7647 Hwy 801SLegal Description:
1 LOT HWY 801
WARNING: THIS IS NOT A SURVEY
COOLEEMEE
Assessed Acreage:
------Parcel
Information
COOLEEMEE
Parcel Number:
M515OA0003
Township:
Jerusalem
NCPIN Number:
5745069361
Municipality:
GnB2,EnB
Account Number:
8304702
Census Tract:
37059-807
Listed Owner 1:
ROMERO ANABEL M
Voting Precinct:
COOLEEMEE
Mailing Address 1:
7647 US HIGHWAY 801 SOUTH
Planning Jurisdiction:
Davie County
City:
Mocksville
Zoning Class:
DAVIE COUNTY H -B
State:
NC
Zoning Overlay:
DAVIE COUNTY CZOD
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
1 LOT HWY 801
Fire Response District:
COOLEEMEE
Assessed Acreage:
0.44
Elementary School Zone:
COOLEEMEE
Deed Date:
1/2015
Middle School Zone:
SOUTH DAVIE
Deed Book f Page:
009781084
Soil Types:
GnB2,EnB
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
Building Value:
35680.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
28750.00
Total Market Value:
64430.00
Total Assessed Value:
64430.00
141
Davie County, NC
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 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 or arising out of the use or inability to use the GIS data provided by this website.
AUTHORIZATION NO: 1446 DAVIE COUNTY HEALTH DEPARTMENT
I V . . Environmental Health Section PROPERTY INFORMATION
Permittee's �r-r / P.O Box 848
Name:fi` d� J�rl� �� ��G��=� CoCKsville NC 27028 Subdivision Name:
Phone #: 704-634-8760
Directions to proper : 15 ' ' ' AUTHORIZATION FOR Section: Lot:
(p ((1 WASTEWATER Tax Office PIN:#
n � � � �D rI S SYSTEM CONSTRUCTION t -
l Road Name:/--
**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 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.
NTAL HEALTH SPECIALIST DATE ISSUED
�, DAVIE COUNTY HEALTH DEPAR11MENT
IMPROVEMENT AND OPERATION PERMITS
Irmittee's
.Dame. c f"';�, ,� f f f. 1 !'�� ._ •�,
Directions td property
PROPERTY INFORMATION
Subdivision Name: s
Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - - Va
Road Name: [{ { 'i %� -- Zip:
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
(i f PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE - # BEDROOM/7 S �# BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE�� `k # PEOPLE e 5 # 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 GAL. PUMP TANK GAL. TRENCH WIDTH t ROCK DEPTH � 4—' LINEAR FT.�' L
OTHER o ! /c' Se��S ^ ,�T C f r i S! i t j j / �r .r✓ ( ,(v f/1 U
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMEENT PERMIT LAYOUT
/-fro,c (7,0
soo,gp�
V '"
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH I
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF
OPERATION PERMIT
SYSTEM
F
Lie G'1,'✓01'%
/ �•9,> Jc !d. 7 J�
C".4cC /
F
INSPECTION OF THIS SYSTEM
)NE # IS (704) 634-8760.
? `/ - X
I Jl0 �D
10
x-'1 c;2'0
tD
Sd
AUTHORIZATION NO. L -? OPERATION PERMIT BY: 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 05/96 (Revised)
d ,
Yir. ps:, 7� A � yT ✓' �1 (J �.
C, DAVIE COUNTY HEALTH DEPARTMENT
x a
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Permlttee'sp ,
Subdivision Name:
Directions to property:----- i Section: Lot:
1 IMPROVEMENT
PERMIT Tax Office PIN:# j`'
Road Name r = • Zip: ,
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
e'
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE ' ' " # PEOPLE t :!± # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY 4 -f - DESIGN WASTEWATER FLOW (GPD) s' NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH l ROCK DEPTH 4 r' LINEAR Fr.
OTHER ,C r ,�r'o f J T CF x r .i"r -0!% d' r og� l-( v s fir.
1
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
4.1
4:.:,.
