7331 Hwy 801SDAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 / Fax # (336)753-1680
REPAIR OPERATION PERMIT
Account #: 990006023 Tax PIN/EH #: M5060A0007
Billed To: Dwight Pitts Subdivision Info:
Reference Nance: REPAIR PERMIT Location/Address: 7331 NC HWY 801 S.-27028
Proposed Facility: Residential Repair Property Size: 1.60 Ac
ATC*WOufl M3auance of this Operation Permit shall indicate the system described on the ATC 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. OT.
SystemType: Manufacturer T?YiC Tank Date Tank Size /
Pump Tank Siz j Bedrooms_
System Installed By: PAA Installer#: DateAPIX213
GPS.Coordinate:
12Environmental Health Specialist: 2 ",oDate: QzGhwe
i
DCHD 11/06 (Revi/d)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)75376780 / Fax # (336)753-1680
REPAIR IMPROVEMENT PERMIT '
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990006023 Tax PIN: EH M M506OA0007
Billed To: Dwight Pitts Subdivision Info:
Reference Name:. REPAIR PERMIT LocationiAddress: 7331 NC HWY 801 S.-27028
Proposed Facility: Residential Repair Property Size: 1.60 Ac
ATC Number: 6033 Site Type: ❑New Repair ❑Expansion
**NOTE** This IP/ Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS IP/ AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat
or the intended use change.
Residential Specifications: # Bedrdoms0_ # Bathrooms # People Basement❑ Basement plumbing❑
Non -Residential Specifications: Facility Type # People —# Seats
+. Square Footage(or Dimensions of Facility)
Lot Size Type of Water Supply: ®County/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow (GPD)_1_Tank Size �&lrAL. Pump Tank s, ---GAL.
Trench Width Max. Trench Depth3 Rock D(eepth � Linear Ft. S"�
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Health Section for final inspection of this system between
8:30 — 9: 0a.m. on the day of installation. Telephone # (336L753-6780.
IT
Environmental Health Specialist,
DCHD 11/06 (Revised)
Dal
Ohs
DAVIE COUNTY ENVIRONMENTAL HEALTH SERVICE REQUEST
APPLICATION IP/ATC OSWW REPAIR
Name J,(J �`� h.( S Telephone Number
Address % ` Ve, lhw 01
Mailing Address (if different from above)�jll
Email Address:�6 0-Aa _ U!5 7
Subdivision Name Lot # /,60()
DirectionsLgQf —�h fDk�d�/ 0A-1 L&
Date System Instal ed J-u GL! Name System Installed Under
Type Facility US& Number Bedrooms_ Number People Served
Type Water Supply Specific Problem Occurring
Date Requested Q �,�-J Info Taken By
THIS IS TO CERTIFY THAT THE INFORMATION PROVIDED IS CORRECT TO THE BEST O MY
KNOWLEDGE, AND THAT I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL CHARGES INCURRED
FROM THIS APPLICATION.
Signature of owner or Authorized Agent
Initial Fee Date REHS
Revisit Charge Date Reason
Revised 2-2011
6623Z� Z�lb :;N1� . ?4ZO
•Appraisal Card
DAVIE COUNTY. NC
Page 1 of 1
iivrnn,a .....n. eu
ELLEDGE RICHARD R ELLEDGE BARBARA S
Retum/Appeal Notes: MS -060 -AO -007
331 S NC HWY 801
UNIQ ID 23010
301090
D370 -P21 ID NO: 5745398350
COUNTY TAX (100), FIRE TAX (100)
CARD NO. 1 of I
eval Year: 2013 Tax Year: 2013
1.671 AC HWY 801
1.600 AC SRC- Inspection
kppralsed by 07 on 09/07/2007 05002 WEST JERUSALEM
TW -05 C- EX- AT- LAST ACTION 20120925
CONSTRUCTION DETAIL
MARKET VALUE
CORRELATION OF VALUE
oundation - 3
Eft BASE
Standard 0.3700
ontinuous Footing5.0
LDEPRECIATION
US MO Area UA RATE RCN EYB
REDENCE TO MARKET
ub Floor System - 4
IOOd
01 01 1 906 99 69.30 13433 197 63.0
8.0 )EPR. BUILDING VALUE -CARD
84,63(
xterior Walls - 10
TYPE: Single Family Residential
Single Family Residential )EPR.
