4453 Hwy 601N"MF .��` � �s=a+. a ..�.•a 1 — "y�.. L j'r'"i �1 1 S, �y � ' ..s -� . .�-... t �.. ,4 !tw �� (/A.. 'j'.a.�.
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AUTHORtzA7'�oN No: '� �j, � �. �.� DAVIE C!OUNTY HEALTH DEPARTMENT �" "� "�`� `�� _'��,�'..�;���y�,�,' ���
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";v r, ;�, `�^* , � ' � ,�Environmental Healtli Section ' ��. �1�1� �?���.4��
: ; , ,.��
Perm�ttee s �.\ P.O. Box �48 � ������ �,,';*�`�k � '
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Name '� Id���� : ��� Mocksvi11e, NC 27028 '� Subdivis�o � • �. � .�.�` ,
` '= ,' . _ Phone # 336 751-8760 , `��� �� �'� � v,�t
Directions to�property: ( fal� 1 ' � , �- Section: . '''�-��. ��..o� �, �
' , - : AUTHORIZATION FOR , �,, ' k 4�+� � � ,� �y:`:
.'��5,''. t��r.S . l..C:.F 1 .JiJ�i �"�L'L- SYSTEM CO STRUGTION � Tax '� ' $�' Fi�1�' . a
.;�;.�. ��•: . ��:;�---��a
�:�t�TC.�-�' �+.►a:J't�.. E',�Lt_i'�. . Road Name:�s'�,� ����ip: ��0�.
,
. ,. _ _ . . , , ; �„_
**NOTE** This;Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
� !, ; t� issuance of any Building Permifs. This Form/Authorization Number should be presented to the Davie County Building Inspections �
� � Office when applying,for Building Permits: ., . �. ` :
(In compliance�!ith Article 11 f G.S. Chapter 130A; Wastewatec,Systems Section .1900 Sewage Treatment and Disposal Systems)
/ ;,
'` �***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CO STRUCTION
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��'�� "�� ��, ��,��, ) . ; " " . � �� � � �
p ;:._ ' • ; ` IS VALm FOR A PERIOD.OF;FIVE Y,EARS.: : ; ' '; .
EN R EALTH PECI iS DAT 7SS ED `
, �.
5..
' DAVIE OUNTY HEALTH DEPARTMEN '
IMPROEMENT' AND OPERATION PERMITS v 0
x�. 1'up
Subdivisio
,. Dliections to property: -+ i f•' Section:
IMPROVEMENT
L!': fµ PERMIT Tax
.,, W t T - r
i its r,' >. : "R c it Road Name:( f` �; d ;'Zip
**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
t
construction/installation of a system or the issuance of a building permit.,
an 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 TIS INTENDED USE CHANGE. YOUR WASTEWATER
w ENVIRONMENTAL t LTH SPECI LIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE TRIS PERMIT BEFORE
.., . INSTALLING THIN SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS ,' GARBAGE DISPOSAL: Yes or o
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No .
LOT SIZE C TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE - REPAIR SITE
SYSTEM SPkCIFICATIONS: TANK SIZE ` GAL. PUMP TANK GAL.. TRENCH WIDTH ROCK DEPTH LINEAR FT. 2—CZ
OTHER
r $,
REQUIRED SITE MODIFICATIONS/CONDITIONS: lit—�-- G '"' C 2=rJTV 11 + " 1'� L(-1'� ��ti�j`j�=`M COT
Ar.A
IMPROVEMENT PERMIT LAYOUT J0�
Li
l
**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
�S SYSTEM INSTALLED BY: M r"�-�✓�
" .P-
I
I AUTHORIZATION NO.
THE ISSUANCE OF THIS
WITH ARTICLE I 1 OF G.S.
GUARANTEE THAT THE S
#' ��e
Ig '
OPERATION PERMIT BY: , DATE: 0 I
iN PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABO HAS BEEN INSTALLED IN C MPLIANCE
b0A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
[,L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
' ,DCHD 05/96 (Revised)
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
/WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME �sz. �c�'La-� PHONE NUMBER
ADDRESS �� ��JA • SUBDIVISION NAME
SUBDIVISION LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLEC
SPECIFY PROBLEMS OCC
7-�o All -W
DATE REQUESTED_ �r'�[� ��� INFORMATION TAKEN BY
cC5�-, /,�o
r
,9
Parcel #: C300000081
Davie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Parcel #: C300000081
Account #:71832000
Owner Information
Building:
Tax Codes
BXF•
ROUD WAYNE E& STROUD SHARON C
Land:
ADVLTAX - COUNTY T
Market:
[453US HIGHWAY 601 NORTH
Assessed:
FIREADVLTAX - FIRE TAXCKSVILLE
Deferred -
NC 27028
Property Information
Township
nd (Units/Type): 1.330 AC
CLARKSVILLE
ddress: 4453 N US HWY 601
Deed Information
Local tonin
ate: 09/1992 Book: 00165 Page: 0559
Plat Hook: Page:
Legal Description
PIN
1.26 AC HWY 601
5822192267
Property Values
Building:
192,1501
BXF•
01
Land:
20,04
Market:
212 19
Assessed:
212,19
Deferred -
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00165 0559 09 1992 WD Qualified Improved 120,000
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
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Page 1 of 1.
oA�r�
nOU l�'Al
� ,
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 witha,it 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=1483731 8/23/2016