160 Midway St1)4vie County, NC
Tax Parcel Report as MLko Friday. September 30. 2016
Building Value: 1146650.00 Outbuilding & Extra 1000.00
Freatures Value:
Land Value: 42210.00 Total Market Value: 1189860.00
Total Assessed Value: 1189860.00
No
WAK ENE:
THIN IS 1VUT A SURVEY
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NC
Parcel Information
Parcel Number:
N5010D000401
Township:
Jerusalem
NCPIN Number:
5745031591
Municipality:
COOLEEMEE
Account Number:
75248000
Census Tract:
37059-807
Listed Owner 1:
VICTORY BAPTIST CHURCH
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 686
Planning Jurisdiction:
COOLEEMEE
City: COOLEEMEE
Zoning Class:
COOLEEMEE RS
State:
NC
Zoning Overlay:
Zip Code:
27014-0000
Voluntary Ag. District:
Legal Description:
6.70 AC MIDWAY ST
Fire Response District:
COOLEEMEE
Assessed Acreage:
6.70 Elementary School Zone:
COOLEEMEE
Deed Date:
1/1900
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001180515
Soil Types:
EnB,MsC
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
COOLEEMEE
Building Value: 1146650.00 Outbuilding & Extra 1000.00
Freatures Value:
Land Value: 42210.00 Total Market Value: 1189860.00
Total Assessed Value: 1189860.00
No
Davie County,
All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS wobsite shall hold harmlesstheCounty
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NC
of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
out of the use or Inability to use the GIS data by this website.
or arising provided
Davie County Health Departnient
4 18 r Environmental Health Section ;
P.O. Box 848 k�
kms`
210 Hos itll Street
Cotu-ier # : 09-40-06
Mocksville, NC 27028
Phone: (336) - 753 - 6780 Far. (336) - 753-1630
ON-SITEWASTEWATER CERTIFICATION
(Check Once) Replacement Remodeling Reconnection
Name: t)ie-6r- y &pji� (i�� r� ` Phone Number 33 —any ` d o?17 (Home)
Mailing Address: (Work)
C, ooIced e, . A)C a7o�y
Detailed Directions To Site:
�..�',\\ fie_ t/`f ��\� �•. C`��ih�-,
Property Address: 160
Please Fill In The Following Information About The EXISTING Facility: ��1� ��
Name System Installed Under: Type Of Facility: (.. h a d[_I/I
Date System Installed (Montb/Date/Year): /Q .S Number Of Bedrooms: 'Number Of People:
Is The Facility Currently Vacant? Yes If Yes, For How LonC
Any Known Problems? Yes EDIf Yes, Explain:
Please Fill In The Following Information About The NEIV Facility:
Type Of Facility: I� CCC L� /ICI f V�� Number Of Bedrooms:_=�Number of People
o Garage Size: Ot
Requeste Date Requested:
(Signature)
For Environmental Health Office Use Only
Approved Disapproved
Comments:
Environmental Health Specialist ,� / � Date:
*The signing of this fonn by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee
(extended or limited) that the on-site wastewater system—Will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:$ «Date:
Paid By: " !_ Received By:
Account #:��'j (� to Invoice #:
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0
:li.:f x'rr J :...rYk..:.u.•s'.•.:.,;ye... 1..-n':.��,-.} r _'\. a ;i:,_ _—-'..-.. � a ^.�.f.. '1 —....,.•+�:..�...'-.. .. _
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name / <___t ��T C Date_ , - k r"e 4267
Location i -
r
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms z No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:--:,--,
Auto Dish Washer YES ❑ NO '❑ `��:,�
Auto Wash Machine YES F] NO �❑
Type Water Supply' _
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
i
I
V
p1
C
y i
Improvements permit by �.T-
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by a rrti '3j�dLw.o..c
�MW
f
Certificate of Completion - YAa" Date
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
.--
_ DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'VOTEr Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage-Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name Date 4267
Location k ,
t
Subdivision Name Lot No. Sec. or Block No.
Lot Size -- House Mobile Home _ Business Speculation
No. Bedrooms -- No. Baths — No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System: ,
Auto Dish Washer YES ❑ NO ❑ a
Auto Wash Machine YES ❑ NO -❑
Type Water Supply __—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
i
Improvements permit by
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
3
F
JRJ I_ 2
Certificate of Completion �— Date
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way betaken as a guarantee that the system will function
satisfactorily for any given period of time.