6733 Hwy 801S (3) ,r•,:ry y,rsy� w �".Zw[. �%br`8"`=.'t�i vow+^ "`"',t�F.:-av�t r:s. ..`�" p,t'a _._ _ _
1 ., ti A.' ;1� �.{�`raS,r''�`'7r•tbri..�.:-,..k-+Ku'i.rt;;"{"1,#�k T-r•-4�,'�.a.i ..,:i
AUTHORIZATION NO: +� 6 5 7 DAVIE COUNTY HEALTH DEPART ENT
v Envirgnmental Health Section.' / �V?OPERTY INFORMATION
ee
Name: 'Z/ y i', a 1L�' <�'Mocksvil1MN28Subdivision Name..
~' Phone#,336-751-8760
Directions to,property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER
• Tax Office PIN:# -
�'
CONSTRUCTION,
Road Na
/ Zi Z
P
**NOTE**.This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance,of anyBuilding Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits: -
(ln comphance with Article,11.of G.S.Chapter 130A,Wastewater Systems Section.1900 Sewage Treatment and Disposal Systems)
p 3 ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
y . . ?` p IS VALID FOR A PERIOD OF FIVE YEARS. ,
,;ENVIRONMENTAL HEALTH SPECIALIST_ DATE ISSUED
�.� •-
,,.-i Y'Y�J.^'Y: I��7 ',Y S1� 4vs ittq♦-1 �`b iJ. ♦IM .�3" ,IIY _
`"` DAVIE COUNTY HEALTH DEPARTMENT
r
IMPROVEMENT AND OPERATION PE I Sr D PROPERTY INFORMATION
-d permi ees j 4 ,,QQ r
-d is :50,1 Subdivision Name:
3
Directions toproperty:".+% Section: Lot:
IMPROVEMENT
PERMTT Tax Office PIN:# _
-
6
S Road Name: ' pig Zip. Z 7,o Z.
*.*NOTE** This Improvement Permit DOES NOT authorize the constriction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE '
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DA ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
CATION: BUILDING TYPE � # BEDROOMS _ _ # BATHS
'.RESIDENTIAL SPECIFICATION: _,/ # OCCUPANTS GARBAGE DISPOSAL Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE ' # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY ?! DESIGN/ WA TEWATER FLOW (GPD) s��y NEW SITE REPAIR SIT_ E ��
.41
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. ,TRENCH WIDTH ROCK DEPTH LINEAR FT.�
OTHER
! ' REQUIRED SITE MODIFICATIONS/CONDITIONS:
"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 THE DAY OF INSTALLATION. TELEPHONE # IS N"16MMOX
(336)751-8760 _
SYSTEM INSTALLED BY:
I
r1�
AUTHORIZATION NO�_� O ERATION PERMIT B DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDI tATME� SCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE ISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96 (Revised)
'4� :__-vNS'L-"'"w.�sTizr+ .7"'�.+r+.�'Ff .r.t+"�.f.Y ' v - •: V'.�+, y� - .�' ..
.. v. "4 _ t . !=.r+w' `'.�;R •,:'--r"'s,f^ .*.i: Y*' _, .. .... - - Y ':>,,. c
A DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PE I)r PROPERTY INFORMATION
Permittees~ �Gd
Subdivision Name:
Directions t&property: a Section: Lot:
IMPROVEMENT
PERMIT Tax Office PIN:# - _
Road Name: ,(/l4 / .. Zip: 7 7")Z.;,
**NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the
construction/installation of a system or the issuance of a building permit.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
!' n, ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
44 i°' � y - ,r H �` PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOM # BATHS —,t— # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY `- `D DESIGN WASTEWATER FLOW (GPD) ,,�' U NEW SITE� REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE, &, GAL. PUMP TANK --GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHERr -
