117 Rosewood Lane Lots 1-6 P/O 7AUTHORIZ,tION NO: 0 Q DAVIE COUNTY HEALTH DEPARTMENT l iiia
"g R(,����nvironmental Health Section PROPERTY INFORMATION
NamePerm:
pp�� P.O. Box 848 OQ1LR�1>O
Name: OVA Mocksville; NC 27028 Subdivision Name:
property: 1 1 _ Phone # 336-751-8760
t.Y i *:,
Directions toit t? Section: Lot:
t AUTHORIZATION FOR
L,, j L� �: �} WASTEWATER Tax Office PIN:# -
1 SYSTEM CONSTRUCTION - —
R(?t1' ewool> •IPAp
I1
Road Name: Zip:
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any BuildingPermits. This Fonr/Authorization Number should be presented to the Davie County Building Inspections '
Office when applying for Building Permits. -
(In compliance with Article 11 1 G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
1 --_ 7SUED
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIR&NfENTiAL REALTH SPECIALIST DA
v
.DAVIE C' ; UNTY HEALTH DEPARTMENT
MENT AND',OPERATION.PERIVIITS.. PROPERTY IN�ORIVIAA'ION "`" '"'l'F
:Perms a s =
Subdivision Name:
r F Directions to property : `t' 1 Section: Lot:
r w 114PROVEMENT '
PERMIT Tax Office PIN:# -
1 , .
1 �
RoadNa e���`
**NCSTE** This linprovement Permit DOES'NOT autfiorize the construction or, installation of a,'septic tank system of any wastewater system An
AUTHORIZATION FOR WASTEWATER SYSTEM.CONSTRUCTION must be:obtained�from this Department prior to the
constructionYinstallation `of a system or the issuance of a,building permit
(Incompliance wrtti Article`l.l':pf G 5 •Chapter.130A,°Wiastewater Systems; Section :i9pU.Sewage Treatment and Disposal Systems)
'' �' ***NOTICES**.THIS PERMIT IS SUBJECT TU REYOCATIQN IF SITE '
+�'"i `�" '" ''"M" : PLANS OR THE INTENDED USE CHANGE. YOUR -WASTEWATER
SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
E TH SPECK IST DA ISSUED: INSTALLING THE SYSTEM.
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..,..,6. 'V e . ... ... tis , ,``^.K` .. _ �•1 .:' ..- i -_ '. u.. . . r .. .« _. s .: -... ^. 4. .-1 •. .w
RESIDENTIAL SPECIFICATION BUILDING TYPE # BEDROOMS 3 # BATHS! # OCCUPANTS - -GARBAGE DISPOSAL: Yes -or No
COMMERCIAL SPECIFICATION `FACILITY TYPE # PEOPLE # PEOPLE/SHIFr #.SEATS 'INDUSTRIAL WASTE: Yes or No
LOT SIZE' 4CYPE WATER SUPPLX/ 1 DESIGN WASTEWATER FLOW (GPD) 2� NEW SITE REPAIR SITE;
-C
SYSTEM'SPECIFICATIONS TANK:SIZE GAL: PUMP TANK � . ' GAL. TRENCH WIDTH Z ROCK DEPTH f�f LINEAR.FT:
OTHER' I cJrt �1 1i rt10
REQUIRED SITE MODIFICATIONS%CONDITIONS 11�?*/\Lt • ' D_� flo 0'0— N•rC1Cr' �, PQ ' �; 1
' .*CONTACT A, REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FjNAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30 - 9:30A.M.- OR 1:00 - 1':30 P.M. ON THE DAY -OF INSTALLATION. TELEPHONE'#.IS (336)751-8760. t
TE(
DA +IUNTY HEALTH DEPARTMENTN„
r _
A, NT
AND OPERATION PERMITS PROPERTY INFORMATION'" "'
Perm} ee s
Name O "'' 'Subdivision Name:
i
Ditections`to property Section: Lot:
IlVIPROVEMENT -
'
'0!e ,, atp �, : L'ri,.-' 3 PERMIT Tax Office PIN:# _
( A Road Name ' p.
*NOTE**: This Improvement Permit DOES,NOT authorize the construction or installation `of a septic tank system or any, wastewater system. Ari:
AUTHORIZATION FOR:WASTEWATER SYSTEM, CONSTRUCTION must be obtained from this Department prior to the
construction/mstallation of a.system or the-issuancelof a building permit.
