2095 Hwy 64W OR � '�',7.��� DAME COUNTY HEALTH DEPARTMENT ;
��ri Pr� ; �. Health INFORMATION
Environmental Section PROPERTY INFO O
Yermrttee s ' / P.O.Boz 848 �� c��/"d
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Natge:;' Z2,1° • Pdr. Tom, `' Mo&sville;NC 27Q28Subdivision Name. ,
Phone#
,336-751-8760 '
Directions to property S Section: Lor.
AUTHORIZATTON FOR
Z:?d WASTEWATER -
,1 SYSTEM CONSTRUCTION
.4
Tax Office PIN:#
Road Name: W li: Z� .Z 7D Z
f c p:
**NOTE**This Authorization for Wastewater:System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to'issuance of any Building-'Perrrvts.ghis Form/Authorization Number should be presented to the Dave County Building Inspections
Office when applying for Building Permits.
{In compliance with Article l 1,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 HEALTH SPECIALIST DATE ISSUED
A
.''s , . ' DAVIE COUNTY HEALTH DEPARTMENT
` M IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
t.
Permittee's
riName % �.�^`" ,r};% -yam/ Subdivision Name:
"Directions to property: ^�`Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:#
-
if
Road Name: y � Zip: Z
**NOTE** This 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)
/JJJ ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR TIS INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST: DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE',
. INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS_ # BATHS # OCCUPANTS —_�4— 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
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH ' /o LINEAR FT: l�
OTHER t Om
REQUIRED SITE MODIFICATIONS/CONDITIONS: M
"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.
xxxxxxxxx
i
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
)AIR)
DIRECTIONS TO SITE
ABER
N NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER L
TYPE FACILITY ff NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING
DATE REQUESTED
k 7,64/
NFORMATION 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 #: H300000053
Davie County, NC - Basic Estate Search
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Parcel #: H300000053
Account #: 56283000
Owner Information
Buildin :
Tax Codes
BXF•
PEOPLES RONNIE D& PEOPLES PATRICIA M
Land:
ADVLTAX -COUNTY T
Market:
PO BOX 681
ssessed:
READVLTAX -FIRE TAX
Deferred:
MOCKSVILLE NC 27028
Qualified
Improved
roperoperty Information
Township
nd (Units/Type): 1.000 LT
CALAHALN
[Address: 2095 W US HWY 64
Deed Information
Local Zoning
Date: 02/1989 Book: 00147 Page: 0427
Plat Book: Page:
Legal Description
PIN
1 LOT OFF HWY 64
5719832249
Property Values
Buildin :
103,03 0011
BXF•
1 00140 0150 09 1987 WD
Land:
2500
Market:
12803
ssessed:
128 03
Deferred:
3 00147 0427 02 1989 WD
Sales Information
No. Book Paye Month Year Instrument
Qual/UnQual
Improved
Price
1 00140 0150 09 1987 WD
Qualified
Improved
43,500
2 00144 0660 08 1988 WD
Qualified
Improved
38,000
3 00147 0427 02 1989 WD
Qualified
Improved
40,000
View Prooertv Record for this Parcel View Map for this Parcel View Tax Bill Information
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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?grid=1478796 7/12/2016