422 Howardtown Circle• 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 #:
990005735
Tax PIN/EH #: 5861-11-9947
Billed To:
Rodney Custer
Subdivision Info:
Reference Name:
REPAIR PERMIT
Location/Address: 4228 Howard Town Circle -27028
Proposed Facility:
Residential Repair
Property Size: 0.629 Acres
ATC IV PF The is uance 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.
M V t,
System Type: S.T. Manufacturer 6C;�5ql'Tank Date Tank Size
Pump Tank Size
System Installed By: E.H. Specialist: ate:
GPS Coordinate: � 3 5-e;to- 3 ( 7 W t 6 Le. 2� 34 ,
DCHD 11/06 (Revised)
-.• t . 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 #: 990005735 Tax PIN/EH #: 5861-11-9947
Billed To: Rodney Custer Subdivision Info:
Reference Name: REPAIR PERMIT Location/Address: 4228 Howard Town Circle -27028
Proposed Facility: Residential Repair Property Size: 0.629 Acres �
Site Type: ❑New ❑Repair Ol xpansion
ATC Number: 5808
**NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to.issuance of any building permit(s), (in compliance 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 FIVE YEARS. This ATC is subject to revocation if site plans, plat
or the intended use change.
Residential Specifications: # Bedrooms 3 # Bathrooms # People 47 Basement❑ Basement plumbing❑
Non -Residential Specifications: Facility Type # People # Seats
Square Footage(or Dimensions of Facility)
Lot Size Type of Water Supply: Runty/City ❑Well ❑Community Well
./)?, d
-�
System Specifications: Design Wastewater Flow (GPD) � . Tank Size ���i1 AL 7Pump Tank GAL.
Trench Width �/Max. Trench Depth3 �` f Rock DepthLW7f Linear Ft.
0
Site Modifications/Conditions/Other: - -— a �e�67�
Contact the Davie County Environmental Health Section for final inspection of this system
8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760.
Environmental Health Specialist
DCHD 11/06 (Revised)
Date:
N
r%--`- -^ -&^
IMPROVEMENT PERMIT
Davie County Health Department
210 Hospital Street
P.O.. Box 848
CDP File Number: 198629 -A
r�locks+iie NC 27028 County File Number:
Dae: 12/ 16 12015
Click below to import an image from an external location: Drawing Type: Improvement Permit
' _ r
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
f
JMBER 7 zy&.i�
2 A7E 2,76T8
ON NAME
LOT #
DIRECTIONS TO SITE
1 --
DATE SYSTEM INSTALLED/!M�tNAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMSy NUMBER PEOPLE SERVED
TYPE WATER SUPPLY
SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
faev. 1/93 4- )57
l ivwe, 'l5i;-j
- .Appraisal Card
Page 1 of 1
STER RODNEY ALVIN
F6-000-00-112-02
22 HOWARDTOWN CT
-
UNIQ
ID 9382
9388000
D193 -P20
IO NO: 5861119947
COUNTY TAX,FIRE TAX - CARD NO. 1 of 1
teval Year: 2009 Tax Year: 2011
1 LOT HOWAROTOWN a 0.600 AC
SRC.
Inspection
kppralsed by 02 on 09/0612007 03005 SMITH GROVE - TW -03
C- EX- AT-
LAST ACTION 20110420
CONSTRUCTION DETAIL
MARKET VALUE
DEPRECIATIOI
CORRELATION OF VALUE
ndation - 3
Efl BASE
Standard
ntinuous Footing
6.0 S O Area A RATE RCN EYB AYB
ENCE TO MARKET
b Fl0000d System - 4
02 02 1 875 96 44.10 368 199 199 %GOOD 77..
