167 Austine Lane Lot 27Davie County. NC
9
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Tuesday. January 3. 2017
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WAKNIIN is ]L Mb 1J PIV1 A 6UKVi' Y
Parcel Information
H7030A0026 Township: Shady Grove
5769960755 Municipality:
82515292 Census Tract: 37059-804
RANDLEMAN RANDY Voting Precinct: WEST SHADY GROVE
167 AUSTIN LANE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC Zoning Overlay:
27006-0000 Voluntary Ag. District:
LOT 27 GREEN BRIER ACRES Fire Response District:
0.46 Elementary School Zone:
Land Value:
Total Assessed Value:
7/2000 Middle School Zone:
003410065 Soil Types:
0004 Flood Zone:
173 Watershed Overlay:
Outbuilding 8r Extra
Freatures Value:
Total Market Value:
ADVANCE
SHADY GROVE
WILLIAM ELLIS
GnB2,EnB
DAVIE COUNTY
[.� I All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
O 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
o N� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
"NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment .arid Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name .(�r: iV vTq Y, \>f (e 1\ Date
Location
Subdivision Nam%�J Nl=��`��f\ �� Lot No. r/ Sec. or Block No.
Lot Sizel�CDH' �`'' House Mobile Home _'! Business _- Speculation
No. Bedrooms - — No. Baths _ G- No. in Family L;
Garbage Disposal YES NO Er' Specifications for System:
Auto Dish Washer YES L NO E] ,� ,, _
Auto Wash Machine YES NO F1iL1 S I JIJF-
Type Water Supply r)u"-r,-/ 7- tr,�
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
r
Improvements permit by
ri
'Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by ,0/"/�J"1 G?%L "lvr
Certificate of Completion/ Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with '
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028 e
rr
SOIL/SITE EVALUATI6Pj'-/�
Name 8 Date
AddressLot Size
FArTr)RS AREA 1 AREA 2 AREA 3 AREA 4
Topography/ Landscape Position
S,,_-�
S
S
S
�S/
PS
PS
PS
U
U
U
U
!) Soil Texture (12-36 in.) Sandy,S
S
S
Loamy, Clayey, (note 2:1 Clay)
S
PS
PS
PS
U
U
U
U
1) Soil Structure (12-36 in.)
S
S
S
S
Clayey SolisPS
PS
PS
U
U
U
i) Soil Depth (inches)
S
S
S
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
S
S
S
pS
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
Available Space
SS
S
S
PS
PS
PS
PS
U
U
U
1) Other (Specify)
S
S
S
%'p
PS
PS
PS
U
U
U
U
I) Site Classification
U—UNSUITABLE
Recommendations/ Comments:
Described by —
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE PS—Provisionally Suitable
Title
Date
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT 0"
Davie County Health Depattment ( 1g�.
Environmental Health Section G Of 0
� .
.,. P. 0. fiox 605 'j�b
Mccicsville, N.C. 270213
CONSTRUCTION SHALL NOT BEGIN UNTIL'MPROVEIVEN7S PERMIT HAS SEEN ISE,USEX
Home pgone
1. Permit Roque �• - Err I:3usiness Phone -a
Z Address 8 _..
3. Property Owner if Difterent than Above Z�f r ZENA—IN ..
Address 1 3 �d� N� 11 P. Lv�4 aZ/--
A. Permit To: a) Instal. r Atter Repo ir-�-
b) Privy Conventlonai _Other Type.___
Gro��undAbsorplion
c) Sub- Division�iab;Aj 2. Sec. Lot fro. A i
5. System used to serve what type facility: House_ Mobile Homs__ Epees.—
Industry_— Other r
b) Number of people
6. a) if hoLSe or mobile home, sta a size of h me and number of rooms.
House Dimensionsx ?7_
Bed Rooms 3 —Bath Rooms-. Z Dan w/Closet
b) If Business, Industry or Other, State: Number of persons served -.---
What type business, etc.
Estimate amount of waste daily (2-4 hours)._.__ -._____.__ _.