OB/XF VALUE - CARD
4,09
luminARKET
m
29.0 STORIES: 1 - 1.0 Story
LAND VALUE - CARD
21,40
oofing ct e - 0
oo8ng Structure - 03
OTAL MARKET VALUE - CARD
110,12
able
8.0
oo0ng Cover - 03
TOTAL
APPRAISED VALUE - CARD
110,12
s halt or Composition Shingle
3.00
TOTAL
APPRAISED VALUE - PARCEL
110,12
nterlor Wall Construction - 5
)rywall Sheetrock
20.0
nterlor Floor Cover - 08
TOTAL
TOTAL
PRESENT USE VALUE - PARCEL
VALUE DEFERRED - PARCEL
heet Vinyl/Laminate
10.0c
TOTAL
TAXABLE VALUE - PARCEL
110,12
nterlor Floor Cover - 12
ardwood
0.0 +---------28---------+
PRIOR
eating Fuel - 02 -
1
6
UILDING VALUE
89,62
11 Wood or Coal
0.0 I
1
BXF VALUE
5,47
eating Type - 04
1
+ - - 1 0 - - - +
ND VALUE
21,40
orced Air -Ducted
4.0 41
I RESENT USE VALUE
Ir Conditioning Type - 03
I
I
EFERRED VALUE
entral
4.0 1
8 OTAL VALUE
116,49(
rooms/Bathrooms/Half-Bathrooms
I
+2+
I
+--10---+
2/0
12.00 I BAS
I
drooms
I
I
AS - 3 FUS - 0 LL- 0
I
I
PERMIT
throoms
I
I
CODE I DATE NOTE i NUMBER AMOUNT
AS -2 FUS-OLL-O
1
1
OTAL POINT VALUE
103.00 I
I
I
I
OUT: WTRSHD:
BUILDING ADJUSTMENTS
2
2
SALES DATA
1ze 3 Size
0.960 8 -
8
FF. INDICATE
u
uallty 3 AVG
1.000 1
1
ECORD DATE DEED
SALES
hape/Deslgr4 3 1 FACTOR 3
1.000 =
I BOOK PAGE M43FYR TYPE
PRICE
OTAL ADJUSTMENT FACTOR
0.96 I
I 0424 981 6 00 WD Q I
11050
OTAL QUALITY INDEX
95 I
I 0892 345 5 F011 WD 1 I
4500
I
I 0871 034 10120111 TO P I
9000
I
I
+----14----+---12---+--------24--------+
IFOP I
I I
8 8
HEATED AREA 1,872
I 1
+---12---+
NOTES
SUBAREA
UNIT
ORIG %
ANN DEP
%
OB/XF DEPR
TYPE GS AREA % RPL CS ODE[RP.RT
CRIPTIO
LTH
H
UNIT PRICE
COND
BLDG
L B
AYB EYS
RATE OV
GOND
VALUE
AS 1 87 30 12973
4 D 1
16
19' 5.10
100
_
L
197 1994
S
4
OP 9 03 235
2 AGE 14
30
420 15.00
100
_
L
197 1976
S3
U
3 - 1 Story
1 RAGE' 1
1
23 15.0
30
_
L
197 199
S
4
150
]REPLACE Sin le 2,25
1 RAGE 1
1
17 15.0
30
_
L
197 199
5
4
113
BAREA
3 1
1
32 10.0
L
199 199
S
4
1393
TALS 1,96 134,33
OTAL OB/XF VALUE
4,08
ILDING DIMENSIONS BAS=W10N8W10N6W28S34W2S28E14FOP=S8E12N8W12 E36N28 .
ND INFORMATION
GHEST
THEIR ADJUSTMENTS
LAND TOTAL
D BESTUSE
LOCAL
FRON
DEPTH/
LND
COND
ND NOTES
OAUNIT
LAND
UNT
TOTAL ADJUSTED LAND
LAND
E
CODEZONING
TAGE
EPT
SIZE
MOD
FACT
RF AC LC TO
OT TYPE
PRICE UNITS
TYP
ADIST UNIT PRICE VALUE
NOTES
RAL AC
0120
105
0
1.9350
4
1.1300
+01 +12 +00 +00 +00 PW
6 100.0 1.
AC
2.18 13 340.7 2139
MARKET LAND DATA
1.6
21,400
OTAL PRESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=M506OA0007 2/12/2013