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1644 Underpass Rd Davie County,NC Tax Parcel Report Tuesday, December 20, 2016 !t 4 12b '4 1672 130 1 ,' 1644 � a 5 1626,_ � 1 _ J r a r 166911, © }I r ,f 1620 LLJ rr S, _..__...._.__................._......._..._.. ....>_..._... _ >r...__......._..__._._.. 1.6.47._.... .._.................tr......__._........_......... ............ .._........... ._.__ . ........................r ...... __.. ..._._..�'........... WARNING: THIS IS NOT A SURVEY _ Parcel Informationm� � Parcel Number: E8110B0001 Township: Shady Grove NCPIN Number: 5871954125 Municipality: Account Number: 8301718 Census Tract: 37059-803 Listed Owner 1: BRYDGES MARK WILLIAM Voting Precinct: EAST SHADY GROVE Mailing Address 1: PO BOX 1123 Planning Jurisdiction: Davie County City: CLEMMONS Zoning Class: DAVIE COUNTY R-20 State: - NC Zoning Overlay: Zip Code: 27012 Voluntary Ag.District: No Legal Description: LOT 5 GREENWOOD LAKES' Fire Response District: ADVANCE Assessed Acreage: 1.09 Elementary School Zone: SHADY GROVE Deed Date: - 12/2012 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009120470 Soil Types: GnB2 Plat Book: 0003 Flood Zone: Plat Page: 053 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 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 NC or arising out of the use or inability to use the GIS data provided by this website. t' t OPERATION PERMIT or ice se n v Davie County Health Department F*CDPFileNumber 114112-1 210 Hospital Street E811080001 P.O. Box 848 ty ID Number. Mocksville NC 27028 Evaluated For HDRNVWC - Phone:336-753.6780 Fax:336-753-1680 Township: Applicant Mark&Julie Brydges Property Owner: Mark&Julie Brydges Address: PO Box 1123 JAddress: PO Box 1123 City: Clemmons City: Clemmons State2ip: NC 27012. State2ip: NC 27012 Phone#: (704)779.0100 Phone#: (704)779.0100 Property Location & Site Information Address/Road#: - Subdivision:, Greenwood Lakes Phase: Lot: 5 1644 Underpass Road Advance NC 27006 Directions structure: -.SINGLE FAMILY 1-40 ;East exit Hwy 801 going south, Left onto - Underpass Road 1644 on Left with white fencing #of Bedrooms: 4 #of People: 'Water Supply: PUBLIC _ *IP Issued by. *System Classification/Description: - TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *CA issued by: 2140-Nations,Robert Saprolite System? OYes efJo Design Flow: -3 6 0 * GRAVITY-SERIAL Pump Required? Distribution Type: QYes_( No Soil Application Rate: 0 3 'Pre Treatment: Drain field ("'Nitrification Field Sq. 8• *System Type: INFILTRATOR OUICK 4 STANDARD No. Drain Lines 4 Installer: Frank Transou Total Trench Length: 1 4 8 Certification#: 2771 Trench Spacing: — 9 Inches O.C. Feet O.C. *ENS: 2140-Nations.Robert Trench Width: 3 Inches Feet Date: 0 9 / a 8 / a 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 6 Inches Minimum Soil Cover. a 4 Inches Approval Status Maximum Trench Depth: 3 6 ®: Approved 17 Disapproved Inches Maximum Soil Cover. 2 4 Inches CDP Fite Number 114112 - 1 County ID Number: es»oa000'i ' Septic Tank Manufacturer. Lat. Long: , STB: Installer Date: Certification#: 'EHS: *Filter Brand: ST Marker:- ❑ Yes ❑ No Date: Reinforced Tank: ElYes ElNo Approval Status Appr (DA, ,Disapprove ovedd 1 Piece Tank: ❑ Yes - ❑ No s 6, Pump Tank Manufacturer. Installer: PT: Certification#: Gallons: 'EHS: Date: 1 / Date: 1 RiserSealed ❑ Yes ❑ No RiserHeight: ❑ Yes ❑ No (Min.6 in.) �- , Approval Status Reinforced Tank: El- Yes ❑ No Approved❑ �Dlsapproved 1 Piece Tank:_ ❑ Yes__.. _❑ NO Supply Line Pipe Size: inch diameter Installer: Pipe Length: feet Certification#: "Schedule: 'ENS: Pressure Rated ❑ Yes ❑ No Date: Approved fittings ❑ Yes - '❑ No -Approval Status =;[� Approvetl Cl Disapproved Pump Requirement Pump Type: Installer: Dosing Volume: — Gal Certification Draw Down: Inches `EHS: 'Cham: Date; Valves Accessible ❑ Yes ❑ No Flow Adjustment Valve ❑ Yes ❑ No Check-valve ❑ Yes ❑ NoApproGalStatus= PVC unions ❑ Yes ❑ No ❑ Approved'❑' Disapproved Vent Hole ❑ Yes ❑ No Anti-siphon Hole El Yes 0 NO ` CDP File Number 114112 - 1 County ID Number: E8110B0001 Electric Equipment NEMA 4X Box or Equivalent El Yes ❑ No Installer: Box 12 inches Above Grade El Yes El No Certification#: Box Adj.To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No "EHS: Pump Manually Operable ❑ Yes ❑ No "Activation Method: Date: ApprovaIS-tatus Alarm Audible ❑ Yes ❑ N0 ❑ Approved❑ 'Disapproved Alarm Visible ❑ Yes ❑ No 2140•Nations.Robert *Operation Permit completed by: Authorized State Agen . Date of Issue: 0 9 / a 8 / a 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 ands Construction Authorization.This property is served by a TYPE a A. sewage septic system. Rule.1961 requires that a Type TYPE Il A septic system meet the following criteria: Minimum System Review ByThe 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 homelbusiness owner must maintain a valid contract with a public management entitywkh a certified operator or 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 ently prior to the issuance of an Operation Perm it 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 for maintenance 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 114112 - 1 Davie County Health department CDP File Number: 210 Hospital Street E8110B0001 P.O.Box 848 County File Number: Mocksville NC 27028 Date: Olnch Scale: OBlock Drawing Drawing Type: Operation Permit ONIA LI IN .......... - 1 3 111 _ � � ►, � _ _ �� it ,� � _._�__ ` _ � ,� � _._�.� � � � I � I � I I CONSTRUCTION For Office Use Only AUTHORIZATION "CDP Fite Number 114112-1 Davie County Health Department County.ID Number:E8110B0001 210 Hospital Street Evaluated For. HDRNVWC P.O. Box 848 Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax:336-753-1680 0 3 / a 0 a 0 a 1 Applicant: Mark&Julie Brydges Property Owner: Mark&Julie Brydges Address: PO Box 1123 Address: PO Box 1123 .City: Clemmons City: Clemmons State2ip: NC 27012 State/Zip: NC 27012 Phone#: (704)779-0100 Phone#: (704)779-0100 Property Location & Site Information r.A dress/Road #: Subdivision: Greenwood Lakes Phase.'BO& Lot:644 Peoples Creek Road dvance NC 27006 Directions Structure: SINGLE FAMILY 1-40 East exit Hwy 801 going south, Left onto Underpass Road 1644 on Left with white fencing #of Bedrooms: 3 #of People: "Water Supply: PUBtJC System Specifications Minimum Trench Depth: a 4 Site Classification: Provisionally suitable 71nches Minimum Soil Cover. 1 a Saprolite System? OYes @No Design Flow: Maximum Trench Depth: 3 6 Inches Soil Application Rate: Maximum Soil Cover. 1 a Inches "System Classification/Description: 'Distribution Type: GRAVITY-SERIAL. TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: Gallons `Proposed System: 25%REDUCTION 1-Piece: OYes QNo Pump Required: OYes QNo OMay Be Required Nitrification Field 1 3 0 9 Sq. ft. Pump Tank: Gallons No. Drain Lines a 1-Piece: OYes ONo Total Trench Length: 1 5 0 ft GPM—vs— ft. TDH Trench Spacing: _ 9 Onches O.C.'Dosing Volume: _ Gallons Feet O.C. Trench Width: Oinches 3 _ @Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS-11 OTS-11 Septic Tank