1191 Cornatzer RdDavie County, NC Tax Parcel Report a(ja��(t Tuesday, September 27, 2016
r� `-
;�
rI Cp
r' y
/
179
C;
r I
fl1175
495 _.
141
Davie County, NC
WARNING: THIS IS NOT A SURVEY
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
Parcer nrormabort=;
Parcel Number:
H600000071
Township:
Shady Grove
NCPIN Number.
5769215016
Municipality:
Account Number:
73270000
Census Tract:
37059-804
Listed Owner 1:
THOMPSON JUDY ELLIS
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
411 ORCHARD PARK DRIVE
Planning Jurisdiction:
Davie County
City:
BERMUDA RUN
Zoning Class:
DAVIE COUNTY R-A,R-20,H-B
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
12.521 AC CORNATZER RD
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
11.31
Elementary School Zone:
CORNATZER
Deed Date:
3/2004
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
005390223
Soil Types:
MrB2,RnC,EnB,RnD,ChA,WATER
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
71750.00
Outbuilding & Extra
150.00
Freatures Value:
Land Value:
131490.00
Total Market Value:
203390.00
Total Assessed Value:
203390.00
141
Davie County, NC
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
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
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
-'i PerxVioek s "— � (� DAVIE COUNTY HEALTH DEPARTMENT 71 glob
Name: -1t> 1 rzor� Environmental Health Section PROPERTY INFORMATION
P.O. Box 848
Directions to property:.��= `}t? t��n� Mocksville, NC 27028 Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
AUTHORIZATION NO: 002666. A
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - / -
{ 1 J
Road Name: nl 1
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying fQr Building Permits.
(In compliance,wi h Article 1 of S. ChapterTOA, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
"T C IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONM A HEALT E61 LI TP DAT " IS UEID
RESIDENTIAL SPECIFICATION: BUILDING TYPE BEDROOMS 2 -.3# BATHS # OCCUPANTS Ll GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
j C i1 l�
1:0T SIZE ! 2.5 PsE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE A GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -N/A LINEAR FT. z2 5
'",�`� 1 ► �� IX
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: 4 N C�A11_ 0,J CX2110&, V fi=t' ` , F NA W ELJ--
LAYOUT
FGPe N
r'? 0 CFV) ��
I INL-C I1 I
4 CDr.1T DT1-)2 - PL.t ASc
L0IJr4(-1-r - HI
Sys - tA, T�.I� k, u
N a — Loc
Y 4117 -YN3
E
W11-0 IDDOC-AL-.
I3
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT
SAW
SYSTEM INSTALLED BY: d'J Ik Iry
I CTAL ' Zq
AUTHORIZATION NO. j�!(J(44 OPERATION PERMIT
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THUS 'S RM1w9CRIBED A"O I
WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEI
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02102 (Revised) 4A0 /. # //, 0 3 7, _-rvv%; ee # 039
DATE:• �v
HAS BEEN INSTALLED IN COMPLIANCE
3", BUT SHALL IN NO WAY BE TAKEN AS A
�� • 1-*bt..w
��,.,i /�! ✓<" Vim•- "1.#'t.v-. /q-.�..'.a �. .\:.+' i;f ti��" ' A.1.� - 'i._.. .. . ,.. ...l F —
�r- D VIE CO NTY HEALTH DEPART ENT 1
a 611;1t.1�.�n� -`s En ironmentalHealthSectiorl�.%;�r�rLr1F'ROPERTYINFORMATION
{ , P.O. Box 848
-Directi6ns Eo property: Mocksville', NC 27028 Subdivision Name:
Phone #: 336-751-8760
6- Section: Lot:
AUTHORIZATION: FOR
WASTEWATER _
a Tax Office PIN:# -
SYSTEM CONSTRUCTION
' UTHORIZATION NO: 002666 A Road Name:_ '� r,✓
.t
