1235 Hwy 64W (2)0 4rT DAVIE COUNTY HEALTH DEPARTMENT
~.• ;. IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
r Permittee s ...
SuhdiYision-Name:
�..
.m; ♦r r sa
Dlrectionsao property; r Section: Lot:
IMPROVEMENT'
PERMIT. Tax Office PIN:# - -,
Road Name: Zip: .
**NOTE**This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system.
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained fromthis 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*** TIIIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HE TH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM..,
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
�-?7�e
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT _� . # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) „'48 NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ,ROCK DEPTH LINEAR FT.�
OTHER
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 OF INSTALLATION. TELEPHONE # IS QTW 834)69601#
(336)751-8760
DCHD 05/96 (Revised) s
ENVIRONMENTAL HEALTH SPECIALIST' DATE ISSUED
« • 'A
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
1.4 PHONE NUMBER
ADDRES
DIRECTIONS TO SITE
r
ION NAME
YiIle /y` e-! LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
-TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY 4i SPECIFY PROBLEM OCCURRING
DATE REQUESTED �-� / "�1 INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93
Parcel #: I400000001
Davie County,. NC - Basic Estate Search
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Parcel #:I400000001
Account #:82530236
Owner Information
Tax Codes
MELTON PEGGY O& OWINGS DAVID L
VLTAX - COUNTY TA
bADVLTAX
1257 US HWY 64 WEST
- FIRE TAX
OCKSVILLE NC 27028
ssessed:
398,32
eferred.
Property Information
Township
Lana
Land (Units/Type): 184.160 AC
MOCKSVILLE
1235 W US HWY 64
03 2008 WL
Deed Information
C -Local Zoning��
Pate: 12/2008 Book: 00777 Page: 0559
Plat Book: Page:
Legal Description
PIN
186.71 AC HWY 64
5728666446
Property Values
uildin :
241,72
01011
BXF•
9,00
Land:
744,80
Market:
995 52
ssessed:
398,32
eferred.
597,20CI
Sales Information
No.
Book Page
Month Year Instrument
Qual/UnQual
Improved Price
L
00081 0331
07 1969 WD
Unqualified
Improved 0
z
00777 0559
12 2008 QC
Unqualified
Improved 0
3
2008E 0128
03 2008 WL
Unqualified
Improved 0
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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.daviecountyne.gov/itsneVView.asvx?prid=1474831 7/12/2016