211 Fork Bixby Rd- 1
OPERATION PERMIT
Davie County Health Department
¢ 210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: William Ray Davis
Address: 211 Fork Bixby Road
City: Advance
State2ip: NC 27006
Phone #:
Address/Road #:
211 Fork Bixby Road
Advance NC 27006
Structure: SINGLE FAMILY
# of Bedrooms:
# of People:
*Water Supply: NIA
*IP Issued by.
*CA issued by: 2140. Nations, Robert
Design Flow: 3 6 0
Soil Application Rate: 0 - 3
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
Subdivision:
S
*GDP File Number 157352-1
County ID Number.
Evaluated For REPAIR
�Tawnship:
Property Owner: William Ray Davis
Address: 211 Fork Bixby Road
City: Advance
State/Zip: NC 27006
Phone #:
Phase: Lot:
Directions
Hwy 64 east, left on Fork Bixby Rd. House on left
past church.
*System Classification/Description:
TYPE 11 A CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
SaproliteSystem? 0Yes QNo
*Distribution Type: GRAVITY- SERIAL Pump Required?
( Yes (DNo
*Pre Treatment:
Drain field
1 2 0 0 Sq. ft.
6
3 1 6 ft.
()Inches O.C.
. — 9 E Feet O.C.
Inches
3 i Feet
inches
Minimum Trench Depth: 3
0
Minimum Soil Cover. 1
8
Maximum Trench Depth: 3
6
Maximum Soil Cover. 2
4
Inches
*System Type:
Installer:
Certification #:
Sammy D reavis
3001
*ENS: 2140 - Nations, Robert
Date: 0 3/ 0 9/ 2 0 1 6
Inches Approval Status
Inches Q' Approved 0 Disapproved
Inches
CDP File Number 157352-1
Manufacturer. Shoaf
STB: 760
Gallons: 1000
Date:
11/
❑
0 9/.2
0 1 5
*Filter Brand:
POLYLOKPL•122 With Pipe Adapter
ST Marker:
❑
Yes
O
No
nforced Tank:
❑
Yes
2
NO
1 Piece Tank:
❑
Yes
El
No
Manufacturer.
W
Gallons:
Date:
r
c 'Tank County ID Number:
Lat.
Long:
Installer: Sammy D Reavis
Certification #: 3001
*EH S. 2140 - Nations, Robert
RiserSealed ❑
Yes
❑
No
Riser Height: ❑
Yes
❑
No (Min.6 in.)
nforced Tank: ❑
Yes
❑
No
1 Piece Tank: ❑
Yes
❑
No
Pipe Size: inch diameter
Pipe Length: feet
*Schedule:
Installer.
Certification #:
*EH S:
Date: / /
Pressure Rated ❑ Yes ❑ NO Date: / /
Approved fittings ❑ Yes ❑ NO Approval Status
❑ Approved ❑ Disapproved,
Pump Type: Installer.
Dosing Volume: — Gal Certification #:
Draw Down:
Inches
'Chain:
Valves Accessible
❑ Yes
❑
No
Flow Adjustment Valve
❑ Yes
❑
No
Check -valve
❑ Yes
❑
No
PVC Unions
❑ Yes
❑
No
Vent Hole
❑ Yes
❑
No
Anti -siphon Hole
0 Yes
0
No
THS:
Date:
Approval Status
❑ Approved ❑ Disapproved
CDP File Number 157352 - 1
crecErrc CUUMmeni
County ID Number:
NEMA 4X Box or Equivalent
❑
Yes
❑
No
Installer:
Box 12 inches Above Grade
❑
Yes
❑
No
Certification #:
Box Adj.To Pump Tank
❑
Yes
❑
No
Conduit Sealed
❑
Yes
❑
No
'ENS:
Pump Manually Operable
❑
Yes
❑
No
*Activation Method:
Date:
Alarm Audible
❑
Yes
❑
No
Approval Status
❑approved❑ Disapproved
Alarm Visible
❑
Yes
E3
No
2140 • Nations. Robert
*Operation Permit completed by.
Authorized State Agent: ZZ,_ Date of Issue: 0 3/ 0 9/ 2 0 1 6
Owner/Applicant Signature:
This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for
Sewage Treatment and Disposal, 15A NCAC 18A.1900 et. Seq., and all conditions of the Improvement Permit and
Construction Authorization. This property is served by a TYPE a A. sewage septic system.