7. Number and type of water -using fixturos:
coinmolles urinals---
lavatory
rinals_- lavatory r showers
dishwasber sinks
8. a) Type water supply: Public_! Private_. Com nity__
b) Has the water supply system been approved? Yes_ No --
9. a) Propi .Dimensions L2 (9 X
b) Land area designated to building sit:i _4V
garbage disposal----�--
.washing machine-
c) Sewage Disposal Contractor _ ---- --
10. Do you anticipate any additions or expansions of the facility this sewalle system Is Intended to serve?
What type?
This Is to cortify that the information is ct to ast of my knowledge.
zi-Y
Date Owner Signa ra
OWNER IS SOLELY RESPON31BLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 drays for processing
Directions to property.
CCHD (0.82)
DAVIE COUNTY HEALTH DEPARTMENT
P. 0. BOX 57
MOCKSVILLE, N. C. 27028
(7 04) 634-5985
Statement for Septic Tank Improvement Permits
and/or Site Evaluations
NAME (cj
ADDRESS
Explanation of charge
DATE ISSUED ;"d-
PERMIT NO.
AMOUNT DUE /6-(D SANITARIAN \.fid 01aJO
V
PLEASE REMIT THE ABOVE A14OUNT ON RECEIPT OF THIS STATEMENT.
Appraisal Card
Page 1 of 1
1 /5/2017 1:61:56 PM
RANDLEMAN RANDY Return/Appeal Notes: Parcel: H7 -030 -AO -026
167 AUSTINE LN PLAT: 0004/173 UNIQ ID 13911
82515292 ID NO: 5769960755
COUNTY TAX (100), FIRE TAX (100) XXXX CARD NO. 1 of 1
Reval Year: 2013 Tax Year: 2017 LOT 27 GREEN BRIER ACRES 1.000 LT SRC= Inspection
Appraised by 19 on 09/04/2008 07001 SHADY GROVE TW -07 Cl- FR -01 EX- AT- LAST ACTION 20110727
CONSTRUCTION DETAIL MARKET VALUE
DEPRECIATION CORRELATION OF VALUE
Foundation - 3
Standard 0.29000
Continuous Footing8.0 USE
MOD
02
Eff.
Area
1 728 1
UA L
105
BASE
RATE
1 XXXX
RCN
XXXX
EYB
1996
AYB
1996
REDENCE TO MARKET
% GOOD JXXXX EPR. BUILDING VALUE - CARD XXX
Sub Floor System - 4
Plywood 11.00 02
Exterior Walls - 10 TYPE: Manufactured Home (Multi) Manufactured Home EPR. OB/XF VALUE - CARD XXX
Aluminum/Vinyl Siding 32.00 ARKET LAND VALUE - CARD XXX
Roofing Structure - 03 STYLE: 1 - 1.0 Story OTAL MARKET VALUE - CARD XXX
Gable 9.0
Roofing Cover - 03
Asphalt or Composition Shingle 5.0c TOTAL APPRAISED VALUE - CARD XXX
Interior Wall Construction - 5 OTAL APPRAISED VALUE - PARCEL XXX
D all/Sheetrock 28.0
Interior Floor Cover - 08 TOTAL PRESENT USE VALUE - PARCEL XXX
Sheet Vinyl/Laminate 7.00 TOTAL VALUE DEFERRED - PARCEL XXX
Interior Floor Cover - 14 TOTAL TAXABLE VALUE - PARCEL XXX
Carpet 0.0
Heating Fuel - 04 PRIOR
Electric 1.00 3UILDING VALUE 65,12
Heating Type - 10 3BXF VALUE 7,21
Heat Pump 5.0 ND VALUE 37,50
