2231 Hwy 158DAVIE COUNTY HEALTH DEPARTMENT
"IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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
(In compliance with Article 11 of 6.5. Chapter 13OA, Wastewater Syste ection .1900 Sewage Trea t and Disposal Systems)
NAME - / -mfr%' /f/W 4�f//>/'i PROPERTY ADDRESS/ DATE&
LOCATION
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION BUILDING TYPE a f t BEDROOMS e { BATHS _�_ t OCCUPANTS `9 GARBAGE DISPOSAL: Yes6i
COMMERCIAL -SPECIFICATION: FACILITY TYPE t PEOPLE _ 1 PEOPLE/SHIFT , # SEATS _ INDUSTRIAL WASTE: Yes/No
LOT -SIZE - -- TYPE WATER SUPPLY ! /, DESI6N WASTEWATER FLOW (GPD) NEW SITE _ REPAIR SITE L�
SYSTEM SPECIFICATIONS: -TANK SIZE�2)0 6AL.--PUIiP TAW GAL. TRENCH WIDTH �7L' ROCK DEPTH LINEAR FT.
__.OTHER_
-.- REOUIRED-SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF! SITE RAM OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
r_
IMPROVEMENT PERMIT BY I/
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL. INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:ft-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE t IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
AUTHORIZATION NO. y OPERATION PERMIT BY �14d 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 13OA, 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 10/95
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. +. DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT ,
**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 buildin
(In compliance with Article 11 of G.S. Chapter 138A, Wastewater Syste ection .1900 Sewage rre—abskt and Disposal Systems)
NAS �rNr7` //
PROPERTY ADDRESS
LOCATION
DATE
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE a sF # BEDROOMS # BATHS4__ # OCCUPANTS &_ GARBAGE DISPOSAL: Yes)o
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEDPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SLILY DESIGN WASTEWATER FLOW (GPD)_ NEW SITE REPAIR SITE 1/
SYSTEM SPECIFICATIONS: TANK SIZE�� GAL. PUMP TANK GAL. TRENCH WIDTH,, ROCK DEPTH LINEAR FT.
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
r
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:08-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY
AUTHORIZATION NO. D 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 136A, SECTION .1908 "SEWAGE TREATMENT AND DISPOSAL. SYSTEMS', BUT SHALL IN NO WAY BE TAKEN, AS A
J GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 10/95
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a DAVIE COUNTY HEALTH DEPARTMENT,
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
- �**NDTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater
Y 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 buildin �erai#,-
(In compliance wit�f Article 11 of G.S. Chapter 130A, Wastewater Syste ection .1900 Sewage Trea t and Disposal Systems)
1
NAME /`*!l/'/ /`'!"/ ,�/lAW,Y+ �/"�' PROPERTY ADDRESS R DATE
LOCATION
SUBDIVISION NAME' Ofi NUMBER SEC./BLOCK NUMBER
'RESIDENTAL SPECIFICATION: BUILDING TYPE?!t f # DBEROO
!(S # BATHS # OCCUPANTS GARBAGE DISPOSAL.: Ye
XOMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEDPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIIE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 1 ,, NEW SITE REPAIR SITE L�
SYSTEM SPECIFICATIONS: TANK SIZE/L-"-/),I) GAL. PUMP TANK 6X. TRENCH WIDTH ��� ROCK DEPTH / UNEAA FT ,r: GZ
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR TFIE INTENK Cr. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
Yb
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-
7
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FIM. INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:N-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
�1
OPERATION PERMIT SYSTEM INSTALLED BY —2aZ4
i'
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.p
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a
AUTHORIZATION NO. OPERATION PERMIT BY DATE r
**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.-10/95 .•
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Davie County Health Department
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of
G.S. Chapter 130A, 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 for Building Permits.***
/yis/.C"�/ DATE %� c,� 9� AUTHORIZATIONNUMBER
TIME /'tPs LT/�- �'+ 2 0 �
NATE ON IMMPROVEMENT PERs�MI/T (If different than above)
SITE LOCATION.3f �J. ly),W
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**;NOTICE* THIS AUTHORIZATION FOR T R SYST CONSTRUCTION IS VALID FOR A PERIOD.OF FIVE (5) YEARS.
ENYIbMffAL HEALTH SPtCIALIST, ;:`DATE ;
DCHD '10/95'n*
Parcel #: G500000038 ' ' '
Davie County, NC - Basic Estate Search
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Parcel #: G500000038 Account #: 82520097
Owner Information Tax Codes
HITAKER LAURA HEIRS& %CALVIN G WHITAKER ADVLTAX - COUNTY T
351 FALLEN TREE DRIVE WEST FIREADVLTAX - FIRE TAX
ACKSONVILLE FL 32246
Building:
Property Information
Townshi
Land (Units/Type): 3.700 AC
Address: 2231 US HWY 158
MOCKSVILLE
48,1801
Market:
195,0101
Deed Information
Local Zoning
Date: 03/2002 Book: 2002E Page: 0115
Plat Book: Page:
Legal Description
PIN
86 AC HWY 158
5840208387
Property Values
Building:
142,3301
BXF:
4,5001
Land:
48,1801
Market:
195,0101
ssessed•
195 01
[Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00094 0739 11 1974 WD Unqualified Improved 0
L 2002E 0115 03 2002 WL Unqualified Improved 0
View Property Record for this Parcel View Map 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.aspx?prid=1466012 6/8/2016
4..` N-��.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND . CERTIFICATE OF COMPLETION
*NOTE: Issued in_Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Ri . �a .� Permit Number
Name F°%'�5T tv h : �4K t �,�cYs� il� Date N2 6437
Locatio(' 1 S2 '
Subdivision Name Lot No. Sec. or Block No.
Lot Size '` House— Mobile Home _ Business Speculation
No. Bedrooms No. Baths I No. in Family .2 -
Garbage Disposal YES ❑ NO p- R Specifications for System:
Auto Dish Washer YES [ NO "x 90Ck-
Auto Wash Ma shine YES [D., NO ❑
Type Water Supply Com,., L -
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This..permit is subject to revocation if site plans or the intended use change.
/ /61'Lcum .,
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i ao� gip,
9.
Improvements permit by
*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 day of -completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Instafled by Ra.44't��- -
00
too�
' Certificate of Completion Date
'The signing of this certificate shall indicate that the system describe above. has been 'Installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time. "�'
DAVIE COUNTY HEALTH DEPARTMENT // p" -✓/� "`'
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
�- r*,NOM Issued'in Compliance With Article I I of G.S. Chapter 130a
4 ; :Sanitary Sewage Systems �i �i i3 y Za ,� Permit -Number
Name Ax -?e 177 w t,: Z Date NO
6437
Subdivision Name Lot No. Sec. or Block No.
Lot Size "" House Mobile Home Business Speculation
No. Bedrooms No: Baths No. in Family J
Garbage Disposal YES ❑ NO g- n� Specifications for System:
Auto Dish Washer YES p�- NO ❑ am X 3x ��" ask
Auto Wash Ma.hine YES p�, NO
Type Water Supply ca -1, _
*This permit Void if sewage system described below is not installed within 5 years from date of issue. F
This, permit is subject to revocation if site plans or the intended use change.
7'.
S 1
ani A
Improvements permit by
*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 day of completion. Telephone Number 704-63475985.
Final Installation Diagram: System Installed by ri�n� Y1�'.Il�fz
I c S .
Dr �c .
Certificate of Completion G- Date r j
*The signing of this certificate shall indicate that the system describe above has been 'installed in compliance with
.the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
-: F