234 Jamestowne Drraw«+.-rr w".w ..w.. s t - . i.' a. .i) .�. ,;•iY^✓w" �' e. ..1. «:,.. :aY6` -...,syt_, ♦�. ; �: ••6a.. v. .• .. .
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION T
`INOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c a
P P
," Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name i �, .,l ,- ��, r ;y`?,�?. �, Date13
,
Location �, r - s ,.., �,. = �✓ .-r' .r ,_ �t + s
{
Subdivision Name Lot No. Sec. or Block No.
Lot Size_��� :(' House Mobile Home f�— Business —_ Speculation
No. Bedrooms_ No. Baths if No. in Family -27
Garbage Disposal; YES NO D--" Specifications for System:
Auto Dish Washer YES NO p;
Auto Wash Machine YES NO
Type Water Supply /r -- �G�l�i�.l� s% -r' ,
*This permit Void if sewage. sy'- stem_-'deson bed below is not installed within 36 months from date of issue.
i
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.
Final Installation Diagram:
System Installed by
F
Certificate of Completion Date
*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.
y Wo
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �
Davie County Health Department //
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
1Home Phone 9 41S = Z q� Z
1. Permit Requested By 1G vt t S-1 t Ilan Business Phone
2. Address
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy ConventionalzOther Type
Ground Absorption
9E
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home ✓ Business
Industry Other
b) Number of people A
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions i�c�iifio� Sfi
Bed Rooms— Bath Rooms—3 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 -3 urinals
lavatory. showers 3
dishwasher I sinks %
8. a) Type water supply: Public Private Community l�
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions
b) Land area designated to building site
c) Sewage Disposal Contractor
garbage disposal
washing machine��
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type? AID
This is to certify that the information is correct to the best of my knowledge.
"- Date
Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
r
L �j ✓
DCHD (6-82)
Name—
Address
E
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size
PAr.TOP.q AREA 1 ARFA 9 AREA 3 APPA A
1) Topography/ Landscape Position
S
S
S
PS
PS
PS
PS
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)PS
PS
PS
`7
U
U
U
i) Soil Structure (12-36 in.)
rS
S
S
S
Clayey Soils
PS
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
S
PS
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
PS
U
U
U
External
S
S
S
PS
PS
PS
�
U
U
U
i) Restrictive Horizons
Available Space
S
S
S
PS
PS
PS
PS
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisional{y Suitable
Recommendations/Comments:
Described by oe1
SITE DIAGRAM
DCHD (6.82)
FYI -Y
/cls
Appraisal Card
, . . i
Page 1 of 1
neve rn..ury ur 3/5/2014 1:16:48 PM
ULIER MICHAEL E - Retum/Appeal Notes: Parcel: H6-000-00-082-08
34 JAMESTOWNE DR PLAT: / UNIQ ID 13612
2519301 D225 -P21 ID NO: 5759801829
COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1
eval Year: 2013 Tax Year: 2014 1.26 AC JAMESTOWNE DR 1.270 AC SRC= Inspection
kppralsed by 19 on 09/04/2008 07001 SHADY GROVE TW -04 Cl- FR -05 EX- AT- LAST ACTION 20110712
CONSTRUCTION DETAIL MARKET VALUE
DEPRECIATION CORRELATION OF VALUE
Foundation - 3
Standard 0.4300
tinuous Footin 8.0
Eff.
Area UA
BASE
RATE
RCN
EYB AYB
REDENCE TO MARKET
floor System - 4USE MO
ood 11.0 02 02
1 905 104
44.72
86192198
198
%GOOD 57.0 DEPR. BUILDING VALUE - CARD 4913erlor
Walls - 10 TYPE: Manufactured Home (Multi) Manufactured Home DEPR. OB/XF VALUE - CARD 34minum/Vin
[ub
I Sidin 32.0 ARKET LAND VALUE - CARD 27,780ng
Structure - 03 STYLE: I - 1.0 Story OTAL MARKET VALUE - CARD 77,25le
9.0
oo0ng Cover- 03
s halt or Composition Shingle 5.0c TOTAL APPRAISED VALUE - CARD 77,25
nterior Wall Construction - 5 TOTAL APPRAISED VALUE - PARCEL 77,25
)rywall/Sheetrock 28.0
nterior Floor Cover - 08 TOTAL PRESENT USE VALUE - PARCEL
heet Vinyl/Laminate 7.0 OTAL VALUE DEFERRED - PARCEL
nterior Floor Cover - 14 TOTAL TAXABLE VALUE - PARCEL 77,25
:arpet 0.0
eating Fuel - D4 PRIOR
lectric 1.00 BUILDING VALUE 59,16
eating Type - 10 OBXF VALUE 48
eat Pump 5.00 LAND VALUE 27,78
Ir Conditioning Type - 03 PRESENT USE VALUE
entral 5.00 DEFERRED VALUE
Brooms/Bathrooms/Half-Bathrooms OTAL VALUE 87,42
3/3/0 0.00
Brooms
S-3FUS -0 LL -0
throoms IWOD I PERMIT
- 3 FUS - 0 LL - 0 1 1 CODE DATE NOTE NUMBER AMOUNT
lf-Bathrooms O 0
S -O FUS-OLL-O I I
[AS
+----20----+-10--+---------38----------+ROUT: WTRSHD:
ice
ISAS I SALES DATA
I I FF. INDICATE
TAL POINT VALUE 111.00 I I
ECORD DATE DEED SALES
BUILDING ADJUSTMENTS I I
I BOOK PAGEmZFR TYPE PRICE
size 3 Size 1 0.850C 1
2 2 0320 921 12 , 999 QC I X I I
Duality 3 AVG 1.000C
8 8 0141 278 12, 987 WD U V 1
Shape/Designi 5 1 FACTOR 5 1.100 I I
OTAL ADJUSTMENT FACTOR 0.940 I 1
OTAL QUALITY INDEX 104 I 1
I I
+--14---+-8--+-10-+---------36---------+ HEATED AREA 1,868
4WDD 6
NOTES
FROM JAMES 3 SULTER
SUBAREA
UNITORIG %
ANN DEP %
OB/XF DEPR
RPL ODE
ESCRIPTIO
OUN
LTH HUNIT PRICE GOND
LDG#
AYB
EYB RATE V GOND
VALUE
TORAGE
I 1
1101 81 8131 15.0
) —8j S31 1 281
33
TYPE GS AREA % CS 1
AS 1,868 10 8353 OTAL OB/XF VALUE 33
DD 148 02 165
2 - Pre
FIREPLACE 1,00
Fabricated
UBAREA
2,01 86,19
OTALS
BUILDING DIMENSIONS BAS=W38WDD-N10W10S10E30 W30S28E14WDD=S4E8N6W8S2 N2E18S2E36N28 .
LAND INFORMATION
HIGHEST
ADJUSTMENTS
LAND
TOTAL
NO BEST USE LOCAL
FRON
DEPTH/LNDCONDrTHER
ND NOTES ROA
UNIT
LAND UNT TOTAL
ADJUSTED
LAND OVERRIDE LAND
SE CODE ZONING
TAGE
EPTH
SIZE MOD
FACTRF
AC LC TO OT TYPE
PRICE
UNITS TYP ADIST
UNIT PRICE
VALUE VALUE NOTES
H HOMES 0201
200
0
2.1860 4
1.08001+08
+00 +00 +00 +00 1 RP
1 9,300.1
1.26 AC 2.361
21 957.3
2777
OTAL MARKET LAND DATA 1.26 27,78C,
OTAL PRESENT USE DATA
C
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=H60000008208 3/5/2014