134 Excalibur LnDAVIE COUNTY HEALTH DEPARTMENT SEPTIC TANK PERMIT
':'o. of Bedrooms Date^
'`his permit is granted to�Saru P �%�, l o , f e i tra tion of a septic tank
at the residence of Neo Iri,f e Ec n a 12 ddre
.Building Contractor �..Q Address
Septic Tank Specifications: Length Width Depth Capacity % Gal. n
C,
Manufacturer's Name 2yllais ,-571a 6 i Address
ITo. of lines—L width in. Total Length ft. No. of Sq. Ft.
Type of filter material Total tons used „) /
Minimum Requirements: House Traile Tank Cap. 80Sq. ft. line X00
Two-bedroom house 800. 00
Three-bedroom house 900 900
No one shall install a septic tank in Davie County without a permit from the Health Officer
of his agent.
Date of final approval Signed:
Sanitarian
I hereby certify that the above septic tank has been install991 according`t speci 'cations.
Signed: / l�
Septic Tank Contractor
Notre: Make sketb�t of disposal system on back of sheet and mail to Health Center, Mocksville.
OAF
Davie County Health Department
� �is t� Environmental Health Section
�^ P.O. Box 848
o
S„ 210 Hospital Street
O U �'t Courier # : 09-40-06 1911
Mocksville, NC 27028
Phone: (336) - 753 - 6780. ON-SITE WASTEWATER CERTIFICATION Fax: (336) - 753-1680
(Check One) Replacement Remodeling Reconnection
Name: VJ i4 g r+ c C L Phone Number
Mailing Address:
Email Address
Detailed Directions To Site:
j -( ! S - 0'4 c� I (Home)
(Work)
� keo Peara�e �a�ltoo.�o�
C_ x,77 q L
Property Address: � � �i(,� {� Edme-2
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: �, Type Of Facility.
Date System Installed (Month/Date/Year): to -Z' Number Of Bedrooms: L_Number Of People:
Is The Facility Currently Vacant?o If Yes, For How Long?.
Any Known Problems? Yes CN�o'
Yes, Explain:
Please Fill In The,,Following Information About The NEW Facili:/ ( -�Aoorns:
Type Of Facility: �( ,t %' ; /S ummbfeer`Of�ef_Number of People
Pool Size: , Garage Size: � Other:
Requested By: y �(, A% GJ J )mak Date Requested:
(Signature)
For. Environmental Health Office Use Only
pproved Disapproved
Comments:
Environmental Health Specialist.
*The signing of this form by the Environmental Health
Date: 41 I� I
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 #: Invoice #:
Nei
t
Appraisal Card
DAVIE COUNTY, NC
Page 1 of 1
•/Z /]0131Oe3f.�S0 •M
ARNOLD BEATRICE Retum/ ppeal Notes: LS -070 -AO -006
134 EXCALIBUR LN UNIQ ID 21894
15672000 D329-PlO ID NO: 5746164693
COUNTY TAX (100), FIRE TAX (100) Elderly Exempt CARD NO. 1 of 1
eval Year: 2013 Tax Year: 2013 1 LOT EXCALIBUR LN 0.630 AC SRC- Inspection
Appraised by 19 on 05/20/2008 05004 FAIRFIELD TW -05 C- EX- AT- LAST ACTION 20130320
CONSTRUCTION DETAIL
MARKET VALUE
DEPRECIATION CORRELATION OF VALUE
Foundation - 3
i
AP
Additional 0.1500
ontinuous Footinq 5.00
Eff.
BASE
Ph slcal
Standard 10.51000
ub Floor System - 4
Ilywood 8
0 USE
MO
AreaDUAL
RATE
RCN
EYB
AYB
REDENCE TO MARKET
xterior Walls - 10
01
01 1412
114
79.80
3287
111-111962
%GOOD 34.0 DEPR. BUILDING VALUE -CARD 11,180
TYPE: Single Family Residential Single Family Residential DEPR. OB/XF VALUE - CARD 1,60
MARKET LAND VALUE - CARD 10,17
luminum/Vin I Siding 29,00
oofing Structure - 03
able 8.0
STORIES: 1 - 1.0 Story TOTAL MARKET VALUE - CARD 22,95
oofing Cover - 03
s halt or Composition Shingle 3.0
TOTAL APPRAISED VALUE - CARD 22,95
nterlor Wall Construction - 5
D wall/Sheetrock 20.0
OTAL APPRAISED VALUE - PARCEL 22,95
nterlor Floor Cover - 08
heet Vinyl/Laminate 8.00
OTAL PRESENT USE VALUE - PARCEL
0
nterior Floor Cover - 09
line or Soft Woods 0.0
OTAL VALUE DEFERRED - PARCEL
OTAL TAXABLE VALUE - PARCEL 22,95
eating Fuel -02
it Wood or Coal 0.00
PRIOR
eating Type - 03
orced Air - Not Ducted 2.0
UILDING VALUE 12,32
BXF VALUE 2,05
ND VALUE 10,17
it Conditioning Type - 01
None 0.00
PRESENT USE VALUE
DEFERRED VALUE
Bedrooms/Bathrooms/Half-Bathrooms
1/0/0 O.00C
OTAL VALUE 24,54C
Bedrooms
AS -IFUS -0 LL -0
lfice
AS-0FUS-0LL-O
+----------24-----------+
IBAS I
I I PERMIT
I I CODE I DATE I NOTE NUMBER AMOUNT
I I
1 I
1 1 ROUT: WTRSHD:
6 6 SALES DATA
I I
OTAL POINT VALUE k3.00C
BUILDING ADJUSTMENTS
Uali 3 AVG1.000
ha a Desi 4 FACTOR 4 1.050
ize 1 3 1 Size 11.300
OTAL ADJUSTMENT FACTOR 1.37C
OTAL QUALITY INDEX 114
1 I FF. INDICATE
I I RECORD DATE DEED SALES
I I BOOKAGE M R TYPE PRICE
1 1 0064 086 5 119611 WD I X I I
+---10----+-----14------+
IFOP I
I I
8a
I I HEATED AREA 384
11
+---10----+ NOTES
SUBAREA
UNIT ORIG %
ANN DEP
% OB/XF DEPR.
GS RPL ODEbOPAGE
SCRIPTIO
LT
H
NIT
PRICE CON D
BLDG# L/B
AYB
EYB RATE
V
COND VALUE
RPORT
1
1
1
1
19
12
10.0 10
15.0 10
_ L
L
198
199
199 5
199 S
4 82
4 77
TYPE AREA % CS 3
AS 38410 3064301
OP 60031 2234 rOTAL OB/XF VALUE 1,600
FIREPLACE 1 - None
UBAREA
46 32,87
C0
BUILDING DIMENSIONS BAS=W24Sl6FOP=S8ElON8W10EE24N16 .
ND INFORMATION
HIGHEST
THER ADJUSTMENTS
LAND TOTAL
NO BEST
USE
ZZNT,,TAG
ON
DEPTH/ LND Co..
ND NOTES ROA
UNIT LAND UNT TOTAL
ADJUSTED LAND LAND
SE
CODE
TA
DEPT
SIZE MOD FACT
RF AC LC TO OT TYPE
PRICE UNITS TYP ADJST
UNIT PRICE VALUE NOTES
URAL AC
01204
0
2.7950 4 0.9800
02 +00 +00 +00 +00 RP
5,900.00 0.62 AC 2.73
16 160.1 1016
OTAL MARKET LAND DATA 0.62 10,17
OTAL PRESENT USE DATA
http://maps.co. davie.nc.us/ITSNet/AppraisalCard. aspx?parcel=L507OA0006
4/2/2013