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303 Lakeview Road Section 2 Lot 38Davie County, NC, — r Tax Parcel Report Tuesday, January 17, 2017 WARNIN is THIS 1S NOTA SURVEY Parcel Information Parcel Number: 1614OA0012 Township: Shady Grove NCPIN Number: 5758841017 Municipality: Account Number: 8303035 Census Tract: 37059-804 Listed Owner 1: REECE CHRISTIN G Voting Precinct: WEST SHADY GROVE Mailing Address 1: 303 LAKEVIEW DRIVE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag. District: Legal Description: LOT 38 HICKORY HILL SECTION 2 Fire Response District: Assessed Acreage: 0.76 Elementary School Zone: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 12/2013 Middle School Zone: 009470913 Soil Types: 0005 Flood Zone: 027 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No CORNATZER - DULIN CORNATZER WILLIAM ELLIS Gn B2, GnC2 DAVIE COUNTY O l Davie County, All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie county's GIS webslte shall hold harmless the -� NCor - County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to arising out of the use or Inability to use the GIS data provided by this website. t Phone: (336) - 753 - 6780 Davie County Health Department Environmental Health Section AM P.O. Box 848 I PAID 210 Hospital Street RECEIVED Date: !a to 1 S Courier # : 09-40-06 Received by: f)g� Mocksville, NC 27028 nate: (Q rS ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Fax: (336) - 753-1680 Name: fM m 5 Phone Number (Home) Mailing Address: p2 -) l PCIS(Ill fp,@ 3 3( — 90 (Work) D G o �� /'1/ e x762 8 Email Address: f Detaile Directions To Site: L! -c) 'G) i2 2 O w ✓�- K (>R mac% 3 4-A-rew oc. s v Oh iS ir) ` Properly Address: 4kLO / L° tJ o C &S 6 /, eslll Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: Type Of Facility: Date System Installed (Month/Date/Year): Number Of Bedrooms: Number Of People: Is -The e-Faacility_Cun ently Vacant? Yes If Yes, For How Long? Any Known Problems? Yes _No If Yes, Explain: Please Fill In The Following Information About he NEW Facility: Type Of Facility: New j Li 2y uK-c( D a I Number Of Bedrooms: Number of People Pool Size: 14 X.217 Garage Size: Other: Requested By: Date Requested: (Signature) For Environmental Health Office Use Only Approo ed Disapproved Environmental Health Specialist Date: ' -,>'—„ J J - *The signing bf 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. Cash Check Money Order # Amount:$ Paid By: ',� Received By:_ Account #: I q—j (D ( Invoice #: Date: 0 A f�ev��w z Construction Authorization 1 ` Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville, NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: John "Ronnie" Grayson Address: 297 Lakeview Road City: Mocksville State/Zip: NC 27028 Phone #: home: (336) 998-1747 wrk: (336) 766-2740 cell r Address/Road #: Lakeview Road Mocksville, NC fi 27028 Structure: # of Bedrooms: # of People: �"Water Supply: SINGLE FAMILY 3 1 PUBLIC For Office Use Only 'CDP File Number 120949-1 County ID Number: 1614OA0012 Evaluated For: NEW PERMIT VALID UNTIL: 04/10/2018 le— Property Owner: Joh "Ronnie" Grayson Address: 297 Lakeview Road City: Mocksville State/Zip: NC. 27028 Phone #: (336) 998-1747(336) 766-2740(336) 972 n & bite InTOrmation Subdivision: Hickory.Hill 2 Phase: It -NEW- Lot: 'I 38 - Directions Hwy 64 East right into Hickory Hil 2 Lakeview Road "Site Classification: PS Design Flow: 360 Soil Application Rate: 0.3000 "System Classification//Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) *Proposed System: 25% REDUCTION Nitrification Field Sq. ft. No. Drain Lines Total Trench Length: 300 ft. Trench Spacing: -y 0 Inches O.C. n Feet O.C. Inches Trench Width: - 36 8 Feet Aggregate Depth: inches Minimum Trench Depth: 24 Inches Minimum Soil Cover: Inches Maximum Trench Depth: 36 Inches Maximum Soil Cover: Inches "Distribution Type: GRAVITY - SERIAL Septic Tank: 1,000 Gallons 1 -Piece: O Yes 0 No Pump Required:O Yes O No O May Be Required Pump Tank: Gallons 1 -Piece: O Yes O No GPM -vs— ft. TDH Dosing Volume: Gallons Grease Trap: Gallons Pre -Treatment: ONSF OTS -1 OTS -II Septic Tank Installer Grade Level Required: O 1 O II O III O IV Page 1 of 2 CDP File•Number. 