115 Meadowview Road Section 1 Lot 20Davie Countv, NC Tax Parcel Report Thursday. January 26. 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:
WARNING: "1'115 1S NUT A,UKVLI'Y
Parcel Information
J6050D0018 Township:
Fulton
5757896970 Municipality:
71980000 Census Tract:
37059-804
SUITER JULIUS EDWARD Voting Precinct:
FULTON
PO BOX 552 Planning Jurisdiction:
Davie County
MOCKSVILLE Zoning Class:
DAVIE COUNTY R-20
Land Value:
Total Assessed Value:
NC Zoning Overlay:
27028-0000 Voluntary Ag. District: No
LOT 20 HICKORY HILL SECTION 1 Fire Response District: FORK
0.49 Elementary School Zone: CORNATZER
10/1972 Middle School Zone: WILLIAM ELLIS
000870536 Soil Types: GnB2
0004 Flood Zone:
105 Watershed Overlay: DAME COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
[a] -.-
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 webshe.
OPERATION PERMIT
Davie County Health Department
N4~fit•
r 210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: Julius Suiter
Address:
City:
StatefZip: NC
Phone"",
Address/Road #:
115 Meadowview Rd
Mocksville NC 27028
Structure: SINGLE FAMILY
# of Bedrooms: 3
# of People:
*Water Supply: N/A
*COP File Number 137132-1
J"50 -DO -018
County ID Number:
Evaluated For: REPAIR
Township:
/ Property owner: Julius and Selma Suiter
Address: 115 Meadowview Rd
City: Mocksville
State/Zip: NC 27028
Phone #:
ierty Location & Site Information
Subdivision: Hickory Hill Phase: 1 Lot: 20
Directions
Hwy 64 East left on Hawthrone Dr. then house on
corner of Hawthrone and Meadowview.
*System Classification/Description:
*IP Issued by.
TYPE 11 A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
*CA issued by: 2140 -Nations, Robert SaproliteSystem? OYes (DNo
Design Flow: 3 6 0 * GRAVITY -SERIAL Pump Required?
Distribution Type: OYes allo
Soil Application Rate: 0 . a 'Pre -Treatment:
Drain field
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
6 0 0 Sq. ft.
a
a 0 0 ft.
9 Inches O.C.
Feet O.C.
3 �Fe lnch(*)et
inches
Minimum Trench Depth: 3 6
Minimum Soil Cover. a 4
Maximum Trench Depth: 3 6
Maximum Soil Cover: a 4
Inches
*System Type: INFILTRATOR QUICK 4 STANDARD
Installer: Donny Lakey
Certification #: 1108
*EH S: 2140 - Narions, Robert
Date: 0 5/ a 1/ a 0 1 4
Inches Approval Status
Inches
Approved O Disapproved
Inches
CDP File Number 137132 -1
Manufacturer.
STB:
Gallons:
Date:
*Filter Brand:
ST Marker. ❑ Yes ❑ No
nforced Tank: ❑ Yes ❑ No
1 Piece Tank: ❑ Yes ❑ No
Manufacturer.
PT:
Gallons:
County ID Number: J&050 -DO -018
nK
Lat.
Long:
Installer.
Certification 9:
*EH S:
Date: /
Approval Status
❑ Approved ❑ .Disapproved.
Pump Tank
Installer.
Certification #:
*EH S:
Date:
/
/ Date:
RiserSealed ❑
Yes
❑
No
RiserHeight: ❑
Yes
❑
No (Min.6 in.)
Approval Status
nforced Tank: ❑
Yes
❑
No
❑ Approved❑ Disapproved
1 Piece Tank: ❑
Yes
❑
No
❑
No
Suooly Line
r Pipe Size: inch diameter
Pipe Length: feet
*Schedule:
Pressure Rated ❑ Yes ❑ No
Approved ratings ❑ Yes ❑ No
Installer
Certification #:
THS:
Date:
Approval Status .
0 Approved ❑ Disapproved
f Pump Type: Installer:
/ Dosing Volume: - Gal Certification 9:
Draw Down: Inches *EHS:
*Chain:
Date:
Valves Accessible ❑ Yes
❑
N o
Flow Adjustment Valve ❑ Yes
❑
N 0
Check -valve ❑ Yes
❑
No
Approval Status
PVC Unions ❑ Yes
❑
No
❑ Approved ❑ Disapproved
Vent Hole ❑ Yes
❑
No
\ Anti -siphon Hole ❑ Yes
❑
No
CDP Fite Number 137132 -1
NEMA 4X Box or Equivalent
Box 12 inches Above Grade
Box Adj. To Pump Tank
Conduit Sealed
Pump Manually Operable
*Activation Method:
County ID Number: .t6-050-tw-o18
Alarm Audible ❑ Yes
Alarm Visible ❑ Yes
2140 ;
*Operation Permit completed by.
