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1828 Jericho Church Road Lot 5Davie County, NC I Tax Parcel Report Tuesday, November 29, 2016 WAKNOIG: '1'Mh IN NUT A JUKVLi' Y Parcel Information Parcel Number. K4010A0021 Township: Mocksville NCPIN Number: 5727740533 Municipality: Account Number: 8300474 Census Tract: 37059-801 Listed Owner 1: BECK ANGELA D Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 1828 JERICHO CHURCH ROAD Planning Jurisdiction: Davie County City MOCKSVILLE Zoning Class: DAVIE COUNTY R -A No MOCKSVILLE MOCKSVILLE SOUTH DAVIE EnB, IrB DAVIE COUNTY All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. Ali users of Davie County's GIS websfte shall hold harmless the County of Davie. North Carolina, Its agents, consultants, contractors or employees from any and a6 claims or causes of action due to co U N NC or arising out of the use or Inability to use the GIS data provided by this website. State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 5 COUNTRY ESTATES Fire Response District: Assessed Acreage: 0.62 Elementary School Zone: Deed Date: 4/2005 Middle School Zone: Deed Book / Page: 2005E0123 Soil Types: Plat Book: 0004 Flood Zone: Plat Page: 057 Watershed Overlay: Ouuildin& Extra Building Value: Features Va ue: Land Value: Total Market Value: Total Assessed Value: No MOCKSVILLE MOCKSVILLE SOUTH DAVIE EnB, IrB DAVIE COUNTY All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use. Ali users of Davie County's GIS websfte shall hold harmless the County of Davie. North Carolina, Its agents, consultants, contractors or employees from any and a6 claims or causes of action due to co U N NC or arising out of the use or Inability to use the GIS data provided by this website. CONSTRUCTION AUTHORIZATION Davie County Health Department 21.0 Hospital Street .�� • . P.O. Box 848 Mocksville NC 27028 / t=orio ice` tse:Only *CDP File:Number 187667;-1. County ID Nhimber. k4-01DJAo-021 Evaluated For REPAIR, Township: M r -M&■ IT \/ A l Ill 1 1\ITII Phone: 336-753-6780 Fax: 336-753-1680 0 1/ a 0/ a 0 a 0 Applicant: James Beck Property Owner. James Beck Address: 1828 Jericho Church Rd Address: 1828 Jericho Church Rd City: Mocksville City: Mocksville State2ip: NC 27028 State0p: NC 27028 Phone #: (336) 749-1931 Address/Road #: 1828 Jericho Church Rd Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: 'Water Supply: NIA Phone #: (336) 74971931 Subdivision: CountryEstates Phase: Lot: 5 Directions Take St down by South Davie, Turn to Jericho Ch Rd. pass Freezor Rd on right go to second Sunset Circle on right on corner. *Proposed System: 25%REDUCTION Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: Gallons 1 -Piece: QYes ONo Pump Required: QYes ONo OMay Be Required 1 4 4 0 Sq. ft. Pump Tank: Gallons 4 1 -Piece: QYes QNo 3 6 0 ft. GPM vs— ft. TDH _ 9 QInches O.C. Dosing Volume: _ Gallons _ Qa Feet O.C. 3 gInches Feet Grease Trap: Gallons inches Pre Treatment: ONSF OTS -1 OTS -11 Septic Tank Installer Grade Level Required: 01011 0111 ON psnn 4 of R Minimum Trench Depth: a 4 Inches Site Classification: Provisionally Suitable �, Seprolito System? Oyes *No Minimum Soil Cover. ,-1 1 a Inches Design Flow: 3 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 a 5 Maximum Soil Cover: a 4 Inches *System Classification/Description: *Distribution Type: GRAVITY -SERIAL TYPE it A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank' *Proposed System: 25%REDUCTION Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: Gallons 1 -Piece: QYes ONo Pump Required: QYes ONo OMay Be Required 1 4 4 0 Sq. ft. Pump Tank: Gallons 4 1 -Piece: QYes QNo 3 6 0 ft. GPM vs— ft. TDH _ 9 QInches O.C. Dosing Volume: _ Gallons _ Qa Feet O.C. 3 gInches Feet Grease Trap: Gallons inches Pre Treatment: ONSF OTS -1 OTS -11 Septic Tank Installer Grade Level Required: 01011 0111 ON psnn 4 of R CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type-, Construction Authorization CDP File Number: 187667 - 1 County File Number: K4 -010 -AO -021 Date: 01 /20/2015 0 Inch Scale: . ®Block = ft ON/A If' fj e4 000, r A V 71 COP File Number 187667 -,1 County ID Number K4 -010 -AO -021 fired:VTdS % NU %Jwv, L)ULridsh1Yd11du1C 0 ❑ Open Pump System Sheet r ncuan vy�acm Trench Spacing:817eet inches 0! *Site Classification: — O.C. Trench Width:Inches Design Flow: L — 0 Feet J Aggregate Depth: Soil Application Rate: inches Minimum Trench Depth: "System Classification/Description: .