3244 Hwy 158 t�tiY. xr M.^,- ti — } i.♦ _, ._. f wJa i ri!..W M a 4.ti5 s
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AUTHOIt1ZP,TION NO:. °� $ '� . DAVIE JOUNTY
HEALTH DEPARTMENT Imo
Environmental:Health Section PROPERTY INFORMATION
Permittee's P.O.Box 848
Name. Cdedo 0 e Mocksville;NC 27028 Subdivision Name:
Phone# 336-751-8760
Directions to property: �� Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax OfficePlN:# -
SYSTEM CONSTRUCTION
- oafRoad Name: /�g. Zip: CR
**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 Fom-/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.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..
ENVIRONMENTAL HEALTH SPECIALIST: DA E ISSUED
#®'�`^.}. t":�r•'"'"�b `� f �• ;;.,,, ,;i.c ji 'r;4« .�St'�T:a,• ,.iti`'t-+ '�; yr ..'r ,.+�..: - a, o s,.Y 1c .p J
- DAVIE. GOUNTY HEALTH DEPARTMENT y' 30
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Name �K �f1ft �
o .Subdivision Name
Directions tU pr„gperty Section: Lot:
IMPROVEMENT
N PERMIT- Tax Office//PIN:# - c,
ti` a Roadd Nam P
: 15g Zi �3
**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 permit.
1
(In compliance with Article 11 of G.S Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
--»> ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH PEC 1ST DTE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE f #BEDROOMS�#BATHS�#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFI' #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE' TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITET REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL."TRENCH WIDTH,, ROCK DEPTH 1V LINEAR FT. �S"D
OTHER_
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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
�
SYSB `�Wu�T Gr�l T41CS�
9 T�MINSTA , Y•
M I �iy1�aS
AUTHORIZATION NO. IR?,7 OPERATION PERMIT BY:
'*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT,THE SYSTEM DESCRIBE A VE HAS,BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NOWAY BE TAKEN ASA
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
--n„-r+e.`�„�,i� ..r.,� .,.� r c.,.:..^l'1'^�, ,+'.7i. -b.�,.1J"'�F ... C+ ",• -Y., + •-Sy • i,.. . . 9'` °F:;v'°.' .
DAVIE OUNTY HEALTH DEPARTMENT Zta
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
?Permtttee s„ —
Name:'. �.1 AC � r7Gt Subdivision Name:
Directions tD property: <. ' ' r Section: Lot:
IMPROVEMENT
w PERMIT Tax Office PIN:# - -
¢ 5g zip:
oad Name:
a **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 permit.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) .
p
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER :
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS_CM2__#BATHS_�#OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDT� ROCK DEPTH AV LINEAR FT.ACL
OTHER V /
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
N_
1 �
r-
"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 '
SYST
r
L11
=�
i
� N
AUTHORIZATION NO. 111�_�OPERATION PERMIT BY: )
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBE A VE 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 05/96(Revised)
` DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAMEEw` 20G�/l PHONE NUMBER
ADDRESS � � �w/� /tel` SUBDIVISION NAME
lh
!}Cr�/! /P
/ , A4LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED 7 NAME SYSTEM INSTALLED UNDER
TYPE FACILITY /NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY ( SPECIFY PROBLEM OCCURRING
DATE REQUESTED l 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
r7 -Q
`rt1,�
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View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel#: F600000075 Account#:7511000
Owner Information Tax Codes
B
OGER
LI
GER ANN H&BOGER]ACK H ADVLTAX-COUYNTY T
DUN ROAD READVLTAX-FIRE TAXOCKSVILLE NC 27028
Property Information Township
Land(Units/Type): 0.620 AC FARMINGTON
Address: 3244 US HWY 158
Deed Information Local tonin
Date: 05/2008 Book: 00757 Page: 0810
Plat Book: 0009 Page: 338
Legal Description PIN
768AC TRACT 1 BOGER S DLIFE ESTATE 5850376603
Property Values
Building: 38,7701
BXF• 01
Land: d565
Market:
ssessed:
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00141 0556 01 1988 WD Unqualified Improved 0
00757 0810 05 2008 WD Unqualified Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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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=1473506 6/9/2016