3341 Hwy 158� a;� t.v-.. k -rte a�..a-a.-= r � _, t-^:. r..s_T`r-:.,y--;,:..� : .:-.+r� r moi.,; i. �.. k,rti:V .rS" 4�.t} ;:.�kL� 'i _a v .+ , kr. �¢ r �:`<y.�r�r c Y .1� .-... ...:t.. . r. :.. r E-5. 7l•: ,.�_Y
AUTHORIZATION NO: IE COUNTY HEALTH DEPARTMENT .., �
'
Environmental Health Section PROPERTY INFORMATION
Permitfee's � �3"y �/S/S P.O. Box' 848
Name: - Mocksville;:NC 27028 Subdivision Name:
�,r "�✓l��hone # 336-751-8760
Directions to property: �t !�" /�,t ' Section: Lot:
AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION Tax Office PIN:# - -
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 with;Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f.
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
/' .J o r✓ IS VALID FOR A PERIOD OF FIVE YEARS.
r'J
ENVIRONMENTAL HEALTH 9ftCIALIST DATE ISSUED
-
r � 3 DAVIE COUNTY HEALTIR DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Perrilltt e's, ` � jw �".�- .�.,,�'`,�l" � ` I� �, • ,-
Name--, L� f.•''�%�fp f !i *—}— —._.,- _ Subdivision Name:
"
:Directions to property: 1 " . Section: Lot:
• f IlbIMOVEMENT
r , ; . , �+ PERMIT Tax Office PIN:# -
#33 1 /IWY I5" D2�
oad ame:
**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 d
constructionhnstallation of a system or the issuance of a building permit. .
(In compliance with Article l I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
y
***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 /7/ # BEDROOMS Z #
BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
� # PEOPLE # PEOPLE/SHIFT # 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 WIDTH ROCK DEPTH LINEAR
OTHER
REOUIRED SITE MODIFICATIONS/CONDITIONS:
*.*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.
XXXIIXXXXX
AUTHORIZATION NO. LUd OPERATION PERMIT BY: DATE:
r,� q.�!�.y., ice. {, `` �"-�'kt �'?�� r �y.a'�.'i"'.- _`z•�, y.-.t..•y + t+ ,.'Y� , ,�:...� � :i �+.s i, .. ..:tf ¢ ys > r .• ;. y:.:.: ♦ > � i.*q
\ I , r -'- d i. J'- ., '.p •" 4tY .. � S /[ ''"Y'Y.- Y 31 h' W� �r L� �. i
`I+-/1 DAVIE COUNTY HEALTH DEPARTMENT
f IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Penn ttee's r �%
Name: A f ,' f•' �' -- = �- Subdivision Name:
;-Directions to property: r Section: Lot:
IMPROVEMENT
r PERMIT Tax Office PIN:# - -
.33y1 //WV /6T 1-7 „-7 9'
Road Name: ZiP4 / U4-'-)
**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/mstallation 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)
is ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
a , PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE .
INSTALLING THE SYSTEM.
t
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ^: # BATHS # OCCUPANTS . GARBAGE DISPOSAL: Yes or No
t :
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY/ 1 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEGAL. PUMP TANK GAL. TRENCH WIDTH, ROCK DEPTH l LINEAR Fr., � r
OTHER
REQUIRED -SITE MODIFICATIONS/CONDITIONS:
w
"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) 6348760.
xxxaxxxxxx
(635) 151—Ellu
OPERATION PERMIT
AUTHORIZAyO. LS
"THE ISSUANCE OF THiS
WITH ARTICLE 11 OF G.S.
GUARANTEE THAT THE S
DCHD 05/96 (Revised)
SYSTEM INSTALLED B .
r
OPERAMON PERMIT DATE: e<
(N PERMIT SHALLICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
110A, SEC N,.1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY -BE TAKEN AS A
'-L FUNCTIOj1 SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
M
DAA COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT ERMIT (REPAIR)
s/
NAME xry � PHONE NUMBEF� �� r32,
ADDRESS �3Y1 �� %S �%` �� SUBDIVISION NAME I
tel_. IIIA flcV,
DIRECTIONS TO
_ LOT #,
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED '1 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
Parcel #: F600000025
Davie County, NC - Basic Estate Search
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Parcel #: F600000025 Account #:82531577
Owner Information
Buildin
Tax Codes
BXF•
OMA JOHNATHAN M& TOMA SASHI K
Land:
ADVLTAX - COUNTY TA
arket:
341 US HWY 158
ssessed•
FIREADVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
Unqualified
Vacant
Property Information
2
Township
Land (Units/Type): 0.600 AC
01
FARMINGTON
ddress: 3341 US HWY 158
Improved
55,000
Deed Information
00767
Local Zoning
Date: 03/2010 Book: 00821 Page: 0011
2008 TD
Unqualified
Plat Book: Page:
84,000
1
Legal Description
0817
PIN
1 LOT HWY 158
Unqualified
5850484731
Property Values
Buildin
52,68
BXF•
1,37
Land:
17,30
arket:
71,35
ssessed•
71,35
Deferred:
1980 WD
Sales Information
No.
Book
Page
Month
Year Instrument
Qual/UnQual
Improved
Price
I
OOOBY
0857
05
1980 WD
Unqualified
Vacant
0
2
00199
0718
01
1998 WD
Unqualified
Improved
55,000
3
00767
0233
08
2008 TD
Unqualified
Improved
84,000
1
00819
0817
03
2010 WD
Unqualified
Improved
68,500
5
00821
0011
03
2010 CA
Unqualified
Improved
0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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I—.V
w
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
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