2375 Hwy 601SAVIE COJLJNTY HEALTH DEPARTMENT
_�' i' vironmental Health Section PROPERTY INFORMATION
�,
�.7iw� . r ST ;]; P.O. Box 848
Dlrecuons to property: _ Mocksville, NC. 27028, Subdivision Name.-
Phone
ame:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION FOR
c 1 • �` WASTEWATER
:.' 11; ��[�Il.� t:=� jt?(• t;� .11tt;,i .G Tax Office PIN:#
`+ N SYSTEM CONSTRUCTION
,AUTHORIZATION NO: 2102A Road NartTe� {i � Zip:
*NOTE** 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 Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
fr, %.;' ' ✓" f/�. ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID. FOR A PERIOD OF FIVE YEARS.
„ENVI N TH SPEC,LIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE AU # BEDROOMS # BATHS Z # OCCUPANTS -�� GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPES # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE_�✓r G TYPE WATER SUPPLY CR 1 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT 20 Q
OTHER IJ 15���1�1iI1 _'�ICIX
REQUIRED SITE MODIFICATIONS/CONDITIONS: Kit f 10 0” t khr L i V, 7, ' , E� �F -5 44 K
**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 (336)751-8760.
AUTHORIZATION NO. 2- OPE
**THE ISSUANCE OF THIS OPERATION RCUN
WITH ARTICLE 11 OF G.S. CHAPTER 130
GUARANTEE THAT THE SYSTEM WILL
DCHD 02102 (Revised)
c
• _�''! DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
N° 763
Name L r/ %�./ / ,, '.<, -- Date
Location / �, ) ��/ /i%�i/' f"_ // I� ✓/ �: /-; i �S%,jf' /`. �' ,';'/ ��'' `"
Subdivision Name Lot No. Sec. or Block No.
Lot Size' — House —` Mobile Home ---- Business -- Industry
No. Bedrooms -- —.No. Baths — No. in Family — Public Assembly Other
Garbage Disposal YES p NO p- Specifications for System:
Auto Dish Washer YES p' NO
Auto Wash Ma :hive YES Q ---NO A'
Type Water Supply ,1 ----- -
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMITILAYOUT BEFORE INSTALLING THIS
SYSTEM.
rJ00
Improvements permit by -/"�it---
`Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M.,
1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion --Date _
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
"'
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DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
t APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME C 1 1 ,� l,U.��V�U��jjL Se' PHONE NUMBER 7. Z%3�
ADDRESS ' �✓ —SUBDIVISION NAME
LOT # , A
DIRECTIONS TO SITE � � LJ'� bD IS P4,S5- hTC" ),,: j- "'l
, PAf ALOD ti SY/-
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER.�y
TYPE FACILITY ISL NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY- ---1 _ DL)A)Tl SPECIFY PROBLEM OCCURRING &0�+JCS
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. 1193
tIA,
Parcel #: L500000032
Davie County, NC - Basic Estate Search
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Parcel #: L500000032 Account #: 82528836
t
Owner Information Tax Codes
PIRK GARRY S& PIRK WENDY J ADVLTAX - COUNTY T
375 US HWY 601 SOUTH FIREADVLTAX - FIRE TAX
OCKSVILLE NC 27028
Property Information
Township
nd (Units/Type): 1.000 AC
JERUSALEM
ddress: 2375 S US HWY 601
Land:
Deed Information
Local Zoning
Date: 10/2007 Book: 00733 Page: 0831
ssessed:
Plat Book: Page:
Deferred:
Le al Description
PIN
1.00 AC HWY 601 2375
5746337350
Property Values
Building:
52,88CI
BXF:
Year Instrument
Land:
16 23
Market:
69 11
ssessed:
69 11
Deferred:
1991 WD
Sales Information
No.
Book
Page
Month
Year Instrument
Quai/UnQual
Improved
Price
1
00157
0516
01
1991 WD
Unqualified
Improved
0
2
00167
0614
03
1993 WD
Unqualified
Vacant
0
3
00707
0518
04
2007 WD
Unqualified
Improved
71,500
4
00733
0831
10
2007 WD
Unqualified
Improved
0
5
00701
0357
02
2007 WD
Qualified
Improved
71,500
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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=1463467 8/3/2016