654 Ridge Rd .
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Permitte�;"s ,�' . DAVIE COUNTY HEALTH DEPARTMENT
� ;;rTamb:'- � `� ` Environmental Health Secfion PROPERTY INFORMATION
... � . , : . / P.O. Box 848
� D�rec6ons to property:_�/��� '��%-'I 7 j''i+�� Mocksville,NC 27028 Subdivision Name:
` ._ . : �� Phone#:336-751-8760
��f.� ��,: �,��- .�'�/.r'`'
Section: Lot:
: AUTHORIZATION FOR
- - WASTEWATF.R Tax Of�ce PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: � � �� A Road Name: Zip:
**NOTE**This Authorization for Wastewater System Conswction MUST BE ISSUED by the Davie County Environmental Health Section prior �
to issuance of any Building Permits.This Forn�/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Perrnits.
(ln compliance with Artide 11 of G.S.Chapter 130A,`Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
�;�/� �/' ` r'' � ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
���,✓�J 1 � � ' �:�.� �"G.� " IS VALID FOR A PERIOD AF FIVE YEARS.
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ENVIRONMENTAL HEALT�ECIALiST DATE ISSUED
RFSIDENTIAL SPECIFICATION:BUILDING TYPE_� #BEllROOMS`� #BATHS � #OCCUPANTS3 GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLFJSHIFf #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY�/DESIGN WASTEWATER FLOW(GPD)�� v NEW SITE REPAIR SITE �
�� �, � /
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH� ROCK DEPTH� LINEAR FT��
OTHER . .
'REQUIRED SITE MODIFICATIONS/CONDITIONS: '
IMPROVEMENT ERMIT LAYOUT
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'*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 (336)751-8760.
OPERATION PERMIT ; _
SYSTEM INSTALLED BY: 'l/
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AUTHORIZATION NO.�5��OPERATION PERMIT BY: , DATE: �/6 !/
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WTTH ARTICLE 1 I OF G.S.CHAP'TER 130A,SECIION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCfION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
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= DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION //J�/
`' � � � APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) Si��
d ' S/ I'� �
A
NAME � � PHONE NUMBER M
� ADDRESS �S^L� /� SUBDIVISION NAME �
LOT #
DIRECTIONS TO SITE ����l `� �° C�' � n 7� .� �
� �
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY ���/� SPECIFY PROBLEM OCCURRING
0
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DATE REQUESTED �� INFORMATION TAKEN BY
This is to certify that ths in}ormation provided is conect to the best of my knowledge,and that I underetand I am responsible tor all charpes fncuned from thia epplicatlon.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1/93
Appraisal Card Page 1 of 1
. . . , ,
� DAVIE tOUNTY NC 1 4 2013 30:07:45 AM�
KES CHRISTOPHER M RAKES BRANDIE L Retum/Appeal Notes: K2-000-00-021 .
� 54 RIDGE RD � UNIQ ID 20047
9149100 ' � D64-P23 RP . ID N0:5707812994 d
. COUNTY TAX(100),FIRE TAX(100) CARD NO.1 of 1 � 'p
eval Year.2009 Tax Year.2013 4.994 AC RIDGE RD LOTS 1+3 4.490 AC SRC=Inspection � � .'�, �
raised b 02 on OS/11/2007 01003 DAVIE ACADEMY TW-01 C- EX-AT- LAS7 ACfION 20100922 � �
' ' CONSTRUCTION DETAIL MARKET VAWE DEPRECIATION CORRELATION OF VAWE , � �� -
oundatlon-3 � Eff. BASE . Standard 0.2800 r �
n
� ontlnuous Footln 5.0 US MO Area UA RATE RCN EYB AYB � REDENCE TO MARKET r, � �� �
ub Floor System-4 01 Ol 2 201 101 69.69 15338 19811941 %GOOD 72.0 EPR.BUILDING VALUE-CARD 110 44 =
�
PI ood 8.0 T,PE:Single Famlly Resldential Stngle Famlly Residential DEPR.OB/XF VAWE-CARD 22,80 v .
