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178 Stone Meadows Lane Lot 4 . Appraisal Card ' Page 1 of 1 "� DAVIE COUNTY NC 7 29 2013 3:03:35 PM KEY DEBRA L BROWN IILL C Retum/Appeal Notes: ES-000-OM004-04 178 STONE MEADOWS LN UNIQ ID 968022 2525371 RESB-8-30-2605 ID N0:5841085495 � COUNTY TAX(100),FIRE TAX(100) fARD NO.1 of 1 � Reval Year.2013 Tax Year.2013 L0T4 LAKEY/BROWN S/D 9.335 AC 9.335 AC SRC= . � � raised b 17 on 10 04/2012 03003 CEDAR CREEK TW-03 C- EX- AT- LAST AC7ION 20120301 ': CONSTRUCTION DETAIL MARKET VALUE. DEVRECIATION CORRELATION OF VAWE 't � oundatlon-3 � Standard 0.0300 i . ontfnuous Footin 5.0 EH. BASE ub Floor System-4 5 0 Area UA RATE RCN EYB AVB REDENCE TO MARKET m W I ood 8'� 01 01 4 627 133 93.30 3257 01 201 %GOOD 97.0 EVR.BUIIDING VALUE-GRD 419 60 9A x[erlor Walls-10 EPR.OB/XF VALUE-GRD r Iuminum n I Sidin 34.0 NPE:Single Family Residen[lal Single Family Residential MARKET LAND VALUE-CARD 78,05 xterbr Walls-22 STORIES:2-1.5 Stories � OTAL MARKET VALUE-CARD 497,65 tone 0.0 oofing Sfructure-06 ulayCathedral 13.0 OTAL APPRAISED VALUE-CARD 497,65 oo8ng Cover-03 OTAL APPRASSED VAWE-PARCEl497,65 . s hatt or Com osition Shin le 3.0 ntedor Wall Cons[ruRlon-5 . all/Sheetrock 26.0 OTAL PRESENT USE VALUE- nterlor Wall Constructlon-6 ARCEL . ustom Interior 0. � OTAL VAW E DEFERRED-VARCEL nterlor Floor Cover-12 OTAL TAXABLE VALUE-PARCEL 497,65 arawood 10.0 7.5' �� 7.5' nterlor Floor Cover-14 � , PRIOR et 0.0 16� 2� 2 S12 Q�g4� UILDING VALUE 464,73 eating Fuel-04 1 18� 14� BXF VALUE lectrit 1.0 8� ZZ� ir 13� ND VALUE _ 48,48 eating Type-10 9 � ] 7' 22'10 4$ RESENT USE VALUE eat 7um 4.0 6�$ 1� UUS ZS�+ Zl� EFERRED VALUE � ? ir Conditioning Type-03 Z2� FUS OTAL VALUE 513 21 entra� a.o 29� 5� 5.�' 4.2' 4, n drooms/Bathrooms/Half-Bathrooms �' 1.6' 0•3' 4'8' S 4 14' g�l 1$.2 24� R+ n i i3.00 33.5' 13•8' 4.3' S 7 g� o drooms � ^ 1 � ' 9,9 $ VERMIT a � a AS-3 NS-0 LL-0 Z FGD 54.1� CODE DATE NOTE NUMBER AMOUNT o throoms 4' 4•Z� 5.�� o AS-2FU5-OLL-O 4��Z' o al6Bathroom5 OVT:WTRSHD: � y AS-1 FUS-0 LL-0 SALES DATA o �re FF. NDICAT '� AS-0 FUS-0 LL-0 � ECORD ATE EE SALES OTAL VOINT VALUE 121.00 � BOO PAG M R TYPE PRICE BUILDING AD]USTMENTS 0634 344 11 00 WD X V ha e Dest 4 FACTOR 4 1.050 uall 4 ABAVG 1.200 � ize 3 Size 0.870 OTAL AD]USTMENT FACTOR 1.30 Click on image to enlarge NEATED AREA 3,649 OTAL QUALITY INDEX 13 NOTES , PL7T 2010 PER PLAT BK10 PG200 PLUMBED � OR BATH IN � US/GASLOGS ON FSP/WILL HAVE OUTDOOR P SUBAREA UNIT ORIG% SIZE ANN DEP % OB/XF DEPR. TVPE GS AREA % RPLCS OD UALI DESCRIPTION TH HUNIT PRICE COND BLDG / FACT V EY RATE V COND VALU 2 99 10 27920 OTAL OB XF VALUE FGD 65 04 27371 . OP 34 03 1117 SP 2) 04 1033 FUS 65 09 5446 US 1 03 OS 4822 FIREPLACE Z_Pfe 1,80 - �. Fabricated UBAREA 5,95 32,57 OTALS UILDING DIMENSIONS