Air Conditioning Type - 03 RESENT USE VALUE
Central 5.0 EFERRED VALUE
Bedrooms/Bathrooms/Half- OTAL VALUE 109,83C
Bathrooms
3/2/0 0.00
Bedrooms
BAS -3 FUS -0LL-O PERMIT
Bathrooms
CODE I DATE NOTE I NUMBER AMOUNT
BAS - 2 FUS - 0 LL - 0
Half -Bathrooms
BAS -0 FUS -0LL-O OUT: WTRSHD:
Office SALES DATA
BAS - 0 FUS - 0 LL: 0
OTAL POINT VALUE 11.00 DATE DEED INDICATE SALES
BUILDING ADJUSTMENTS
+ ""-64------------------+M R TYPE / PRICE
Quality 3 AVG 1.000
I B A S I 7 00 WD O V 4600
Shape/Design 5 FACTOR 5 1.100 I I 7 00 WD 0 V 2800
k0112
Size 3 Size 0.860 I I 8 98 WD U V 1000
OTAL ADJUSTMENT FACTOR 0.95 I I 7 198 WD U V 700
OTAL QUALITY INDEX 10 I I 8 1991 TD U I 950
2 2
7 7
I I
I I
I I
I I HEATED AREA 1,728
I I
+------------------64------------------+ NOTES
OG **
SUBAREA
UNIT ORIG %I
ANN DEP
%
OB/XF DEPR
GS RPL COD DESCRIPTION
DUN T
UNIT PRICE COND
BLDG#
AYB
EYB
RATE
OV
COND
VALU
1 2
32 XXX 1
_
S
XXX
TYPE AREA % CS 24 HED
BAS 1,7284001 XXX 03 RPORT
2 2
52 XXX
t9811984
00
200
S
7
XXX
FIREPLACE 1 - None XXX OTAL OB XF VALUE XXX
SUBAREA
1,728
XX
TOTALS
BUILDING DIMENSIONS BAS=N27W64S27E64$.
LAND INFORMATION
OTHER
ADJUSTMENTS
HIGHEST
AND NOTES
LAND
TOTAL
AND BEST
USE
LOCAL FRON
DEPTH/ LND
COND
RF AC LC TO ROAD
UNIT
LAND UNT
TOTAL ADJUSTED
LAND OVERRIDE LAND
USE
CODE
ZONING TAGE DEPTH
SIZE MOD
FACT
OT TYPE
PRICE
UNITS TYP
ADJST UNIT PRICE
VALUE VALUE NOTES
MBL HM SUB
0200
0 0
1.0000 0
1.5000
XXXX
1.00C LT
1.500 XXXY
XXX
SZE 1.00
OTAL MARKET LAND DATA
XXX
OTAL PRESENT USE DATA
XXXX
http://maps.daviecountync.gov//ITSNet/AppraisalCard.aspx?parcel=H703OA0026 1/5/2017
DAVIE COUNTY HEALTH DEPARTMENT
PERCOLATION TEST RESULTS
DATE ! Z 31 �'o
J37 /3£^/, I F /- -
NAME J � � 7& s - Z 377 (A -S -Z--7 io � r
LOCATION
FINDINGS:
HOLE NO.
,COIRENTS
]�� i
1. `L�l ivy
2 • v `� �� In,., � S '
l�� Q � ���.i�s o + � - � - 1 u � 1� c.✓N Lo irv��
i
D(I�,
2. Wim-
Z cls I
S�'45��� - pig i� P -i1) FA12c�
/
3. `L1i ,�
Z z '
�c NS TI C- 6 LA41 S 4-
4.
S.
6.
By:
LOT DIAGRM-1
e
3- p
DAVIE COUNTY HEALTH DEPARTME14T
ENVIRONMENTAL HEALTH SECTION
P. 0. BOX 57
MOCKSVILLE, N.C. 27028-
(704)
7028(704) 634-5985
Statement for Septic Tank Improvements Permits and/or Site Evaluations
NAME ;&S 13 Et4j F -'t -T-
ADDRESS
277 (w
DATE /?-_- 31- U C)
PUP14IT NO.
EXPLA14ATION OF CHARGE I S(7 i �AA.- y A-17 -
�.
MOUNT4- SAtJITARIFu�3 �G
PLEASE REMIT THE ABOVE A14OUNT ON RECEIPT OF THIS STATEMT.
*NOTICE: Evaluation(s) can not be completed until paynent is received.
Improvements Permit(s) can not be issued until payment is received.