571 NC Highway 801 North Lot 55DaN
MR
9pV ( /W data is provided as is without warranty or guarantee of any idnd eitherexpreseed or implied including but not limited to the
Q`�iJ37 Davie County, lmpliedwwrwMmofinerchantabllitywfimessforaparficulwuse All uses of Gavle County's GIS website shall hold harmless the
County of Oahe. Neth Carolina, Its agents, consultants, cantractors or employees frown any and all claims or causes election due to
cUUN't� NC or arlmij oul of the use or inability to use the GIs data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
C714000023
Township:
Farmington
NCPIN Number:
5862869573
Municipality:
Account Number:
50251500
Census Tract:
37059-802
Listed Owner 1:
MERLAU JON DAVID
Voting Precinct:
SMITH GROVE
Mailing Address 1:
571 NC HIGHWAY 801 NORTH
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
DAVIE COUNTY OD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 55 CREEKWOOD ESTATES
Fire Response District:
SMITH GROVE
Assessed Acreage:
0.50
Elementary School Zone:
PINEBROOK
Deed Date:
11/1994
Middle School Zone:
NORTH DAVIE
Deed Book/ Page:
001770415
Soil Types:
GnB2
Plat Book:
0004
Flood Zone:
Plat Page:
171
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
9pV ( /W data is provided as is without warranty or guarantee of any idnd eitherexpreseed or implied including but not limited to the
Q`�iJ37 Davie County, lmpliedwwrwMmofinerchantabllitywfimessforaparficulwuse All uses of Gavle County's GIS website shall hold harmless the
County of Oahe. Neth Carolina, Its agents, consultants, cantractors or employees frown any and all claims or causes election due to
cUUN't� NC or arlmij oul of the use or inability to use the GIs data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**NOTE** This improyement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION oust 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 S.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME � �y \ \��` AuG {� PROPERTY ADDRESS 5? i Ii W N �c�uAroce DATE
LOCATION 1
SUBDIVISION NAME LOT NUMBER 5 SEC./BLOCK NUMBER 1
RESIDENTAL SPECIFICATION: BUILDING TYPE unsz # BEDROOMS 3 # BAT # OCCUPANTS GARBAGE DISPOSAL.: YesQ
COMMERCIAL SPECIFICATION: FACILITY.TYPE # PEOPLE _ # PEOPLE/SHIFT'`,- #SEATS L,,.INDUSTRIAL WASTE: 'des/No
�a 't .
LOT SIZE 100 xabo TYPE'WATER SUPPLY C o N 3 DES16N WASTEWATER FLOW (GPD) 6d NEW SITE _ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE .: - 6AL.,.,PUMP TAM( GAL. TRENCH WIDTH K DEPTHQbw LINEAR FT. b
x
OTHER +�
REGUIRED SITE MODIFICATIONS/CDNDITIONS: r••. '
***THIS PERMIT IS SUBJECT"`TO REVOCAVON IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
R
P ,
ONdi
' y
00 •c 3 6 �
IMPROVEMENT PERMIT BY� C'c
**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 (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY-=�is�cnAsr Nsi�h
H O OLS O �
Q ?
