7722 Hwy 801S )avie County, NC Tax Parcel Report Wednesday, September 28, 201 t
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: M5160D0002 Township: Jerusalem
NCPIN Number: 5745053504 Municipality: COOLEEMEE
Account Number: 17032000 Census Tract: 37059-807
Listed Owner 1: COOLEEMEE POST#1119 VFW Voting Precinct: COOLEEMEE
Mailing Address 1: PO BOX 55 Planning Jurisdiction: COOLEEMEE
City: COOLEEMEE Zoning Class: COOLEEMEE OI
State: NC Zoning Overlay:
Zip Code: 27014-0000 Voluntary Ag.District: No
Legal Description: LOTS 2-3 ERWIN MILLS Fire Response District: COOLEEMEE
Assessed Acreage: 1.10 Elementary School Zone: COOLEEMEE
Deed Date: 8/1987 Middle School Zone: SOUTH DAVIE
Deed Book/Page: 001390501 Soil Types: GnC2,EnB
Plat Book: 0004 Flood Zone:
Plat Page: 071 Watershed Overlay: COOLEEMEE
Building Value: 145240.00 Outbuilding&Extra 2300.00
Freatures Value:
Land Value: 35520.00 Total Market Value: 183060.00
Total Assessed Value: 183060.00
109, 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
�OUpC NC or arising out of the use or Inability to use the GIS data provided by this website.
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f/4 4 DAVIE COUNTY HEALTH DEPARTMENT
11 r* 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-.l.� ,lyr'!//� — � .•rte �1 �,, •rte: e r- f%1`f`-' N0 �..
Location
X722 f' /� kilts
Subdivision Name Lot No. Sec. or Block No.
Lot Size 1;" '.i" House Mobile Home _ Business "'� Speculation
No. Bedrooms 11/I yZ,1111 _
f No. Baths r•; No. in Family V,
Garbage Disposal YES ❑ NO Specifications for System: �
Auto Dish Washer YES ❑ NO
Auto Wash Machine YES ❑ NO
Type Water Supply ��%%- -- '�t/o ��� �lu���
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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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
t/
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 be taken as a guarantee that the system will function
satisfactorily for any given period of time.
• ,' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department0 JUL Z S
f Environmental Health Section REQ
{� P. O. Box 665
Mocksville, N.C. 27028
14 C� CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
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Home Phone Ar
1. Permit Requested By w Y,/"" Business Phone
2. Address AQ p
3. Property Owner if Different than Above V4 UJ, Pb,5T
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional�Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
Industry OtherJG&/1(b
b) Number of people
6. a) If house or mobile home, state size of home and wmPer of rooms.
House Dimensions
Bed Rooms Bath Rooms Den w/Closet / r/
b) If Business, Industry or Other, State: Number of persons served 1 e79t
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes urinals garbage disposal
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public � Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions I'_ a-CAes
b) Land area designated to building site
c) Sewage Disposal Contractor 7
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
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Date 066 Sig
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Direction to prop rty:
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DCHD(6-82)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name Date
Address Lot Size Z�4- 4f
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S
PS d�
U U
2) Soil Texture (12-36 in.) Sandy, S S S S
Loamy, Clayey, (note 2:1 Clay) (P-5-) PS
3) Soil Structure (12-36 in.) S S PS PS
Clayey Soils
U {�
4) Soil Depth (inches) S S S S
PS PS PS,
5) Soil Drainage: Internal S S
PS PS P
U U � 0
External S S
PS PS PS
U
6) Restrictive Horizons
7) Available Space �9 S S
S PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U . U
9) Site Classification ,, G
U—UNSUITABLE S—SUITABLE ,,PS—Provisionally Suitable
Recommendations/Comments:
Described by Title 1- Date
SITE DIAGRAM
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DCHD(6-82)