4156 Hwy 158 v
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued..in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
_
Permit'Number
-r -7- 7
Name Date
Location �� L
-Rruj9 Utz,-Om' 41SLo Av 154 a �13
Subdivision Name Lot No. Sec. or Block No.
Lot Size House to' Mobile Home _ Business Speculation
No. Bedrooms' No. Baths No. in Family
Garbage Disposal YES ❑ NO p Specifications for System:
Auto Dish Washer YES p NO ❑ r/
Auto Wash Machine YES ❑p NO
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
I
f /
Improvements permit byK t
*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: 1 System Installed byl.A jAart�ia �
1 rnt(- P10 �v���t f�i-..r21.i ✓ Usair� £ GarG�, rc::.
Zai rfl[.t. lyv
0) J
J
(1
�
Certificate of Completion Date
I �
*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 DEPAMENT
PERCOLATION TEST RESULTS
DATE -7- 1'�
NAME
"i /e'
LOCATION AGIBS SCK�4x G2�uC Flr�.e 17£17,
FINDINGS: HOLE NO. COP,9-MNTS
1, :� (�(L�So A K . Oy,�4- 1 o',V ALti L ��-A�'( 1 Z
3. 6
„ lo: VJ� �lo�a-oarv�L 574,0D`(
4.
S.
6
LOT DIAGRAM l `
j f
03 �
1 '
E
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
' P.O. BOX 57
MOCKSVILLE,'-• PJ.C. 27028
(704) 634-5985 _..- .
STATEMENT FOR SEPTIC TANKC IM7PR0VEMENTS PE&MITS AND/OR SITE EVALUATIONS
NW2 . E,�7 i'�`J�i #i/=. , 5 ' DATE • / 7-
ADDRESS f !"' `' PERMIT NO.
EXPLANATION OF CHARGE
� _ !�3 r C/�O{•�!i'1 C�ip't1,�' '(,G l�l''i 1 l f '
Gas j /t
AMOUNT DUE � � ' SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT.
*NOTICE: Evaluation(s) cannot be corq�lated'until'.payment is received.
. Improvements Permitjs) can notI ;be issued until,payment:'is received.
Appraisal Card Page 1 of 1
DAVIE COUNTY NC 4125/2013 4:19:25 PM
DEUTSCHE BANK NATIONAL TRUST Return/Appeal Notes: E6-000-00-092-01
4156 US HWY 158 UNIQ ED 6549
530946 D140-P6 ID NO:05140000
COUNTYTAX(100),FIRE TAX(100) - CARD NO.1 of 1
eral Year.2013 Tat Year.2013 2.644 AC HWY 158 2.640 AC SRC-Owner ib
e
kppralsed by 19 on 11/04/2008 03007 BEAUCHAMP RD TW-03 C- EX-AT! LAST ACTION 20121101 C
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE m
• oundation-3 fR BASE Standard 0. y
:ontinuous 5. Area RATE RCN EYB AYB TO MARKET
oor =
b FlSystem-4 m
*food8 01 0112 753 103 72.10 129 19 1 %GOOD 1 67.0 EPR.BUILDING VALUE-GRD 134,87 LO
Dderior Walls-21 TYPE:Single Family Residential Single Famay Residential EPR.OEM VALUE-CARD 7,20 ?}
ace Brick 34. OT LAND VALUE-GRD 38,52 z
zoormg Structure- STORIES:2-1.5 Stories AL MARKET VALUE-CARD 180,59 Z
ble 8.01
.>
Zoofing Cover-03 TOTAL APPRAISED VALUE-GRD 180,590 O
halt or Cornposition Shingle - 3. AL APPRAISED VALUE-PARCEL 180,59 b
nterior Wall Catstrta3an-5 r-
20. TOTAL PRESENT USE VALUE-PARCEL
nterior floor Corer-08 TOTAL VALUE DEFERRED-PARCEL
eel Vin irate 6.0S cm
TOTAL TAXABLE VALUE-PARCEL 180,590 1
Merior Floor Cover-14
0, PRIOR
4eating Fuel-04 +--20--+--23---+ UILDING VALUE 144,95
Electric 1.0c I S U G 11.111" I VALUE 11,23
eating Type-10 I I I AND VALUE 38,52
at Pump 4. I I I IRESENT USE VALUE
I I I VALUE
'r Conditioning Type-03 3 3 3 T
tral 4. 5 5 5 AL VALUE 194,700
ledroorns/Bathrooms/Half-Bativoorns I I I
2/1 13.000 I I I
3edI I I
rooms I I I PERMIT
1 FUS-2 LL-0 +--20--+--2 3---+ CODE I DATE I NOTE I NUMBER AMOUNT
[hrooms
- 3AS-1 FUS-ILL-0
alf-Bathroom^. OtTT.WTRSHD:
S-1FUS-0LL-O +---27----+ +------43------+ SALES DATA
Xfice IWDD 1 IFUS 3FF.