Rule .1961 requires that a Type TYPE 11 A septic system meet the following criteria:
Minimum System Review By The Local Health Department: NIA
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency By Certified Operator:
NIA
Reporting Frequency By Certified Operator: NIA
Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract
with a public management entitywith a certified operatoror a private certified operator forthe life of the septic system.
Rule .1961 requires that Type VI septic systems designed fora homelbusiness owner must maintain a valid contract with a
public management entity with a certified operator for the life of the septic system.
Rule. 1961 (2) (e) requires a contract shall be executed between the system owner and a management entity prior to the
issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the
system owner and certified operator are the same. The contract shall require specific requirements formaintenance and
operation, responsibilities of the owner and systems operator, provisions that the contract shall be in effect for as long as the
system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of
the Operation Permit that subsequent owners of the systems execute such a contract.
@Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC
Drawing Drawing Type: operation Permit
am -
r
CDP File Number: 157352 -1.
County File Number:
27028 Date: ! /
4
Q Inch
Scale: pebck
CSN/A.
kk
4
II
{{
V1,
>�-off" �
I
�
�
{ �✓_� r�
I
�
I I
�
C
t
..a.
......
.....x..
. .. ......
. . .
.. ..... .....
l
..
.........
L -Jr
CONSTRUCTION
'
AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
/ For Office Use Only \
*CDP File Number 157352 - 1
County ID Number:
Evaluated For: REPAIR
�, Township: /
Phone: 336-753-6780 Fax: 336-753-1680 0 8/ a 1/ a 0 1 9
Applicant: William Ray Davis
Address: 211 Fork Bixby Road
City: Advance
State/Zip: NC 27006
Phone #:
Address/Road #: Subdivision:
211 Fork Bixby Road
Advance NC 27006
Structure: SINGLE FAMILY
# of Bedrooms:
# of People:
*Water Supply: NSA
Property Owner: William Ray Davis
Address: 211 Fork Bixby Road
City: Advance
State/Zip: NC 27006
Phone #:
Phase: Lot:
Directions
Hwy 64 east, left on Fork Bixby Rd. House on left past
church.
Page 1 of 3
Minimum Trench Depth: 2 4
\Site
Classification:
Provisionally suitable
Inches
Saprolite System?
O Yes (9 No
Minimum Soil Cover: 1 a Inches
Design Flow:
3 6 0
Maximum Trench Depth: 3 6 Inches
Soil Application Rate:
0 3
Maximum Soil Cover: ,2 4 Inches
*System Classification/Description:
*Distribution Type: GRAVITY - SERIAL
TYPE II A. CONY SYSTEM (SINGLE-FAMILY
OR 480 GPD OR LESS) Septic Tank:
Gallons
*Proposed System: 25% REDUCTION
1 -Piece: O Yes O No
Pump Required: O Yes ®No O May Be Required
Nitrification Field
1 of 0
0 Sq. ft. Pump Tank: Gallons
No. Drain Lines
3
1 -Piece: OYes 0 N
Total Trench Length:
3 0 0
GPM --vs— ft. TDH
ft
Trench Spacing:
—9
Inches O.C.
Feet O.C. Dosing Volume: Gallons
Trench Width:
3
Inches
Feet
—
Grease Trap: Gallons
Aggregate Depth:
inches
Pre -Treatment: O NSF OTS -I O TS -II
Septic Tank Installer Grade Level Required: 01011 O III ON
Page 1 of 3
CDP File,Number 157352 - 1
*Site Classification:
Design Flow:
Soil Application Rate:
*System Classification/Description:
*Proposed System:
Nitrification Field
No. Drain Lines
Total Trench Length:
ft.
County ID Number:
❑ Open Pump System Sheet
V i U V IVU V IVU, U U L I Ids /1VdlIdUIC J
Trench Spacing: O Inches O.
O Feet O.C.
