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DAVIE COUNTY ENVIRONMENTAL HEALTH SERVICE REQUEST Vo be -/I,1 � 6,
/APPLICATION IP/ATC OSWW REPAIR
Name V 0 f (JIa!w G(�Qi�i Telephone Number --Z/7 7— ��✓�.3
Address `
Mailing Address (if different from above)
Email Address:
Subdivision Name Lot #
Directi s wiv 6 l h rrvt r ' ?)) -)
0 A k; E; t vN
Date System Installed'
Name System Installed Under 1Q 6a 111 -7z-
Type Facility Number Bedrooms,_ Number Pe o le Served /
Type Water Supply Specific Problem Occurring
`Y
Date Requested ' `f -/ I -IT Info Taken By L-',
THIS IS TO CERTIFY THAT THE INFORMATION PROVIDED IS CORRECT TO THE BEST OF MY
KNOWLEDGE, AND THAT I UNDERSTAND THAT I AM RESPONSIBLE FOR ALL CHARGES INCURRED
FROM THIS APPLICATION.
Signature of owner or Authorized Agent
Initial Fee Date REHS
Revisit Charge Date Reason
. , , Appraisal Card 00ol �Owd( NfIl Page 1 of 1
nAVTF rn11NTV_ Nr
4/17/2014 9:2754 AM
HOWELL JORDAN PRYCE Retum/Appeal Notes: Parcel: ES -000-00-013-01
27 PUDDING RIDGE RD PLAT: 11/34 UNIQ ID 6245
300170 D126 -P19 ID NO: 5841486505
COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1
eval Year: 2013 Tax Year: 2014 1.195 ac Pudding Ridge Road 1.195 AC 1.195 AC SRC= Inspection
'kppraised b 19 on 06/04/2012 03003 CEDAR CREEK TW -03 CI- FR -08 EX- AT- LAST ACTION 20121023
CONSTRUCTION DETAIL
MARKET VALUE DEPRECIATJON CORRELATION OFVALUE
oundation - 3
Standard 0.4100
ontinuous Footing 5.00
US
MO
Elf.
Area
UA
BASE
RATE RCN EYB AYB CREDENCE TO MARKET
ub Floor System - 4
01
01
2,147
113
79.10 172629197 1952 %GOOD 59.0 DEPR. BUILDING VALUE -CARD 101,85C
1 wood 8.00
xterior Walls - 21
TYPE: Single Family Residential Single Family Residential DEPR. OB/XF VALUE - CARD
ace Brick 34.00
MARKET LAND VALUE - CARD 29,10
STYLE: 5 - Ranch w/ basement TOTAL MARKET VALUE - CARD 130,95
oofing Structure - 03
able 8.0
TOTAL APPRAISED VALUE - CARD 130,95
oofing Cover - 03
s halt or Composition Shingle 3.0
TOTAL APPRAISED VALUE -PARCEL 130,95
nterior Wall Construction - 5
)rywall/Sheetrock 20.0
TOTAL PRESENT USE VALUE -PARCEL
nterior Floor Cover - 12
ardwood 10.0c
TOTAL VALUE DEFERRED - PARCEL
TOTAL TAXABLE VALUE - PARCEL 130,95
nterior Floor Cover - 14
:arpet 0.0c
PRIOR
+ - - - - - - - - - 50 - - - - - - - - - -+ DING VALUE 106,29
BUILDING
eating Fuel - 02
il, Wood or Coal 0.0
I U B M I
VALUE 8,78
I I
I I ND VALUE 71,I 52
Heating Type - 04
orced Air -Ducted 4.0
I RESENT USE VALUE
2 2 DEFERRED VALUE
Air Conditioning Type - 03
Central 4.00
9 9 TOTAL VALUE 186,59
1 1
edrooms/Bathrooms/Flalf-Bathrooms
/1/1 11.00C
I I
I I
I I
Bedrooms
AS-3FUS-0 LL -0
+---------50----------+ PERMIT
CODE I DATE I NOTE I NUMBER AMOUNT
Bathrooms
BAS- IFUS- 0LL- 0
+ - - - - 2 5 - - - - -+
Half -Bathrooms
BAS- 1 FUS- 0 LL- 0
I F O P I ROUT: WTRSHD:
1 1 SALES DATA
2 2 FF. INDICATE
+---------50----------+I I RECORD DATE DEED SALES
IBAS ++-8-+--17---+10-+ 00 PAGE R TYPE / / PRICE
I I U E P I F C P I
I I I 1 0854 090 3 01 WD` E I 8300
I 1 I I 0426 435 6 00 WD C V
2 2 2 0169 383 7 199 WD X I
9 5 5 5
1 1 1 1
Office
AS-0FUS-0 LL -0 C
TOTAL POINT VALUE 1107.00
BUILDING ADJUSTMENTS
ize 3 Size 1.010
all 3 AVG 1 1-000(2
Nape/Desig 4 FACTOR 4 1 1.050C
TOTAL ADJUSTMENT FACTOR 1.06C
TOTAL QUALITY INDEX 113
1 1 1 1
I I I I
+---20---+-8-+---22---+-10-+----27-----+ HEATED AREA 1,450
SSTPS
NOTES
om b0 2012
lit per plat 2012
SUBAREA UNIT ORIG % ANN DEP % OB/XF DEPR
TYPE GS AREA % RPL CS ODE"ES..PTI.U TH NIT PRICE COND LDG#M AYB EY8 RATE V COND VALUAS
1 45 10 11469 10 2 2,02 4.0 _ 198 198 S
CP 67 02 1336 OTAL OB XF VALUE
OP 30 03 830
P 4 02 63
UBM 1,45 02 2293
EP 25 OS 988
4 - 2 Story Single/1
FIREPLACE StoryDouble 2'80
UBAREA
4,16 172,62
OTALS
BUILDING DIMENSIONS BAS=W5OS29E2OSTP=S5E8N5W8$E3ON2UEP=EIOFCP=E27N25W1oFOP=N 12W25S12E25$W17S25$ N25VTOS25$ N27$ PTR=N20 UBM=N29W5OS29E50$S20
LAND INFORMATION
HIGHEST
THER ADJUSTMENTS
LAND
TOTAL
ND BEST
USE
LOCAL
FRON
DEPTH
/ LND
COND
ND NOTES
OA
UNIT
LAND LINT TOTAL
ADJUSTED
LAND OVERRIDE LAND
USE
CODE
ZONING
TAGE
EPT
SIZE
MOD
FACT
RF AC LC TO OT
TYPE
PRICE
UNITS TYP ADJST
UNIT PRICE
VALUE VALUE NOTES
RURAL AC
0120
250
1 0
1 2.2550
1 4
11.20001+10
+10 +00 +00 +00
PW
1 9,000.0
1.19i AC 2.70
24,354.0
29103 0
TOTAL MARKET LAPD DATA 1.195 29,10
TOTAL PRESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=E500000013 01
Ownt
4/17/2014