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413 Vogler Rd _ ' •.. - ' ,. , Davie County Health Department 4�;s j� Environmental Health Sechon ' � ::_ . . � `� �r��,'�+.� P.O. Box 848 . � �� ..,.T � � �.,� � � � �'"'� 210 Hospital Street �m� O +�. jQ` 2?J Courier# : 09-40-06 -, � U � �'�� Mocksville, NC 27028 ' Phone:(336)-753-6780 ' Fax:(336)-751-8786 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) Replacement Remodeling Reconnection Name: /G�ct��i1'//i�I��(J' Phone Number 3��– �f� �G��``(Home) � Mailing Address: �!�� OS�L�� (Work) . .�/C:�r.0�, ��_ a�c�� Email DetailedDirections To Site:�,�1� �,//�/✓ /� /c� �Ul �dN Property Address• 3 � Please Fill In The Following Information About The EXISTING Facility: � Name System Installed Under: T/f p" C�"��Cv Type Of Facility: �lGf/ts'� Date System Installed(Month/Date/Year): �'"�7 � Number Of Bedrooms: ( Number Of People: � Is The Facility Currently Vacant? Yes � If Yes,For How Long? � Any.Known Problems? Yes No If Yes,Explain: � Please Fill In The F llowing Information About The NEW Facility: Type Of Facility: u�IGt��1 � X �� Number Of Bedrooms:�_Number of People�_ Requested By: Date Requested: !��023 l3 � (S' ature) For Environmental Health Office Use Only Appro d Disapproved omments: Environmental Health Specialist Date: ll' "— �� *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 op-site wastewater system will function properly for any given period of time. Payment: as Check M ey Order # Amount:$ Date: � Paid By; � /�'I Received By: Account#: Invoice#: ��_` �l� � `, � , ':. ., �� ,,, ^ J; •;V� \C.� '�`�`Z � 7 , � 2� 2 � � ,�'��` fi '�\ , �1.05A \� . _, � � � } �' �� 2 -� . ��,.�� .� ��,� .�� . �•.�``l �`� �� ...��,`,.t ' Jf��`�� 1, '� . ._._ . �_ � r�,.�`l. , �~ `� � - ,\ ��, r - _��1 ` 4�� _ _ �� , . . � i I �� o��,F All data is provided as is without warnnry or guarantee of any kind either expressed or implied ineluding but not limited to the implied '�,� �� `I: warranties of inerchanWbility or fitness for a particular use.All usere of Davie Counry's GIS website shall hold harmless the Counry of �U N� Davie,North Carolina,its agents,consulWnts,contractors or employees from any and all claims or eauses of action due to or arising out of P ri nted:Oet 23 2013 I ; the use or inability to use the GIS daG provided by tbis website. + � I I ' Ii ,. . � • � Da�ie County Health Department �P8 I� Environmental Health S � � � _.� . .� : � � P.O. Box 848 � „ ; . � � .,��, 210 Hospital Street '�� A� u ;�� ; O� �'�. Courier# : 09-40-06 : l. � ". 1911 Mocksville, NC 27028 �� - - -- u�. Phonc:(336)-753-6780 ON-SITE WASTEWATER CERTIFICATION Fax:(336)-753-1680 (Check One eplacement Remodeling Reconnection `,/-�' � �'!� � .�� ►�J � �IGK-1Q1�/� 3��v '�'��z' `�J�3 (Home) Name: v�NNI � � Phone Number Mailing Address: �,3 � � ' (Work) (f(�6 Email Address: ( V21�lx V�e ,D�7��N�T D d Directions To Site: (0 (i� /1/ v U �� `f��U�� %� S Z /�'1 i L� 1/CTC' ��' " .� 0 e�-� /3 Property Address: ' � D b/� Please Fill In The Following Information About The EXISTING Facility: /�� Name System Installed Under:�/'j��Q 1�`�`� Type Of Facility: �� Date System Installed(Month/Date/Year): ; Number Of Bedrooms: ? Number Of People: Is The Facility Currently Vacant? Yes No If Yes,For How Long? Any Known Problems? Yes No f Yes,Explain: Please Fill In The Fo�}pwing Information About The NEW Facility: � � Type Of Facility: f��v�GLS� Number Of Bedrooms: Number of People Pool Size: Garage Size: Other: �Requested By: , Date Requested: � �- Z � � ��L i nature) For