II "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH 1
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF
OPERATION PERMIT
SYSTEM INST
Ijib
;
(%...f: i
i
)R FIN L INSPECTION OF THIS SYSTEM
I LE j-IONE # IS (704)634-8760.
jlr )C%
,LED BA
C L'
AUTHORIZATION NO. L ( OPERATION PERMITBY: Y � 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 05/96 (Revised)
iWk ..•b r ®, �, `. ��. ) I.l 1 h,r�� �� KSS j'
.3.,' t1 `y`"��'rv+X' ai'✓� �y t fit- ^�'ID. '�':�n 1.�' �. v Se .'.,f e
i
�c r`
5 ®� r r4at
Vit• '' �;,, ,$,e,:, � a7 � *.,�_„
All
41
At
cyj
usiA
All
lot
+, DL
r
a
77 t
a
�. •s .•�!l'}. .'3A °'
M7.
. l,"
1
C�
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME P-574P•Al -'�t`//PHONE NUMBER
ADDRESS D`O SUBDIVISION NAME
� ig
C. lea e..- SUBDIVISION LOT#
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED_ozooz-/ W,t/
NAME SYSTEM INSTALLED UNDER�-
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY _ 4
>� 00 DOOK ,
DRUIE COUNTY 06-93-97
STATE OF $iM 00
APfio'O HNA Real Estate
GExcise Tex
1.72.01_
MGF 0 G Co, ( Ie �t)
1115011
RLM MR RMISMnON
June 3, 1999. 2:45 P.M.
DATE TIME
AND RECORDED IN BDO 21K.�.,... —PAGE 686
HENRY L SHORE, REGISTER OF DEEDS
OAVii: COSJN, . NC
DEPUTY
Recording Time, Boa and Page
Kax Lot wo....... C1:.5.-15.,—A,PCL..3................................................ Parcel Identifier No................................................, .......................
Verifiedby........................................................................ County on the ............... day of .......................................................,, ...... I .... I
by.........................................................................................................................................................................................................................
Mail after recording to ............... GRANTEE@,..RO.-DOX.,824,,...CO.OLEEMEE...NC..27.0.14......................................................................
...................................................................................................... ..
This instrument was prepared by ...TAMARA A. FLEMING, ATTORNEY AT. LAW,, MOCKSVILLE,,,.KC,, Z ..,Q26 .......................
Brief description for the Index
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this .......3 -RD.. day of.......XWE.............................................. .19.99.., by and between
GRANTOR
POLLY M. FOSTER (WIDOW)
•
PAUL GODBEY, JR.
GRANTEE
Enter In appropriate black for each party: name, address, and, it appropriate, eharaeter of entity, e.q. corporation or partnership
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and asaiyna, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee In fee simple, all that
certain lot or parcel of land situated in the City of ................... .JERUSALEM Township,
........
DAYIE County, North Carolina and more particularly described as follows: ,
DESCRIPTION ATTACHED AS EXHIBIT "A"
OM"ANISMOMCM
aMa.SP.:. 9. 9..._sr 40a.".&u
T%xv.w"W""
I
The property hereinabove described was acquired by Grantor by instrument recorded in ....: ........................ :................................... ..
..................................... ......................... ...,..................... .......................... ....... ................................ ....................... ........... ......................................
.
A map showing the above described property is recorded in Flat Book ..•• ..............•••...........••-• Page .........................
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the -Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persona whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
LN WrrXMsS WXZ%tOr. the Orantor has hereunto ret his band and stat, of if torperate, has caused' this Instrument to be al sed til 1ta
0 rpwate sues by its duty authorized officers and Its seal to be hereunto affixed bbj+� authority of its hoard of Dlrteters, the day and year Birt
above written. / �j
------------------------ -{---vent. -----ame) -------------------- a —rot
R--------------------------(ssnw,
e:
0
By: ------------------------------------------------------------ ..................... ----- (atewL)
.--Prasldent r'
ATTRSTt "------------------------------- ------ - '
--------------------------------------------------------------- CQ .iattAL)
..._._...--.. .................secretary (Corporate seal) W
►�--------------------------------------------------•---- .-__(ZKAL)
ZRAL-sTAKI, NORTH CAROLINA, -------- DOUR .................. County.
