3431 Hwy 64E ,...�. . ,
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.-; y +�.�`��M _ ,, DAVIE COUNTY HEALTH DEPARTMENT ,;�i1�) ,�
' � IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION i ������
"NOTE: Issued.in Compliance with G.S. of North Carolina Chapter 130 Article 13c .
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Pet'111it NU111be1'
Name �� ,�_1 /i ;�I� Date� :�/-sJ./� c tf; �, � ���
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Locati n �, - � �
; _ ��' -- `l���s �l w�/ (o��sr
Subdivision Name Lot No. _ Sec. or Biock No.
Lot Size .`�% " House �'�Mobile Home _ Business __ Speculation
No. Bedrooms �' No. Baths �7 No. in Family�L_ �
Garbage Disposai YES p NO p~ Specifications for System:
Auto Dish Washer YES , NO p �: �; ,��' J ,.�
Auto Wash Machine YES � NO;❑ '�r.�"f=�- <.� .,P ��'"�`�,
,- C
Type Water Supply � r��'.f1��,� __ .�`;� ./J <`�jl ;�J �
`This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit by �~ =� -�' ��
'`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.
A
. . . , .. (. . .
Final Installation Diagram: System Installed by � �
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Certificate of Completion _1 % � Date � (-1 � �
"The signing of this certificate shall indicate that the system describ�d above h s 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.
, ' , . ,
�M+ w • DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
� P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name �/,�A.e �l Date����/��
Address Lot Size ��!i��
FACTOR$ AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S S S
� � PS PS
U U
2) Soil Texture (12-36 in.) Sandy, � S S
Loamy, Clayey, (note 2:1 Clay) � � ( P,S/ PS PS
� --G U U
3) Soil Structure (12-36 in.) �,, S S
Clayey Soils (/P$� PS PS
� �'lT U U
4) Soil Depth (inches) S S
pg � PS PS
� �� U U
5) Soil Drainage: Internal S S S
� -� PS PS
U U
External � ' yS�.�.� S S
p ,.�F'S� PS PS
U `�� U U
6) Restrictive Horizons
7) Available Space S S S � S
pg PS PS PS
U � U U U
8) Other (Specify) S S S S
pg PS PS PS
U U U . U
9) Site Classification
U—UNSUITABLE S—SUITABLE �PS—Provisionaliy Suitable
Recommendations/Comments
Described by ^•�'���'✓"�/ Title 1,�� Date �
SITE DIAGRAM
�
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DCHD(6�82) � �
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' ���:^'=�`"AP�?L•`I��`��fION FOR SITE EVALUATION/IMPROVEMENTS PERMIT v�ac c►- c�ne _
.,?•�,I � ' j�•'^, -� ���
*r ��_- , ;: = ' Davie Counry Health Department
.t'i�•., �,`,,.�,.
'��"�' Environmental Health Section
����s.. ,.f�;:,�• � ���;�
_��`V,r�'ti�� ,�` i��',`� j�',i`.r P. O. BOX 6G5
`���` ���� ;;;.a �j Mocksville, N.C. 27028
'�,�':�:. :.:`n .
J;�,•'` •
, ;::'��"`� CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. ' � -
/ Home Phone `�q �' �7 9 �
1. Permit Requ s ed By l� �
� �h �q/� Business Phone � �
2. Address�_� a�✓h��c NC 2 70 0 6 '
3. Property Owner if Different than Above
Address
4. Permit To: a) Install�Alter Repair�
b) Privy Conventional '�Other Type
- - - _ __ . :_ ., ,
Ground Absorption "
c) Sub-Division Se Lot Na
5. System used to serve what type facility: House � Mobile Home Business
Industry Other
b) Number of people �f
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 3 0 �( gZ
Bed Rooms�-Bath Rooms_�Den w/Closet�_
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water-using fixtures:
commodes � urinals garbage disposal
lavatory � showers �� washing machine �
dishwasher ^/ sinks �
. 8. a) Type water supply: Public Private ✓ Community
b) Has the water supply system been approved? Yes ✓ No
9. a) Property Dimensions . 7��/00 a c�e
b) Land area designated to building site "
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to seroe? h o
What type? "
This is to certify that the information is correct to the best of my owledge.
l f 2 � �Sd � �
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS �
, Allow 5 days for processing
Directions to property:
�a � 0D0 1 �. ad � PD f ��� �.�on on ��Tf � . ..
L4 s 1 �
DCHD(6-82)
� 0503� ',' BKb03PGQ95
� • ' b095 .