**NOTE** This Authorization for Wastewater System Construction ML(, T°BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This FomVAuthorizatiol Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chap ever 1.30A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
J
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
(,? ` ; IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMV,TALHEALTH SPECIAL IS Taj DATE ISJUED _ ^
RESIDENTIAL SPECIFICATION: BUILDING TYPE Q *U BEDROOMS i j �# BATHS # OCCUPANTS 4 GARBAGE DISPOSAL: Yes or No
COMMERCIA'L� SPECrIIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT �1 # SEATS INDUSTRIAL WASTE: Yes or No
�10T SIZE `• 'NPWATER SUPPLY I- DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE Y
l
AYSTEM SPECIFICATIONS: TANK SIZE GAL`. PUMP TANK �y GAL. TRENCH WIDTH -:=L;' ROCK DEPTH r" t ` LINEAR FT. 22
OTHER A�� E I Er^ L-1-%i1�T - l�/`.� �1 I hk�
REQUIRED SITE MODIFICATIONS/CONDITIONS: N �'[M L (��.J C f rJ 1(!�ir i � C- E-1 ' I! 604A -0ELL
LAYOUT
iI' C.url1 Gi1C`1 t,
C a�J1A4-1-T FIs
t-
W t 10 1 bco c -AL
4fi �e� -1AA3
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT �j '''� ` ,
SYSTEM INSTALLED BY:L1.,j
r
N a's C d
AUTHORIZATION NO.4 (O ch A, OPERATION PERMIT B fl
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH ESCRIBED A}3�
WITH ARTICLE I1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTE]
r"
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
{ 7D 0202 (Revise) G 539
DATE: Ie2 AWeO
HAS BEEN INSTALLED IN COMPLIANCE
i ', BUT SHALL IN NO WAY BE TAKEN AS A
LOCATION Dndy Aq�zer F2c OWNER (►���'�'� If -Ili •5 WHITE COLORED
ADDRESS OCCUPANT WHITE COLORED
PRIVY: SEPTIC TANK: FHA CASE NUMBER
Type Material
wood concrete
Number
New
Dimensions
Volume
date
To secondar
Repaired
J date
WATER SUPPLY:
Sourcel W
If wetype
(Bored)'
(Drilled)
(Dug)
Distance from nearest
pollution �i9�y ft.
VA CASE NUMBER
YP Y
treatment 9 ,
_nitrificaooniline filter trench
No. of bedrooms
Permit Number Date
Approved Date
Approved by
Contractor or Plumber
Address
Remarks
SEWAGE DISPOSAL RECORD
Form No. 473 (Rev. 9/58)
■tit\\■\■\/■■■\■\//■w■i■i\i\■■■■■iiiiiii■■■/■■■■■■■■■■iwiii/\■■■■■■■■■■■■■■■i■i■
\\■■■■■■w■■■a■■■■\■■■■■■■■■■■■■■■■■i/ii\\■t\ilii■\■i■■\■■■■■■■tit\■■■\\■■■■■■■■\
■■■■■■■■■■■■■■■i■■■■■■■i\i■■■■■■■\■■■■■!■■■■■■\■■■\■■■iii■■\\■■■■■■■■■■■■■■■■■it
■■■■■■■■■t■■■■■■■■■■■■t■■■■■■■■■ii■■■■■■t■■\■■\\■■!■■■■■■■■\■■■t\■\■■■\\■ ■w■■■\
■\■■■■■■\■■■■■i■■11■■[----•/iii■■■w■■■illt■■■■■■■■■w■■■■■■■■■!■■■■■■\■■■■■■ ■■■■■■
■■■■■■■\\\■■■■■■■1 -����■\►\!■!■■Y■ni�Yi■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■///■\ii/i/\\e-s----=�-:�//aiao�:ir..wry■s■■■■■■\\\■■■\■\■■\te■■■■■\t■■■■■ii■■■■■■■■
■■■■■■■■■■!!/■■■■■■■■■■ill/■■l■■■■■t■t■■■■t■■■■■■■■■■■■■■■■■■\■■■■■■■i\■■■\\■■■■■
■/\\\\■■■■\■{■■■■\\\■■i��l\/I■wI■■■■\\\■■i■i■t■iii\t■■■ii■/■■■■\\tiiiti\\ti■i■i■\
mm
ii■■■i\\■i■■i■i\r.aGc�ea�:w■■■■■■■■■■■■iii■\■■■■■■■■■■■■■■■■■■■■■■■■■■■!■■■■■■■■■
i■\■\\■■�Ltiiii�:.\■Ai■\Ai►�t7t.s.■ /i:/■Ri�9\��■■■■\■i■i■i■■■■■■■■■■■■■■■at■■\■■■■■
■■■■■■■■■■■■E■■■\/■\\■■■\■■iii\■■■\■\■■\\\■\\■\■■i■■■■\■■■■■■■■i■\■■ilii■t■■■■■■
\■■■■■i\■\■■■■■i■\■■■■\■■t■t■■i■\■■■■■■■!!■!■!■■■■■■■■■■■■■■■■■■■■■!■■■■■■!■■■■■
LOCATION D" (?DrMCe�ze r � OWNER dDe r' �=/�' S
PRIVY: SEPTIC TANK: _ FHA CASE NUMBER
Type Material
Mood concrete
r
Number Dimensions,: VA CASE NUMBER
New
date
Repaired
date
.WATER SUPPLY:
Source
Ifwell type
(Bored)
(Drilled)
(Dug)
Distance from nearest
pollution t.
