1930 Hwy 601SDAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
'- (rround Absorption Sewage Disposal System - G.S. Chapter 130 -Article 13C)
OWNER OR CONTRACTOR r :, r. ; �. �. DATE Cr J i PERMIT 1
J LOCATION _cU/.S ��2�; c \ i i �.ti, f.• t1 t, . N� 1452
y / S.R. NO.
L SUBDIVISION NAME 1730 t45 /t G [/0 LOT NO. SECTION OR BLOCK NO.
HOUSE, ❑ . MOBILE HOME BUSINESS ❑
NO. BEDROOMS N0. BATHROOMS House Trailer 800 Gal. 400 Sq. Ft.
Two Bedroom House. 800 Gala 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ - NO ❑ Four Bedroom House1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE YES ❑ NO ❑
SIZE OF TANK qcO ' gal.
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual ❑ Public ❑ -
IMPROVEMENTS PERMIT BY. INSTALLED BY
CERTIFICATE OF COMPLETION By a Date 7-7-77
(8/16/73) *Construction must comply with all other applicable State and local regulations
LOT AREA
17
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r DAV LE COUNTY `HEALTH' DEPARTMENT '"
P. 0. BOX 57
MOCKSVILLE, N. C. 27028
(704) 634-5985
Statement for'Sepiic.Tank Improvement Permits
and/or Site Evaluations
NAME. , �.,�, DATE -ISSUED 6 -•!3.77 7,'
�. ADDRESS a -V(, T _ .:... PERMIT N0. oZ _
Explanation of charge
AMOUNT DUI✓''; /J. C j SANITARIAN
PLEASE REMIT THE ABOVE �j,IOUNT.ON RECEIPT OF THIS STATEMENT.
Phone: (336) - 753 - 6780 .
Davie County Health D
Environmental Health
P.O. Box .848
210 Hospital Street
Courier # : 09-40-06
Mocksville, NC 27028
E C U E
tment
tion 3 1 2009 d.
EIdVIRONMENT&L HEALTH a
DAVIE COUNTY
Far: (336) - 753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
.S`� ` t�'r �% (Home)
Name: f') Phone Number )
Mailing Address: S3 rYG " t 6,-( sc�V 01 (Work)
Detailed Directions To Site: Golf- oPAT Wh'JelW- _,44m .t 6, l ub4s.. r/ ue-4 l /%`%)
/11 /� !�.P►'KtV oF'biN. /O q dowb - m w n'i t/1tSli Q 4. t'e,. me VS 4.
Property Address: 1q.30 60 1Q1 -/,0c 4c uc 2-7_,� v" y
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: ? �j� �a/1�G Z Type Of Facility:
Date System Installed (Month/Date/Year): 1 1 % 7(= Number Of Bedrooms: 3 Number Of People:_
Is The Facility Currently Vacant?�Yes,� No If Yes, For How Long? / %�`'"�
,Any Known Problems? Yes If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: 70 Number Of Bedrooms: Number of People
Requested By:� ' ' . .� Date Requested:
(i atuie)
/'' For Environmental Health Office Use Only
Approved V Disapproved
Comments: Aa l.'? /01 7v� S� / �J f"
Environmental Health Specialist Date: 7"`
*The signing of this form by the Environm h Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site N ftater SAM- will �nctio erly for any given period of time.
Payment: Cash VCheck Money Order # Amount:$ Date: / '7j — /d
Paid By: o, �R�b�:�,
Account #: _ 7IF r7 / 1P
Parcel #: L5010B0007
Davie County, NC - Basic Estate Search
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Parcel #: L5010B0007
Account #:82531600
Owner Information
Building:
Tax Codes
BXF:
EHLERS MELISSA A
Land:
ADVLTAX - COUNTY T
Market:
1930 HWY 601 SOUTH
ssessed:
FIREADVLTAX - FIRE TAX
Deferred:
MOCKSVILLE NC 27028
2
00101 0883
Property Information
1977 WD
Township
Land (Units/Type): 0.620 AC
0
JERUSALEM
ddress: 1930 S US HWY 601
09
2005 WD
Deed Information
Vacant
Local Zoning
Pate: 03/2010 Book: 00820 Page: 0419
00820 0419
03
Plat Book: 0001 Page: 005
Unqualified
Improved
Le al Description
PIN
LOTS 43-46 + 66-69
5746087341
Property Values
Building:
80,9201
BXF:
Cl
Land:
1d25
Market:
9
ssessed:
9
Deferred:
0
Sales Information
No.
Book Page
Month Year Instrument
Qual/UnQual
Improved
Price
1
00057 0060
07
1985 DC
Unqualified
Vacant
0
2
00101 0883
06
1977 WD
Unqualified
Improved
0
3
00625 1029
09
2005 WD
Unqualified
Vacant
0
4
00820 0419
03
2010 WD
Unqualified
Improved
0
View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information
Page 1 of 1
r,:
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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/itsneWiew.aspx?prid=1457932 7/19/2016