Installer Grade Level Required: OI OII 0111 OIV Donn 9 of Q CDP File Number 114112 - 1 County ID Number. E8110B0001 V ❑ Open Pump System Sheet Repair System Required:OYes ONO ONo, but has Available Space rDesign System Trench Spacing: Q Inches O.0 ification: — Feet O.C. Trench Width: Q Inches w: — , o Feet Soil Application Rate: Aggregate Depth: inches . Minimum Trench Depth: "System Class ification/Description: Inches Minimum Soil Cover. Inches Maximum Trench Depth: 'Proposed System: Inches Maximum Soil Cover: Nitrification Field Sq. Inches ft. No. Drain Lines *Distribution Type: Total Trench Length: �- Pump Required: OYes ONo OMay Be Required Pre Treatment: ONSF 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. "Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. ; This Authorization forWastewater System Constriction shall bevalid fora person equal to the period of validity of the Improvement Permit,not to exceed five years,and may be Issued atthe sametime the Improvement Permit Issued(NCGS 13OA-336(b)}If the installation has not been completed during the period of validity ofthe 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 orConstruction Authorization shall become invalid,and may be suspended or revoked(.1937(8)).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,Ro rt Date of Issue: 0 3 / a 0 / a 0 1 6 Authorized State Ac=t: Malfunction Log . OYes @Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 CONSTRUCTION AUTHORIZATION 114112 - 1 Davie County Health Department CDP File Number: 210 Hospital Street E8110B0001 P.O.Box 848 County File Number: Mocksville NC 27028 Date: 07 / a0 / .1016 Q Inch Drawing Drawing Type: Construction Authorization Scale: . QBlock ON/A 1—F I I I� I I--T I � � I _ J J I ' 1 II I ,�.�.�. I CK e� Q91 L U I I I Ia� ��rir -n 0-� CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital street CDP File Number: 114112 - 1 P.O.Box 848 E8110B0001 Mocksville NC 27028 County File Number: Date: .® .7 l a s l a 0 1 6 Click below to import an image from an extemal location: Drawing Type:Construction Authorization Davie County Health Department 14�i$I� Environmental Health Section 1 P.O. Box 848� � G E �1 210 Hospital Street P P . I A O U �'� Courier# : 09-40-06 ,.,j `Z J r 1 Mocksville, NC 270289. �� B : Phone:(336)-753-6780 Fax:(336)-751-8786 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement 7K emodeling Reconnection Name: k Cy Y-. Fj Z!Ai e- a ry A qe5 Phone Number -70E-1'1c1- 0k00 (Home) Mailing Address:'.O. Box 1123 -10 L�.-1-19.0 10 O (Work) C.1 ewnrn ov.5 t A C 1-7017- Email__M CWV-6(E. l u.l rvkcwr<.Co rA Detailed Directions To Site:-1L�O E +OW curd W:hskorl- Scleann ,-Take Ac,-g0L Ex.-t LEX�c 180) -rovwa fd 8e+rnnu-&ci, V-LL n .;-Cwr v It ht o r t o N G-8 01 .0-Twr r\ Ve k-v- o mko Wnderp a SS p k6gLk !ode ass on At\me- lit e-ai'e cod. Q,, w.41„ Property Address: t(0 Lk* U xxa!e-,rp CL 55 9U.• /advg-r tom, K C- 2.1 O o fp Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: e'f«%0 00/ 49Y ic) `T�� S Type Of Facility: �es��r�t�u1 5�^�' G � � Date System Installed(Month/Date/Year):Bui1t•kyx \9(02 Number Of Bedrooms: `1. Number Of People: 2- Is The Facility Currently Vacant? Yes QIf Yes,For How Long? Any Known Problems? Yes No If Yes,Explain: A0 Please Fill In The Following Information About The NEW Facility: Type Of Facility: fir^ �� {`o`'L �0.{-lr► (rM-C Number Of Bedroom . Number of People 2- Requested By: Date Reque sed: J (Si e For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: CashChec Money Order # Amount:$ ,0 Date: Paid By:.. _ �1Z � Tyl e, Received By: Account#: J /J� Invoice#: ? &bp 11112 : Anaiiiieve n r � q DINE BOQKLPAGF,� Mail to IYI BELL P o• DoX 146 usn"— N C a.710 ea.