Volume O 0 901C
Type secondary -
-treatment b b.4.f
nitrificatia jine filter trench
No. of bedrooms
Permit Number Date
Approved Date
Approved
Contractor or Plumber
Address / �J
Remarks
SEWAGE DISPOSAL RECORD
Form No. 473 (Rev. 9/58)
'e■/eee■//■////////■t■ etettttt//t/■et■■/■ieetteteeii■w■■■■■■■■■■■■■/■tee/■tet/t■
■■■■■■■i■■■■■■■■tt■■■■■■■■■■■■■■■■/■/■■■/■/ttw■■■■te///lettetiate■■■■■■■■■■■■■■■
■i/■/ie■e■■//■■ ■■■■■■■■■/■i/■i■■■■■■tt■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■
iiiiiiiiiiiiil■iiiiiviiiiiiiiiiiiiiiii�/iiiiiiiiiiiiiiiiiii/iiiiiiiiiiiiiiiiiiiiiii
iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii■iiii■■iiiiiiiiisiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
■■■■■■■/■■■cert/■///////■////■■!/■te■etre/■■////■■//■///■/■//■■■■■■■■■■■■ ■■■■t/
■///////■///////■■■■■t■fl1i5/!l■■■■■■■■i■■■i■■■■■■■■■■■■t!1■tt■■■■■■■■■■ii/■e■twe/■
//////■/■■lttle/■i/■t/■t/e/tlt/////■i/te/■e■///■/■iitc��rA�■■■■■■■/■//i■■■■///■/■
■■e/■//■■■i/■■■■li■/■■//////■ow//t/els,exec//e.■■ee///■i�C-el■■i/■/■■■■■■■■■■■■■■■■
numm
/"�:.7■■'IL'1!/■w�w.�ri: r��rr.!l'�►7tiiiiiiiillmmillio°�■■■`�■■■ ■■■■■■//■■■■■■lilt■■��ii■■s■iii�■ii■/■//■//ii/■■/t/■■■
■/■let/t//////■/■■tent/■tetieet■/■eiee■■■li■IIe•■■or■ei■■ii■w:�ii■■■■■■//■■■/t■■ei
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Y/■■■t■t///■11■UULl:1Gi�////e1,■wi■■■■■■■iw■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■/t■■t■t■i■■■L' �r��wete�!:�■■■■■■■/■■■■/■■■■■■//■i
■ttttttet■■■■■/tett■■■■■��■���■■■■■■■/■�w����w�.���,���;'���!■■■t■■■it■clef■■■■/■
■■■i■■■■\t��m s:-� �c7,�/•�s�r a���:T.iG4"'e��� /����r3�'a.'n,'—'.'2!!gi/�■t■■■■■■■■■■■■■■■■■/■
■■■■■■■■■fiSS•iir�C .a=:.Fr �s_s�a�s c��.i:_�G roarspz.�gm3q■■■■■■■■■■■■■■■■■■■■■■
HUMOROUS!