BA5=5W@45-4NW�f45-13NE�45-7N22NW�45-9NE@45-165E@45-12E8E22E37N8E34544W4NW�45-6WSSW@45-14NW�45-8W295W@34.22-11.57Area:2999 .32;FSP=N32E7.SN2E752E7.5512W22Area:278;FOP=N8W3758E37Area:136;FGD=SW@�45-65E@45-28NE@45-24NW�4336-24.3WSSW@�44.27-13.77 7Area:652.93;FOP=SWC�35.54- E33.SSE@45-6NE@45-5.66NW�45-8W295E�37.59-.3Area:207.5;UU5=N17E1357E755W25W@5134-6.4NW@-14Are ea:271;FU5=E22NIOE385215Wt�39.29-14.21NW�45- 11W4N3W9N4W8NW@87.57-5.23Area:650.O5;UU5=E14521W3454E45E�45-24.045W�45-14.14N NW�45-4.245W@45-5.66NW@45-4.24NE@45-5.66NW@45-8.495W�45-5.66NW�45- .24NE@45-5.66NW�45-9.9NE�39.29-14.21NW@90-21Area:764•'TotatArea:5956.8 NDINFORMATION � THER ADJUSTMENTS TOTAL ' IGHEST AND USE LOGL FRON DEPTN/ LND COND ND NOTES OA LAND UNIT LAND UNT TOTAL AD)USTED LAND tAND E5T USE CODE ZONING TAGE EPT SIZE MOD FACT RF AC lC TO OT TYVE PRICE UNITS TYV AD75T UNIT PRICE VALUE NOTES URAL AC 0120 0 0 1.1610 4 0.8000 30-15+10+00-OS PD 9,000.0 9.33 AC 0.92 8,361.0 7805 FlD EAS/GOLF OTAL MARKET LAND DATA 9.33 78 OS OTAL GRESENT USE DATA http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parce1=E50000000404 7/29/2013 � . �..m,:, _..-, �_.-''�- � ''"-,-� '; . ---:- ,�.:.. , � � e .. �• ,., ;��. ... . . . � . —� L .. , ., ,.:, �, i � . . , f � � - � � �...�� �� i � "firr .� �-- , � �:r � �: � �� < �� �,; �t�` 1`10� � �� � �. � J. q '��. . ._,l��t5*,�J.•3' . � -: -e . � .�F . ,� . �'I 11r',M 1 Y{�.-�-' �• � y'; '`�' . , .. . �,qi ^m-.�.� ' A" �t +.,�����` . f-' �'� ' :� �����1: .4� � s� ,:I ; r� 3 4'��.fis`�. ,. ;:� ,-�,. ..� -�, , � �; .r���!��, '" �. ,`� ,l -- -_ { ' ry' •" ? �1 ': �..���� � 7 - �,_] �' " � y ` - � . �-- ,� �� t .���� � � �" ��` . ��;� - � ���a _ ( s - �� ``t �:I. r�� p.' . !r' � � � I . .� . : I •ry� �,I . , ' .�:���.. r t ^.�-...,_ '� ti��� �� � 0. 4� ,� p ;l� �� i� t � f, {q_ � f j,' w...I L.�, . . i. ra��G � . � :r -� �+� ... . ,� t: , , , � � .�..� 1.mk,�'k�' � : . �: �,� �;.;r�t �'�i , : _ �_ -- � � ����1:`. � c' � ,, , � r y , iZ .-4 S <a t . . . . . . � . 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North Carolina,its agents,consuitants,contractors or employees from any and all claims or causes of actio�due to or arising out of the use or inability to use the GIS data provided by this website. . , ` �� _ ' ' ' � � DAVIE COUNTY ENVIRONMENTAL HEALTH �� �Z� P.O.Box 848/210 Hospital Street �� Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 OPERATION PERMIT �ccnunt �: 990003912 '��x�I�€.��H�: 5841-08-8433 Bifled To: Debbie Lakey Jill Brown . Sufadi�isian I�fa: L3(r S�(,�,a,�Y1.Cc�-"'�s Refer�E�ce Na��e:: Debbie Lakey LocatiortiAddr�ss: -�83-P.ud�i - F'rn�c�sec� F��iEity: Residence P�a�erty Siz�: 22�5�cres 'Z.(o`� �� a�TC Number: 4357 **NOTE**The issuance ofthis 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. System Type: S.T.Manufacturer��� Tank Date '� l� Tank Size�DmO Pump Tank Size � ) `,�� � / System Installed By: n/���+lQ�hs ��I�l�.Specialist: � ate:__y���O!