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2161 Hwy 158 F v ttee'sj DAVIE COUNTY-HEALTH DEPARTMENT' � ^ Q�. tr t � � ( � Environmental Health Section ROPERTY IN99RMATION ` P.O. Box 848 Directions to property: Mocksville,NC 27028 Subdivision ame: ( one#:C 336-751,-8760 Section: Lot:. AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION , a AUTHORIZATION NO: 2.28 A Road Name:- - lt�l � 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 FonrdAuthorization Number should be presented to the Davie County Building Inspections _ Office w en applying for Building Permits: (ln compliance ft�Article j,1�f G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION. b3 IS VALID FOR A PERIOD OF.FIVE YEARS. ENVIRO E ASL HEAL SPECIAIST ATE ISS.ED RESIDENTIAL SPECIFICATION:BUILDING TYPE BEDROOMS #BATHS 0 #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No L LOT SIZE�T TYPE WATER SUPPLY 010t) DESIGN WASTEWATER FLOW(GPD) NEW SITE ` REPAIR SITE [, SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.-5� OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: KG CP �✓�, ��� "` w "L sem" IMPROVEMENT PERMIT LAYOUT ` 1 � F,�-t� 'rte S �''� J Dh► td G ' 4/O Cmrr✓ "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 INSTALLED BY: r /v AUTHORIZATION NO,G-,V,2e OPERATION PERMIT BY: DATE: **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 WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL.FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OM(Revised) e DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) NAME PHONE NUMBER �2 ADDRESS SUBDIVISION NAME M y /LOT # h DIRECTIONS TO SITE d � �R� -4--o We-LIT !,�-�-ll r-nc-s- DATE SYSTEM INSTALLED ©} yrs "NAME SYSTEM INSTALLED UNDER i i TYPE FACILITY NUMBERBEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED z 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 or all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev.1/93 Parcel#: G5OOOO003O Page 1 of 1 oA.r�• Davie County, NC - Basic Estate Search ®rJ11--111: Davie County Web Site Basic Search Real Estate Search Tax Bill Search Sales Search Q View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information Parcel#:G500000030 Account#:8301134 Owner Information Tax Codes ELLS FARGO BANK NA hEADVILTAX DVLTAX-COUNTY TA AC#X7801-013(FC) -FIRE TAX ORT MILL SC 29715 Property Information Township rand(Units/Type): 1.620 AC MOCKSVILLE ddress: 2161 US HWY 158 Deed Information Local tonin 02/2016 Book: 01011 Page: 0573 �ate: at Book: 0010 Page: 129 Legal Description PIN 1.734AC LOT 1 US HWY 158 5749295480 Proa Values Buildin 88,08 BXF: nd: 28,40 Market: 116 48 ssessed: 116 48 Deferred: Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 00685 0170 10 2006 WD Unqualified Improved 116,500 00999 0070 08 2015 TD Unqualified Improved 86,500 01011 0573 02 2016 WD Unqualified Improved 58,500 00190 0604 10 1996 WD Qualified Improved 96,000 00345 0068 08 2000 WD Qualified Improved 140,000 00685 0170 10 2006 WD Qualified Improved 116,500 00813 0837 12 2009 WD Qualified Improved 127,500 View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information « Return to Basic Search 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=1480174 6/9/2016