Authorized State Agent:
Owner/Applicant Signature:
❑ No Approval Status
❑ Approved ❑ Disapproved
❑ No
is. Robert
Date of Issue: 0 5/ a 1/ a 0 1 4
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 and
Construction Authorization. This property is served by a TYPE It A. sewage septic system.
Rule .1961 requires that a Type TYPE 11 A. septic system meet the following criteria:
Minimum System Review ByThe Local Health Department: N/A
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency ByCertified Operator:
NIA
Reporting Frequency By Certified Operator: MIA
Rule .1961 requires that a Type IV and V septic systems designed for a home/business owner must maintain a valid contract
with a public management entity with a certified operator or a private certified operator for the 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 entity prior to the
issuance of an Operation Permit for a system required to be maintained by public or private management entity, unless the
system ownerand 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.
O Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
Electric Equipment
❑ Yes
❑
No
Installer:
❑
Yes
❑
No
Certification #;
❑
Yes
❑
No
❑
Yes
❑
N o
*EH S:
❑
Yes
❑
No
Date:
Alarm Audible ❑ Yes
Alarm Visible ❑ Yes
2140 ;
*Operation Permit completed by.
Authorized State Agent:
Owner/Applicant Signature:
❑ No Approval Status
❑ Approved ❑ Disapproved
❑ No
is. Robert
Date of Issue: 0 5/ a 1/ a 0 1 4
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 and
Construction Authorization. This property is served by a TYPE It A. sewage septic system.
Rule .1961 requires that a Type TYPE 11 A. septic system meet the following criteria:
Minimum System Review ByThe Local Health Department: N/A
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency ByCertified Operator:
NIA
Reporting Frequency By Certified Operator: MIA
Rule .1961 requires that a Type IV and V septic systems designed for a home/business owner must maintain a valid contract
with a public management entity with a certified operator or a private certified operator for the 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 entity prior to the
issuance of an Operation Permit for a system required to be maintained by public or private management entity, unless the
system ownerand 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.
O Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Dralving Drawing Type: Operation Permit
i
r -
CDP File Number: 137132 -1
County File Number: J6-0%DG-018
Date: /
Olnch
Scale: OBlock
ON/A
i
�Ik CONSTRUCTION
AUTHORIZATION
Davie County Health Department
r: 210 Hospital Street
•moo,,;..,.•
P.O. Box 848
Mocksville NC 27028
For Office Use Only
*CDP File Number 137132-1
County ID Number: J6 -050 -DO -018
Evaluated For: REPAIR
�, Township:
Phone: 336-753-6780 Fax: 336-753-1680 0 4/ 0 a/ a 0 1 9
Applicant: Julius Suiter Property Owner: Julius and Selma Suiter
Address: Address: 115 Meadowview Rd
City: City: Mocksville
State2ip: NC State2ip: NC 27028
Phone #: Phone #:
Property Location & Site Information
I,—
Address/Road
Address/Road #: Subdivision: Hickory Hill Phase: 1 Lot: 20
115 Meadowview Rd
Mocksville NC 27028 Directions
Structure: SINGLE FAMILY Hwy 64 East left on Hawthrone Dr. then house on corner
of Hawthrone and Meadowview.
# of Bedrooms: 3
# of People:
*Water Supply: N/A
,'Site Classification: Provisionally Suitable
Saprolite System? OYes ONO
Design Flow: 3 6 0
m Soecificati
Minimum Trench Depth: a 4\
Inches
Minimum Soil Cover. 1 a
Inches
Maximum Trench Depth: 3 6
Inches
Soil Applrcatlon Rate. 0 a Maximum Soil Cover: a 4 Inches
*System Classification/Description: 'Distribution Type: GRAVITY -SERIAL
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) S t; T k'
*Proposed System: 25% REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
6 0 0 Sq. ft.
ep tc an .
Gallons
1 -Piece: OYes QNo
Pump Required: OYes ONO OMay Be Required
Pump Tank: Gallons
3 1 -Piece: OYes ONO
a 0 0 ft. GPM—vs-- ft. TDH
— 9 Inches O.C. Feet O.C. Dosing Volume: _ Gallons
3 8Inches
Feet Grease Trap: Gallons
inches Pre Treatment: ONSF OTS -I OTS -II
Septic Tank Installer Grade Level Required: 01011 0111 01V
Pagel of 3
r .