` . • _- `7j� �n- �� o�2S%Y-c��h � � '' ��� — -- — .. � , �cn�"l� ��,r � � ��., � ` \ �� L �- _ �, ,� � , _ �y��� q�,� � , 1 ` r�� - �`�-�n � ' La� 1�''e�t�`- . �4JS (� � ,.. 3 / -� � ��/�j /�S" , � , , f4 ���An' w "'r-�(1 DCHD 11/06(Revised) r� � �• DAVIE COUNTY ENVIRONMENTAL HEALTH Q��?j� � P.O:Box 848/210 Hospital Street . . � Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 ' AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Acc�►unt #: 990003912 �"ax�'If�/�H#; 5841-08-8433 Billct�Ta: Debbie Lakey Jill Brown • Su�adiui:iori f�fc�: R�fer�r�ce N����: Debbie Lakey Lac�tioniAddr��s: 483 Pudding Ridge Road-27028 k'rnpc�s�;c� F��ci€ity: Residence Pro��r�y Size: 22.775 acres � a�TC t�u�'tb�r: 4357 . Site Type: C�iew ❑Repair ❑Expansion **NOTE**This Authorizatiori 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 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. l Residential Specifications: #Bedrooms � #Bathrooms #People Basement❑ Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats Square Footage(or Dimensions of Facility) � ,' Lot Size_�q,� Type of Water Supply: f;�County/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow(GPD)�nCb Tank Size�GAL.Pump Tank iViA GAL. ' Trench Width� Max.Trench Depth Rock Depth IZ�� Linear Ft. I�OD Site Modifications/Conditions/Other: ���h.'�Q1VQ --Z �,J 7�'ZS�° �e2� Contact the Davie County Environmental Health Section for final inspection of this system between � 8:30—9:30a.m.on the da of installation. Tele hone# 336 751-8760. �'���-�� �''�C�t UQ,I�C� �.v� sCh,. � _ y". n ��t � � �1 F�� , �� � _5� • Il�l� �� . � \p.�.x `� '9' � / . Environmental Health Specialist ` Date:�� DCHD 11/06(Revised) � . ' DAVIE COUNTY HEALTH DEPARTMENT z` ` � Environmental Health Section ��� �� "�;;....,,.��_�i . � � � P.O.Boz 848/210 Hospital Street �� Mocksville,NC 27028 � (336)75�-87G0 IMPROVEMENT/OPERATION PERMIT � Account #: 990003912 Tax PIN/EH#: 5841-08-8433 Billed To: Debbie Lakey Jill Brown Subdivision Info: Reference Name: Debbie Lakey Location/Address: 483 Pudding Ridge Road-27028 Proposed Facility: Residence Property Size: 22.775 acres **NOTE�*Thris Impro4ement/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type � #People � #Bedrooms �— #Baths C Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ��C Type Water Supply� Design Wastewater Flow(GPD) ��(� Site: New�Repair❑ System Specifications: Tank Size�td�d� GAL. Pump Tank/�t31/ GAL. Trench WidthV�O, Rock Depth�.2��Linear Ft 1OOD � // � '` � �s Other: (L'�!/ dC a�� � :/(/L° " y� � Required Site Modifications/Conditions: As stated in 15A NCAC 18A.1969(5� accep e Sy5iem5-rriay�a�sv-v�s� IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER. RISER(S)IF 6"BELOW ' FINISHED GRADE. ****NOTICE: Contact a representative ofthe Davie CountyHealth Department for final inspection ofthis system between 8:30 a.m.to 9:30 a.m. or 1:00 p.m.to 1:30 p.m.on the day of installation. Telephone#is(33G)751-87G0.