Trench Width:—
Reet ches
Aggregate Depth:
inches
Minimum Trench Depth:
Inches
Minimum Soil Cover:
Inches
Maximum Trench Depth:
Inches
Sq. ft. Maximum Soil Cover:
Inches
*Distribution Type:
Pump Required: OYes O No O May Be Required
Pre -Treatment: O NSF OTS -I OTS -II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. RhZa� e -
750
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. R mem 9
2000
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be issued at the same time the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes ONO
Applicant/Legal Reps. Signature* Date:
*Issued By: 2140 - Nations, Robert Date of Issue: 0 8 / a 1 / a 0 1 4
Authorized State Agent: Malfunction Log O Yes
® Hand Drawing O Import Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Drawing Drawing Type: Construction Authorization
CDP File Number: 157352 - 1
County File44umber:
Date: 08 la l/.1014
O Inch
Scale: O Block
O N/A
Page 3 of 3
P1 P2
CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
CDP File Number: 157352 - 1
County File Number:
Date: A 8.x.2 1./ . 0 14
Click below to import an image from an external location: Drawing Type: Construction Authorization
Page 3 of 3
P1 P2
A � g IFe'S
m
ivy
/L
6
CONSTRUCTION ' �� For Office use Only
AUTHORIZATION +�t,�, "CDP File Number 157352-1
Davie County Health Departments' 0County ID Number:
210 Hospital Street_
Evaluated For: REPAIR
P.O. Box 848 •`�•:%' Township:
Mocksville NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax: 336-753-1680 0 8/ a 1% a 0 1 9
Applicant: William Ray Davis Property Owner: William Ray Davis
Address: 211 Fork Bixby Road Address: 211 Fork Bixby Road
City: Advance City: Advance
State/Zip: NC 27006 State/Zip: NC 27006
Phone #: Phone #: /
i
Address/Road #: Subdivision:
211 Fork Bixby Road
Advance NC 27006
Structure:
# of Bedrooms:
# of People:
*Water Supply:
SINGLE FAMILY
N/A
Phase: Lot:
Directions
Hwy 64 east, left on Fork Bixby Rd. House on left past
church.
System Specifications
Minimum Trench Depth:
a
4
Site Classification: Provisionally suitable
Inches
Minimum Soil Cover.
1
a
Saprolite System? QYes *No
Inches
Design Flow: 3 6 0
Maximum Trench Depth:
3
6 Inches
Soil Application Rate: 0 3
Maximum Soil Cover:
a
4 Inches
*System Classification/Description:
*Distribution Type:
GRAVITY -SERIAL
TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
*Proposed System' 25% REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
Septic Tank.
_ _Gallons
1 -Piece: QYes QNo
Pump Required: QYes @ No QMay Be Required
1 a 0 0 Sq. ft. Pump Tank: Gallons
3 1 -Piece: QYes QNo
3 0 0 ftGPM—vs-- ft. TDH
Inches O.C.
— 9 . @Feet O.C. Dosing Volume: _ Gallons
@Inches
3 Feet Grease Trap: Gallons
inches Pre -Treatment: O N SF OTS -1 OTS -II
Septic Tank Installer Grade Level Required: 01 011 0111 OIV
CDP File'Number 1X7352-1
Repatr
County ID Number:
❑ Open Pump System Sheet
Requirea:kiTes I.JIVu vivo, uul nay hHVallaule apdue
Total Trench Length:
ft.
Pump Required: OYes ONo OMay Be Required
Pre -Treatment: ONSF OTS -1 OTS -II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
7:
*Permit Conditions
The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
2(
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and maybe Issued at the sametime the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted In the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
Invaild, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance; monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? Oyes ONO
Applicant/Legal Reps. Signature: Date:.
*Issued By 2140 -Nations, Robert Date of Issue: 0 8 / . 1 / a 0 1 4
Authorized State Agent: Malfunction Log Oyes
@Hand Drawing Olmport Drawing
**Site.Plan/Drawing attached.**
Paae 2 of 3
Trench Spacing:8Feet
Inches O_
*Site Classification:
— O.C.
Trench Width:
Inches
8Feet
Design Flow:
—
Aggregate Depth:
Soil Application Rate:
inches
- Minimum Trench Depth:
*System Classification/Description:
Inches
Minimum Soil Cover.
Inches
Maximum Trench Depth:
*Proposed System:
Inches
Maximum Soil Cover:
Nitrification Field
Inches
Sq. ft.
No. Drain Lines
*Distribution Type:
Total Trench Length:
ft.
Pump Required: OYes ONo OMay Be Required
Pre -Treatment: ONSF OTS -1 OTS -II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
7:
*Permit Conditions
The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
2(
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and maybe Issued at the sametime the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted In the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
Invaild, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance; monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? Oyes ONO
Applicant/Legal Reps. Signature: Date:.