CQP File Number 137132-A
Repair System Re
epair System
.Site Classification:
Design Flow:
Soil Application Rate:
*System Classification/Description:
'Proposed System:
County ID Number: J6 -050 -DO -018
Irea:ki T C, V IVU l,' NU, UUt IIdb HVd11dU1C J
Nitrification Field
Sq. ft.
No. Drain Lines
Total Trench Length:
ft.
❑ Open Pump System Sheet
Trench Spacing:—
OInches 0.
---8
Feet O.C.
Trench Width:
Inches
—0 Feet
Aggregate Depth:
inches
Minimum Trench Depth:
Inches
Minimum Soil Cover.
Inches
Maximum Trench Depth:
Inches
Maximum Soil Cover:
Inches
*Distribution Type:
Pump Required: Oyes ONo OMay Be Required
Pre Treatment: ONSF OTS -1 OTS -II
'Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
7;
'Permit Conditions
The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. `,-
2(
This Authorization for Wastewater System Construction shall be valid fora person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be issued at the same time the Improvement Permit issued (NCGS 13OA-336(b)} If the Installation has not been
completed during the period of validity of the 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 or Construction Authorization shall become
Invalid, and may be suspended or revoked (.1937(g)). 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. Robert Date of Issue: 0 4 0 3/.2 0 1 4
Authorized State Agent: Malfunction Log Oyes
OHand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
CONSTRUCTION AUTHORIZATION
Davie County Health Department CDP File Number: 137132-1
210 Hospital Street J6 -050 -DO -018
P.O. Box 848
County File Number:
Mocksville NC 27028 Date: 0 4/ 0 3/ 2 0 1 4
Q Inch
Appraisal Card
DAVIE COUNTY NC
Page 1 of 1
4/3/2014 2:30:37 PM
UITER JULIUS EDWARD SUITER SELMA WEBBER Retum/Appeal Notes: Parcel: 36 -050 -DO -018
115 MEADOWVIEW RD
PLAT: 0004/105 UNIQ ID 19419
1980000
D268 -P24 ID NO: 5757896970
COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1
eval Year: 2013 Tax Year: 2014 LAT 20 HICKORY HILL SECTION 1 1.000 LT SRC= Inspection
Appraised by 02 on 01/01/2005 04103 HICKORY HILL TW -04 CI- FR -09 EX-
AT- LAST ACTION 20120426
CONSTRUCTION DETAIL MARKET VALUE
DEPRECIATION
CORRELATION OFVALUE
Foundation - 3
Standard I 0.3900
ntinuous Footing
5.00 Eff. BASE
ub Floor System - 4
USE MO Area QUA RATE RCN EYB AYB
REDENCE TO MARKET
I wood
8.00 01 01 3,468 124 86.80 304382197 1974 % GOOD F 61.0
DEPR. BUILDING VALUE- GRD
185,67
xterior Walls - 20
luminum/Vin I Siding31.0
TYPE: Single Family Residential Single Family Residential
EPR. OB/XF VALUE - GRD
MARKET LAND VALUE - GRD
26,00
xterior Walls - 21
STYLE: 5 - Ranch w/ basement
OTAL MARKET VALUE - GRD
211,67
ace Brick
0.0
oofing Structure - 03
able
8.0
oofing Cover - 03
TOTAL APPRAISED VALUE -GRD
211,67
s halt or Composition Shingle
3.00
TOTAL APPRAISED VALUE - PARCEL
211,67
nterior Wail Construction - 5
)rywall/Sheetrock
26.00
TOTAL PRESENT USE VALUE - PARCEL
nterior Wall Construction - 6
TOTAL VALUE DEFERRED - PARCEL
ustom Interior
0.0c
TOTAL TAXABLE VALUE - PARCEL
211,67
nterior Floor Cover - 08
heet Vinyl/Laminate
6.00
PRIOR
nterior Floor Cover - 14
3UILDING VALUE
209,05
:arpet
0.0
BXF VALUE
eating Fuel - 04
ND VALUE
26,00
lectric
1.0
RESENT USE VALUE
eating Type - 04
DEFERRED VALUE
orced Air- Ducted