1, a Notary PYb)le of the County and state aforesaid, certify that ..........................................
OFFICIAL SEAL7n .__ _. MOLLY_ M :_FOSTER ---------------- ------------- .. ------------------------ Oraster,
abtsry Pubge ltbtilt G{b+:ta
COUNTY OF DA Pers Uy appeared before sae ibis say and aetnesrledged the exeouttoh of the foregoing instraasenR Witness sty
MARTHA
bAy C.oftsllls�ion H,,RO-FOL i. d na official stamp or seat, u/►Ie ._.3/1 /]d/a]y of --- .TUNE ------------..I.......
1999
bfy Commission expires:( r 10� 4eK-Y_-------- otarypublic
SIAL -STAMP Nosra CAROLINA. ----------------------------------county. .
1'.1 Notary Public of the County and State aforesaid, certify that -------------------- ___-__.,
personally came bef.re m. UAS dal sad acknowledged that -_-_ he Is ---------------------- secretary of
A.--___..-_._____ .................................... a North Carolina corporation, and that by authority daly
q Risen and as the act of the corporation, the foregoing Instralaeat Drag signed in Its nese by its
RI '
Ptirideat, sealed•withits esi°yerate ted and attested by ----------- as iia ---------------------...... srcretaty.
Witness my band and official -tamp or goal, this „------day of ----------------
Mycommission expires: ------------------------------ ---------------------------------------- Notary Publle
The foregoing c.rtlrieafa(g or .... I l:tha_ K :.Rollins N-! a- ---------Public o ave u-- y:;:-------- ------------ _
l
•
00 HOOK .111— PAGE i
EXHIBIT A
BEGINNING at a railroad spike in the right of way of NC Highway 801, Southwest
corner or George O. Jordan (Deed Book 81, page 334) and runs thence with Jordan line South 77
deg. 09 min. 30 sec. East 92.00 feet to an iron; thence South 80 deg. 52 min. 55 sec. ast%08
feet to an iron, Jordan Southeast corner in Brogdon line; thence South 14 deg. 01 min. 33 sec.
West 113.4Lf
bet to an iron, Brogdon corner; thence South 19 deg. 36 min. 09 sec. West 3 44
motto an iron; thence North 61 deg. 56 min. 21 sec. West 62.37 feet to an iron; thence
continuing North 61 deg. 56 min. 21 sec. West 123 4(1. fit to a railroad spike in the right of way
of NC Highway 801; thence North 28 deg. 15 min. 29 sec. East 95,$¢ 'get TO THE
BEGINNING containing 0.471 acres, more or less, as surveyed April 25, 1989, by Tutterow
Surveying Company.
TOGETHER WITH a nonexclusive perpetual easement across a 0.814 acrc tract
described in Deed Book 163, Page 665, Davie County Registry, and being further designated as
Parcel 4.02 on Tax Map M-5-15, Block A, located in Jerusalem Township, Davie County, North
Carolina, for the purpose of maintaining existing sewer lines which service the above-described
0.471 acre tract and further with a nonexclusive perpetual right of ingress and egress as may be
necessary to maintain and repair the existing sewer lines. This easement shall be appurtenant to
the grantees' lands and run with their lands forever.
Together also with all furniture and equipment located in, around, about and used in
connection with the operation of a restaurant and/or cafe.
For back title, see Deed Book 212-,-Page-23 ;:D -BvokIO5,-Page-834 Dced BoaLL60,
Ttgge24; Deed Book i56, page 404; Herd Book 53, Page 315; and Deed Book 49, Page 226;
Davie County Registry. See also Tax Map M-5-15, A, Parcel 3, located in Jerusalem Township,
Davie County, North Carolina.
te:tar
Ouny AlesWA eshle desuiptio *kWay, p+ul, jr., rile no. 11881,1