41ri cortlphance with;Article .11, of G.S. Chapter:130A. Wastewater Systems, Section :1900 Sewage Treatment and.Disposal Systems)
` ***NOTICE*** THLS PERMIT IS SUBJECT TO -REVOCATION IF SITE
_ a
6µ *• ; 'PLANS OR THE WTENDED. USE CHANGE. YOUR WASTEWATER ,
`�SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
ENVIRONMENTAL I�ALTH SPECIALIST DATE ISSUED :
,. INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION, BUILDING TYPE # BEDROOMS,i � # BATHS i S # OCCUPANTS -3 GARBAGE DISPOSAL: Yes or No . T
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE i; # PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE: No
+ •LOT SIZE_`' f' `Y �C E WATER SUPPLY/ I Ty DESIGN WASTEWATER FLOW (GPD) NEW SITE J • REPAIR SITE F
SYSTEM SPECIFICATIONS:. TANK SIZE GAL. PUMP TANK + GAL. TRENCH WIDTH' ROCK DEPTH G� . LINEAR FT. .
;1 OTHER -`1 ..I �1 d-►iO4,
REQUIRED SITE MODIFICATIONS/CONDITIONS: i� n� !` J ��o 14, y GF ' P `L �►�
IIuIPROVEIvIENTPERIVIITLAYOUT
• *APPROVED M FILTER& •RI6ER(91, IF 6°' I F19163"
FI9I ta'RADEW F'
JK
ir' WA
U\ #
"CONTACT A REPRESENTATIVE OF THE DA IE COUNTY�HE4TH DEPARTMENT FOR FINAL INSPECTION OF -THIS SYSTEM,
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30-P.M.t,ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760.
OPERATION PERMIT 1
+R .f SY&M INSTALLED BY:,
(i
AUTHORIZATION NO. OPERATION PERMIT BY: i DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE'SYSTEM DESCRIBED 0VE HAS BEEN INSTALLED IN COMPLIANCE -
WITH`ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOS 'STEMS",BUT SHALL INN0�1VAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. '
DdID &* (Revised) '
DA SIE COUNTY HEALTH DEPARTMENT
EMENT AND OPERATION PERMITS PROPERTY INFORMATION _ _
Permittee's '� GUUU.DL A� �
Name: ob ��" Subdivision Name:
Directions to property: < ' - Section: Lot:
IMPROVEMENT
L PERMIT Tax Office PIN:#
4i ...t L Road Name: RU zip.
**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)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMEN' TA HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS 5 # BATHS i • S # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE I�"'" �c&_"YPE WATER SUPPLY( I 1 V DESIGN WASTEWATER FLOW (GPD) (� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH G 1 LINEAR FT.
OTHER
l�
REQUIRED SITE MODIFICATIONS/CONDITIONS: t•Y rtn�l� 0 G.� �iit)U1 , I4i-L n (o, 62.V{? LrnIt�
IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT FILTEn* *RISER(5) IF 6" BELOW FINISHED GRADE*
cam"`
_ �^R
q1t) fC t-'C.ic.
**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
AUTHORIZATION NO. OPERATION PERMIT BY:
t
SYS'TEM INSTALLED BY:
I
DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBEDBOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAtr' YSTEMS", BUT SHALL IN NOWAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 0996 (Revised)
•
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Mad
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STATE OF NORTH CAROLINA, Davie County.
THIS DEED Maderhis day or qua- ,Iv_gb—byandbetween W. A. Mongan and wife.
Coil L. Morgan of County
And state of North Carolina. hereinafter Called Grantor. and RobbyGray Brannnrk anA wifa. R.rth .11- Arannnrk
of Davie County and Sure of North Carolina, hminsfrer
CAW Grantee, whose permanent mailing address Is
WI.,NESSETH: ThattheGrantor,lotandinconsiderationofthesumof One Hundred and No/100--($100,00)--------- Dolhvs
anJ other goad and valuable eonsideations to hint in hand paid by the Grantee, the receipt whereof is hereby acknowle ged, has elven, panted, bargained, sold
and conveyed, and by these prew•nts does give, pant, bargain, sell, convey and confirm unto the Grantee, h heirsan or successors and amlpts, ptvsfms in
Mock sville,_Township, Davie County, North Carolina. described asfollowar
BUNG Lots One (1), Two (2), Three(3), Four (4), Five (5), and Six (6) and the
Southern one-half of Lot No. Seven (7) as appears from a plat and survey of
Woodland Development recorded in Plat Book 4, page 50. Davie County Registry,
to which said plat reference is hereby made for a more particular description
of said property, including all Improvements thereon, the Southern half of
Lot No. Seven (7), being as described on said plat and in a deed to W. A.