- (NAME) (STREET AND NUMBER) (CITV) (STATE) Ixl% i THUS CORPORATION DEED,made this day of19�:,by JericD CpglpanX, Inc. a Corporation of Winston-Salem.Forsyth County, i North.Carolina,party of the first part,to Joe V. Helices and wife, Jo Ann H. Helms of Forsyth County,North Carolina,partes of the second part,WITNESSETH: that said party of the first part in consideration of Ten Dollars (S- 10.00 ) and other valuable considerations to it paid by part ies of the second part, receipt of which is hereby acknowledged,has bargained and sold and by these presents does bargain,sell and convey to said part of the second part and their heirs and assigns,a certain tract or parcel of land in Township, County,North Carolina, bounded as follows: Lying and being in Davie County, North Carolina, and being known and designated as Lot 6, Block 3 as shown on the map of Greenwood Lakes, recorded � . in Plat Book 3 at page S3 in the Office of the Register of Deeds of Davie County, North'Carolina, to which map reference is hereby made for a more particular I description of said property. 111 The above described property is conveyed subject to the Restrictions • set.forth in Deed Book 57 at page 453 and 1975 ad valorem property taxes and rights-of-way of record. • IJ v wd.G:3 TO HAVE AND TO HOLD the aforesaid tract,parcel or lot of land,all privileges and appurtenances thereto belonging to thi said put I . J es of the second part and their heirs and assigns,to thei*only use and behoof forever, AND THE•SAID party of the first part covenants to and with the said part- i8s_of the second,part.and their in and assign, that it Is seized of said premises in fee, and has right to convey the same in fee simple;.that the same are free from all eticumbrance and that it ill wamnt and doette d the said tit( to(ha me ainst the claims ofall persons whatsoever; subjects how ever to the exceptions an C conditions set forth h'aere��t• IN TESTIMONY WHEREOF,The said party of the first part has caused these presents to be signed by its President,attested by its Secretary,and has caused its Common Seal to be affixed hereto. Corporat al or Stamp) y � At s - .crd ry B reo �f 904 ... STATE kk O,��RT--H CAROLINA rr � -COUNTY OF FORSYTH This�day of _11 ,pets natty am e foe me, t-Aa notary public, — who, being by me duly sw s hat ws the (Name.1 Secretary or Ass a Mary) , Com Seal of R and is a usinted with who is the President of said Corporation,and that he,the said is the Secretary of the said Corporation,and saw the said President sign the fo-g ' irtstrurrtent,and saw t C mmon Seal of 'd Corpora on a ed to sa'd i strument.by said President,and that he,the taid ,r'ri— signed his name in attestation of the execution of said instrument (Nam.or Secy.or As Secy.) in the presence of said President of said Corporation. 1 Witness my hand and notarial seal or stamp this the S gyp.day of (Notarial Seal or Stamp) SAM C,OGSURN,Hobo Public for Forsyth County,North Carolina My commission expires: My Commuslan Es01ns lanai,1070 Notary Public— NORTH ub,cNORTH CAROLINA- 4N County The foregoing(or annexed)certificate— of sir° Ce Ogburn, Notary Public for Fornvth C y (Here mire name and official title of the officer signing the C.rUliCab_eaf7.0 upon) is(3s8j certified to be correct.This the da of Ma 117c FLUd Kay 200 1975 at 9115 A.hia End-]rl>ict r�d�'Deed.Book 95, page 661. Probate