ATTACHMENT_
BEGfNNING AT AN IRON PIN ON THE NORTH BOUNDARY OF US HIGHWAY#54,BEING THE SOUTHWEST
CORNER OF KENNETH BAILEY AND RUNNING THENCE WITH THE WEST LINE OF SAID KENNETH BAILEY
NORTH 17°00'EAST 200 FEET TO THE NORTHEAST CORNER OF THE SAID KENNETH BAILEY;THENCE A NEW
. UNE NORTH 70°00'WEST 165 FEET TO AN IRON PIN,A NEW CORNER;THENCE SOUTH 17°00'WEST 200
, FEET TO THE NORTHERN MARGIN OF US HIGHWAY 64,A NEW LINE;THENCE WITH THE SAID NORTHERN
MARGIN OF US HIGHWAY 64 SOUTH 70°00'EAST 165 FEET TO THE BEGINNING AND CONTAlNING 751100 OF
AN ACRE,MORE OR LESS,AND BEING A PORTION OF THE LAND CONVEYED TO H.L.GOBBIE AND WIFE,
HAZEL MED.GOBBLE BY ELMER G.HAIRSTON.
REFERENCE:DEED BOOK 76,PAGE 268;AND W ILL OF MARGARET B.WARD,78E57.
, PARCEL ID:J800000033
i
os2s�
3437 US HWY 64 EAST,ADVANCE,NC 27006 '
Appraisal Card Page 1 of 1
, , ,
- � � .... .:j .
- DAVIE COUNTY NC 1 7 2013 2:50:37 PM
ANNIE MAE . - Retum/Appeal Notes: 78-000-00-033 �
431 E US HWY 64 � � � � UNIQ ID 19935 �
� 2530657 � , . D356-P1 ID N0:5777465083 � �
� ' COUNTY TAX(100),FIRE TAX(100) � CARD N0.1 of 1 . ' . � � . a .
eval Year.2009 Tax Year.2013 .0750 AC HWY 64 � � OJ50 AC _. . � SRC=Inspedlon . +
� raised b 02 on 08/30/2007 04001 FULTON � TW-04 G EX-AT- LAST ACTION 20110218 �.
CONSTRUCTION DETAIL MARNET VALUE DEPRECIAttON CORRELATION OF VALUE � �
, i
� Foundation-3 � EH. BASE S[andard 0.23W � . L
" ontinuous Footin � ' S.0 US MO Area UA RATE RCN EVB AYB REDENCE TO MARKET �"� -, �
� ub Floor System-4 � � OS 01 2 932 138 95.22 281885 198 198 %GOOD 77.0� DEPR.BUILDING VALUE-CARD 217 OS '
� I � 8�0 TYpE:Single Family Residential Single Family Residential DEPR.OB/XF VALUE-CARD 27,30 S�
• � EMerior Walls-21 � . MARKET LAND VAWE-CARD . 17,08 �
� Face Brick 34.0 STORIES:6•A Frame� � � OTAL MARKET VAW E-CARD 261,43 . �
oo8ng Structure-06 � � � � � � � .
� � � � rre ulayCathedral � 13A � � � � � � � ' .
ooFlng Cover-03 � � � . OTAL APPRAISED VAW E-CARD 261,43
s halt or Com ositlon Shin te 3A � - , OTAL AVCRAISED VALUE-PARCEL 261,43
nterlor Wall Construction-5 . � � � � -
� wall Sheetrock 20A � � � OTAL PRESENT USE VAWE-PARCEL
� nterlor Flaor Cover-08 � � � � . OTAL VALUE DEFERRED•PARCEL
� heet Vin I/Laminate � ' 30.0 , . " � OTAI TAXABLE VAW E-PARCEL 261,43 .
nterior Floor Cover-12 � . - � � PRIOR �
ardwood 0.0
+--- ----36---•---+----24----+ UIIDINGVALUE 239,35
eatlng Fuel-04� I F B M I B U G - I BXF VALUE �
ElecMc 1.0 � I I . . . I LpND VALUE . 35,15 ,
Heating Type-10 � . � � � I � � I � I PRESENT USE VALUE �
eat Pum ��� 4.0 I i I DEFERRED VAWE �
� � Ir ConditioNng Type-03 8 8 � 8 OTAL VALUE 254 50 �
entral 4A t I I . �
Bedrooms/Bathrooms/Half-Bathrooms I � I. , I . , � � �
3/2/0 12.00 I � I I y
.. rooms • . +"""'3g"""'+""Z4""+ � PERMIT '� ..