Morgan at ux recorded in Deed Book 91, page 139a Davie County Registry.
This conveyance includes a 1/8 interest in an 84 foot deep well, pump. tank,
pump house, and water lines described in said Deed recorded in Book 91. page
139, said Registry, and is subject to restrictive covenants described in
Deeds recorded in Book 86, page 214 and Book 91. page 625. said Registry.
STATE OF TE OF
1`�R• IGCAF�tfL A [i' NCj2TP R,C'iLc.
at E%t:16E TAX 1 4•� E%CITE TAX
{t ,4 r, $20.00 ':5.00
STATE OF J r ST, -. 71- ..-
RE VTC
Il•,�i E CISE TAX
' $20..00
Prepared by: John T. Brock
Brock b McClamrock
Mockaville, NC 27028
�•n = J
The above land was conveyed to Grantor by , Sec Book No.
, Page
TO HAVE AND TO (TOLD The above Jescrib.d premises, with all the Appurtenances thereunto belonging, or in any wise appertaining, unto the Grantee, his
heir, and!,.. m evs.ars and assigns forever,
And the Grantor covenants that he is siaed of said premise• in fee, and has the might to convey the unit in fee simple: that mid premises are free from en-
• cumbr+noes (with the exceptions above stated. if any); and that he wW t defend
warran and the said title to the acme against the lawful
whontsucvTr.
claims orall persons
When reference is made to the Grantor or Grantee, the similar shall include theplural and the masculine shall include the feminine or the neuter.
IN+WtT^NESS WHEREOF, The Grantor has hereunto set his hand and sal, the ,lay and year just ako wr' end.%%
(SEAL) ,�7 iIJ�SMi�
(SEAL)
(SEAL)
(SEAL)
= = —Alabama-
STATE OF 64MA444:AfKi ,e Lauderdale COUNTY.
I_ Porry -halue a Notary Public of old County, do hereby certify that.
_W._A_Morgariand_dlfgA_Gi.�yilyt Morgan
„
Grantor, personally appeared before enc this Jay and acknowledged the execution of the foregoing deed.
r .••^ � •.'
witncx„ my hand and notarial seal, this rhes'_. 23rd day of June
1�~ a(,.•;.x •..;
My Commission Expbrs::. _ MiYI}1! j 1.490
STATE OF NORTH CAROLINA COUNTY, i
'.� JO '
t•---_,aNotary Public ofuidCounty.doherebycertify thal
•c
'•-L ra1��a
Gr+oro., prnon+Ily arl eared before me this day and acknowledged the atecution of the foregoing deed.
•v,rr•....... ,
a Witness my hand and notarial sal, this the. day of—
f
My
My Commission Eap4es:
, N. P. (SEAL)
STATE OF NORTH CAROLINA, Davi COUNTY.
The foregoing cettiricate(i%of Pon Belue Not -ow. 21 j3l a pt= Tm lerdal,a (•ainty. �
1 Q A
is (XI certified to be correct. This Instrument was presented for registration this 96 day of .1k1rip
2,
at _.1-40-_A4., P.M.. and duly recorded in the office of the Register tsf Deedsof DMe
,19.
t•–..
7
North Carolina. in Book 132 , Page .
