1691 Hwy 601S**NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewate
system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTIOIN must be obtained from this Department prior to the
construction/installation 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)
NAME 14A V C PROPERTY ADDRESS G�D�� .+�(0/ I — o�I < d� DATE
LOCATION .�'�GPYCQ i�
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER -•.--
RESIDENTAL SPECIFICATION: BUILDING TYPE —=�'-� # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL:R Yes
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZETYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEN SITE REPAIR SITE f�
SYSTEM SPECIFICATIONS: TANK SIZE S GAL. PUMP TANK GAL.. TRENCH WIDTH �, ROCK DEPTH. LINEAR FT. �.
caY'/
;a OTHER
REQUIRED SITE.MODIFICATIONS/CONDITIONS:
**}THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE JHIS PERMIT BEFORE INSTALLING THE SYSTEM.
- y y
1
4
r/ y
IMPROVEMENT PERMIT BY
**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.
OPERATION PERMIT SYSTEM INSTALLED BY
i
� �{ ��pr4Xayry
f
AUTHORIZATION NO. OPERATION PERMIT BY /N DATE L
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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 .THATJHE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD"10/95
f
,�
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN T
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 17041 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
i
AUTHORIZATION NO. �° OPERATION PERMIT BY DATE ✓��
F
**THE ISSUANCE OF THIS.,OPERATION.PERMIT:SHALL INDICATE THAT THE SYSTEM DESCRII ABOVE HAS BEEN INSTALLED IN COMPLIANCE'WITH
ARTICLE. it OF G.S. CHAPTER 130A,--SECTION_1 * ".SEWAGE -;TREATMENT, AND DI SYSTEMS', BUT SHALL IN_NO-WAY BE TAKEN AS A
GUARANTEE -THAT ,THE SYSTEM. WILL FUNCTION SATISFACTORILY FOR ANY GIVEN'PERI "OF TIME.
DCHD 10/95.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
-IMPROVEMENT 'PERMIT
'**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/installation '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)
NAME al, ,u GT PROPERTY ADDRESS ! V �r� .!1'(p/ I ' o�
/ U� � DATE -
.'LOCATION iC'g
SUBDIVISION -NAME LOT NUMBER
SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING. TYPE ✓h p # BEDROOMS {' # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes/l�o^�
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT
# SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)
NEW SITE REPAIR SITE'f�
SYSTEM SPECIFICATIONS: TANK SIZE ZL& GAL. PUMP TANK GAL., TRENCH WIDTH s. � "
ROCK DEPTH LINEAR Ft
C2y, ,/
y
OTHER {
REQUIRED SITE MODIFICATIONS/CONDITIONS:
f
,�
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN T
8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS 17041 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
i
AUTHORIZATION NO. �° OPERATION PERMIT BY DATE ✓��
F
**THE ISSUANCE OF THIS.,OPERATION.PERMIT:SHALL INDICATE THAT THE SYSTEM DESCRII ABOVE HAS BEEN INSTALLED IN COMPLIANCE'WITH
ARTICLE. it OF G.S. CHAPTER 130A,--SECTION_1 * ".SEWAGE -;TREATMENT, AND DI SYSTEMS', BUT SHALL IN_NO-WAY BE TAKEN AS A
GUARANTEE -THAT ,THE SYSTEM. WILL FUNCTION SATISFACTORILY FOR ANY GIVEN'PERI "OF TIME.
DCHD 10/95.
►�ko
• "� Davie County Health Department
<` ENVIRONMENTAL HEALTH SECTION
P.O. Box665
Mocksville, N.C. 27028
AUTHORIZATION FOR WASTEYRTER SYSTEM CONSTRUCTION
(Issued in compliance with Article 11 of �»
- G.S. Chapter 130A, Wastewater Syste®s)
***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 Nusber.should be presented to the Davie County Building Inspections
.office when applying`,for Building Permits.***
Z40AUTHORI NUMBER
NAME ni DATE 2 ?
NAME ON IMPROVEMENT PERMIT (If different than above)
SITE LOCATION! J
COM ENTS/CONDITIM ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
NAM
ADD
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
DIRECTIONS TO SITE.%
ONE NUMBER G.? v-.::, ?, ? P
BDIVISION NAME
lti LOT #_
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY gxare NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY (_v SPECIFY PROBLEM OCCURRING
DATE REQUESTEINFORMATION TAKEN BY
This Is to certify that the Information provided is correct to the best of my knowledge, and th4 I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT,
Rev. 1193
Parcel #: K510OA0029
Davie County, NC - Basic Estate Search
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Parcel #: K510OA0029
Account #: 12038500
Owner Information
Building:
Tax Codes
BXF•
BYRNE ROBERT L& BYRNE ANNETTE J
Land:
ADVLTAX - COUNTY
Market:
1691 US HIGHWAY 601 SOUTH
ssessed:
FIREADVLTAX - FIRE TAX
TT
eferred•
MOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 4.180 AC
JERUSALEM
ddress: 1691 S US HWY 601
Deed Information
Local Zoning
ate: 12/2002 Book: 00451 Page: 0996
Plat Book: Page:
Legal Description
PIN
K. 179 AC HWY 601
5747115375
Property Values
Building:
12180
BXF•
77,06
Land:
109,25
Market:
308 11
ssessed:
308 11
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00165 0667 10 1992 WD Unqualified Vacant 30,000
2 00451 0996 12 2002 WD Unqualified Improved 2,500
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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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=763898 7/14/2016