3109 Hwy 64E # � . ,_. . ,�P,^_ .,_ , ,....... , ..- , ,�,t., _ _
'�.,t �... . '" ,... ., t,c` n�"- �r.^.+.}.:?� x;,�:ir... 1��,.. y...;,:. �.+sw+n.� „���+F��••Ji�a �;s',{�v .i.�•-i'-}T.;q'e+4,�r�}`'"vri'� `i1^3.J'w-'�11'�a.,°f`
, �.,:. �.. �,. ._ . . . . . .. � ` . .
, . . . �> .. . . � . ,:�.. .. ..'. ..... �. . �.�' . � . , . P
r AUTHORIZATION NO: � ���tl�DAVIE COUNTY HEALTH DEPARTMENT /"�'` `����v�
. _,. , �. . - .- ,. :
�- > .�. %"' ""a :Environmental Health Section • PROPERTY INFORMATION
Permittee s� .�,,t ,/� � , '� P.O.'Box 848 . . ,
Name: �P/� l.-���Q��/"�,�.,,: �Mockgville,NC 27028 ' •Subdivision Name: {
' ' �- Phone# 336-751-8760 �
I3irections to property:`��� [.�'' ��i� ' : ~ , : � Section: Lot:
AUTHORIZATTON FOR� ' ' :
'WASTEWATER � �_ ,
`��%��..5�l/.���- ` �'�• '�� Tax Office PIN:# a� - /l�`
SYSTEM CONSTRUCTION
l���fG..�� '�r►�� ;/��� ; .�`�1�/ P�i'� Road Name: G��=� Zip;L���
**NOTE**.This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building-�?ermits.This Form/Authorization Number should be presented co'the Davie County Building Inspechons,..
' `� � Office when applying for Building Permits: > , � : ' � „
± (ln com�liance with Article l l of G.S.Chapter 130A,Wastewater Sy,stems Secti;on,1900 Sewage Treatment and Disposal Systems)` ' ;.
�. �.,. . . . =�
• . -
,,,,.. . . , ,, ; �
'�m '.�'' � ' c; , ' . ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1 �
'.� _�- /��� � .IS VALm FOR A PERIOD OF FIVE YEARS. �
ENVI ONMENT L HEALTH SPECIALIST ' DATE ISSUED' ' '
'75
E! DAVIE COUNTY HEALTH-DEPART!qENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Narnsl�.
Dlrectot to pioperty: t [,v't. G- ,}i Section: Lot:
a IMPROVEMENT
Ix ./%.' PERMIT Tax Office PIN:#
Road Name: G ��L� zip:,?
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constructionrnstallation of a system or the issuance of a building permit.
(In compliance. with Article I I :of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
f
Sk j f f r , ***NOTICE*** TRS PERMIT IS SUBJECT TO REVOCATION IF SITE
f' ., r �� PLANS OR THE INTENDED USE CHANGE. YOUR. WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS ,'� #OCCUPANTS _GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION:` FACILITY.TYPE # PEOPLE # PEOPLE/SHIFT # SEATS 'INDUSTRIAL WASTE: Yes'or No
-
LOT SIZE TYPE WATER SUPPLY DESIG WASTEWATER FLOW (GPD) ' NEW SITE' ' ' REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEt_GAL. PUMP TANK GAL. TRENCH WIDTH V h ROCK DEPTH --fW,- LINEAR FT..la_� ,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9: - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
XXXXXXXXX
OPERATION I En TT L
SYSTEM INSTALLED BY: S �1 G►r►1A— ak ft Y\
�s,tn7
aar
,
�y
AUTHORIZATION NO. f ,�6 OPERATION PERMIT BY: / DATE: Zl
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T AT 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 THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
a _
f
#'ti �+'r':. :. -. '� �.. rTl'""4 •. -'t', a. ,..'.t ..y:i�`%it i'+'x'ts ,,, �;'�t.'"i,-�^s ,,,,.t \j : w, 0 .{;y...���p:..».,,�yJ ��.. � ,
t, ,r,"� - $m' > h ''!o'~�' s•dv +ty r''o �._ � iv, s.,,�'
7 5 6 /,DAVIE COUNTY HEALTH DEPARTMENT
" '0 IMOVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
"L Subdivision Name:
Directions to rroperty: S , % 1" . or d Section: Lot:
IMPROVEMENT r
PERMIT Tax Office PIN:#'I
Road Name: fs VZ.... Zip:e-, ;0,`e
**NOTE** This Improvement Permit t 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)
` W ' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
d !
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED f SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
^ INSTALLING THE .SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS#: OCCUPANTS _ GARBAGE DISPOSAL: Yes or No "
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE,_REPAIR SITE' /r
��4 pYl �� E
�✓ ij
SYSTEM SPECIFICATIONS: TANK SIZE AL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH _ LINEAR FT.
I-V 1
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
*APPR0ED FFFLt E -K FILTER* *RISER(S) IF 611 BELOW FINISH1,6EM GRADE*.
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS'SYSTEM
BETWEEN 8:30 - 9: 00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
xxxxxxxxx
OPERATION
SYSTEM INSTALLED BY: S � t.-+"Ia— 20 1111 Vow
,fit+3
In
AUTHORIZATION NO. / % r6 0')�' OPERATION PERMIT BYDATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE JAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION OR MPROVEMENT PERMIT (REPAIR).
NAME ✓` PHONE NUMBER
ADDRESS-L?/049fit-
SUBDIVISION NAME
v '(. 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. 1193
Parcel #: J712OA0007
Davie County, NC - Basic Estate Search
Basic Search Real Estate Search Tax Bill Search Sales Search
View Property Record for this Parcel View Man for thij Parcel View Tax Bill Information
Parcel #:3712OA0007
Owner Information
[741
LLACE HARRY L 3R& WALLACE ]ANNIE WAGG
GLADSTONE ROAD
CKSVILLE NC 27028
Property Information
�Land (UnIts/Type): 0.490 AC
ress: 3109 E US HWY 64
Account #: 76553000
Tax Codes
ADVLTAX - COUNTY T
READVLTAX - FIRE TAX
Township
FULTON
Deed Information Local tonin
ate: 08/2013 Book: 00934 Page: 0491
Plat Book: Pa e:
Le al Description PIN
1 LOT US HWY 64 EAST LIFE ESTATE 5777185806
Property Values
uildin
39,22
0011
BXF:
1,34
nd:
13,00
Market:
53 56
ssessed:
53,56
Deferred•
Improved
Sales Information
No. Book
Pape
Month
Year Instrument
Qual/UnQuai
Improved
Price
00125
0597
02
1985 WD
Unqualified
Improved
10,000
00188
0535
07
1996 WD
Unqualified
Improved
0
00894
0681
06
2012 TD
Unqualified
Improved
36,500
00913
0946
01
2013 WD
Unqualified
Improved
26,000
00934
0491
08
2013 WD
Unqualified
Vacant
0
00191
0025
11
1996 WD
Qualified
Improved
33,000
00385
0976
09
2001 WD
Qualified
Improved
95,000
00668
0247
06
2006 WD
Qualified
Improved
93,000
View Property Record for this Parcel View Mau for this Parcel View Tax Bill Information
« Return to Basic Search
Page 1 of 1
gN.tz,
cO"1
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=1457317 6/23/2016