'
This the 26 day K ne , A. D., 19–K. /� f ��
.1, sr -;IPX.GGt a4k _
716 Decd drawn by
Appraisal Card
DAVIE COUNTY, NC
11/24/2014 10:30:05 AM
Ron DARREN CROTTS KIMBERLY Return/Appeal Notes: Parcel: NS -150 -AO -005
17 ROSEWOOD LN PLAT: 000/1050 UNIQ ID 13312
301125 D219 -P30 ID NO: 5719217302
COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of t
-,lYur: 2013 T" Yur: 2015 LOTS 1-6 P/O 7 WOODLAND 1.000 LT SRC- Inspectlon
raised 6 19 on 0] 11 2008 06001 ELISHA CREEK TW -06 CI- FR -12 E%- AT- LAST ACRON 20121105
CONSTRUCTION DETAIL MARKET VALUE
DEPRECIATION CORRELATION OF VALUE
n aU.n-
FOBS Funbonal 0.1000
bselescenc
Standard 0.3100
ub Floor System -4
5.0n USE
MOD
ED
Area
QLA
BASE
RATE
74.20
RCN EYB
183591 1982
AYB
9]2
REDENCE TO MARKET
%GOOD 9.0 EPR. BUILDING VALUE -CARD 0] 14
—nod, Walls - 21
ce Bnck 34DC 01
01
2,4171106
ooenq Structure -03 EPR. OB/YF VALUE -GRD 12,38
TYPE: Singe Family Resldanfial Single Family Rasldenflel
able ARKET LAND VALUE -GRD 37,50
oo0n0 Cover - 03it or Com—ftim Shin- 300 STYLE: 0 -Split Foyer IOTAL MARKET VALUE •GRD 357,02
ntenor Wall Construction - 4
I ssd Panty 18.0
ntenor Wall Constructlon - 5 DIALAPPRAISED VALUE - GRD 157,02
a115heetrock 0.0 OTAL APPRAISED VALUE - PARCEL 157,02
ntenor Floor Cover' 08
0 0c
'tenor Floor Cover - 14 OTAL PRESENT USE VALUE - PARCEL
OTAL VALUE DEFERRED - PARCEL
eatlnq Fuel -01 OTAL TAXABLE VALUE - PARCEL 157,02
eating Ty00 - 30 1 P T O 1 R OR
UILDING VALVE 97,54(
Ir Condl[lonln9 Type - 03 + . - . 2 2 - - . ++ . - - 13 - - - ++ BXF VALUE 15,]5
I LUG I L L F I D VALUE 37,50
RESENT USE VALUE
edroomyBathroomVH,lf- I I I EFERREVALUE
athrooms I I I OTA VALUE 150,790
IMOC 3 1 1
9 9
AS-3FV5-0LL- 0
hmoms I 3 I
AS MS I 2 3
m
osLL. +---25----#---25----4 PERMIT
AaB- lt-BathFUro5-
RCe
------------------
DIAL POINT VALUE 104.00
4---I6----f OUT: WTRSHD:
AVG 1.000 I W D D 1
u., 1.000
ha FACT 0 0 O FF.
esi
Ize Slxe 0.930 4 - - - 1 2 - - - # - - - 21 - - - - 4 4 EC00.D DATE I DEEDINDICATE
OTAL AD]USTMENT FACTOR 1.02 I BAS IALES PRICE,
OTAL QUALITY INDEX 30 I I 0893 025 6 Ol WD Q 1 11 7100
I I 0132 0]5 6 98 WD U I 900
2 I
11
I I
I I
I I
+-•--•-50------•-+ HEATED AREA 2, 155
arov 6
/2 BATH A.......
DED TO CARD/]A
2006
SUBAREA
UNIT OAIG %
ANN OED
% OB/%F DEPR
ODE
ESCRIPTION
OUN
LT N
NIT PRICE GOND
BLDG*AYB EYB
RATE V
COND VALU
PS 1 45 10 107590 2 ARAED 1 16 19 15.0 10 _ 195 198 5 1 2
5 AZEBO 0 16.0 30 _ 198 199 5 31
LF ]2 OB 15505 2 ARAGE 2 30 81 30.0 10 _ 199 199 S I 1234
UG J 02 3430 9 SP PAVING 9 30 1' 3.0 19] 19] S
TO 26 00 965 IUF -38i
DD 26 2 858
REPLACE 3 - 1 Story 2,250
Sln le
OTAISA 1 3,72 81,591
UILDING DIMENSIONS BAS.W2WDD-N10W26S10E26$W48S29FOP-S6E50N6W50r E50N29TPTR-N25 LL-N29W2PTO-NIOW26530E26SW23LUG-W25S29E25N29S529E2585255.
AND INFORMATION
TMER
IGNEST
LAND
TOTAL
BEST
SE
USE
CODE
LOCAL
ZONING
FRON
TAGS
EPT
DEPT. / LND
SIZE MOD
CO..�.NDIFI-AoF-INT:O
FACT T
ROAD
TYPE
UNIT
PRICE
LAND UNT TOTAL
UNITS TYP AD15T
AD3USTED
UNITPRICE
LAND OVERRIDE LAND
VALUE VALUE NOTES
FR RES
0100
325
200
1.0000 0
1.5000
25 000.0
.00 T .500
37,S00001
5 500.00
35500 0
OTAL MARKET
LAND
DATA
37 50
DIAL PRESENT USE DATA
Owner: CROTTS DARREN
Page 1 of 1
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