**** ���� Z,.-i"�j ,�� � . � �Q S �-e ;r� �j� . �` . - " �J�`�'��� "` � �af���' . F _ , �� 4% ��,��'r .. � �lY:� � ,. Environmental Health Specialist's Signature: / � Date: � :�� � � _ DCHD OS/99(Revised) �� , � . , � , �'• � ' � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990003912 Tax PIN/EH#: 5841-08-8433 Billed To: bebbie Lakey Jill Brown Subdivision Info: Reference Name: Debbie Lakey Location/Address: 483 Pudding Ridge Road-27028 Pro osed Facilit : Residence Pro ert Size: 22.775 acres ATC Number: 4357 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s)(in compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATF,,R�TRQUCT��IS�V�ID FOR A PERIOD OF FIVE YEARS. I/ �o Environmental Health SpecialisYs Signature: ��' Date: 7i�i' CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on ImprovemendOperation Pertnit 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. � Septic System Installed By: Environmental Health Specialist's Signature: Date: DCHD OS/99(Revised) . ' �... ��yul."!u�ri.�rt�I � . � . . I '� .�R;; y . . � . . i_.�l . �, . . . . . � � r� - • . . . � :? � " �, APPLIC SITE EVALUATION/IMPROVEMENT PERMIT & ATC � " J � Q � Davie County Health Department � � Environmental Health Section D ,� o� 2006 P.O:Box 848/210 Hospital Street tiAA� ' Mocksville,NC:27028 �pRo�M�A�N�It� (336)751-8760/Fax(336)751-8786 � �. :� � Appl ation Fo�"� a uation/Improv�ement Permit ❑ Au�thorization To Construct(ATC) C�'Both ***I PORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed ' L �C',� �1� / �[.�'''�Ecl/ Contact Person ����I't% Lrc1«'�- Billing Address • G ` - Z � Home Phone j���-5�0`f,� T— City/State/ZIP � _/�. � �' � ,� > Business Phone Name on Permit/ATC if Different than Above Mailing Address City/State/Zip � - PROPERTY INFORMATION � NOTE: A survey plat or site plan must accompany this application. (Permit is valid for b0 montl�s with site pl n,no ex ' ation with complete plat.) t/ �i 5treet Address �f�� /.�t�c(d�ti�; `;� �����c�ity�/,�v�3�'�%�L-' Tax P1N# 5��i�� n �s ' ���� Subdivision Name -�- Section/Lot# Lot Size Directions To Site: / �`�!�J— C,� L' _ ��f ��GG�✓►�s�� — A�o r�/�� �if/Oo e ��'� � � Date House/Facility Corners Flagged___ ,�--.�=t?�� If the answer to any of the following questions is"yes",supporting docuineri�ation must be attached. Are there any existing wastewater systems on the site? ❑Yes C�io Does the site contain jurisdictional wetlands? ❑Yes C3P�o . Are there any easements ar right-of-ways on the site? ❑Yes C�'o Is the site subject to approval by another public agency? ❑Yes C,1P�o Will wastewater other than domestic sewage be generated? G�Yes E�No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms �G _ #Bathrooms Garden Tub/Whirlpool Yes ❑No Basement: Yes ❑No Basement