11.0terlor
BUILDING VALUE - CARD
64 44pod
OB/XF VALUE -CARD
ET LAND VALUE - CARD
L MARKET VALUE - CARD
1,950
17340
83,730
Walls - 10 TYPE: Manufactured Home (Multi) Manufactur.
luminum In I Sidin 32.0
STORIES: 1.0 Story
Ong Structure - 03
ble
9.0
TOTAL APPRAISED VALUE - CARD
83,73
Doting Cover - 03
s halt or Composition Shingle
5.0
AL APPRAISED VALUE - PARCEL
83,73
nterlor Wall Construction - 4
TAL PRESENT USE VALUE -PARCEL
TOTAL VALUE DEFERRED - PARCEL
TOTAL)rywTAXABLE VALUE - PARCEL 83,730
Panel 26.0
Interior Wall Construction - 5
all Sheetrock 0.0
nterior Floor Cover - 08
PRIOR
beet Vlnv1 8.00
nterlor Floor Cover - 14
WILDING VALUE
66,320
:arpet
0.00
)BXF VALUE
ating Fuel - 04
ND VALUE
15,490
Iectric
1.0 -
SENT USE VALUE
eating Type - 10 -
EFERRED VALUE
eat Pump
5.00
TOTAL VALUE
81,810
Ir Conditioning Type - 03
ntral
5.0 -
rooms/Sathrooms/Half-Bathrooms
PERMIT
0
0.00
CODE DATE NOTE NUMBER
AMOUNT
rooms
AS-3FUS-OLL-O
AS rooms 2 FUS - 0 LL - 0
I B A S I
I I
OUT: WTRSHD:
SALES
DATA
TAL POINT VALUE
BUILDING ADJUSTMENTS
sli 3 AVG
e e Desi 4 FACTOR 4
1110.00011
I
1.000 1
1.050 2
E
I
I
I
2
B
FF..
ECORD ATE
DEED
TYPE
WD
Q V
INDICATE
SALES
PRICE
11000
OOK AGE
0145 610 10 98
x 3 Size
0.850 I
I
0180 335 4 99
WD
U V
DIAL ADJUSTMENT FACTOR
0.89 I
.. I
0124 560 30 9
WD
U V
5000
OTAL QUALITY INDEX
gi I
I
I
I
+-_----25____--+---SS "'+-•----26------'F
'
I U O P I
HEATED AREA 1,848
6 6
NOTES
+---15---+
1SWMH-PP FROM
DA C ALLEN
SUBAREA
UNIT ORIG %
ANN DEP % O6/XF DEPR.
S RPL
D ESCRIPTJON PRICE GOND
LOG AYB EYB
RATE GOND
VALUE
S 2
523
PE EA % CS 6 LFENCE 20 10.4 10 L 99 199
;F90
1 84 10 8149 1
PP
ORAGE 1 1 12 15.0
L 00 002
5
1422
3 1191 TOTAL
OB XF VALUE
1,945
__
REPLACE 2 1,000-
'
UBAREA 1,938 83,68
TAILS
UILDING DIMENSIONS BAS:W66S28E25UOP-S6E15N6W15 E41N28 .
D INFORMATION
GHEST
ER AD3USTMENTS
LAND TOTAL
NO BEST USE
LOCAL
FRO N
DEPTH /
LND
GOND
D NOTES
OA
UNIT - LAND
LINT
TOTAL
ADJUSTED LAND LAND
SE CODE
ZONING
TACE�E�SI2!
MOD
FACT
RF AC LC TO OT
TYPE
PRICE UNITS
TYP
ADJST
UNIT PRICE VALUE NOTES
H HOMESTT 0201
100
2.8330
4
1.2000
I0 +ill +00 +00 +00
I PW
s,soo.oc Om6OC
AC
1 3.400
28 900.0 1734
MARKET LAND DATA
0.60
17 34
MAL
TAL PR SENT USE DATA
Gcl)dd� VI400, y!/ev T V dat*-d
9 V lNeNkVade, Dl� llk:�vl Aaskv
ro
,--- / iNa. /j,
pi�-ie
>o
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