RF()TTTRFTI CiTF M(NNmrATT0NC/r0NTNT10NS
**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 THE DAY OF INSTALLATION. TELEPHONE # IS 1* 16MOW.
(330 751-E1760
OPERATION PERMIT
INSTALLED BY:
AUTHORIZATION NO O ERATION PERMIT B /� ' -7700
DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL IND H T THE SYSTEM ESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
i O WAY BE TAKEN AS A
GUARANTEE THATTHE SYSTEM WILL FUNCTION SATISFACTORILY FORS Y GIVEN PERIOD OF TIME.MS", BUT SHALL IN `
DCHD 05/96 (Revised)
r 1 t • cf'
T,
i
��� DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
WORKSHEET FOR SEPTIC SYSTEM REPAIR PERMIT
NAME PHONE NUMBER
ADDRESS SUBDIVISION NAME
SUBDIVISION LOT
DIRECTIONS TO SITE��� i�y ` nr� / Zi -41 i�
DATE SYSTEM INSTALLED
NAME SYSTEM INSTALLED UNDER
SPECIFY PROBLEMS OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
g�� )JO
,Appraisal Card
DAVIE COUNTY. NC
Page 1 of 1
3/11/2013 12:02:21 PM
RICE RICHARD PRICE KENNITA
Retum/Appeal Notes:
L5-000-00-080
733 S NC HWY 801 -
UNIQ ID 21733
2531554
D323 -P30
ID NO: 5746941883
COUNTY TAX (100), FIRE TAX (100)
CARD NO. 1 of 1
eval Year: 2013 Tax Year: 2013
.450 AC SOUTH NC HWY 801
0.460 AC
SRC- Inspection
%ppralsed by 07 on 08/09/2007 05003 CHERRYHILL
TW -05
C- EX- AT- LAST ACTION 20110712
CONSTRUCTION DETAIL
MARKET VALUE
DEPRECIATION CORRELATION OF VALUE
oundation - 3
Eff. BASE
I Standard
0.4300
ontinuous Footin
5-00 US MO Area UA RATE RCN EY13 I AYB
REDENCE TO MARKET
ub Floor System - 4
01 011 975 97167.90113410A197+970%GOOD
57.0 )EPR. BUILDING VALUE - CARD
76,440
I ood
xterlor Walls - 21
8.0
TYPE: Single Family Residential
Single Family Residential EPR. OB/XF VALUE - GRD
MARKET LAND VALUE - CARD
10,10
ace
34.0 STORIES: 1 - 1.0 Story
OTAL MARKET VALUE - CARD
86,54
n
Doting g SSttructure - 04
lip
10.0
Doting Cover - 03
TOTAL APPRAISED VALUE - CARD
86,54
ksphatt or Composition Shingle
3.00
TOTAL APPRAISED VALUE - PARCEL
86,54
nterior Wall Construction - 5
)rywall/Sheetrock
20.00
TOTAL PRESENT USE VALUE - PARCEL
nterlor Floor Cover - 08
TOTAL VALUE DEFERRED - PARCEL
heet Vln I Laminate
0.0TOTAL
TAXABLE VALUE - PARCEL
86,54
nterlor Floor Cover - 14
:arpet
6.0
+-----------51-----------+
PRIOR
eating Fuel - 02
I U B M
I
WILDING VALUE
81,47
II Wood or Coal
0.0
I
=
BXF VALUE
eating Type - 04
1
I
AND VALUE
10,10
or:ed Air - Ducted
4.0
I
I
RESENT USE VALUE
r Conditioning Type - 02
3
3
EFERRED VALUE
all Unit
1.0
2
2
OTAL VALUE
91,57(
rooms/Bathrooms/Half-Bathrooms
I
I
I
I
,1/0
8.00
1
1
rooms
I
I
- 3 FUS - 0 LL- 0
I
I
PERMIT
throoms
+ - - - - - - - - - - - 51 - - - - - - - -
- - - + .
CODE DATE NOTE I NUMBER AMOUNT
AS- IFUS-OLL-O
DIAL POINT VALUE
Igg.00C
+-----------51-----------+
OUT: WTRSHD:
BUILDING ADJUSTMENTS
I S A S
I
SALES DATA
uality 3 AVG
1.000
I -
I
FF. INDICATE
hape/Desial 3 1 FACTOR 3
11.000C
I
I
ECORD ATE DEED
SALES
ize3 Size
.980
I
I _
OOK PAGE R TYPE
PRICE
OTADJUSTMENT FACTOR
0.98
3
;
0818 1023 2�011 WD Q I
7500OTAL
QUALTIY INDEX
9
2
2
0535 163 20WD F II
0486 965 50WD X i
I
I
I
I
I
I
I +3+
I
+----24-----++FOP ---18---+
HEATED AREA 1,632
GUOPG
+-9-+
NOTES
SUBAREA
UNIT
ORIG %
SIZE ANN DEP % OB/XF DEPR
GS OD
UA
ESCRIPTIO LT N PRICE
COND LDG /
FACT Y RATE V GOND
VALUE
TYPE AREA % RPL CS DIAL OB XF VALUE
5 1,63 100 11081
OP 9035 2041
BM 163 02 2213
OP 5402 951
FIREPLACE 1 - None
SUBAREA
OTALS 3132 134,10
BUILDING DIMENSIONS BAS=W51S32E24UOP-S6E9N6W9 E3FOP-N3E3S3W3 E24N32 PTR-NIO USM-N32W51S32E51 S10 .
ND INFORMATION
THERADJUSTMENTS
LAND
TOTALBEST
USE
LOCAL
FRON
DEPTH /
LND
COND
ND NOTES
OA
UNIT
LAND UNTTOTAL
ADJUSTED LAND
LAND
CODE
ZONING
TAGE
EPT
SIZE
MOD
FACT
RF AC LC TO OT
TYPE
PRICE
UNITS TYP
AD35T
UNIT PRICE VALUE
NOTES
LIGHEST
AL AC
0120
150
0
3.0960
4
1.1000
+10 +00 +00 +00 +00
RP
6 500.0
0.45 AC
3.40
22 139.0 1009AL
MARKET LAND DATA
0.45 10J.30AL
PRESENT USE DATA
5
is
I
0
0
0
0
w
0
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=L500000080 3/11/2013