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5032 Hwy 601N12/10/2014 13:31 3364925948 WM R DAVIE PAGE 01/02 Davie County Health Department EnvirowuenW Health Section P.Q. Box 84$ ' f 210 Hospital Strut � t lir ` Laurier # : 0940-06 . - _ Modsv&j NC 27028 . Ply 00 - 753 - Vso meg, Ewa) -'748-100 ON -SM WASTWATM CERTMCATION (Check (due) Replacemat emad e Remnection N Phones unb c -- 116 .,VL9._ 41 (c=c) AMbe tgAd400:$3,L �� } �� r. 1 t WAS' NC TIM Aa : d :6690) q j#11.ai DOOM Directions 9Co Situ _ 1" d ��of � ` !� P 4 _'1� Property A Please FM In TUe Folloft I,alorme#ion About The MOT`INGFaciif , Name &ystim In d Uxtck: Lek l k l�`�� �h9f? (1" ` T,, a Of Facnity. � 00 _ pato Sy*z bs agod Wn&baWY*w): � f Nmnber Of Beftom ; � Namber Of PeoPle:—Yr Is Thq Facility Cn►reutk� Va,caat7 Xe$ � If Yeo, For How Xrong? Any &ovm Probl=7 Ye$ o If YGg, ,l vials: Please HI In The.Vullawpg Information Almut TheNVT3WFarility: Type O:fFacilit r 6 f � ml � t L)Q_ ,,tt ,, Nmmbgr Qf Bedznama: NumerfboPeople Pool Sian: �3arage six,; !"/ ' Other. xoqt:ftftaxy: D» tea: )-62/1 F" EnvixvwneaW health Office Use OxL#' Appzoeed ' isappraved Enwrommtal KW sr a Gj', % ��/� �// oats: - /-2- -,3Q —1!24 wg=g oft q farm by the RnvironmeaW Realth Staff is in rto way intender/, nor should be mkeft as a gagxaMO (extetltded or ]intitsd) that the on-site wastewater *SUM will fwtdion properly fbr any giver► period Of time. I V i Pagmmt Cash ' Check Money Order # A.mount;$ Dace: - Peid Dy: eceived By: ACC Ougt 9 i 'd 9SS�'ON H11d3H 1VINIVRO TANG in MU i +,1 117 'At �on 12/10/2014 13:31 3364925948 WM R DAVIE FN 1 cv� ?qo Zfl luy v, c4l"4 d' N°<e- 93 a PAGE 02/02 W x,.911, � Nc.- Its �0( ,,�� Parcel #: B30000003404 Davie County, NC Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search 4' View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: B30000003404 Account #:82519422 Owner Information Tax Codes ADVLTAX -COUNTY T OBLE GREGORY& COBLE KRISTY 5032 US HIGHWAY 601 NORTH FIREADVLTAX - FIRE TAX MOCKSVILLE NC 27028 16,93 arket: Property Information Township nd (Units/Type): 0.920 AC Edress: CLARKSVILLE 5032 N US HWY 601 Deed Information Local Zoning Date: 08/2002 Book: 00435 Page: 0639 Plat Book: Page: Le al Description PIN 10.915 AC HWY 601 5823064455 Property Values Buildin 78,76 BXF: 80 nd: 16,93 arket: 96,49CCCC sessed• 96 49 eferred: Sales Information No. Book Page Month Year Instrument Quai/UnQual Improved Price 00435 0639 08 2002 WD Qualified Improved 93,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information 1< Return to Basic Search Page 1 of 1 r Nbj� 000rjo--,� 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/itsnet/View.aspx?prid=1480160 8/9/2016 0 - HEALTH DEPARTMENT RELEASE �1 Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028' Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Gregory Coble Address: 5032 US Hwy 601 N City: Mocksville State2ip: NC 27028 Phone #: (336) 463-4483 For Office Use Onix ;CDP File Number 187243.1 County ID Number. Evaluated For: HDR/V1/WC PERMIT VAUD 1 a/ 3 0 a 0 1 9 11KIT11- Property Owner: Gregory Coble Address: 5032 US Hwy 601 N City: Mocksville State0p: NC 27028 `11p" one #: (336) 463-4483 Property Location & Site Information Address 5032 US Hwy 601 N Subdivision: Road# Mocksville NC 27028 SINGLE FAMILY Township: 'Structure: Directions # of Bedrooms: 3 # of People: Hwy 601 N Phase: Lot 'Water Supply: N/A Basement: F -I Yes ❑ No Type of Business: Total sq. Footage: No. Of Employees: 'Proposed improvement: Sunroom additin 16x20 Maintain 5 foot setback to any portion of the septic system This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? QYes ONo Applicant/Legal Reps. Signature: "Date: *Issued By: 2140 -Nations, Authorized State Agent:_ 'Date of Issue: 1 a/ 3 0/ 2 0 1 4 **Site Plan/Drawing attached.** @ Hand Drawing Olmport Drawing