120949 Repair System *Site Classification: PS Design Flow: 360 Soil Application Rate: 0.300 *System Classification/Description: TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) *Proposed System: 25% REDUCTION Nitrification Field Sq. ft. No. Drain Lines Total Trench Length: 300 ft. County ID Number: 1614OA0012 Maximum Soil Cover: Inches *Distribution Type: GRAVITY - SERIAL Pump Required: O Yes O No O May Be Required Pre -Treatment: O NSF 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. *Permit Conditions The issuance of this permit by the 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. This Authorization for Wastewater System Construction shall be valid for a 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 130A -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 (A 937(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 Applicant/Legal Resps. Signature Required ? O Yes Q No Applicant/Legal Reps. Signature: Date: *Issued By: Daywalt, Andrew n „ /l Date of Issue: 04/10/2013 Authorized State Agent: � jjMLMLALJ 'V Y- A 1 Malfunction Log O Yes O Hand Drawing O Import Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** Page 2 of 2 Inches O.C. 8 Trench Spacing: — 9 Feet O.C. Trench Width: — 36t—VN 6Inches Feet Aggregate Depth: Inches Minimum Trench Depth: 24 Inches Minimum Soil Cover: Inches Maximum Trench Depth 36 Inches Maximum Soil Cover: Inches *Distribution Type: GRAVITY - SERIAL Pump Required: O Yes O No O May Be Required Pre -Treatment: O NSF 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. *Permit Conditions The issuance of this permit by the 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. This Authorization for Wastewater System Construction shall be valid for a 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 130A -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 (A 937(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 Applicant/Legal Resps. Signature Required ? O Yes Q No Applicant/Legal Reps. Signature: Date: *Issued By: Daywalt, Andrew n „ /l Date of Issue: 04/10/2013 Authorized State Agent: � jjMLMLALJ 'V Y- A 1 Malfunction Log O Yes O Hand Drawing O Import Drawing Total Time:(HH:MM) **Site Plan/Drawing attached.** Page 2 of 2 CONSTRUCTION AUTHORIZATION 120949-1 " Davie County Health Department CDP File Number: 210 Hospital Street 16140A0012 ' P.O. sox 848 County File Number: CONSTRUCTION For Office Use Only AUTHORIZATION "CDP File Number 120949-1 Davie County Health Department County ID Number: .° -�^16140A0012 4r '¢ 210 Hospital Street Evaluated For: NEW P.O. Box 848 Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax: 336-753-1680 0 4/ 1 0/ a 0 1 8 Applicant: JohKRonnie" Grayson Property Owner. John"Ronnie" Grayson Address: 297 Lakeview Road Address: 297 Lakeview Road City: Mocksville City: Mocksville State2ip: NC 27028 StatefZip: NC 27028 Phone #: (336) 998-1747 Phone #: (336) 998-1747 Address/Road #: Subdivision: Hickory Hill 2 Phase: 2 Lot: 38 Lakeview Road Mocksville NC 27028 Directions Structure: /SINGLE FAMILY Hwy 64 East aright into Hickory Hil 2 Lakeview Road # of Bedroom: 2 1,- 512q. 115 j d�-� U -t -5t -6 CYV�n�� 'tt i S # of People: 1 N b,,i ( cte_c N.4,,,- - R L i' Cr U_ *Water Supply: PUBLIC TU7 l�^L�I;��L {"- CA System Specification's \Site Classification: PS Minimum Trench Depth: a 4 Inches Saprolite System? OYes OMinimum Soil Cover.No Inches Design Flow: 2 4 0 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 - 3 Maximum Soil Cover: Inches *System Classification/Description: *Distribution Type: GRAVITY - SERIAL TYPE 11 A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 1 0 0 0 Gallons 'Proposed System: 25% REDUCTION 1 -Piece: OYes ONo Pump Required: OYes ONo OMay Be Required Nitrification Field Sq. ft. Pump Tank: Gallons No. Drain Lines 1 -Piece: OYes ONo Total Trench Length: a 0 0 ft GPM -vs- ft. TDH Trench Spacing:9 (Feet O.C. g Inches O.C. — Dosing Volume: _ Gallons O Trench Width: 3 6 Olnches ()Feet Grease Trap: Gallons Aggregate Depth: inches Pre Treatment: ONSF OTS -1 OTS -II Septic Tank Installer Grade Level Required: 01 011 OIII OIV Page 1 of 3 Pdi CDP,File-Number 120949 -1 County ID Number: 1614OA0012 ❑ Open Pump System Sheet Kepalr System Kequirea:lJ T e5 V Ivo VNO, out nas Available 'Site Classification: PS Trench Spacing: — 9 8 Inches 0. Feet O.C. Trench Width: Inches Design Flow: a 4 0 _ 3 6 Feet SoilAggregate Depth: Application Rate: 0 - 3 inches Minimum Trench Depth: .1 4 Inches *System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover. Inches `Proposed System: 25% REDUCTION Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: Nitrification Field Sq. Inches ft. No. Drain Lines "Distribution Type: