176 Midway StDavie County, NC
Tax Parcel Report Q Q � 4l . IX Fridav, September 30, 2016
WAK1 EN(i: lrila IN 1VU1 A NUKVLY
Parcel Information
Parcel Number:
N5010D0027
Township:
Jerusalem
NCPIN Number:
5745035676
Municipality:
COOLEEMEE
Account Number:
11196000
Census Tract:
37059-807
Listed Owner 1:
BROWN WALTER LEE
Voting Precinct:
COOLEEMEE
Mailing Address 1:
PO BOX 415
Planning Jurisdiction:
COOLEEMEE
City: COOLEEMEE
Zoning Class:
COOLEEMEE RS
State:
NC
Zoning Overlay:
Zip Code:
27014-0000
Voluntary Ag. District:
No
Legal Description:
LOTS 26-30 ERWIN MILLS
Fire Response District:
COOLEEMEE
Assessed Acreage:
2.76
Elementary School Zone:
COOLEEMEE
Deed Date:
4/1965
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
000550413
Soil Types:
EnB
Plat Book:
0003
Flood Zone:
Plat Page:
026
Watershed Overlay:
COOLEEMEE
Building Value:
75560.00
Outbuilding & Extra
Freatures Value:
3980.00
Land Value:
35510.00
Total Market Value:
115050.00
Total Assessed Value:
115050.00
9 �eiF All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to
poi, ly c� NC or arising out of the use or Inability to use the GIS data provided by this website.
Permittee'! DAVIE COUNTY HEALTH DEPARTMENT
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`Name: \tIl
Environmental Health Section
PROPERTY
INFORMATION
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P.O. Box 848
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Directions to property: ! r
Mocksville, NC 27028
Subdivision Name:
i
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Phone #: 336-751-8760
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Section:
Lot:
7 (.,r i? �1T ,_r�
AUTHORIZATION FOR
WASTEWATER
- t`�
SYSTEM CONSTRUCTION
Tax Office PIN:#)
AUTHORIZATION NO: 002946 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.
(In compliance with Article 11 of G.S. Chapter 130A. Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,+` '•. - 'r y - IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE ! f # BEDROOMS 3 # BATHS # OCCUPANTS 2— GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �'� TYPE WATER SUPPLY
cDESIGN WASTEWATER FLOW (GPD) `t' NEW SITE REPAIR SITE
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SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK l GAL. TRENCH WIDTH 3 (e ROCK DEPTH/ / YF INEAR FT. 3 ) 7 r
ATLiL-D
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT I Avn1��t�_
A�I
i
-'7
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F¢R FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. t n
OkRATIOPERMIT "� o
SYSTEM IN�4,ALL'gdBY:
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AUTHORIZATION NO. OPERATION PERMIT BY: C� �flf DATE:
"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.
DCfID 02J02 (Revised) —,'- _ Y5
**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.
(In compliance with Article I 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
! "'7
RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEDROOMS - # BATHS # OCCUPANTS 2- 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 i� y GAL` PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH..LINEAR FT7 I
p 5 16rpt (lid—
REQUIRED
lid—
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT I AyQIJT--U� � r
1
G7 i.
t t
r
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM IN
�Al.U&BY: //1 ZZ
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Ll
Cl CA
;V
10
AUTHORIZATION NO. OPERATION PERMIT BY: %r -� DATE:
*"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 02/02 (Revised) .14 � f 5%f
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DAVIE COUNTY HEALTH DEPARTMF., 1T .�
` ' �"PROPERTY
i.
=' �'
"' Environmental Health Section'
INFORMATION
{ (
P.O. Box 848
}-`
-
Directions to property:
% ..
h4ocksville, NC 27028
Subdivision Name:
Phone #: 336-751-8760
Section:
1
Lot:
..
; AUTHORIZATION FOR
WASTEWATER
SYSTEM CONSTRUCTION
Tax Office PIN:#
AUTHORIZATION NO: 002946
,f..`.i� ,,v;•.':...�,
Road Name:
r �. � .3 "� ,fir �
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.
(In compliance with Article I 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
! "'7
RESIDENTIAL SPECIFICATION: BUILDING TYPE � # BEDROOMS - # BATHS # OCCUPANTS 2- 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 i� y GAL` PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH..LINEAR FT7 I
p 5 16rpt (lid—
REQUIRED
lid—
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT I AyQIJT--U� � r
1
G7 i.
t t
r
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SYSTEM IN
�Al.U&BY: //1 ZZ
�e
Ll
Cl CA
;V
10
AUTHORIZATION NO. OPERATION PERMIT BY: %r -� DATE:
*"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 02/02 (Revised) .14 � f 5%f
I� 1,3'!
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