*Issued By 2140 -Nations, Robert Date of Issue: 0 8 / . 1 / a 0 1 4
Authorized State Agent: Malfunction Log Oyes
@Hand Drawing Olmport Drawing
**Site.Plan/Drawing attached.**
Paae 2 of 3
CONSTRUCTION AUTHORIZATION
Davie County Health Department CDP File Number: 157352-1
210 Hospital Street
P.O. Box 848 County File -lumber:
Mocksville NC 27028 Date: O s l a 1- l a 0 1 4
Q Inch
Drawing Drawing Type: Construction Authorization Scale: C)N/AOBlo= ft.
QN/
Li
c
N
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Environmental Health
.RECEIVED P.O. Box 848/210 Hospital Street
(] I Mocksville, NC 27028
nate: �i (336)753-6780/ Fax (336)753-1680
Application For: ❑ Site Evaluation/Improvgn ent Permit ❑ Authorization To Construct (ATC) ❑ Both
Type of Application: ❑New System FKepair to Existing System ❑Expansion/Modification of Existing System or Facility
* * *IMPORTANT* * * THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name on Permit/ATC if Different than Above
Mailing Address
Contact Person
Home Phone 9 /
Business Phone C D ,0_'J' Ve
FKUFhKI Y 1NP'UKMA"l'lUN *Date House/Facility Corners Flawed
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale)
(Permit is valid for 60 month with sit plan, no expiration with complete plat.)
Owner's Name a M Q V Phone Number 336-- 702 -
Owner's Address City/Stat / ip
Property Address 2 Q W V9V AW City
Lot Size /,S`1�L cler, ax PIN#
Subdivision Name(if applicable) Sectio ot# ,
Directions To Site: 4� v �j ,3C i� V o o v-✓
v,ti.1P A �4✓ >A reQl e
Specify Problem Occurring:
IF RESIDENCE FILL OUT THF. ROX RFLOW
# People 2 # Bedrooms 2 # Bathrooms -Garden Tub/Whirlpool es ❑No
Basement: C� ❑No Basement Plumbing: C� ❑No
IF NON -RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business Total Square Footage of Building # People
# Sinks # Commodes # Showers # Urinals
Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type: ❑ County/City Water ❑ New Well 2' isting Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes
If yes, what type?
ONES
This is to certify that the information provided on the application is true and correct to the best of my knowledge. I understand that
any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use charges, or if
the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative
of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules
I understand that I am responsible or the proper identification and labeling of property lines and corners and locating and flagging
or stakin,& th,0Ause/facili o o ati n, proposed well location and the location of any other amenities.
Site Revisit Charge
Property owner's or n s legal representative signature
Date(s):
00 Client Notification Date:
Date EHS:
Sign given []Yes ❑No Account #
Revised 11/06 Invoice #
Appraisal Card
j� j
,?�-
6jpv
age 1 of 1
DAVIS WILLIAM RAY
Retum/Appeal Notes:
Parcel: 37-OSO-AO-003
11 FORK BIXBY RD
PLAT: 0002/021 UNIQ ID 19723
2523364
D371 -P21
ID NO:
5777290516
COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1
Reval Year: 2013 Tax Year: 2014 1.540 AC FORK BIXBY RD 1.490 AC
SRC= Owner