Plumbing: �Yes ❑No IF NON-RESIDENCE FILL OUT THE BOX BELOW � Type of FacilityBusiness 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 systemrequested: �JConventional ❑Accepted ❑Innovative ❑Alternative ❑Other < � Water Supply Type: L� County/City Water 0 New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? � Yes Q�No If yes,what type? This is to certify that the information provided on this application is true and correct to the best of my lrnowledge. I understand that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the iritended use changes,or if the information submitted in this application is falsiiied or changed. I understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections t etermine;co�a ce w' ap licabie laws and rules on the above described property located in 4, Davie County and owned by ..t��ur- w .�� n .�,,� �;,. � . ':�1 Site Revisit Char e Property owner's or o r's le al repr sentative ig re g Date(s): 'j�%J'�� Client Notificarion Date: Date . EHS: Sign given -� es ❑No Account# �-�_/�— Revised 2/06 Invoice# `��/„/ ,'� 7vm7— -� � _�-� � 733q .�=��\ / _ _ �-3�,j �72 �� � li ��� � �s r„�. i/2,•EfR S sy'�3ne j Fo�d� a993�'e� ,�2..ErR Bsni _ ; ----_ - -: _ _ . ..� -. ;y: ... f N �7°17'4S"E ` ' 100.02' �. � --- . __.__ _ 2„�� . � __---- --- � _._..._ ---- . . !.. ., ( ' � . � • .. Tax Lot 4_ 22.775 Acres -t-/ ; . � _ ___-_ r s � � \ S 03'46'26'4N j 924.�8' � �� • �� � ` t. • � ' , � ' � � � � s � �. • � � ' � �� i w ;� _ .. . � . . . . . . � . .� Wdre Fence � 1/2"Rcbar Saf-----s_�-- --- �_ , : , �24"+/— Ash Troe wt�e Fen:e 524.40 ;� N 86°46'2t"Y� Ph r---- • ' „1'UIIIIIINC RID . :. Tax . Tax . DS 1� �_ `, .��4f 4 ..,.1 t' .....�n��..�.�(r.:l�.s..i..tai..:.- c.��........... �:�t ....u. ��l..el+,.r�:: ,..v 14'.,_ .�.i .�. .�.. ..._ra...Cw._n5r,.�a .... .x.. . �.......� ....... .. .�..��.,.,. . .. '$"�'� ,�� yau� .�#s��.�x nAe.� 1 d ` . �, � _ � `�.. ����� —1 �.„���� ,. 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HORIZON III DEPTH Texture rou .� Consistence � Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON • SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE y.` � � SITE CLASSIFICATION: ' -'n � EVALUATION BY: `� �l� � LONG-TERM ACCEPTANCE RATE: `I� OTHER(S)PRESENT: 'REMARKS: . � LEGEND � i,�ndscape Position R-Ridge S-Shoulder L-Linear slope FS -Foot slope N-Nose slope - CC-Concave slope CV.-Convex slope T-Terrace FP-Flood plain H-Head slope Texture _ S-Sand LS -Loamy sand SL-Sandy loam L-Loam SI-Silt � SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay , .ONSI4T ,N . , '1�1Q1St VFR-Very friable FR-Friable FI-Firm � VFI=Very firm . EFI-Extremely firm 33�' t � , _ � NS-Non sticky SS -Slightly sticky : S -Sticky . VS -Very Sticky NP-Non plastic SP-Slightly plastic P.-Plastic VP-Very plastic �tructure .. 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