GRAVITY -SERIAL Total Trench Length: a 0 0 ft Pump Required: Oyes ()No OMay Be Required 11 Pre -Treatment: ONSF OTS -1 OTS -11 "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 by the 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. This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit not to exceed five years, and maybe Issued at the sametime the Improvement Permit Issued (NCCS 130A -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 maybe 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: 2244 - Daywalt. Andrew Date of Issue: 0 4 / 1 0 / 2 0 1 a Authorized State Agent: A /� f �/ir itYnemofy ea Malfunction Log Oyes OHanc(prawing Olmport Drawing Total Time:(HH1113) **Site Plan/Drawing attached.** 0 1 Page 2 of 3 Hours L1 mutes S-8 - CNS issued - new • IMPROVEMENT PERMIT =";• Davie County Health Department A , 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID UNTIL: 4/9/2018 "NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. For Office Use Only `CDP File Number 120949-1 County ID Number: 16140A0012 Evaluated For: NEW ,Township: Applicant: Joh "Ronnie" Grayson Address: 297 Lakeview Road City: Mocksville State/Zip: NC 27028 Phone 9: (336) 998-1747 Address/Road 9: Lakeview Road Mocksville NC 27028 Structure: SINGLE FAMILY 4 of Bedrooms: 2 # of People: 1 'Water Supply: PUBLIC Property Owner: Joh "Ronnie" Grayson Address: 297 Lakeview Road City: Mocksville State2ip: NC 27028 Phone 9: (336) 998-1747 Subdivision: Hickory Hill 2 system nitial S stem SiteClassification: Saprolite System? OYes ONO Design Flow: a 4 0 Soil Application Rate: 0 - 3 'System Classification/Description: TYPE 11 A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) 'Proposed System: 25% REDUCTION Phase: 2 Lot: 38 Directions Hwy 64 East right into Hickory Hil 2 Lakeview Road L Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 Inches Septic Tank: 1 0 0 0 Gallons 1 -Piece: Pump Required: Pump Tank: 1 -Piece: Repair System Required: OYes ONO ONO, but has Available Space _Repair System .Site Classification: Ps Soil Application Rate: 0 3 'System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPO OR LESS) 'Proposed System: 25°la REDUCTION OYes ONo OYes ONO O May Be Required Gallons OYes O N o Minimum Trench Depth: a 4 Inches Maximum Trench Depth: 3 6 Inches Pump Required: OYes ONO O Maybe Required Page 1 of 3 CDP file NUmber '120949 -1 *Site Modifications County ID Number: 1614OA0012 ❑ Open Fill Sheet 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 by the 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. Site Plan The Improvement Permit shad be valid for 5 years from date of Issue with a site plan (means a drawing not necessarily drawn to O scale that shows rite existing and proposed property lines with dimensions, the location of thefacillty and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shag be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that Is accompanied by a site plan that Is drawn to scale). The Department and Local Health Department may impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit Is subject to revocation H the site plan, pat, or intended use changes (NCGS 13QA335(f)). 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: 2244 - Daywalt, Andrew Date of Issue: 0 4 1 0 9/ 2 0 1 3 OValid without Expiration? Authorized State Agent: O Create CA? 01 -land Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time:(H HJJ M) v 1 Hours . M inutes Page 2 of 3 Activdv Code: S-4 - IP'S issued: new. valid for 60 mos. ` APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P.O. Box 848/210 Hospital Street „] Mocksville, NC 27028 �. (336)753-6780/ Fax (336)753-1680 'I.3�q Application For:/Site Evaluation/Improvement Permit ❑Authorization To Construct (ATC)t oth Type of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System o Facility ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION.BULLETIN for instructions. APPT,TCANT TNFORMATTON Name Gil 1 L -i 5 0 cJ U0tL­L.