2039 Hwy 801N& .i d''.r ,`-.-.-�,S; do ..j�. �""L y.3%.7 `*r i`t' ,n ti j,.s,'} s ass :i� `,y `'`wFj�I r :•r:.� +xl�t �.r
AUTHORIZATION NO: 8 2 9,4DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTYINF
Permittees P.O. Box 84$
Name: j ( 1� ra� M,... Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property-c(S �� nom' a�svJ Section: Lot:
AUTHORIZATION FOR
.1- v 124 C) a, , J 'Sol WASTEWATER Tax Office PIN:# - -
SYSTEM CONSTRUCTION
20?1
Road Name: �� f+� -0 Zip; 2s1
**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 w en applying for Building Permits:
(In compli ce with' icle '1 `of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
11 ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
VI O A EALT SPECIALIST : ` DATE ISS ED
Y�•c —�=^r", aF,,r _ r'+'�r ��k '7i .�'17 a�.- r `�'t'" � f \ ,� J���1.�..s
I'+( 2 94 DAVIE COUNTY HEALTH DEPARTMENT
_
••'.-IMPROVEMENT AND OPERATION PERMITS PROPERTY.INFO
Ftet;'� i' , t
Name �.y► I -� Subdivision Name:
"Directions to propert ` � "t .ttiL` Section: Lot:
lc t t . IMPROVEMENT
s PET
Tax Office PIN:# - -
1
Road Name i• �� r:L)j Zip . -
**NOTE**This Improvement Permit DOES NOfauthorize the construction or installation of a septic'tank system or any wastewater system.An-i
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
constructionfmstallation of a system or the issuance of a building permit:
(Incompliance withcle T l-of G.S.Chapter 130A,Wastewater Systems,Section:1900 Sewage Treatment and Disposal Sysrtitems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER `
SYSTEM CONTRACTOR MUS' SEE THIS PERMIT BEFORE.
EfVVI O EN HEALTH SPECIALIST DATE ISSUED , .
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE i f 0" !a #BEDROOMS�_#BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or Not
COMMERCCI�A,.L SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE AU� E WATER SUPPLY i/�IiLL DESIGN WASTEWATER FLOW(GPD) C P NEW SITE REPAIR SITE ✓`�
SYSTEM SPECIFICATIONS:TANK SIZE'OOO GAL. PUMP TANK GAL. TRENCH WIDTH `-'V 1 ROCK DEPTH l LINEAR FT.i- O6
OTHER_-2_ ID,
� REQUIRED SITE MODIFICATIONS/CONDTfIONS:
rAL t- yta G-O•.�miaUL -
t:
IMPROVEMENT PERMIT LAYOUT
*APPROVED EFFLUENT FILTER* *RISER(S) 'IF 659 BELOW FINISHED GRADE*` i
DlaJ rQO,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 )C!'XA X XX X X
SYSTEM INSTALL
OPERATION PERMIT
ED BY:
tea r•
2 'u
AUTHORIZATION NO 'I.0-4,nOPERATION PERMIT BY: DATE: I i
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S Db IBED ABOV S BEEN INSTALLED INC PLI NCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY B TA N AS A
E.
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
s .At
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
NAME 11�� PHONE NUMBER J`/
ADDRESS 4*'b 1 I4-ij� $()1-3 kQC*-S71� SUBDIVISION NAME
4�
v
pp r LOT #
DIRECTIONS TO SITE 5O \ �►'�"'1►��`�o� Q-n� ( 'na g�
/w t
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY Nom NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED
TYPE WATER SUPPLY L j) 2,-- SPECIFY PROBLEM OCCURRING 509 .60 )(=>
DATE REQUESTED
FORMATION 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. 1/93
Parcel#: C50000008601
Davie County, NC - Basic Estate Search
9
Basic Search Real Estate Search Tax Bill Search Sales Search 0
iew. Property Record for this Parcel View Map for this Parcel View Tax Bill Information
Parcel #: C50000008601 Account #:2952000
Owner Information Tax Codes
AHNSON BERT B ADVLTAX - COUNTY T
078 HWY 801 NORTH READVLTAX - FIRE TAX
EOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 9.789
1 FARMINGTON
Address: 2039 N NC HWY 801
nd:
Deed Information
Local Zoning
Pate: 01/1900 Book: Page:
ssessed•
Plat Book: 11 Page: 107
[Deferred: 1
Le al Description
PIN
789 AC HWY 801
5842796822
Proa Values
uildin
21515
BXF•
L 00188 0481
nd:
98,44
arket:
313,59
ssessed•
238,68
[Deferred: 1
74 91
Sales Information
No. Book Page
Month Year Instrument
Qual/UnQual
improved Price
L 00188 0481
07 1996 WD
Unqualified
Vacant 0
t 00329 0472
03 2000 WD
Unqualified
Improved 0
3 00910 0314
12 2012 WD
Unqualified
Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
« Return to Basic Search
Page 1 of 1
oNY
0`ori �'�
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/itsneWiew.aspx?prid=1469457 8/31/2016