1031 Cornatzer RdDavie County, NC Tax Parcel Report I 1 k 1 Tuesday, September 27, 2016
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All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
° harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
°r� rs causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
7. 77
F77777777-
Parcel
Parcel Number:
H600000092
Township:
Shady Grove
NCPIN Number.
5759906121
Municipality:
Account Number:
40790000
Census Tract:
37059-804
Listed Owner 1:
JONES CLEMENT DAVIS
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
964 CORNATZER ROAD
Planning Jurisdiction:
Davie County
City:
MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-7133
Voluntary Ag. District:
No
Legal Description:
1.90 AC CORNATZER RD LOT 6
FOSTER
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
1.94
Elementary School Zone:
CORNATZER
Deed Date:
4/1985
Middle School Zone:
WILLIAM ELLIS
Deed Book/Page:
001260382
Soil Types:
RnC,Gn62,RnD
Plat Book:
Flood Zone:
x
Plat Page:
Watershed Overlay:
-
Building Value:
0.00
Outbuilding & Extra
4500.00
Freatures Value:
Land Value:
34910.00
Total Market Value:
39410.00
Total Assessed Value:
39410.00
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NC implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold
° harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or
°r� rs causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
.,'� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a
/Sanitary Sewage Systems Permit Number
Name %//F -L 7i �Q Fs �'i�i� i %�9 Date L' %C ' y N 7121
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Y Business Speculation
No. Bedrooms No. Baths No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma shine YES NO ❑.-
Type Water Supply>
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
1
Improvements permit by — Aa//
*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.
1 /1
Final Installation Diagram: System I stat d by
O
Certificate of Completion Date m��A_
*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.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
• Environmental Health Section
P. O. Box 665
Mocksville, NC 27028
1. Application/Permit Requested By l' ►�! .Q11�
- Mailing Address li� V 1�1 f W 3
Home Phone 2- 4 5r7 Business Phone
2. Name on Permit if Different than Above
3. Application/Permit for:
4. System to Serve: ❑ House
❑ Business ❑ Industry
5. If house, mobile home: Subdivision
❑ General Evaluation
$f Mobile Home
❑ Other
No. of People
No. of Bedrooms
No. of Bathrooms
Dwelling Dimensions 14 X
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers.
No. of Showers Water Usage Figures,
7. Type of water supply: 9 Public ❑ Private
8. Property Dimensions Sewage Disposal Contractoi
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If ves, what type?
❑ Septic Tank Installation
❑ Place of Public Assembly
❑ Unknown
Section Lot #
❑ Basement/Plumbing
❑ Basement/No Plumbing
E9 Washing Machine
❑ Dishwasher
❑ Garbage Disposal
❑ Yes Qi No
❑ Community
*NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: k.x- n }. ./� n_ � /►� ��
J� l Y�[iy I' , U 4.11/v1 + 0'r1 liY1 Q�
-kD '." %J0 Cul�
This is to certify that the information provided is correct to the
incurred from this application.
�- +8-04
DATE
of my knowledge, and I understand I am responsible for all charges
SIG
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fanddisposal
ECK ONE: Q 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by �AIY`u�o
all -testing procedures as necessary to determine said site's suitability fora and absorption sewage treatment
system.
$ ,-01 � yy
DATE G NATURE
DCHD (12-90)
ON
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.
1. Permit Req
2. Address _
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional L- Other Type
Ground Absorption
Home Phone .34�'�7
Business Phone
c) Sub -Division Sec. Lot NoJ,
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people
6. aT If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms_ Bath Rooms_ 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
lavatory
urinals
showers
garbage disposal
washing machine
dishwasher / sinks
8. a) Type water supply: Publics Private Community
b) Has the water supply system been approved? Yes No
9. a) Property Dimensions _ fie
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify thatPe information is correct.to the best of my knowledge.
&4—
Z/&ff
Date Owner Si Lure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for. processing
Directions to property:
DCHD (6-62)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. 0. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— Date��
Address Lot Size 4:Z
FArTORR AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/ Landscape Position�.,
S
S
S
PS
PS
PS
U
U
U
U
?) Soil Texture (12-36 in.) Sandy,
S
S
S
S
Loamy, Clayey, (note 2:1 Clay)
®
PS
PS
PS
U
U
U
U
S) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
PS
U
U
U
1) Soil Depth (inches)
S
S
S
pS
PS
PS
PS
U
U
U
�) Soil Drainage: Internal
S
S
S
PS
PS
PS
may/
U
U
U
ExternalS
S
S
pS
PS
PS
PS
U
U
U
1) Restrictive Horizons
Available Space
qS
S
S
S
PS
PS
PS
U
U
U
U
1) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U.
U
1) Site Classification
U—U
Recommendations/Comments: ,
S—SUITABLE CS_—Provisionally Suitable
Described by (� Title - Date
SITE DIAGRAM
DCHD (6.82)