656 Bear Creek Church Rd (2) — . l DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
REPAIR OPERATION PERMIT
Account #: 990005920 Tex PINIEH M D200000019
Billed To: Ben Edwards ".'8ubdivision1nfo;
Reference Name: REPAIR PERMIT :: cf: `d ::LocafianfAddreSs<i,."656 Bear Creek Church Road-27028
Proposed Facility: Residential Repair 1 c W P�oper#y Rize� ;,.10.50 Acres
ATC Number: 5960
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed
in compliance with Article 11 of G.S.Chapter 130A, Section.1900"Sewage Treatment and Disposal Systems,"
but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of
time.
System Type: S.T.Manufacturer&jS#nA Tank Date_ Tank Size
Pump Tank Size ,i Bedrooms_
System Installed ByI,WaA #IH Installer#: Date:
GPS Coordinate:
peic
Vf d-jo
Environmental Health Specialist: Date: i8
DCHD 11/06(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005920 T-4)(-PIN/EH#: D200000019
Billed To: Ben Edwards Subivisionlrlfo:
Reference Name: REPAIR PERMITLocallofffAddr` ss>`,656 Bear Creek Church Road-27028-,,`.,.'k'.'
Proposed Facility: Residential Repair Prop # %: vSO §ir•❑Expansioq
** T�,,**Thi Ashorization to Construct(ATC)MUST BE ISSUEp by the Davie County Environmental
�T) ealc>�ion pno�to.issuance of any building permit(s);(m comph�ince'with Article 11 of G.S.Chapter 130A
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIV_ E YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Specifications: #Bedrooms #Bathrooms__2 #People _Basement❑ Basement plumbingX
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Lot Size CSG Type of Water Supply: (County/City ❑Well ❑Community Well
System Specifications: Design Wastewater Flow(GPD) Tank Size Q 'r*AL.Pump Tank GAL.
Trench Width,_ Max. Trench Depth Rock Dee/pth/' Linear Ft. � ;�elb
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Hedlth Section for final inspection of this system between
8:30—9:30a.m.on the day of installation. Telephone#(336)751-8760.
)40
sel
Environmental Health Specialist 0Date:
DCHD 11/06(Revised)
�led IfVr
gen.C-161ml Zr
66-(o Sew
IZOOOMW
lo 0 5ric
V /
DAVIE COUNTY HEALTH DEPARTMENT `�"f" �� \
(Septic Tank) Improvements Permit and Certificate of Completion ihls
(Ground Absorp-t-iio�n Sewage Disposal System - G.S. Chapter 130-Article 13C)
OWNER OR CONTRACTOR !.c�+'i -T�; e *{ DATE a - Vit,. PERMIT
r
LOCATION N° 101'7
�04.r 4»: w ;,
S.R. NO.
SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO.
HOUSE MOBILE HOME 0 BUSINESS ❑
House Trailer 800 Gal. 400 Sq. Ft.
NO. BEDROOMS ' NO. BATHROOMS Two Bedroom House 800 Gal. 600 Sq. Ft.
GARBAGE DISPOSAL UNIT YES ❑ NO ❑ Three Bedroom House 900 Gal. 900 Sq. Ft.
AUTO. DISHWASHER YES ❑ NO ❑ Four Bedroom House 1000 Gal. 1200 Sq. Ft.
AUTO. WASH. MACHINE YES ❑ NO ❑
SITE SUITABLE a YES ❑ NO ❑ Y c t3 c. N i1 r L{ ��.> u ,,'�e ;:
SIZE OF TANK !lam gal. CIO-, "-%,
NITRIFICATION FIELD sq. ft.
DEPTH OF STONE IN LINES: l?;1v /ra,��cv= • 3��c.. \
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY INSTALLED BY
r -
CERTIFICATE OF COMPLETION By Date=
(8/16/73) *Construction must 4mply with all other applicable State and local regulations
LOT AREA
(�u A-a ua e
• Y 4- �
n
tl
r.
'0650' BKb50N282t
" 0282
i 003.7133
=ExciseTax
North Carolina
S lova FLM FOR REGISTRATION
'� __February 27. 2006 3:40 P.M.
DATE . TIME
AND RECORDED IN BOOK 650 PAGE 282
IL BRENT SHOAF,REGISTER OF DEEDS
DEED TRANSFER CHECKED DAME COUNTY.NO
DATE--L^- By
TAX ADMINIS BATOR Asst.
NORTH CAROLINA GENERAL WARRANTY DEED
Excise T= S460AU Non–Standard Document
Parcel Identifier No. 2 Verified by: County on the_day of 120—
By. 20By:
Mail/Box to: -Grantee at address below.
