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1921 Hwy 601N1 ... POLO AZA PTI <7, 5111 �ed ) r6 .pif- h n Perrruttee s ) , �_ f, ,.._ , DAVIE COUNTY HEALTH DEPARTMENT Name: * �`+� I II" t Environmental Health Section PROPERTY INFORMATION Directions P P'O: Box 848 ions to property: } �l'�� � ¢� 1Mock vflle�INC;2�70;8P 1d_E •'Subdivision Narhj, +. '`E /J Phone # 33 -751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - b AUTHORIZATION NO: 002598 A Road Name:Zp: 076' **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 app}ging for Building Permits. ( ompli ' Ee wjth Atticle l I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) )) r' / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONIC9ENTAL HEALT SPE6IALIST DATE IS UED v RESIDENTIAL SPECIFICATION: BUILDING TYPE VJrj1fZ# BEDROOMS # BATHS ;Z # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPPEE� # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 4 AM56TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) _--RPQ NEW SITE REPAIR SITE r, ,I SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH 3tv ROCK DEPTH LINEAR FT. OTHER 2 i71S7P 1bJr kj REQUIRED SITE MODIFICATIONS/CONDITIONS: 1 o'c'mu. b,) C) JT Qoa I 4X--:L--P F-2an, (,.)eu_ IMPROVEMENT PERMIT LAYOUT ` `L 1-J WAS4106 MKr�► �X kae JN `' 775' or ACC'-Cr0 loJs� 13V 10-1, 0 j M ►J- Loo FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT St4L.ZM� �r.UJ SYSTEM INSTALLED BY: a h9s of ,20 lu_ s FIr H T 17 Wtcv_ 4 'Srb i F4C) 0 se o w I E00 CAL.- -tea lc ozr AUTHORIZATION NO. _ OPERATION PERMIT BY: DATE: 7_1 /11% "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SVADISPOSAL SC ED ABO HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMESYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 07102 (Revised) �.)r"„r �— t �Q O ✓ �i ,. %� �% /,� t% � � � e o4r r POLO" nzt FT DAVIE COU TY%HEALTH DEPARTMENTT �, Qu n ;S ( n " x - "f : r r r NdI iff ''�' `�� iT ff"�; Environmental Health Section PROPERTY INFORMATION .,` P:O. Box 848 Directions, to property: I , �.�' � �� 1 l 1 Mocksville„NC 2,7028' r +'Subdivision Name , `l 7i -F�i.'*�-i...l^�i;`i,a 1,�;4t11rt .!t_1 Phone#:336-751-8760 ' f Section: Lot: AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# t'��{��PJ f1)t HORIZATION NO: 02 A Road Name: +tiZip: 0/79 ,. **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Per70 mits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In com i ' e w h•�Af—ele i 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) e w rf 1 ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. VIRONMENTACRHEALTA SPECIALIST DATE ISS TED RESIDENTIAL SPECIFICATION: BUILDING TYPE flOLt'# BEDROOMS _it-- # BATHS r'- # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPEE�y�,y�y # PEOPLE # PEOPLE/SHIFT - # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE Ll ACS PE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) . �3UQ NEW SITE REPAIR SITE _ SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ,ROCK DEPTH "¢' � / LINEAR FT. OTHER V iS7 El C-AJT 1 t> a �0 1 1 ' REQUIRED SITE MODIFICATIONS/CONDITIONS: lio"CTALL. brI Cy JTa A t - P .rX7 ln�Glt� IMPROVEMENT PERMIT LAYOUT L t !moi 1) 13, Ioo! `TI C I -J WA�il i WCtI sI,JV At_T 225' 2 S�o -4n� 0010 Sws, FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT J f-Ai,4i LIJC '76 F &614- q 5Tb GE14w+b�'2 -7 Alk- '�JnY` SYSTEM INSTALLED BY: t � Fi� —bos � - IC(—IT S l-'lt_. Z VA &r-3 AUTHORIZATION NO. OPERATION PERMIT BY: DATE: rr **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYS M ESC BED ABO HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT A DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. aHD 02/02 (Revised) % vZ O $ S lJ r -t l2. Fdt� �l ELJ PQ APT -I(9; LOX 7,77-9 2- � 1 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATI FOR I OV HENT PERMIT (REPAIR) VL F01,0 � I ����J NAME 1©L� ��1 ( 171 �(4 �F'HONE NUMBER a3 ADDRESS I _ I (0of r� SUBDIVISION NAME LOT # DIRECTIONS TO SITE f DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY �17�`-�U NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED TYPE WATER SUPPLY �'I�'�N� f SPECIFY PROBLEM OCCURRING DATE REQUESTED 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. 1193 Alit , p to �,. 0 7 .�• A - } AN son WA a P m } i t 4. �x T a e i mi a ,rvar±-,1� L tool'};,t .A+: e, �t 'y;. "aMe.4 , k.'� K 1 � i w• {3•d 1 y � •i4�� [Il1R1111 e rt Parcel #: H300000099 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Mab for this Parcel View Tax Bill Information Parcel #: H300000099 Account #:82529051 Owner Information uildin Tax Codes BXF• NBELT INVESTMENTS INC [ADKINVILLE, nd: ADVLTAX - COUNTY T arket: BOX 712 ssessed: FIREADVLTAX - FIRE TAX eferred • NC27055 Unqualified Improved Property Information Z Township Land (Units/Type): 3.630 AC 08 MOCKSVILLE ddress: 1921 N US HWY 601 Improved 0 Deed Information 00738 Local Zoning Date: 12/2007 Book: 00741 Page: 0085 2007 WD Unqualified Plat Book: Page: 0 t Le al Description 0085 PIN 67 AC HWY 601 Unqualified 5729675906 Property Values uildin 308,95 BXF• 59 06 nd: 163,35 arket: 531,36 ssessed: 531 36 eferred • 1997 WD Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00193 0031 02 1997 WD Unqualified Improved 25,000 Z 00434 0018 08 2002 WD Unqualified Improved 0 3 00738 0919 12 2007 WD Unqualified Improved 0 t 00741 0085 12 2007 WD Unqualified Improved 0 5 00324 0315 01 2000 WD Qualified Improved 130,000 View Property Record for this Parcel View Map for this Parcel View Tax BIII Information « Return to Basic Search Page 1 of 1 oNYt� no riot �� , 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/itsnettView.aspx?prid=1117492 8/23/2016