and�iling fef�U N N aid. KKXVAK yM,Register of Deeds Drafted by: FA4 H Permanent address of gra ee(s): By papeigskgsissaat 1 Appraisal Card Page 1 of 1 • � ty DAVIE COUNTY NC 1/4/2013 9:58:33 AM BRYDGES MARK WILLIAM BRYDGES JULIE HAYNES Return/Appeal Notes: ES-110-60-001 1644 UNDERPASS RD UNIQ ID 7394 301718 NN:26-CHANGE OF OWNERSHIP D143-P6 ID.NO:5871954125 COUNTY TAX(100),FIRE TAX(100) CARD NO.1 of 1 eval Year:2009 Tax Year:2013 LOT 5 GREENWOOD LAKES 1.000 LT SRC=Inspection Appraised by 19 on 04/23/2008 03207 UNDERPASS TW-07 C- EX- AT- LAST ACTION 20130102 CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE y7 Foundation-3 Eff. BASE Standard10.37000c,� Continuous Footing 5.00US MO Area UA RATE I RCN EYB AYB REDENCE TO MARKET Sub Floor System-4 _ Plywood 8,0 01 01 2 357 131 90.39 21844819721962 %GOOD 63.0 )EPR.BUILDING VALUE-CARD 137,620 Exterior Walls-21 TYPE:Single Family Residential Single Family Residential EPR.OB/XF VALUE-CARD 5,940 Face Brick 34.0 MARKET LAND VALUE-CARD 47,500 oo0ng Structure-03 STORIES:2-1.5 Stories TOTAL MARKET VALUE-CARD - 191,060 able 8.00 G oo0ng Cover-03 s halt or Composition Shingle - 3.00 TOTAL APPRAISED VALUE-CARD 191,06 nterior Wall Construction-5 - - TOTAL APPRAISED VALUE-PARCEL 191,06 _ )rywall/Sheetrock 26.0 nterior Wall Construction-6 TOTAL PRESENT USE VALUE-PARCEL ustom Interior 0.00 TOTAL VALUE DEFERRED-PARCEL nterior Floor Cover-08 TOTAL TAXABLE VALUE-PARCEL 191,06 Sheet Vin (/Laminate 6.0 Interior Floor Cover-14 PRIOR Carpet 0.00 3UIUDING VALUE 142,28 Heating Fuel-02 BXF VALUE 0 it Wood or Coal 0.0 - ND VALUE 45,00 Heating Type-04 - - PRESENT USE VALUE Forced Air-Ducted 4.0 EFERRED VALVE - _ it Conditioning Type-03 OTAL VALUE 187,280 entral 4.0 Bedrooms/Bathrooms/Half-Bathrooms /2/0 10.00 edrooms PERMIT AS-0 FUS-2 LL-0 ++ ++ ++ CODE DATE NOTE NUMBER AMOUNT athrooms +++10++9-+++ AS-I FUS-ILL-O IFUS I OTAL POINT VALUE 108.00 2 2 OUT:WTRSHD: - 0 0 SALES DATA BUILDING ADJUSTMENTS I I Quality 4 ABAVG 1.200 +++9-++10+++ FF. LINDICATEha a/Deet 4 FACTOR4 1.050 +--24--+ ++ ++ ++ RECORD DATE DEED IFCP I - BOOK PAGE M R TYPE /ize 3 Size 0.960 2 1 +12+ 0912 470 12 201 WD Q I TOTAL ADJUSTMENT FACTOR 1.21 4 5 S U O P 0095 661 5 197 WD X I TOTAL QUALITY INDEX 131 I +9-+12+--28---+ +----40-----+ +--24--+BAS I IUBM I I I I I 1 2 2 2 9 8 8 8 HEATED AREA 2,055 I ++ I I I +-17-+FOP17+ +----40-----+ NOTES SUBAREA UNIT ORIG% ANN DEP % OB/XF DEPR. TYPE GS AREA a/o IRPL CS CODE DESCRIPTIONLTH TH UNITS PRICE GOND BLDG*L BAYBEYB RATE OV COND VALUE AS 1,183.LOO 10693101 ORAGE 1 10 10 100 15.00 100 _ L 19991999 S3 70 105 CP 57 025 1301 9 P PAVING 200 1 3,000 3.00 100 - L 199 1999 55 50 450 OP IS 035 54205 WOOD FENCE 0 0 180 8.70 100 - L 198 1994 S5 25 39 FUS 872 09 7095 10 ON PAVING 10 1 1,40C 4.0 L 197 1977 S5 BM 1,12 020 2024 TOTAL OB XF VALUE - 5,942 OP 60 025 135 FIREPLACE 5-Two or 5140 more SUBAREA TOTALS 3,829 - 18,44 BUILDING DIMENSIONS BAS=W28UOP=NSW12S5E12$W12W9FCP=N15W24S24E 24N9$S9E9S19E17FOP=E6N3W6S3$N3E6S3E17N28$ l�TR=N20FUS=N2OW6N4W3S4W9N4W3S4WION4W3S4W6S2CE6S4E3N4EgS4E3N4EIOS4E3N4E6$S2OE2OUBM=E4OS28W4ON28$W20$. LAND INFORMATION HIGHEST THEIR ADJUSTMENTS TOTAL AND BEST USE LOCAL FRON DEPTH/ LND COND NO NOTES ROA LAND UNIT LAND UNT TOTAL ADJUSTED LAND LAND USE CODE ZONING TAGE DEPTH SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE NOTES FR RES 0100 0 0 1 1.000 1 0 1.000011 47,500.0 1.000 LT 1.00 47,500.0 4750 1 1.00 TOTAL MARKET LAND DATA 47,50 ,TOTAL PRESENT USE DATA http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=E8110B0001 1/4/2013