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425 Hwy 801N (2)y r''Vi+'1, a'y`r: ri IOWA;• 1 .+' y .�{ a.;. .��, td r'.1(. .?cµ�,7a rt:li rt �. .7.wX„+f:i",7- ,m.,:' ..t .y...4, ..i >y,:^.i.... ,d .. ' f.:y.'• - DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION IT ? 127 IMPROVEMENT PERMIT * 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) NAME U V,. 3 % X�yf\%1 PROPERTY ADDRESS C. DATE 3.6 . L LOCATION �5 l» N D S a N �fL SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE oUSQ # BEDROOMS _--I # BATHS # OCCUPANTS GARBAGE DISPOSAL: Y /N COMMERCIALSPECIFICATION:;FXILITY TYPE• ' # PEOPLE # PEOPLE/SHIFT`S # SEATS INDUSTRIAL. WASTE:'Yes/,No LOT SIZE 3 TYPE NATER SUPPLY Ws DESIGN) WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE � K SYSTEM SPECIFICATIONS: TANK SIZE GAIT. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. OU 1 OTHER �e. � ° �''`. � � � • �:"'� REQUIRED SITE MODIFICATIONS/CONDITIONS: `r ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE, YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. r 6 .. 012, A ROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR Q1NA0INSPECTIdN OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # ISA704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED�BY F ; �6 US 'b AUTHORIZATION (0. ©1- �� ON PERMIT BY �• DATE _ 'T **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 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 10/95 � 1�.r � �! •_- M+Y aiv .f .✓`+ � ..v..h = `I: v"`�.1 � n � . v." latJTs v � _ i dwti':-.F . .. 3 l .. .. __ - - _ ,: % .. ,yy w r.• -, l DAVIE COUNTY HEALTH DEPARTMENT r ; ` IMPROVEMENT PERMIT and OPERATION IT i IMP,00VEMENL_- IT' ` Z t.,,,.,**NOTEa*-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. 7(In complian' e-with Article 11 of B.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) rl j 61 NAME l R s 'kM%Ny PROPERTY ADDRESS DATE �* LOCATION ' !7� I — . �� ezr". D `�N t) d SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS _,:� GARBAGE DISPOSAL: Yea/N COMMERCIAL SPECIFICATION:;FACILITY TYPE _T # PEOPLE # PEOPLE/SHIFT # SEATS'. INDUSTRIAL WASTE-.,Yes/ND LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE J SYSTEM 5PECIFICATIDNS: TAMP( SIZE GAL.. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH � LINEAR FT. �� 1 OTHER .. REQUIRED SITE MODIFICATIONS/CONDITIONS: E ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST _ SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. 1? L v 1-lUU { 02 Ail ROVEMENT PERMIT BY �._�,r.`i..r' Z • ����� **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT, FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 10-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY busty _ f � AUTHORIZATIONO FSS - ON,PR'.RM fO. IT BY �• eaJ�J DATE �. i **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ' ARTICLE 11 OF G.S. CHAPTER 130A, SECTI .1900 " TREATMENT AND USPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM.WILL f. ICTION,SATISFACTOR LY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95. .. .+, r. �:.*�P..^,e��'1:'i:.� •}, ..,.r .t ,� , �4• ".�» q.s�4,> .. .1 +... it J, r ., ' ri•. :it' r� . ,.. ,w Davie County Health Department . ENVIRONMENTAL HEALTH SECTION VN D� U V P.O. Box 665 ` Mocksville, N.C. 27028 AUTHORIZATION FOR W 67MTER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of B.S. Chapter 138A, Wastewater Systems) ***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.*** AUTHORIZATION NUMBER NAME `EJ V S NyyS } \\\ DATE 3 / b �. P 1q NAME ON IMPROVEMENT PERMIT (If different than above) . SITE LOCATION COIENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM _ " **WICE*t* THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. Tw _ ENVIRONMENTAL HEALTH SPECIALIST ? DATE. DCHD 10/95 r DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION nn APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME ✓/ l-9 S/'j? ! PHONE NUMBER ADDRESS,,L L /1' � 61 90 SUBDIVISION NAME E GC�iv�-L LOT # DIRECTIONS TO SITE &71- DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED U TYPE FACILITY NUMBER NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY /d/-6r�1-- SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY `a,6 This is to certify that the information provided is correct to the best of my SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193 and that I understand I am responsible for all charges incurred from this application. Parcel #: D70000022701 Davie County, NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search 0 View Property Record for this Parcel View Man for this Parcel View Tax Bill Information Parcel #: D70000022701 Owner Information MITH DAVID L& SMITH JEANETTE B BOX 2251 EDVANCE NC 27006 Property Information nd (Units/Type): 1.010 AC [Address: 425 N NC HWY 801 Account #:66948000 Tax Codes ADVLTAX - COUNTY T FIREADVLTAX - FIRE TAX Township FARMINGTON Deed Information r Local Zoning Pate: 10/1990 Book: 00156 Page: 0746 Plat Book: Pa e: Le al Description PIN 1.00 AC S OFF HWY 801 5872058618 Property Values Building: 98,8901 BXF• Land: 109,55 Market: 208 44 ssessed: 208,44 [Deferred: Sales Information No. Book Page Month Year Instrument Quai/UnQual Improved Price 1 00156 0746 10 1990 WD Qualified Improved 90 000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search Page 1 of 1 oA�f� 00A. UR 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=1474853 9/15/2016