EMerior Walls-OS MARKET LAND VAWE-CARD � 41,27 �
sbestos Shin le/Corru ated 27•0 570RIE5:2-1.5 Stories OTAL MARKET VALUE-CARD 174,51
- Roofing Struc[ure-03 �
. aDle 8.0 � R �
� � OTAIAPPRAISEDVAWE-CARD 174,51 F
RooFlng Cover-03 � - ��
halt or Com sition Shin le 3.0 � � � � OTAL ACPRAISED VAWE-PARCEL 174,51 � . � �
n[erior Wall Construction-5 � � . � - �
D wall/Sheetrock 26A : O7AL PRESENT USE VALUE-PARCEL � �
nterior Wall Construttion-6 OTAL VALUE DEFERRED-VARCEL
ustom Intertor OA � � OTAL TAXABLE VALUE-PARCEL 174,51
nterior Floor Cover-08 pRIOR
heet Vin I/Laminate 0.0 +-1 2-+ � BUILDING VALUE 116,17
nterior Ftoor Cover-12 I F U 5 = BXF VALUE �
Hardwood 10.0 I I ND VALUE 37,13
Heating Fuel-02 2 2 . PRESENT USE VAIUE . � �
� il Wood or Coal OA . 8 8 . EFERRED VALUE � �
eating Type-06 I I OTAL VAWE� 353 30 �
ot Water � S.0 � I I "
tr Conditioning Type-Ol .+-1 2-+ �
one OA
VERMIT
drooms/Bathrooms/Half-Bathrooms � • �
3/1/0 8.00 +1 0-+ CODE DATE NOTE NUMBER AMOUNT
edrooms � 1 F C P 1 . � �
. AS-2 FUS-1 LL-0 � 0 OUT:WTRSHD:
� +4+1 0-+1 0-+ SALES DATA
Bathrooms I I - FF. INDICATE �
BAS-1 FUS-0 LL-0 1 I . RECORD DATE DEED SALES i
OTAL COINT VALUE 300.00 � 6 � I '� �
�BUILDING AD]USTMENTS I 2 BOOK PAGE M R TVPE PRICE ^
0313 400 9 199 WD Q I 10700
uali 3 AVG 1.000 +-1 6--� 8 . T
I B A 5 I � 0169 518 7 199 W D Q I 7900 , N
ha e/Desi 4 FACT0t14 1.050 I � I 0141 772 1 198 WD Q I 6400 � �
ize 3 Size 0.960 I I . 0146 161 11198 WD U I -� �
� OTAL ADJUSTMENT FACTOR 1.01 I +---2 4---+ 0116 161 11 198 WD U I �
OTAL QUALTTY INDEX � 10 6 i F�P '= Q � �
I 8 2 �
N
I I 4 ..
I +---2 4----+ I NEATED AREA 2,016
I 6fOP 6 I
+-16--+---24----+---24---+ NOTES
3 0B NV
SUBAREA UNIT ORIG% ANN DEP % OB/XF DEPR. . �
GS ODE DESCR2PTION LTH UNIT PRICE COND BLDGJi B AYB EYB RATE V COND VALU
TVPE AREA %RCL CS 6 L FENCE 25 30.4 10 _ L 198 198 S � �
BAS 1 68 10 11707 25 ARN 5 3 1 50 20.0 10 L 0012001 S 7 2280
FCP ' 67 2 1177 OTAL OB XF VALUE � 22 80 �
FOP 14 3 348 • • � .
FUS 33 9 2104 � � �
FIREPLACE 1-None
UBAREA � 2�83 153,38 � � �
OTALS
BUILDING DIMENSSONS BA5=W14516W16536E16N6FOP=E2456W24N6;E24 FCP=N38E24524W24N6 N46W10S FCP=NIOW10 SIOElOq VTR=N20FU5=N28W12528E12S520j. -
� �LAND INFORMAttON ' �
HIGXEST THER ADJUSTMENTS LAND TOTAL
ND BEST USE LOGL FRON DEPTH/ LND COND ND NOTES ROA UNIT LAND UNT TOTAL AD)USTED LAND LAND
� USE CODE ZONING TAGE DEPTH SIZE MOD FACT RF AC-LC TO OT TYPE PRICE UNITS TYP AD75T UNIT PRICE VAIUE NOTES ' �
RURAL AC 0120 647 0 1.3340 4 1.0600+06+00+00+00+00 RP 6 500.0 4.49 AC 1.41 9 191.0 4126
OTAL MARKET LAND DATA 4.49 41,27
. OTAL VRESENT USE DATA � �
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http://maps.co.davie.nc.us/ITSNedAppraisalCard.aspx?parce1=K200000021 1/4/2013
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. NORTH CAROLINA . �
� . Separ�tlon ARreement aed PropertY .
DAVIE COUNTY 5ettlement � �
, . THI5 AGREEMENT, made this � day of April
. 1982 , bctwee� KENNETEi MICHAEL SPILLMAN. Hl1SBAND. and •
DEBBIE V. SPILLMAN. WIFE;
� � ' The�partles wcre marrlcd on Hay 11. 1977
�. in Davie Couety� North Carolina • •There
wae one ehlld born ot the marrtaRc �
: ; • JESSICA LYNN SPILLMAN. born on April 29� 1978.
• . Thc parties aeparated on the 11 day o( March _,
, , � 19 82 , and have aRreed to live separate and apar! dur(ng the
res! of their l(ves and to acttle all mattar� a�d thing� betaoert
� thcm re ardi� thoir ro ert ri hts and the obli at ns r wta �
R K . P P Y � R io g o g
' . ' out of thc marital relationehtp and for the support oi the mieo�
chlldren.
.. IN CONSiDERATION OF 'fHE MUTUAL PROMISE5 HEREIN
, .
. CONTAINEA, the partiea a�ree as [oltows:
1. Separatioa. The partlee may and ehall eontlrtue to llvn
apart tor th@ rcat ot thalr�ltvos. Each ehall be free irom the �
. inter[orence� direct or tndlrnct� by the other. as tullr �• though
' unmarried. Each may for his or her separate benafit, engage .
in any employment, Huelncss or profesoion he or she may choose. .
, � The partios shatl eot molaat or ieter[are with aach other, nor �
ehall.elther attoinpt to compel tha other to cohabtt or dwell wlth �
�� r .
htm on c�r. by any meane whatsoever. • �
, ,
� MAR11N AND VAN XOV � . . � � � -
, � AT1011NEYf!1t 1AW. � . � ' � � ,
- . YOGRS�III[.M.G ' . . .
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