raised b 02 on 04/09/2008 04003 NO CREEK TW -04
Cl- FR -09 EX- AT- LAST ACTION 20110712
CONSTRUCTION DETAIL
MARKET VALUE
DEPRECIATION CORRELATION OFVALUE
Foundation - 3
Eff. BASE
Standard 0.3100
Continuous Footing5.0
US MO Area UA RATE RCN EYB AYB
CREDENCE TO MARKET
Sub Floor System - 4
01 01 1,283 122 85.40 111818 198 1962 % GOOD
69.0 EPR. BUILDING VALUE - CARD
77,15
Plywood
Exterior Walls - 21
8.0
TYPE: Single Fatuity Residential
Single Family Residential DEPR. OB/XF VALUE - CARD
3,42
MARKET LAND VALUE - CARD
24,85
Face Brick
34.0 STYLE: 5 - Ranch w/ basement
OTAL MARKET VALUE - CARD
105,42
Roofing Structure - 03
Gable
8.0
Doting Cover - 03
OTAL APPRAISED VALUE - CARD
105,42
s haft or Composition Shingle
3.00
OTAL APPRAISED VALUE - PARCEL
105,42
nterior Wall Construction - 5
D wall/Sheetrock
20.0
OTAL PRESENT USE VALUE -PARCEL
nterior Floor Cover - 08
OTAL VALUE DEFERRED - PARCEL
OTAL TAXABLE VALUE -PARCEL
105,42
heet Vin I/Laminate
10.0
nterior Floor Cover - 12
PRIOR
ardwood
0.0 +---------39----------+
3UIUDING VALUE
79,84
Heating Fuel - 03
I U B M
I
BXF VALUE
5,52
as1.0
I
I
ND VALUE
24,85
eating Type - 10
I
I
RESENT USE VALUE
eat Pump
4.0 I
I
DEFERRED VALUE
it Conditioning Type - 03
2
2
rOTALVALUE
110,21
entral
4.00 8
6
edrooms/Bathrooms/Half-Bathrooms
I
I
/1/1
11.00C I
I
PERMIT
edrooms
I
I
CODE I DATE NOTEF NUMBER AMOUNT
AS-3FUS -0 LL -0
I +----22-----+
athrooms
+ - - - 17 - - - - +
OUT: WTRSHD:
AS - 1 FUS - 0 LL- 0
SALES DATA
Half -Bathrooms
FF. INDICATE
BAS - I FUS - 0 LL - 0
RECORD DATEDEED
SALES
ffice
+---------39----------+
800 PAGE R TYPE / /I
PRICE
I BAS
I
0852 943 2 201 QC E I
OTAL POINT VALUE 1108.00 1
I
0573 219 9 200 WD E I
2500
1
1
0192 586 12199 WD Q I
8700
BUILDING ADJUSTMENTS
6
I
0190 203 10199 WD I
8700
uallty 1 3 AVG
1.000 I
I
Q
0154 595 6 199 WD Q I
6000
ha a/Desi 4 FACTOR 4
1.050C 1
2
0153 528 13 199 WD Q I I I
4000
iza 1 3 Size
1.080 + - 9 - - +
6
I
OTAL ADJUSTMENT FACTOR
1.13C IWDD I
1 1
I
1
OTAL QUALITY INDEX
122 1 1
I
2 2
I
HEATED AREA 1,048
II +4+---18----+
+-9--+---17----+FOP
NOTES
SUBAREA
UNIT
ORIG % ANN DEP % OB/XF DEPR
TYPE GS AREA % RPL CS
DE ESCRIPTIO UN T NI PRICE
GOND
LDG# AYB EYB RATE V COND
VALUE
BAS 1,04 10 8949 69
ETAL BLDG 30 20 600 15.3
0 _ 199 1999 S 30
2754
FOP 03 25 1
ORAGE 1 1 14 15.0
0 199 1990 S 31
67
BM 1,04 02 1793 OTAL OB/XF VALUE
3,42
DD 10 02 187
3 - 1 Story
FIREPLACE 2,25
Sin le
UBAREA
2,21 111,81
OTALS
BUILDING DIMENSIONS BAS=W39SI6WDD=W9SI2E9N12$S12E17FOP=t2E4S2W4$N2E22P26$PTR=NI5 UBM=N26W39S28E17N2E22$S15$.
ND INFORMATION
HIGHEST
THER ADJUSTMENTS1
I LAND
TOTAL
ND BEST
USE
LOCAL
FROM
DEPTH /
LND
COND
AND NOTES
OA
UNIT
LAND UNT TOTAL
ADJUSTED
LAND OVERRIDE LAND
SE
CODE
ZONING
TAGE
EPT
SIZE
MOD
FACT
RF AC LC TO OT
TYPE
PRICE
UNITS TYP ADJST
UNIT PRICE
VALUE VALUE
NOTES
RURAL AC
0120
225
0
2.0050
4
11.17001+07
+10 +00 +00 +00
PW
7,100.01
1.49 AC 2.34
16 656.6
24852
0
OTAL MARKET LAND DATA
1.492 24,85
OTAL PRESENT USE DATA
31z0 1q0 100,AJ yrs
� Alle�µt�ullirn����
Own(
fo
anal Ce
CD�Gt�Y� 0 6a/d,
R�bN
http://66.226.39.229//ITSNet/AppraisalCard.aspx?parcel=J705OA0003 8/20/2014