1.') r..a,,..v^..n.lr i^H �.Y s
�-,WDAVIE OUNTY HEALTH DEPARTMENT
MPROVEMENT AND,OPERATION PERMITS PROPERTY INFORMATION
.I
Permittee's x{
I °Nathe `'' P 1"V'. �e-'C�l�'et�. , Subdivision Name: .i
il,"DlrectiQps to'property 'I �.1 f• F a !� ?� Section Lot:
IMPROVEMENT
01- PERMIT Tax Office SPIN:# -
Z RoadName:� zip
�
p:
**NOTE**This'Improvement Permit DOES NOT authorize the'constniction'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;
consimetion/mstallation of a system or the issuance of a building permit.,..
(In compliance with Article I l''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
ENV ONMENTAL HEALTH SPECIALIST DATE ISSUED
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE ti/Se-#BEDROOMS _#BATHS #OCCUPANTS_�GARBAGE DISPOSAL:Yes orS
� r .
•COMMERCIAL SPECIFICATION: FACILITY TYPE #,PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE=/-:2�C -TYPE WATER SUPPLY -D DESIGNWASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM ISPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
So L�'D L��.� L
l\� t1 Y`-.P �cJ
All
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**CONTACTA 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 (336)751-8760.
OPERATION PERMIT sl�
Q SYSTEM INSTALLED BY:
s�
�r
AUTHORIZATION NO. _LSD OPERATION PERMIT BY: DATE: a G `•��
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA 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 OS/96(Revised)
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R, tDAVIE COUNTY HEALTH DEPARTMENT
'
IMPROVEMENT AND. OPERATION PERMITS PROPERTY INFORMATION
Permittee
's
_.
a . ,Name: �` r I"'c [ . �4G 'C�1 GR. Subdivision Name: '
:."Directigns to property: ` t i . "� .'r- Section: Lot:
G IMPROVEMENT
* " �' r , • s; ^�. PERMIT Tax Office PIN:# _
!Coad Name: a v / -r" . Glp: o► r vo
t,
**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 TILS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE 14if /SC-# BEDROOMS 2 # BATHS # OCCUPANTS / GARBAGE DISPOSAL: Yes or
d0MMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE 2,N, TYPE WATER SUPPLY l 4 r DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE L/
SYSTEM SPECIFICATIONS: TANK SIZE . GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH LINEAR FT. 1.5 U
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
a
r
**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 (336)751-8760.
OPERATION PERMIT
AUTHORIZATION NO. _Sy'> OPERATION PERMIT BY: ,e DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT 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) s (;
t � a
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WO KSH ET FO SEPTIC SYSTEM REPAIR PERMIT
7NAME I` ��-f^ PHONE NUMBER 1
ADDRESS /� .S- SUBDIVISION NAME
Le e r
BDIVISION LOT #
DIRECTIONS TO SITE /nC r/+�.5'7 C� � 1'` Jt -0-
Y r�
DATE SYSTEM INSTALLED V& z
NAME SYSTEM INSTALLED UNDER n
SPECIFY PROBLEMS OCCURRING /7
DATE REQUESTED
FORMATION TAKEN BY
Parcel #: L500000043
Davie County, NC - Basic Estate Search
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Parcel #: L500000043
Account #: 82521886
Owner Information
Tax Codes
HOWARD SANDRA REA
ADVLTAX - COUNTY TA
045 HIGHWAY 801 SOUTH
FIREADVLTAX - FIRE TAX
MOCKSVILLE NC 27028
ssessed•
PropertV Information
Township
Land (Units/Type): 1.200 AC
JERUSALEM
ddress: 7045 S NC HWY 801
Deed Information
Local Zoning _
Date: 12/2003 Book: 00527 Page: 0001
Plat Book: Pa e:
Legal Description
PIN
1.200 AC HWY 801
5746613696
Property Values
Building:
72,04CI
BXF:
1212
Land•
2
Market:
9
ssessed•
9
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00527 0001 12 2003 WD Unqualified Improved 0
>_ 2002E 0031 01 2002 WL Unqualified Improved 0
3 00527 0005 12 2003 WD Qualified Improved 78,000_
View Property Record for this Parcel View Mao for this Parcel View Tax Bill 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.asp.x?prid=1458927 8/25/2016