�. inches Minimum Soil Cover. Inches Maximum Trench Depth: *Proposed System: Inches Maximum Soil Cover:Nitrification Field Inches "Distribution Type: No. Drain Lines Total Trench Length: ft Pump Required: Oyes ONo OMay Be Required PreTreatment: ONSF OTS -1 OTS -II 'Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. "Permit Conditions The:lssuance ofthis permit bythe Heaith Department In no way guarantees the Issuance of other permits. The permit holder is responsible for. checking with appropriate governing bodies in meeting their requirements. This Authorization for Wastewater systern Construction shall bevalid for a person equal to the period of validity of the Improvement Peiml% not to exceed flveyears, and maybe issued atthe sametimethe Improvement Permit Issued (NCGS 13OA-336(b)). If,theinstallatlon has not been completed during the period of validity of the Construction Permit, the intormation submitted In the applicationfor a permit or Construction Authorization Is found to have been incorrect, falsified or changed, or the site Is altered, the permit or Construction Authorization shall became Invalid, and may be suspended or revoked (.1937(9)). The person owning or controlling the system shall be responsibteforassuring compliance with the laws, rules,and permit coridltloris regarding system location, Installation, operation, maintenance, monitoring, reporting and repair Applicant/Legal Reps. Signature Required? OYes ONO Applicant/Legal Reps. Signature Date: 2140 - Nations, Robert 0 1/ a 0/ a 0 1 5 *Issued By: Date of Issue:., Authorized State Agen . Malfunction Log OYeS *Hand Drawing 01mport Drawing **Site Plan/Drawing attached.** Page 2 of 3 DAVIE COUNTY ENVIRONMENTAL HEALTH SERVICE I/r Ku APPLICATION IP/ATC OSWW REPAIR Name J 1� �� Address ZZ V t fir; (�i D Mailing Address (if different from above) Email Address: Subdivision Name Telephone Number Lot # IS Date System Instal] Type Facility Type Water Supply ,^. n -- - - -- --- - 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 Cord 1 ECK AND LAD BECK JAMES SIDNEY Return/Appal Notes: Puotl: K4 010 -AD -021 626IERICHO CHURCH RD PLAT: 000//057 UNIQ ID 20136 300171 0291-PZ2 ID NO: 57277/0533 COUNTY TAX (100), PRETAX (100) CARD NO. l oT l -11 Yur: 20l3T,K Yur: 2015 LOT S COUNTRY ESTATES 1.000 LT SRC. I"Pptbn raised 6 55 on 09 9 2006 06005) ERICHO lY/-06 CI- F0.-12 E%• AT- IASTACfION 20120638 CONSTRUCTION DETAIL MAIIETVAWE DEPRECIATION CORRELATIONOI VALUE n ,tion ER. MSE Standard 0.31000 I. ub Floor SysMm -/ USE OD weed 6.00 Ol 01 Arc, UAL KATE RCN EYB 0.EDEN[E TO MARKET 3 035 123 61.70 175065 9]9 969 PEPR. BUILDING VALUE • URD JIS54O +Aron, kelH • 21 TYPE: Single Family RseMmHal Single hmlly Ruldentl,l EPR. Of/XF VALUE - CARD 2,350 u6dARKET LAND VALUE -GRD 20,000 3100 eo01q Structure • 03 STYLE: 1 • 1.0 Story OTAL MARKET VALUE • GRD 137,890 80 ,bit ooRnq Corp- 03 OTAL APPRAISED "WE CARD 137,890 nterbr Wall Cone" ruction -S OTAL APPRAISED "WE PARCEL 1D7,iSO ,B Sheetreck 20.00 co", n '0' Floor Cover • D6 OTAL PRESENT USE VALUE -PARCEL but Vin 6. OTAL VA LU F DEFERRED• PARCEL n"pbr Fbor Cora • 1/ OTAL TAXABLE VAWE- PARCEL 137,890 0 00 2b9 Fed • W PRIOR UIWING VALUE 121,810 utbg In. . M B%F VALUE 1,030 ortb Al, • D,d,d COO AND VALUE 20,000 r Conditions, Type - 03 RESENT USE VALVE EFERRED V ALOE ems/Bathrooms/Mall• rOTAL VALUE10-010 sth .— AS Nreoms PERM IT 5.2 FUS•0 LL -0 CODEM R I AMOUNT df -Bathrooms A FUS • OUT: WTRSHD: Hio SALES DATA DIAL POINT VALUE 05.000 FF. ECOID ATF DEED UE 'INDICATES 1 • 11-i OSE AGE POP. T'P! MEC! I AMVG 1.2000 IWDD 1 DOSE 133 1 005 WL E 1 B B 0863 ]52 ] 011 WD A I 150000 of 14 - •••Bi•-•--•••-♦ 0]13 ]12 1 008 WD A I 116000 OTALADJUSTMENTFACTOR 1.1501••20---1BAS 1 0119 210 1 002 WD C I OTAL QUALITY IND EX 133 1rCP I 1 0117 531 1 002 WD C 1 I 1 1 1 2 1 2 2 S I I I 1 I 1 1..20---1•-. 21•••-♦•!-1.1f--♦••••lf••--1 HEATED A REA 1,815 �ror B •af--1 xoTo SM3,-ISt.ry2,7,, UNIT CRT O % ANN DEP % OB/XF DEPR. TYPE RPL DE ESCII RIOx UN T N N l RAYB M ALU q3E30.0 I _ 9]31] SNEED16.0_995 /3 110 33]2 0 N PAVINGJO 22 /.0 _ 97 97 50'DO 1 112102 5 00 FEN 1. 00 00 5 91IREPUC[ ,700USAAM,065 OTA" UILDING DIMENSIONS MS­5IWIW00-11BW11SBE31 W20 S2FCP W20522EZON22 523E21E9FOP-SSEI6NSW16 E12N25 S. AND INFORMATION THE' DN25TMFNTB [O MD MOTES LAND TOTAL ME NO BEST USE LOGL FROM DEPTH/ LND COND Rr AC LC TO OAD UNIT LAND UNT TOTALLAND OVERRIDE LAND NOTES S FR RES 0100 0 0 I.N.0 0 1.0000 20 000.00 1.000 IT 1.0006 _YALVJ__ 20000 0 OTAL MARKET LAND DATA 20.000 OYAL PRESENT USE DATA Owner. DECK ANGELA O Page 1 of 1 http://66.226.39.229//ITSNet/AppraisalCard.aspx?parcel=K401 OA0021 1/7/2015