2074 Hwy 64W 1T ti' -+�; .. r,.d'+':r a..4"_"-"+.. 4.,,,, .} —ri fy-;r'�. N ,. ,,y.�.-�•, .'c5 v, :o: ,:.
AUTHORIZA TION NO: 1192 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee's P.O.Box 848
Name: `� Mocksville,NC 27028 Subdivision'Name:
i Phone#:.704-634-8760
Directions to property: Z - GAJ 4OU Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION a � -
Roadame: 'T - Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Penn its.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits. -:
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALT SPECIALIST DATE ISSUED
' 119 DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permittees` {f jJ��
Name, Af Subdivision Name:
Directionso property: c� Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
F - -
k Road Name: Zip: Q
r**NOTE**'This ImprovemqntPemmit DOES NOT authorize the construction or installation of a septic tank system orpny wastewater system.An
AUTHORIZATION FOR WASTEWATER,SYSTEM CONSTRUCTION must be obtained from this Departmdnt prior to the
construction/installation of a system or the issuance of a building permit.
(In compliancewith Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
r ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEAL SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE & #BEDROOMS -e #BATHS V_#OCCUPANTS '� GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE
fav
SYSTEM SPECIFICATIONS: TANK SIZE /DaGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH� LINW
1 7r /JPS
OTHER J
REQUIRED SITE MODIFICATIONS/CONDITIONS: IZZ C/ S — ( �IJy )6'
IMPROVEMENT PERMIT LAYOUT
etc
0/0/ 14,41)farl j"
q/2,
/ e)
**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(704)634-8760.
OPERATION PERMIT -
SYSTEM ALLED BY:
h d
0
- �A0D��S
eW4 La ►�
AUTHORIZATION NO.
)(;LPERATION PERMIT BY: DAT1
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT 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 WELL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF Tam.
DCHD 05/96(Revised)
� _.. •t;,. z-.- __,;� r .� -'. ,,. - w_f�--.-.�.r-ice,, ,. .:5. ,r -.,,. -•— -,, _. -.,.- -- � -s ..
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION h
Permittee s .p 'e,
a
'Name + z ) ' �' + 7�Y,+�,, a Subdivision Name:
Directions oproperty:;"�� %;7 �'r `u"<";f }� Section: Lot:
t - E14PROVEMENT '
PERMIT Tax Office PIN:#
Road Name. t 'T' #j• zip: f
.**NOTE*' Tbis Improvement Permit DOES NOT authorize the construction or installation of a septic tank systemor„any w tewater system.An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Departm6nt prior to the
/m
constructionstallation 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)
f/ / ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER .
ENVIRONMENTAL HEALTH'SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
4
INSTALLING THE SYSTEM. 1/f
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS"��#BATHS c9- #OCCUPANTS '� GARBAGE DISPOSAL:Yes or No
"COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No-
'LOT SIZE TYPE WATER SUPPLY I A DESIGN WASTEWATER FLOW(GPD) -el;5d NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE &aGAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR
FJ.
OTHER —z T .tel CJ
REQUIRED SITE MODIFICATIONS/CONDITIONS: / �U I`•�E`�',
IMPROVEMENT PERMIT LAYOUT
Ilea
. r
**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(704)634-8760.
OPERATION PERMIT -0
SYSTEM ALLED BY:
r
AUTHORIZATION NO.JALPERATION PERMIT BY: DAT13z
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT 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)
Parcel#: H300000058 Page 1 of 1
OP',aVieFt�`
Davie County, NC - Basic Estate Search
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Parcel#: H300000058 Account#:82530326
Owner Information Tax Codes
[AWS LIMITED PARTNERSHIP ADVLTAX-COUNTYT BOX 738 FIREADVLTAX-FIRE TAXOLEEMEE NC 27014
Property Information Township
nd(Units/Type): 0.810 AC CALAHALN
ddress: 2074 W US HWY 64
Deed Information Local Zoning
ate: 09/2013 Book: 00937 Page: 0699
Plat Book: 0006 Page: 172
Le al Description PIN
84 AC HWY 64 LOT 1 REDBUD 5719836480
Property Values
Buildin 53,49
BXF• 34
Land: 25,00
Market: 78 83
ssessed• 78 83
Deferred:
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
00900 0664 08 2012 TD Unqualified Improved 56,000
00921 0764 04 2013 WD Unqualified Improved 0
00937 0699 09 2013 WD Unqualified Improved 0
00136 0759 04 1987 WD Qualified Improved 25,000
00755 0654 04 2008 WD Qualified Improved 104,000
View Property Record for this Parcel View Man for this Parcel View-Tax-Bill Information
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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
h"://maps.daviecountync.gov/itsnet[View.aspx?prid=1466381 7/5/2016