Environmental Health Office Use Only pproved Disapproved Comments: Environmental Health Specialist � { Date: �Q � 2 *The signing of this form by the Environmental Health Sta s 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: '�i Paid By: t��Q/1}'aDl� Received By: w Account#: c3� Invoice#: �7i7i� Appraisal Card Page 1 of 1 . . � . , , � DAVSE COUNTY NC 7/26/2012 1:50:52 PM MARKLAND CARLTON L , Return/Appeal Notes: F9-000-00-018 13 VOGLER RD � UNIQ ID 9903 2529876 D376•P9 ID N0:5880888522 COUNTY TAX,FIRE TAX CARD N0.1 of 1 � Reval Year:2009 Tax Year:2012 LOT 2 1.250AC POSEY S/D 1.050 AC SRC=Owner � ralsed b 19 on 11/03/2008 07003 GEOPLES GREEK RD TW-07 C- EX- AT• LAST ACTION 20101222 GONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE Foundation-3 UC Under 0.50000 ontlnuous Footin 5.00 onstruction . ub Floor System-4 Eff. BASE Standard 0.01000 PI wood 6.00 S MO Area UA RATE RCN EYB AYB REDENCE TO MARKET Ex[erior Wal�s-09 Ol Ol 3 569 99 68.31 2460482008194 %GOOD 50.0 DEPR.BUILDING VALUE-CARD 123 02 ood on Sheathin or PI wood 32.00 TYPE:Single Family Residen[ial Single Family Residen[ial DEPR.OB/XF VALUE-CARD 0 � MARKET LAND VALUE-CARD � 27�78 ExCeriOr Wa115-21 STORIES:1-1.0 Story OTAL MARKET VALUE-CARD 150,80 ace Brick 0.00 Roofing StrucNre-03 able 8.00 OTAL APCRAISED VALUE-CARD 150,800 RooFlng Cover-03 � OTAL APPRAISED VALUE-PARCEL 150,800 s halt or Com osition Shin Ie 3.00 Interior Wall Construc[ion-5 � , OTAL PRESENT USE VAW E- 0 D wall/Sheetrock 20.00 � PARCEL � Interior Floor Cover-08 OTAL VAW E DEFERRED-PARCEL 0 hee[V�n I/Lamina[e 6.00 . OTAL TAXABLE VALUE-PARCEL 150,800 . nterlor FIOOr Cover-14 PRIOR ar e[ 0.00 BUILDING VALUE 82,730 ea[ing Fuel-02 BXF VALUE 0 il Wood or Coal 0.00 ND VALUE 27,190 � ea[ing Type-04 ZQ' 35' PRESENT USE VALUE 0 orced Air-Ducted 4.00 g PTO )� �fU5 l4' DEFERRED VALUE 0 ir Conditioning Type-01 �t' 19� OTAL VALUE 109 920 None 0.00 2D }�� )jll' Bedrooms/Bathrooms/Half-Bathrooms zS. /2/0 13.000 ��S _)(� ��,',jl PERMIT Bedrooms z'�� ' 19� CODE DA7E NOTE NUMBER AMOUN7 BAS-4 FUS-0 LL-0 ��F�n h, �.�{' Ba[hrooms � ];' . ROUT:WTRSHD: BAS-2 FUS-0 LL-0 �} 24 ?' SALES DATA OTAL POINT VALUE 9.000 FF. NDICATE BUILDING AD]USTMENTS . RECORD DATE DEED SALES � � ualit 3 AVG 1.0000 BOOKPAGEMO R TYPE /U / VRICE � ha e/Desi n 4 FACi0R4 1.0500 08820098 2 012 WD E I 0 ize 3 Size .9500 � 07630975 7 200 WD U I 68000 OTALADJUSTMENTFACTOR 1.000 0721 661 7 200 WO C I 0 OTALQUALININDEX 99 01600555 9 1991 WD U V 0 � HEATED AREA 3,620 Click on image to enlarge NOTES � "08 SALE UNDER MARKET '08 HSE ON 1940 FOUNDATSO N'09UC50% SUBAREA UNIT ORIG% SIZE ANN DEP % OB/XF DEVR. TYPE GSAREA % RPLCS ODE UALITVDESCRIPTIONLTH THUNIT PRfCE COND BLDG7fL/B FACT YBEYB RATE V COND VALU � BAS 2 14 100 146730 aTAL OB XF VAWE 0 FOP 252 035 6011 FUS 1,472 090 90511 PTO 160 005 54 FIREPUICE 3-1 Story Z�Z50 Sin le UBAREA q,032 246,048 OTALS BUIIDING DIMENSIONS FU5=E35513E19534W19N30W14511W21N28Area:1472;BA5=W36N14W10W20W5528E2452E10514E2454E13N34Area:2148;PT0=N8W2058E20Area:160; ;FOP=58E34N6W10N2W24Area:252•To[alArea:4032 � IAND INFORMATION � THERAD]USTMENTS TOTAI � HIGHEST AND USE LOCAL FRON DEPTH/ LND COND ND NOTES ROAD LAND UNIT LAND UNT TOTAL AD7USTED LAND LAND BEST USE CODE ZONING TAGE DEVTH SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE NOTES RURAL AC 0120 277 0 2.4290 4 1.1000 +30+10+00-10+00 PW 9,900.00 1.050 AC 2.672 26 452.80 27775 FLD ZN OTAL MARKET LAND DATA 1.050 27,780 OTAL PRESENT USE DATA � � � http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parce1=F900000018 7/26/2012 . • .