2213 Hwy 601S� •..; _ . u..; 4 ,�xh : ��. -� .4,.' '%'. 5� ��.. � ,�3 ,<..'C'�17.• �� ":.r"�{ ` '�f..i: 'i'} y,r:•
1 �`'
�AUTHORIZATION NO:: �� ����'Ir DAVIE GOUNTY HEALTH DEPARTMENT ,
` - 'jEnvironmental Health Section PROPERTY INFORMATION
�Perth�tfee's l,� ' f f � ' . P.O. Box 848 ' :
�'Name,�` ��/J/i°r".�U� f/ � Mocksville, NC27028 Subd�v�sion Name:
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' ' ,.��/^ Phone # 336 751-8760.': ` ' `
,Directions to property:' ' � , LyJ , ' ' Section: ' ' Lot:
�� � � . �.. ���. � , �
'. , ,, ,,�� � . ...: ' �� �: r � . ; . � . ... . .. �.,
AUTHORIZATION FOR
,; .: ,, WASTEWATER . ' ,
� � �T '� ` SYS7'EM CONSTRUCTION; Tax Office PIN:#_� � -
Ro'd Na (el:s'� w� '�0 � ��': Zip:
�**NOT'E** This Authorization for Wastewater System Consuuction MUST;BE ISS[JED by the,Davie County Environmental Health Section prior
tii issuance of any Building-Petmits: This Form/Authorization Number should be presented to the Davie County Building Inspections
' : Office when applying for,Building Permits.:. ` . . '
(ln c � liance with AiUcle, l].of G.S. Chapter 130A, Wastewater Systems Section .1900 Sewage Treatment and Disposal Systems)
, ._ ,. � ,
. ,, _
, , . ; , t - � , _ ,.. ,
', ***NOTICE*** TH1S AUTHORIZATION FOR WASTEWATER CONSTRUCTION
' ' �.` `,� �� IS VALID FOR A PERIOD OF FIVE YEARS.
��'.`�� � -. .� r�'.� -a%
-'EN IRONMENTAL,HEALTHSPEGIAL[ST :,:DATEISSUED
� . : _, • ,
. . . . . .. � , . . . .. ... .. . . ..� � _ . .. .. . . . .. . .. . _
i !'.� �' '�( y .i 3ti� �! tY :! �• 4 i�.a ._�,,. 1 . r � 0
J,.•:_:'DA`VIE COUNTY HEALTH DEPARTMENT` %
.,
,
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
" a _P'elnrtfe's j
^.Name '' 1) C % Subdivision Name:
;. Directions to,QrKrty Section: Lot:
r"- IMPROVEMENT
• ;`` fidi�. ,r',1r
PERMIT' Tax Office PIN:# - -
,� 2213 U S E� vv
66
Road Name: - S Zip:
.*.*NOTE*.* jbis 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
EN IRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE .
INSTALLING THE SYSTEM'
RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS _,�#BATHS _ # OCCUPANTS L GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE
A, / # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY _ems y L/DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �� ` ROCK DEPTH ,T/ LINEAR FP<E
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
DCHD 05/96 (Revised)
1"P,t / o /
` DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
" APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME����t'P C -GG PHONE NUMBER
�a
ADDRESS ZI,-
LS SUBDIVISION' NAME C 1
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
Parcel #: L5100B0006
Davie County, NC - Basic Estate Search
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Parcel #: L5100B0006 Account #: 82530656
Owner Information
Building:
Tax Codes
BXF•
STOKES W HOLLYN& STOKES CHARLOTTE B
Land:
ADVLTAX - COUNTY TAX
Market:
213 HWY 601 S
ssessed:
READVLTAX - FIRE TAX
Deferred
MOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 1.560 AC
JERUSALEM
Address: 2213 S US HWY 601
Deed Information
Local tonin
ate: 03/2009 Book: 00786 Page: 0144
lat Book: 0001 Page: 035
Legal Description
PIN
LTS 8-13A+47A-53+P O 7+54G P DANIEL
5746241950
Property Values
Building:
85,7901
BXF•
6501
Land:
22 02
Market:
108 46
ssessed:
108 46
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
L 00059 0025 10 1954 WD Unqualified Improved 0
Z 00786 0144 03 2009 WD Qualified Improved 96,000
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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=1466678 7/14/2016