The URL can be used to link to this page

7369 Hwy 801SPermittee'so DAVIE•COUNTY HEALTH DEPARTMENT �`�'�✓ `3v 7 Name: Environmental Health Section PROPERTY INFORMATION + '%� . P.O. Box 848: Directions to property_ ,��aa � Mocksville, NC 27028 Subdivision Name: N ne #: 336-751-8760 ... �°%vl�� Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION 93 AUTHORIZATION NO: A Road Name: Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building. Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ,•y!: '� IS VALID FOR A PERIOD OF FIVE YEARS. `BN�IRONMENTA EALTH SPECIAL ST DATE ISS`SUED RESIDENTIAL SPECIFICATION: BUILDING TYPE // # BEDROOMS # BATHS # OCCUPANTS L GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION. FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No y LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) � NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR Fr/,i—.o OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "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 SYSTEM I ST�Ai.IGED BY: A06 j ,� 0 AUTHORIZATION NO.0OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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 02/02 (Revised) 1 0 11 .�, � 7 '.1Y '4 .Li ,.w r, .r. i. . ,. i o;. .. Y"" -'e� •..r. -F:` J T �l r r. Wiz+ -r DAVIE COUNTY HEALTH DEPARTMENT �Pern$ne s Name , �"f'✓• Y Environmental Health Section' PROPERTY INFORMATION P.O. Box 848 . r Dire 666 ,ro property _ ' > .% � f Mocksville, NC 27028 Subdivision Name: E. ,r r +rc�G Qile #:336-751-8760 •, r �', . >a frt: J Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# .ya _ SYSTEM CONSTRUCTION MORIZATION NO: ++ A ` Road Name: Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv Environmental Health Section prior to issuance of,any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. !In i ;th Art;,I. 1 1 of f: Q (•Boot— 110 'U/,,tarot. Qt Qt .IOM Qo.,, .e T e t l T: _ 1 C.. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION i.� J t tiE yrs t"�✓ `r } of IS VALID FOR PERIOD OF FIVE YEARS. ' 'ENVIRONMENTAL'I'iEALTH SPECIALIST DATE ISSUED { RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 1 # 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 DESIGN WASTEWATER FLOW (GPD)— 4 NEW SITE REPAIR SITE / (< SYSTEM SPECIFICATIONS: TANK SIZE)/-iGAL. PUMP TANK GAL. TRENCH WITH �C! ROCK DEPTH LINEAR FT�U ' y OTHER REQUIRED SITE MODIFICATIONS/CONDITIONSr "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 SYSTEM INSTALED BY: l5° / r d4 AUTHORIZATION NO. L�MOPERATION PERMIT BY: err( �r DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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 02/02 (Revised) r . 41n S� DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION AAP-PLICATION FOR IMPROVEMENT PERMIT (REPAIR) J NAME PHONE NUMBER ADDRESS Q f S SUBDIVISION NAME %r O �-i�S U / �,) /J C- LOT # DIRECTIONS TO SITE 6 a S �`1r�s ��`� A L � ©o DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS y Z NUMBER PEOPLE SERVED TYPE WATER SUPPLY/, SPECIFY PROBLEM OCCURRING -.-- --,-), `31r-� o 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 (, C 7/_ V v (p S'- /Jo fN L Parcel #: M507OA0007 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search Vlew Property Record for this Parcel _View Map for this Parcel _ View Tax Bill Information Parcel #: M5070A0007 Account #:82533014 63,27 0011 Owner Information 2,12 Tax Codes 2100 arket: LITTLE LEE A SR & TUTTLE JULIA S ssessed: ADVLTAX - COUNTY T �mEADVLTAX Deferred: 1993 WD 369 NC HIGHWAY 801 SOUTH Vacant - FIRE TAX >_ 00313 OCKSVILLE NC 27028 09 1999 NW Property Information Improved Township 1 Land (Units/Type): 1.000 LT 0770 JERUSALEM Address: 7369 S NC HWY 801 Unqualified Improved 78,000 Deed Information 00338 Local Zoning 06 ate: 10/2011 Book: 00873 Page: 0257 2000 WD Qualified Improved Plat Book: 0004 Page: 030 i 00359 0716 Legal Description PIN Qualified LOTS 1 + 89 EDGEWOOD SECTION 1 84,500 5745393012 00873 0257 10 Property Values Buildin : 63,27 0011 BXF• 2,12 nd: 2100 arket: 8639 ssessed: 8639 Deferred: 1993 WD Sales Information No. Book Page Month' Year Instrument Qual/UnQual Improved Price L 00116 0857 01 1993 WD Unqualified Vacant 0 >_ 00313 0898 09 1999 NW Unqualified Improved 0 1 00329 0770 03 2000 CD Unqualified Improved 78,000 1 00338 0743 06 2000 WD Qualified Improved 81,500 i 00359 0716 02 2001 WD Qualified Improved 84,500 i 00873 0257 10 12011 WD Qualified Improved 86,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 o�7,tN 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 otherpublic 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.daviecountyne.gov/itsnet/View.aspx?prid=1471325 8/25/2016