AS-3 FUS-0 LL-0 - - � CODE DATE NOTE NUMBER AMOUNT :��
a[hrooms }""'Zg""'+ . , a
BWDD I
� AS-2 FUS-0 LL-0 - +6-+ 1 ROUT:WTRSHD: . ��
OTAL POINT VALUE 114.00 q 4 2 � SALES DATA �
BUILDINGADIUSTMENTS +6-+--17---+ +-----28-----+----26-----+ FF, INDICATE c
uali 4 ABAVG 1100 I 68A5 � � � I RECORD DATE DEED SALES -� �
ha e Desi 4 - FACTOR 4 1.050 I F G D--1 7---+ - � I 800K PAGE M R- TV�E CRICE �' �
- ize 3 Size 0.960 I . I � I 0310 423 8 199 WD Q I 23400 w �
� . OTALADJUSTMENTFACTOR � 1.21 3 I �2 0849 349 1 011 TD� P I
� � OTAL QUALIfY INDEX 13 � 2 8 0603 093 4 005 WD C I
� � � � � I 2 � � = Olil 655 7 199 WD U V � ' �
I I I
I I I
. I +-13--+-9-+ +----24----+ . �
. � � +"-'23"'-+ IFOPI I �� .
� . 1 1 . 1 � � HEATED AREA 2,954 , �
0 0 0
� � � +-9-+--14--+ - NOTES .
SUBAREA UNIT ORIG% ANN DEP % OB/XF DEPR.
TYPE GS AREA % RPL CS ODE DESCRIPTION LTH H NIT PRICE COND BLDG#L B AVB EYB RATE V CONO VALU
AS 1 94 10 18529 B6 HOP BLDG 6 3 1,92 25.0 30 _ l 198 199 , 5 5 � 2640
BUG � 672 025 1599 9 SP PAVING 20 18 3,60 3.0 _ L 199 199 . SS 540 .
� FBM 1 00 04 4323 z4 HED 2 1 28 5.1 L 198 199 SS 25 35
G� 58 04 2523 OTAL OB XF VAWE z�Z9 � , '
OP 9 035 304 � . �
� DD 33 02 638 � ' . - � -�
FIREPLACE.. 3-1 S[ory 2,70 . . . � �
Sin le
� UBAREA -" 4,64 81,88 �
OTALS
BUILDING DIMENSIONS BA5=W26WDD=N12W28512E28SW28N4W654W17FGD=W6530E23N24W17N6j56E17522E13FOP=510E9N10W9$E9S10E14N10�24N28$pTR=N15
BUG=N28W24FBM=W36528E36N28 528E24 S35 .
� . .LANDINPORMATION �. �
� MIGMEST � TXER AD7USTMENTS LAND � TOTAL �
. ND BEST USE LOCAL FRON DEPTH/ LND COND ND NOTES ROA UN2T LAND UNT TOTAL ADJUSTED LAND LAND
SE CODE ZONING TAGE DEVTH SIZE MOD FACT RF AC LC TO OT TYPE PRICE �UN2T5 TYP AD)5T UNIT PRICE VALUE NOTES � "
RURAL AC � 0120 165 0 2.6650 4 1.2000 +10+30+00+00+00 PW 7 100.0 0.752 AC 3.19 22 705.8 1707
� OTAL MARKET LAND DATA 0.752 17,08
� OTAL VRESENT USE DATA � - � �
• ! •
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Parcel#:J800000033 Page 1 of 1
o��i�
Davie County, NC - Basic Estate Search �o� ��:
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Vieyv Prooertv Record for this Parcel View Mao for this Parcei View Tax Bill Information
Parcel#:]800000033 Account#:82524257
Owner Information Tax Codes
OHNSON JOYCE ANN ADVLTAX-COUNTY TA
431 US HIGHWAY 64 EAST FIREADVLTAX-FIRE TAX
DVANCE NC 27006
P�o e Information Townshi
nd(Units/Type): OJ50 AC FULTON
ddress: 3431 E US HWY 64
Deed information Local Zonin
ate: 02/2013 Book: 00917 Page: 0797
Plat Book: Pa e:
Le al Descri tion PIN
.0750 AC HWY 64 5777465083
Pro e Values
uildin : 217 05
BXF: 27 30
nd: 17 08
arket: 261 43
ssessed: 261 43
eferred•
Sales Information
No. Book Page Month Year instrument Qual/UnQual improved Price
1 00111 0655 07 1995 WD Unquatifled Vacant 0
00603 0093 04 2005 WD Unqualifled Improved 0
00849 0349 O1 2011 TD Unqualified Improved 0
00914 0001 01 2013 QC Unqualified Improved 0
00917 0797 02 2013 WD Unqualifled Improved 120,000
00310 0423 08 1999 WD ualifled Im roved 234 000
View Prouertv R�cord for this Parcel View Mao for this Parcel View Tax Bill Information
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Ail information on this site is prepared for the inventory of real property found within Davie County.Ail data is compiled from recorded deeds,
plats, and other public records and data. Users of this data are hereby notiffed that the aforementioned public information sources should be
consulted for verification of the Information. All information contained herein was created for the Davie County's internal use. Davie County,
its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or
implied, in fact or in law, including without limitation the implied warranties of inerchantability and fitness for a particular use.
If you have any questions about the data displayed on this website please contact the Davie County Tax Office'at(336) 753-6120.
1.5.9
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