4.00
rOTAL VALUE
235,05
Ir Conditioning Type - 03
ntral
4.0
Bedrooms/Bathrooms/Half-Bathrooms
I U B M + - - - - - - 51 - - - - - - +
/2/1
15.00C I I
edrooms
3 1
PERMIT
AS - 4 FUS - 0 LL - 0
2 2
I 8
CODE I DATE I NOTE I NUMBER
AMOUNT
athrooms
I I
AS-2FUS- 0 LL -0
+--------69---------+
alf-Bathrooms
OUT: WTRSHD:
BAS - 1 FUS - 0 LL - 0
SALES DATA
+----39----+ +---36----+10+
FF. INDICATE
ffce
9PTO +14-1-20--1FCP +UST
RECORD ATE DEED
SALES
+-18-+ 9 OFSP 0 1
00 PAGE R I TYPE /
PRICE
TOTAL POINT VALUE
111.00 IBAS +----37----+ +-22--+ 5
0087 536 10197 WD X I
BUILDING ADJUSTMENTS I +FST22+-----46-----+
ize 3 Size
0.890 3 I
uali 4 ABAVG
1.200 2 I
I 2
Shape/Desigrq 4 1 FACTOR 4
1.050 1 3
HEATED AREA 2,590
TOTAL ADJUSTMENT FACTOR
1.12 +---36 - - - - + - - - 33----+ I
TOTAL QUALITY INDEX
12 +FOP --33--+-22--+
NOTES
SUBAREA
UNIT ORIG %
ANDEP % OB/XF DEPR
TYPE GS AREA % RPL CS ODE DESCRIPTIO OU TH NIT PRICE COND LDGft AYB EYB RATE V CONDI
VALUE
AS 2,591 10 22481 10 ON PAVING30 1 36 3.5 _1197119741 S51 1 01
C
FCP 87d 02 18922 TOTAL OB/XF VALUE
FOP 16 03 503
FSP 20 04 694
FST 15A OS 668
O48 00 208
BM 2,00 02 3480
57 501 040 173
4 - 2 Story Single/1
FIREPLACE StoryDouble
3,36
SUBAREA 6,52
04,38
TOTALS
BUILDING DIMENSIONSFSP=W20BAS=W14Pf0=N4W39S13E37N9E2$V2S9W37N4W18S32E3610P=S3E33N5W33S2$N2E33S5E22N23F0'=E46N15UST=NSWIOSSEIO
W10N5W36S20$FST=N7W22S7 E22$W22N7E2N10$S10E2ON10$PTR=N15 UBM=N28W51N4W18S32E69$S15$.
D INFORMATION
HEST
THER ADJUSTMENTS
LAND
TOTABEST
USE
LOLFRON
DEPTH /
LND
COND
ND NOTES
OA
UNIT
LAND UNT
TOTAL
ADJUSTED
LAND OVERRIDE LAND
CODE
ZONING
TAGE
EPT
SIZE
MOD
FACT
RF AC LC TO OT
TYPE
PRICE
UNITS TYP ADISTUNITPRICE
VALUE VALUE
NOTES
RES
I
01000
0
1.0000
0
1.0000
26,000.0
1.00 LT
1.00
26,000.0
2600C
C
11.00AL
MARKET LAND DATA
26,00AL
PRESENT USE DATA
'I 3"1 /3Z--
Ownt
http://maps.co.davie.ne.us/ITSNet/AppraisalCard.aspx?parcel=J6050DO018 4/3/2014
DAVIE: COUNTY HEALTH' DEPARTMENT
'
IMPROVEMENTS PERMIT AND "CERTIFICATE OF COMPLETION
Note,-.-. Issdbd in Compliance .with G.S. of North Carolina Chapter 130 -Article 13c.
Permit Number .
Name �?; �` �. Date
Location t'
Subdivision, Name .r t tt Lot No. , _Sec. or Block No.
`
._ _
Lot Size _House -°"" Mobile Home _ _ 'Business __ Speculation
'No. Be'dr,00msi No. Baths..—A _`No.:n Family-
s
-Garbage Disposal YES 0, NO „0
Specifications for System: �u,kpS -1 Tz.
Auto Dish Washer YES NO 0,
.O'
Auto Wash Machine ;YES`.® NO•;0J>
s 3-4 -- t �o'.X
$.
0
Type Water Supply
*Thi .permit Voidnif sewage.,system'descrbed below is notl?installed within 36 months from date of issue:
:•
,r
,
r
c W
f
Improvements permit by
*Contact a representative of the Davie County 'Health. Department for final inspection of this system between "8 367",
' 9:30 `A.M:, br. 1_:00-1:30 P M. o.n day of completion, Telephone Number: 704-634-5985.
n
r
Diagram: by U -0 -al)
Final installation System Installed �)
•�; , it
A
y
4 •r
,
_f'
,
n q
F
: .. .. s `ter .
i'
Certificate of Completion
i,
,- *The signing of'this certificate shall 'indicate that .the system described' above has been installed in compliance. with
the standards set forth, in th e above reguaation, but, in
�' � NO way be taken as a guarantee that the system, will function
F
satisfactdrily for any given,period of time. < -