q�
AUTHORIZATION NO. Q OPERATION PERM T BY BATE S -
**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 NAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95.
pAVIECOUNTY HEALTH�DEPAATMENT
1
1 IMPROVEMENT PERMIT andDPERATION PERMIT
IMPROVEMfNT.PERMIT s l
+*NOTEft This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
a system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION oust be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
SIn`compliance with Article It of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME _ l��l �e �2\ �yG PROPERTY ADDRESS DATE "2 -7(-
LOCATION
I SUBDIVI5ICJ ,
NAME SEC./BLOCS NUMBER
LOT NUMBER
'RESIDENTAL SPECIFICATION: BUILDING TYPE cN%r,n A BEDROOMS 3 i BATHS f OCCUPANTS S GARBAGE DISPOSAL: Yes
COMMERCIAL SPECIFICATION: FACILITY TYPE w t PEOPLE A PEOPLE/SHIFT H! SEATS INDUSTRIAL NASTE� Yes(No
LOT SIZE TYPE WATER SUPPLY l o? DESIGN WASTEWATER FLOW )GPD) NEN SITE_ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE _ SAL. ;PUMP TANK GAL. ',TRENCH WIDTH ROCK DEPTH
LINEAR FT. L
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
AUTHORIZATION N0. OPERATION PE 'T BYN DATE S
i
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL'INDICATE,s.THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH
ARTICLE li OF G.S. CHAPTER 130A, SECTION :Y900 '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 10/95
Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C..27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
— Q A
160
(Issued in compliance with,Article 11 of
B.S. Chapter 1308; Wastewater Systems)
***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 fo.orrBuilding Permits.*** q
WE ` \ A �1 \`\ @�\ A U DATE L\ A' 1 % NUOnRIZATION K!®ER
N_ U2.47
WE ON IMPROVEMENT PERMIT (If different than above) __
-' DAVIE COUNTY HEALTH DEPARTMENT.
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER. OR CONTRACTOR �A), {'�0.a.V..�,,,�.e. DATE V-30-77. PERMIT ,
LOCATION gal FB , rniz; ii •:
S.R::NO..
SUBDIVISION NAME l -A o,li, Sir .r LOT NO. '6w' SECTION OR BLOCK NO.
HOUSE MOBILE HOME 1._I BUSINESS
NO. BEDROOMS 3 NO. BATHROOMS
GARBAGE, DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO.'WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN'LINES:
WATER SUPPLY_: Individuals� ❑ 'Public U�
IMPROVEMENTS PERMIT BY
CERTIFICATE OF COMPLETION By
(8/16/73) *Construction must comply with al
House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House 800 Gal. 600 Sq. Ft.
Three Bedroom House 900 Gal. 900.$q. Ft.
Four Bedroom House 1000 Gal.' 1200 Sq. Ft.
INSTALLED BY G�/1Z�,�
d- L
NAM
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
V\ �wv M e
PHONE NUMBER 940-S9 7`+'
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED g- 1� NAME SYSTEM INSTALLED UNDE
V NAME lJY¢e✓��d
LOT # I
TYPE FACILITY J� Sa NUMBER BEDROOMS r3 1 NUMBER PEOPLE SERVED 'I
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING��o
J-' x:5n=
DATE REQUESTED - y ' 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
Sev.1193
DAVIE COUNTY HEALTH DEPARTMENT
ti (Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR ��, (� • l da ��tn,eA DATE P .3p -!y PERMIT
LOCATION R�► Fry, rn, ,+ N° 1584
nS.R. N0.
SUBDIVISION NAME t'Aa,A„„m� Kar .'C LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME ❑ BUSINESS
NO. BEDROOMS 3 NO. BATHROOMS 2
GARBAGE DISPOSAL UNIT YES ❑ NO ❑
AUTO. DISHWASHER YES ❑ NO ❑
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public
IMPROVEMENTS PERMIT BY pe�', �7_
House Trailer
800
Gal.
400
Sq.
Ft.
Two Bedroom House
800
Gal.
600
Sq.
Ft.
Three Bedroom House
900
Gal.
900
Sq.
Ft.
Four Bedroom House
1000
Gal.
1200
Sq.
Ft.
�!� d ia.. y,...c? • per'”}1` 4.10 .
MINSTALLED BY
GERTiFIGATY OF UUMPLISTIUN Byun, g�QLz� -
Date—
(8/16/73)
ate_(8/16/73) *Construction must comply with all other applicable State and local
LOT AREA
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57 v A
MOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for Septic Tank Improvement Permits
. and/or Site Evaluations
NAME I.i�,r, �_r„� 1, DATE ISSUED o 3'77
ADDRESS R4.Btu gpyp PERMIT NO.
Explanation of charge
AMOUNT DUE /5.0
PLEASE REMIT THE ABOVE AMOUNT
SANITARIAN
ON RECEIPT OF THIS STATEMENT.