2573 Hwy 158ry'.wE',e 'g. Wi+Rd'�'��`a..?lfssr.'4"• W".(r'.-a3.. "e'+{# +:''4'Yi�v..W+•Yi1..+ti •+T"..�.�.`�'r;.^W'.}� tr'r a,.r�ri-rn., >t.r�"JV� +_i _. ,. +'+�i a'`co y-� ".:m=4 a.•,ti rv•.r A.s
AUTHORIZATION NO: 18.9 ` 04 DAVIE COUNTY HEALTH DEPARTMENT U
•PROPERTY I1tFFQ IM
Environmental Health Section
Permittee ti �P.O. Box 848
Name: c--±�� eLo? �4LI1'.-' Mocksville, NC 27028 Subdivision Name:
/ Phone # 336-75178760
Directions to property: Section: Lot:
AUTHORIZATION FOR
`-SUS1 , x, �o 0--0,5.5.0 1'-$ WASTEWATER
i `'�SYSTEM CONSTRUCTION Tax Office PIN:# - -
y Road Name: + W 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 Fonni/Authorization Number should be presented to the Davie County Building Inspections
Office when a lying fo Building Permits.
Gln -compliance w__ -A�ttc e of .S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE***. THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
IR N SPEr IA IST; DAT ISSUED
DCHD 05/96 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION- 6, � 5-1 d
o APPLICATION FOR IMPROVEMENT PER (REPAIR) J �
NAIVE 5�- l_ Pt}IL_ -1 F'J � �� HON NUMBER
ADDRESS ��� � t/cJ t -t 1�� 9 0 rnoL"UBDIVISION NAME
Q r'- n O,� LOT #
DIRECTIONS TO SITE 2� 9 ODJS � J `� _AS , Y �,,t 4
DATE SYSTEM INSTALLED 50 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY &OSI& NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY (', - L- SPECIFY PROBLEM OCCURRING_ _ !QAC,P f-) JP,
DATE REQUESTED �� b' 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
KO,
I
Rs I �Nh
a-. .1r::^- 3 'w _�r! to-��'`4 cr•� t .., �..•.r _ _ f �;" r : '"i j -s _ _. _- s. -. �r..:. �. n��,('.
42
Pemuttee�s-�: DAVIE COUNTY HEALTH DEPARTMENT
Narfle:" 1 �,(� 11 t L t Environmental Health Section PROPERTY INF
RMATION
�C1 P.O. Box 848 ��d 0\
Directions to propeit Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
r J Ik% i
AUTHORIZATION NO: 2 +' q 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 xw dYAriicle I Vof C tapter.130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
AAE
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
om` K I?IS VALID FOR A PERIOD OF FIVE YEARS.NVIRO�TA� TH SPE�I I SUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE qd()EllROOMS # BATHS_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
C
LOT SIZE C)' `� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ` �G ROCK DEPTH 17— LINEAR FT.
OTHER '.-? 1
REQUIRED SITE MODIFICATIONS/CONDITIONS: (� �� '1 �'� `
IMPROVEMENT PERMIT LAYOUT
190'�.,
t
�jr~j x3
£�
SCk--tb �I�u
**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:A`."c/ 7^
DCHD 01/02. (Revised) : .
R
NAME
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION c -q -s{ i >_ - ? 2-
33 `
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
-. / / / / -L
PHONE NUMBER 9 Y o - -,57'% u 8'
ADDRESSy�-�% 3 LL -S � / S—d - � SUBDIVISION NAME
f Yy C,`G's',I l / � �--J C_ • LOT #
DIRECTIONS TO SI'
DATE SYSTEM INSTALLED ? S NAME SYSTEM INSTALLED UNDER �-
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPP L- ( SPECIFY PROBLEM OCCURRING r�-p-�clk---------------
DATE REQUESTED �� �-3 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
Flev. 1/93
Parcel #: G500000054
Davie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search iG
View Property Record for this Parcel View Mar) for this Parcel View Tax Bill Information
Parcel #: G500000054 Account #:82521270
Owner Information
Building:
Tax Codes
BXF:
PHILLIPS TONY L &PHILLIPS SHELLEY
Land:
ADVLTAX -COUNTY T
Market:
301 WATERBRIDGE CT
FIREADVI-TAX - FIRE TAX
Deferred:
IBSONVILLE NC 27249
Property Information
Township
Land (Units/Type): 1.680 AC
MOCKSVILLE
Address: 2573 US HWY 158
Deed Information
Local tonin
ate: 08/2003 Book: 00502 Page: 0530
Plat Book: 0002 Page: 029
Legal Description
PIN
LOTS 15-18 + 109-110 CORNATZER
5840547045
Property Values
Building:
79,54
BXF:
14,1701
Land:
Market:
1ssessed:
1d42
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00502 0530 08 2003 WD Unqualified Improved 72,00Q
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=1460853 6/8/2016