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1703 Hwy 601S— ' _ .q4F � . _— - =Wxa� i �l w �.�.t- tt .+,.a �tt���.+,�, i+y .xi•w.a i �v.a 3 4., _.'.Y c ' a c —'.r Y�, ti n t s . . ,. .� . ,.�. .. 1��-� °�` , °• �� � AUTHORIZATION_NO: � � � � DAVIE COUNTY HEALTH DEPARTMENT, • � - � .R;' . . . ,_ .. ._ :. . Environmental Health Section �• PROPERTY INFORMATION , �:,�: , , Permrttee s � �,,, , ' P.O. Box.84& � , Name: ��""��1�E: "�,�it'/�iS Mocksville, NC 27028 Subdivision Name: - , ti ' ; ,` . Phone #: 704-634-8760 ` ' Directions to property: ��,�— > Section: M Lot: AUTHORIZATION FOR ,/ `� . �, ,, .,; {, t WASTEWATER �` V �l .'� r/ :, � r,.t !-� Tax Office PIN:# - - -�. � SYSTEM CONSTRUCTION ,� ��'' : Road Name: !r� ��.�. Zip: r d.��.. :� NOTE** This Authorization for Wastewafer System Construction MUST BE ISSUED by the Davie Counry Environmental Health Section prior ,. <,, to issuance of any Building Pernuts: This Form/Authorization Num6er should be presented fo the Davie County Building Inspections � Office when applying for Building Peinvts. ' ' ' � (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems,"Section .1900 Sewage Treatment and Disposal Systems) . �`` : . ,. . , , � , . , , _ , , , , "`' � , ; � '' ��_ �" ***NOTICE**�'"1'HIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION , A x � � ,� ; � / '. . . . IS VALID FOR A PERIOD OF FIVE YEARS. .' ' � , �� ; ENVIRONMENTAL HEALTH SPE LIST ` DATE ISSUED ' �: „ � � � ,.,.. ... . � � � � �. _ . �. r.*:...�- . s sr. 4✓ r' i 2 V _ .�. �-�...• DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Name6--- Subdivision Name: Dlrecflons to property: C42 Section: Lot: err ' E%IPROVENENT PERMIT Tax Office PIN:# - _ f «— T r'; �, RoadName: 6, 49 Zip: r 4 A? wNOTE" 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE , PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL•SPECIFICATION:_BUILDING TYPE # BEDROOMS # BATHS -� # OCCUPANTS GARBAGE DISPOSAL: Yes oiNo COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:• Yes 3or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE t/ SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH -S ROCK DEPTH LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: **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 OFr7LLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT y SYSTEM -I LED B BSE' t bT C.a►�tPc..t 7t� DIAL ,G t� 1 Az -A T AUTHORIZATION NO. ' �' OPERATION PERMIT BY: DATE: K r **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT SYSTEM DESC E 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. DCHD 05/96 (Revised) H DEPARTMENT 1288 DAVIE COUNTY HEALT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION �Name:, ztivl" Directions to property: 49, IMPROVEMENT PERMIT Subdivision Name: Section: Lot: Tax Office PIN:# . / /> i — Road Name: 6- 1 I ---° * — Zip: - -,% / NOTE" This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An V 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. (Incompliance 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 THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST. DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. yi RESIDENTIAL SPECIFICATION: BUILDING TYPE _A #BEDROOMS #BATHS 1:2 # OCCUPANTS GARBAGE DISPOSAL: Yes or. No COMMERCIAL SPECIFICATION: FACILITYTYPE#PEOPLE- #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE, Yes "or No LOT SIZE TYPE WATER SUPPLYi DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK 2GAL. TRENCH WIDTH 3 C ROCK DEPTH LINEAR Fr. **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 0�77LLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM -IN LED B ti LL DIAL SV C Lc^400r 51 AUTHORIZATION NO. OPERATION PERMIT BY: i DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESC B ROVE 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. E�CHD 05/96 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT NAME /I91'S PHONE NUMBER ADDRESS i� �l Z -.weir ���,,/ SUBDIVISION NAME DIRECTION SITE x,-yy/cJry.5cj r OSS K/I(- DATE SYSTEM INSTALLE NAME SYSTEM INSTALLED UNDER SPECIFY PROBLEMS OCCURRING DATE REQU NFORMATION TAKEN BY Parcel #: K510OA0030 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: K510OA0030 Account #:39819500 Land: Owner Information Tax Codes 65 91 ssessed: AMES STEVEN G& JAMES SHARON T ADVLTAX - COUNTY TA 169 TURRENTINE CHURCH ROAD FIREADVLTAX -FIRE TAX MOCKSVILLE NC 27028 Property Information Township nd (Units/Type): 0.790 AC JERUSALEM ddress: 1703 S US HWY 601 WY Deed Information Local Zoning Date: 06/2013 Book: 00929 Page: 0897 Plat Book: 0007 Page: 025 Legal Description PIN LOT 1 DIN KS WAY 5747111377 Property Values Buildin 5106 0011 BF: 8 Land: 14,77 Market: 65 91 ssessed: 65,91 Deferred• Sales Information do. Book Page Month Year Instrument Qual/UnQual Improved Price 00188 0476 07 1996 AD Unqualified Improved 0 00929 0897 06 2013 QC Unqualified Improved 0 M Page 1 of 1 'o7ZP t c+0 U R� Davie County Web Site View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search 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/itsnetIView.aspx?prid=1164904 8/2/2016