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�,,.:'4 L !+ •%.; .n'i' ../n'• vim rJ4 ,,...�.4 �..4>n. .-,tvV,,. ! HF{' y,,...v.' r•.Rwr: Nv bs., N r^k.-a ,>
ttee's F DAVIE COUNTY HEALTH DEPARTMENT —C:l
Name ".
! i -�?' Yt �r'' Environmental Health Section PROPERTY INFORMATION
6 P.O. Box 848`
`Di'ctio'n to property: 'f�- e . 1+' � ocksville;, NC 27028 Subdivision Name:
1,
rr � �` t'.:, .. ,r .` .y t �"t ' 4y,, � � C. ✓ .. Phone #: 3367751-8760
Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PINJt
�. SYSTEM CONSTRUCTION
llAUTHORIZAT
ION NC U A- Road Name: Zip:
**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 when applying for Building Permits....
(Incompliance with Article I I 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
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANT GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE:
:1Yes
�or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)" �4 NEW SITE REPAIR SITE "
Alf
SYSTEM SPECIFICATIONS: TANK SIZE —GAL. PUMP TANK GAL. TRENCH, WIDTH' ROCK DEPTH LINEAR FT,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
**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 (336)751-8760.
DCHD 07!02. (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION W -7 _ 5� �9
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) (�
NAME 6 Q n n �a- �- PHONE NUMBER Y�J 3-S 7 g
ADDRESS V o �! SUBDIVISION NAME
%i1 Ci CS r% l LOT #
DIRECTIONS TO SITE (1 y /a ' �� P X ,I �t L c -- SS 4-
'7
DATE SYSTEM INSTALLED ` % NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS -3 NUMBER PEO LE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING �'r
DATE REQUESTED o a INFORMATION TAKEN BY 1SZ—
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 #: B300000082
Davie County, NC - Basic Estate Search
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Parcel #: B300000082
Account #:82524502
owner Information
uildin :
Tax Codes
BXF•
HITE WILLIAM ALLEN& BYRN GINDY LYNN
EOCKSVILLE
nd:
ADVLTAX - COUNTY T
arket:
138 NC HIGHWAY 801 NORTH
ssessed•
FIREADVLTAX - FIRE TAX
eferred•
NC 27028
Property Information
Township
Land (Units/Type): 6.480 AC
CLARKSVILLE
[Address, 4138 N NC HWY 801
Deed Information
Local tonin
Pate: 05/2005 Book: 00609 Page: 0757
Plat Book: Page:
Legal Description
PIN
ro.628 AC HWY 801
5823666540
Property Values
uildin :
80,37
BXF•
59,17
nd:
63,60
arket:
203,14
ssessed•
203,14101
eferred•
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved Price
1 00116 0523 05 1982 WD Unqualified Improved 0
00527 0887 12 2003 QC Unqualified Improved 0
3 00609 0757 05 2005 WD Unqualified Improved 135,000
View Property 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?prid=1478211 9/21/2016