INDICATE1 1 1 1 ECORD DATE DEED SALES
K AGE TYPE / PRICE
OTAL POINT VALUE 106. IBAS IFSPI I' I b
BUILDING ADJUSTMENTS I I I +------43------+ 307 58 7 WD Q I 16500 A
'ze 3 Size 0.92 I I 1 64 10 0 TD P I 14850
I 3 3 99 WD U I m
ual' 3 AVG 1. 3 1 1 118 548 7 199 D U 1 a
pe/Design[4 FACTOR 4 1.0 5 I I o
AL ADJUSTMENT FACTOR 0.97 I I I p
AL QUALITY INDEX 10:
I +11-+ - c
I 4 0
+--20--+9-+-14-+ - HEATED AREA 2,279 -
6FOP kO ro
+STP NOTES
0
r
SUBAREA UIIIT GREG% ANN DEP % OB/XF DEP
TYPE GS AREA % RPL PRICE COND BLDGA B AYB EYB RATE DVA COND VALUE
AS 1 1 10851 4 1 2 24 5.1 1 _ L 19
02 1261 4 1 2 5.1 1 _ L 1 5
2 03 64 '� 2 30. 1 _ L 1 72
�Sp 34 4 2 5.1 1 _ L 1
=us77 502 1 15.0 1 _ L 19
02 30 PAVING 7 3 2 2 4.0 10 L 1 1 S
_TPAL OB/XF VALUE 7,200
kPRESENT
80 02 11
29 02 42
CE 4-2 Stay S'ugleJl Stay
Double
4,50 01,29
G DIMENSIONS WDD=W27SI1E166AS=W43535L�OFOP=S3STP=SES®N6W9;�N3W9;E23N35Sf'SP=531EI1N31Wi1;F11N11;PTR=N15 UBM=N35W23
0535E20N35 535tZ 15E15 F115=E43516W43N1 W15 .
FORMATION
T ER ADJIISTM TOTAL
T 115E LOLL FROM DEPTH/ lND COND O NOTES LAND UNIT LAND UFR TOTAL ADJUSTED LAND LAND
CODE ZONING TACE SIZE MOP FACT RF AC LC TO OT TYPE PRICE UNITS TYP AD35T UNIT PRICE VALUE NOTES
0120 30 0 1.5670 4 0.9300 +12+00+00-IS PW 10,000.0c 2. AC 1.4 14 570. 3852 H
ARKET LAND DATA 2. 38,52
RESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=E60000009201 4/25/2013
's I 41515 (1.23A)
4147
4172
30A) }!
4142 i
(1.11A)
i 211)
14126 >. o
J p
ai
. 1124 i
4
(2.15A)
t
ti +
(3.73A)
yc�.
(2.64A) 14156 ---
.�10
"Well is Hee*
i
(10.73A)
j
316 14 En m
131`��
e43A)l 138 -
^` z
IOER LN 1 ti
All data b provided as in widroW wane My or guarantee of I Iodirg but not limited to tho implied O "�
\\'��;�+Y wartantlea W merctuntabillty w fdneaa for a sidicular use. All ueers of movie COuntyS GIS wcOslfe scull hold namdeas tee county of
Gayle,NorteGfoliru.iisagents,consultants,coWraclorsorempbyeesfmmanyandallclairraorcausesWactiondoetooradsiNout0 Printed:Apr26, 2013
the use or inability to uae Ore GIS data provided eena
by this we.