■■■t■ / e■w■■■■■7Y1:�►/a/ill ■ ■■■■■■■■`.71:Yi/a/aJ\i■iYe■t■fi■■■■�■■■■■■■■■■■■■■i/■■■■t■■i■■■wtw■■■■■■■■■■■
■■■■■■■■■■w/■/■■■■■i■■!■!■!!!■!■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
40'i DAVIE COUNTY ENVIRONA
APPLICATION FOR IMPRO\
NAME .O IV//j 1)
ADDRESS NVOM
R*r� y kuoi Ile �II;S
NTAL HEALTH SECTION
MENT PERMIT (REPAIR)
PHONE NUMBER
AleZ 4d &
SUBDIVISION NAME
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INST LLED UNDER
TYPE FACILITY NUMBER BEDROOMS 3 f NUMBER PEOPLE SERVED
TYPE WATER SUPPLY """O SPECIFY PROBLEM OCCURRING
DATE REQUESTED INFORMATION TAKEN BY
This is to certify that the information provided is correct to the best of my knowledge, and that 1 understand I am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev, 1/93
1
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760 /Fax: (336)751-8786
July 7, 2006
Judy Thompson
126 River Bluff Lane
Advance, NC 27006
Re: Failing Septic System -
1191 Cornatzer Road, Mocksville
Dear Mrs. Thompson:
A complaint investigation at the above address revealed surfacing sewage from
the onsite wastewater system serving the residence. This failing system is a violation of
Rule .1937(a) of Title 15A Subchapter 18A of the NC Administrative Code, which states
in part, "Any person owning or controlling a residence... shall discharge all wastewater
directly to an approved wastewater system permitted for that specific use. " Additionally,
Rule .1938(b) states, "The person owning or controlling the system shall be responsible
for assuring compliance with the laws, rules, and permit conditions regarding system
location, installation, operation, maintenance, monitoring, reporting, and repair."
This letter is to inform you that you have thirty days from today's date to correct
the problem. An Improvement Permit is attached to this letter. Please contact me with
any questions or to notify of your plans to remedy the situation. Thank you in advance
for your cooperation.
Environmental Health Section
i f h -L COMPLAINT FORM
DAVIE COUNZY HEALTH DEPARTMENT
pp ENVIRONMENTAL HEALTH SECTION
I� Date Received 6-4-04
Name of Complainant �ONGS /A) Received By
ArAIAJ-Address elephone 0�3 9 �Of
Complaint a" -lm W 10 4 e;/S Ou��'w
A
eN on Responsible for Complaint � /Jew � w hO P� Pe
Address o ure Of d Se / ��/Vi¢�lK ' Telephoned 9�p"� House -
Directions to Com laint 1'e -Al 0/a/0 Le//
vt
Date Investigated Investigated By
Complaint Justified Complaint Not tified 7
Action Taken / �' ,�/�c Al --AV
Date Environmental Health Staff Signature 14142
(DCHD 1/85)
Ke '..fir
t.
,e
v�
ii.
I Y.
r
r
�.
Fa a
d „
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
' Soil/Site Evaluation
APPLICANT INFORMATION
Account #:
Billed To:-c;,,l���,��
Reference Name:
Proposed Facility: Property Size:
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit
PROPERTY INFORMATION
Tax PIN/EH #:
Subdivision Info:
Location/Address:a
Date Evaluated:
Public
Cut
FACTORS
2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture groupGL
-
Consistence
Structure
Mineralogy
HORIZON 1I DEPTH
/
Texture group
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
L_'f
Consistence'
Structure
Mineralogy
HORIZON IV DEPTH
2 ^
Texture group
aqO L
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY: S 4�
OTHER(S) PRESENT:
LEGEND
Landscape Position
R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Texture
S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay ' SIC - Silty clay C - Clay
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
Wet
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky '
NP - Non plastic SP - Slightly plastic .P - Plastic VP - Very plastic
Structure
'SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1, 2:1, Mixed -
j�lotes ,
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil. wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 orless
Classification - S(suitable), PS (provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
y DCHD 05/99 (Revised) !`
■
■EK■■■■■■■■■■■■■ ■■■
■■■■■■■M■■■■■■M■ ■■■
■EeeoeE■n■EK■eeeMEe■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■
KEEN■ ■■■■■■ SOMME
■■m■■mm■■■■m■K■■■■■■
■■■ne■■■a■■■■■■■■Mee
■EK■■■■■■■EEK■■■m■■■
■■
■
■
■E■■
■■■■
MEMO
■■E■
■■N■■■
■■■■E■
■■OMEN
■■■■■■■■■■■■■■■■■■■■■■■■■
MEMNONMENNENMENNEN i0
■■■■■■■■■■■■■■■■■■■■■Ess■
■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■
■AMEN■■n■■
■■■M■■E■■■
■EM■■■■■■■
■■■■■■moon
■■■■mems■■
■■MEMO■■■M■■■■
■■■■■■■■■■■■■■
mom
■
-
F
w -
t
a.
IVY
ARTA
rrV
A
iw
kc
Art
�.
,
a
ro
I -
f�
k'
t