This instrument was prepared by, Bunch&Associates,PLLC,514 S.Stratford Road,Suite 240,Winston Salem,NC 27103
Brief description for the Index:
TRIS DEED made this 24th day o f February 20 06•
GRANTOR GRANTEE
Jeffrey Goi-and wife,
Gregory 1 c raw(legally separate Lisa Goins
E for of the Estate of Linda Trivette and, 656 Bearcreek Church Road
Timothy McCraw and wife,Martha M Mocksville,NC 27028
The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,and shall include
singular,plural,masculine,feminine or neuter as required by context
WTTNESSETII,that the Grantor,for a valuable consideration paid by the Grantee,the receipt of which is hereby acknowledged,has
and by these presents does grant,bargain,sell and convey unto the Grantee in fee simple,all that certain lot or parcel of land situated in
the Ci of Mocksville Davie
City Township, County,North Carolina andmrne
particularly described as follows:
See Exhibit"A"Attached
The property hereinabove described was acquired by Grantor by instn,mr„r recorded in Book page
A map showing the above described property is recorded in Plat Book page
NC Bar Association FormNo.L-3®1976,Revised®1977,2002
Printed by Agreement with the NC Bar Association–1981 SottPro Corporation,333 E.Six Forks Rd.,Raleigh,NC 27609
Appraisal Card Page 1 of 1
DAVIE COUNTY NC 7/31/2012 9:29:50 AM
DWARDS HUBERT BENJAMIN PARDUE TERESA CAUDLE Return/Appeal Notes: D2-000-00-019
56 BEAR CREEK CHURCH RD UNIQ ID 3277
2531176 2001 3-5 ID NO:5802903858
COUNTY TAX,FIRE TAX CARD NO.1 of 1
eval Year:2009 Tax Year:2012 10.500 AC BEAR CREEK CHR 10.500 AC SRC=Owner
%ppralsed by 02 on 08/30/2007 02001 BEAR CREEK CHURCH TW-02 C- EX- AT- LAST ACTION 20100922
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE
Foundation-3 Eff. BASE Standard 0.23000
Continuous Footing 5.00OSEMOD Area UA RATE RCN EYB AYB REDENCE TO MARKET
Sub Floor System-4
Plywood 8.00 01 01 12,1591111176.59116685811986119761 %GOOD 1 77.0 JEPR.BUILDING VALUE-CARD 128 480 Exterior Walls-21- TYPE:Single Family Residential Single Family Residential EPR.OB/XF VALUE-CARD 8,700
Face Brick .34.00 STORIES:5 ARKET LAND VALUE-CARD 93,84
Ranch w/basement _ OTAL MARKET VALUE-CARD 231,020
Roofing Structure-03 -
able - 8.00
OTAL APPRAISED VALUE-CARD 231,02
- Roofing Cover.-03
s halPor Com osiHon Shingle 3.00 OTAL APPRAISED VALUE-PARCEL 231,02
nterior Wall Construction-5 - - OTAL PRESENT USE VALUE-PARCEL
D wall/Sheetrock 20.00 OTAL VALUE DEFERRED-PARCEL
nterior Floor Cover-12 OTAL TAXABLE VALUE-PARCEL 231,020
Hardwood 0.00
nterior Floor Cover-14 PRIOR
r et - 10.00 BUILDING VALUE 121,020 -
eating Fuel-02 BXF VALUE -
il Wood or Coal 0.00 AND VALUE 60,010
eating Type-04 RESENT USE VALUE
Forced Air-Ducted 4.0 DEFERRED VALUE
it Conditioning Type-03
OTAL VALUE - 181,030
Central 4.00
Bedrooms/Bathrooms/Half-Bathrooms
3/1/1 11.000 PERMIT
Bedrooms CODE I DATE I NOTE I NUMBER AMOUNT
BAS-3 FUS-0 LL-0
Bathrooms
ROUT:WTRSHD:
BAS-1 FUS-0 LL-0 +-10-+ SALES DATA
alf-Bathrooms I W D D 6 FF' INDICATE
_ AS-IFUS-0 LL-0 I +6-+---------------62---------------_,F RECORD DATE DEED SALES
OTAL POINT VALUE 1107.000 1 18 A S - I 00K-AGEIMOIYR I TYPE 2LU PRICE
BUILDING ADJUSTMENTS 1 I I 0650 282 2 2006 WD Q I 230000
uali 3 AVG 1.000 9 1 I 0884 105 3 01 GO E I
I 3 I 0806 850 9 2009 WD I I 142000
hape/Desigd 4 FACTOR 4 1.0500 1 I I 0786 846 3 2009 TO P I 137000
ize 1 3 Size 0.990 +4+-----24-----+ 1 ZOOSE 174 5 2005 WL E I
OTAL ADJUSTMENT FACTOR 1.040 1 F G D 1 3 0088 133 4 1972 WD X I
OTAL QUALITY INDEX 111 I I 1
I 1 1
1 4 I
8 I I
I +----20----+ I HEATED AREA 1,596
I 4FOP 4 I
+-----24-----+----20----'x-----24-----+ NOTES
SUBAREA UNIT ORIG% ANN DEP ^/o OB/XF DEPR
TYPE GS AREA % RPL CS ODE ESCRIPTION LTH H NIT PRICE COND BLDG#L 8 AY8 EYB RATE V COND VALU
BAS 1,596 10 12223801 TORAGE 2 1 32 15.0 100 _ L 19401940 S3 0
FGD 432 045 1485808 POOL/VINYL 1 32 51 37.40 100 _ L 19941994 S 25 478
FOP 8 03 214505 ODD FENCE 6 30 1 80 8.7 10 L 19941994 S 25 3915
BM 1,596 020 24432
OTAL OB XF VALUE 8 702
DD 112 020 168
FIREPLACE 2-Pre 1,500
Fabricated
SUBAREA 3,81 166,858
TOTALS
BUILDING DIMENSIONS BAS-W62WDD=N6W1oS19E4N13E6$W6S13FGD=S18E24N18W24$E24S14FOP-S4E20N4W20$E20S4E24N31$UBM=1596$.
ND INFORMATION
HIGHEST - ADJUSTMENTS LAND TOTALND BEST USE LOCAL FRONDEPTH/ LND GONDrNHER
D NOTES OA UNIT LAND UNT TOTAL ADJUSTED LAND LAND
SE CODE ZONING TAGE EPTH SIZE MOD FACTRF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE NOTES
RURAL AC 0120 299 0 1.1360 4 1.2100 +01+20+00+00+00 PW 6,500.00 10.500 AC 1.375 8,937.SO 93844 UB
OTAL MARKET LAND DATA 10.500 93 840
OTAL PRESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=D200000019 7/31/2012'