>'tE) Contact Person p �v K, 1 G- &-&, & A -)Address 19 `1 L A K� U )'C -!W J Home Phone t - "1�t City/State/ZIP �'� D t k l G , IU, L. 1 `JQ3-,P Business Phone `1(,10 - J'7 I p oam Email LA11 m 1= AV— Name V—Name on Permit/ATC if Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged S /L Z//-3 NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit isv id for 60 months with site plan, no expiration with complete plat.) Owner's Name t9 w Ztp t Phone Number Owner's Address 191 L � & � Rd City/State/Zip )yj o c. K,, j-, Property Address Z M H tsLEeO Ra City Lot Size) 4 0 I( Tax PIN# Subdivision Name(if applicable) N i L .H UIS a.. Section/Lot# 3$ Directions To Site: If the answer to any of the following questions is "Yes",supporting documentation must be attached: Are there any existing wastewater systems on the site? _Yes -0<0- . Does the site contain jurisdictional wetlands? Yes l<o Are there any easements or right-of-ways on the site? Yes 1� . Is the site subject to approval by another public agency? IXes No Will wastewater other than domestic sewage be generated? _ Yes_tXo IF RFSTT)F,NCF FILL OI JT THF. BOX BELOW # People I# Bedrooms - ) Bathrooms „ Garden Tub/Whirlpool ❑Yes Basement: ❑Yes o Basement Plumbing: es ❑No IF NON -RESIDENCE FTI I:. O1JT THE BOX BFIOW Type of Facility/Business Total Squ .e ]~ootage of Building # People # Sinks # Commodes # Show s # Urinals Estimated Water Usage (gallons per day) Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: ❑Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: R County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ 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 knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with.applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating and flagging o st ' g the o se/fa ity location, proposed well location and the location of any other amenities. ' Site Revisit Charge perty owner's or owner's legal kepresentative signature Date(s): y (?j Client Notification Date: Date v EHS: Sign given ❑Yes ❑No Account # (UO Revised 11/06 Invoice # Tel �Sl�v DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990006046 Billed To: John 'Ronnie" Grayson Reference Name: Proposed Facility: Residence Property Size: Water Supply: On -Site Well PROPERTY INFORMATION Tax PIN/EH #: 16"40A012 Subdivision Info: Hickory Hill 2 2 Lot # 38 Location/Address: Lakeview Road -27028 1 AC Date Evaluated: Community Evaluation By: Auger Boring Pit Public 9 Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % n HORIZON I DEPTH Texture group CC Consistence Structure S Mineralogy HORIZON H DEPTH -q64 Texture groupC Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: PS LONG-TERM ACCEPTANCE RATE: • 3 REMARKS: EVALUATION BY: joa dyi t)alAt7nel- OTHERS) PRESENT: Rohni Go�� LEGEND Landscape 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 uM, VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3yet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Nates Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05105 (Revised) Appraisal Card. Page 1 of 1 nevrc rn��ury me 3/29/2013 12:14!52 PM RAYSON JOHN R GRAYSON JENNIE 3 Return/Appeal Notes: I6 -140 -AO -012 KEVIEW RD UNIQ ID 17035 0251250 ID NO: 5758841017 COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1 eval Year: 2013 Tax Year: 2013 LOT 38 HICKORY HILL SECTION 2 1.000 LT SRC- Inspection raised by 02 on 01/01/2005 04103 HICKORY HILL TW -07 C- EX- AT- LAST ACTION 20130313 ONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE OTAL POINT VALUE 4.t.LDrea Eff. UAL BASE RATE RCN EYB AYB REDENCE TO BUILDING' % GOOD DEPR. BUILDING VALUE - CARD ADJUSTMENTS 97 TOTAL ADJUSTMENT TYPE: Vacant EPR. OB/XF VALUE - CARD ACTOR MARKET LAND VALUE - CARD 35,00 TOTAL QUALITY INDEX STORIES: TOTAL MARKET VALUE - CARD 35,00 TOTAL APPRAISED VALUE - CARD 35,00 TOTAL APPRAISED VALUE - PARCEL 35,00 TOTAL PRESENT USE VALUE - PARCEL TOTAL VALUE DEFERRED - PARCEL TOTAL TAXABLE VALUE - PARCEL 35 00 PRIOR BUILDING VALUE BXF VALUE .AND VALUE 26,00 RESENT USE VALUE DEFERRED VALUE TOTAL VALUE 26,00( PERMIT CODE I DATE NOTE I NUMBER AMOUNT OUT: WTRSHD: SALES DATA FF. ECORD DATE DEED INDICATE SALES LOOK IPAGE MOjYR TYPE / / PRICE 0195 461 6 199 WD Q V I 0146 420 12119881 WD Q V 650 HEATED AREA NOTES SUBAREAUNIT ORIG % SIZE ANN DEP % OB/XF DEPR GS RPL OD UA DESCRIPTIO LT H NIT PRICE COND LDGlt L/ FACT Y EY RATE V COND VALUE TYPE AREA CS OTAL OB XF VALUE FIREPLACE SUBAREA TFI TOTALS BUILDING DIMENSIONS INFORMATION GHEST THER ADJUSTMENTS TOTAL D BEST USE LOCAL FRON DEPTH/ LND COND AND NOTES OA LAND UNIT LAND UNT TOTAL ADJUSTED LAND LAND E CODE ZONING TAGE DEPT SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE NOTES II.-TNO R RES 0100 0 0 1.0000 0 1.0000 35,000.0 1.00 LT 1.00 35,000.0 3500TAL MARKET LAND DATA ALPRESENT USE DATA http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=I614OA0012 3/28/2013