3394 Hwy 158 DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028 '
(336)753-6780/Fax#(336)753-1680
REPAIR OPERATION PERMIT
Account #: 990005939 Tax PINIEH#: F600000062
Billed To: Bruce Agne Subdivision Info:
Reference Name: REPAIR PERMIT LocationiAddress: 3394 US Hwy 158-27028
Proposed Facility: Residential Repair — 'Property.Size: 0.56 Ac
ATC Number: 5974
**NOTE**The issuance of this Operation Permit shall indicate the system described.on the ATC 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.
System Type: S.T.Manufacturer Tank Date / Tank Size ./
Pump Tank Size / Bedrooms Z C V
System Installed By �(;� �1�/1f' , �(� Q�Inspector#: Date: e W42�wlZ
GPS Coordinate:
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Environmental Health Specialist: Date:_� 2T(D)W1x"
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DCHD 11/06(Revised) n ,(
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DAVIE COUNTY ENVIRONMENTAL HEALTH
i P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account ##: 990005939 - Tax PIN/)=H#: F600000062
Billed To: Bruce Agne Subdivision Info:
Reference Name: REPAIR PERMIT Location/Address:' 3394 US Hwy 158-27028
Proposed Facility: Residential Repair PropA �?
SEVARepair ❑Expansion
AT*�� e*Thig horization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental
Iealth-S"eclion prior to.issuance of any building perniit(s),(in compliance with Article 11 of G.S.Chapter 130A
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Specifications: #Bedrooms Z #Bathrooms #People Basement Basement plumbing
Non-Residential Specifications: Facility Type # People #Seats
Square Footage(or Dimensions of Facility)
Lot Size .rJ �Cr Type of Water Supply: ❑County/City &Well ❑Community Well
System Specifications: Design Wastewater Flow(GPD)IL Tank Siz jYAL.Pump Tank GAL.
Trench Width _ Max. Trench Depth- Rock Depth Linear Ft. 20(�'
Site Modifications/Conditions/Other: �P �6 K
Contact the Davie County Environmental HeAlth Section for final inspection of this system between
8:30—9:30a.m.on the day of installation. Telephone#(336)751-8760.
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Environmental Health Specialist 0,0Date: /Z
DCHD 11/06 (Revised)
Parcel#: F600000062 Page 1 of 1
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Parcel#: F600000062 Account#:82525834
Owner Information Tax Codes
L93
E BRUCE E
ADVLTAX-COUNTY T
4 US HIGHWAY 158 FIREADVLTAX-FIRE TAX
CKSVILLE NC 27028
Property Information Township
nd(Units/Type): 0.570 AC FARMINGTON
[Address: 3394 US HWY 158
Deed Information Local Zoning
ate: 02/2006 Book: 00648 Page: 0383
Plat Book: Page:
Legal Description PIN
1 LOT HWY 158 5850580887
Property Values
Building: 74,63C
BXF• 1,57C
Land: 16,63C
Market: 92,83C
ssessed• 92,83C
Deferred: 01
Sales Information
No. Book Page Month Year Instrument Quai/UnQual Improved Price
00631 0884 30 2005 WD Unqualified Improved 38,000
2003E 0180 07 2003 WL Unqualified Improved 0
00648 0383 02 2006 WD Qualified Improved 90,000
View Prooertv Record for this Parcel View Mar)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=1471524 6/9/2016