1893 Cornatzer Rd Davie County,NC Tax Parcel Report b 5 a Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G70000004101 Township: Shady Grove
NCPIN Number: 5769587991 Municipality:
Account Number: 69955000 Census Tract: 37059-803
Listed Owner 1: SPILLMAN RICHARD T JR Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 1893 CORNATZER ROAD Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag.District: No
Legal Description: 1.513AC CORNATZER RD Fire Response District: CORNATZER-DULIN
Assessed Acreage: 1.50 Elementary School Zone: CORNATZER
Deed Date: 6/2008 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 007600750 Soil Types: PcB2,RnD
Plat Book: 0008 Flood Zone:
Plat Page: 234 Watershed Overlay: DAVIE COUNTY
Building Value: 165710.00 Outbuilding&Extra 15330.00
Freatures Value:
Land Value: 31530.00 Total Market Value: 212570.00
Total Assessed Value: 212570.00
161 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, Impliedwarranties of merchantability or fitness for a particular use.All users of Davie Countys GIS website shall hold harmless the
County ofDavle,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this webaite.
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AUTHORIZA)[ON,NO: 0527 DAVIE COUNTY HEALTH DEPARTMENT
Aic1�d Environmental Health Section. PROPERTY INFORMATION
Permitiee's P.O.Box 848
Name: — ,��=` ` Mocksville,NC 27028 Subdivision Name:
Phone#:704-634-8760
Directions to property: Section: Lot:
AUTHORIZATION FOR
WASTEWATER -
'� Tax Office PIN:#
SYSTEM CONSTRUCTION
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**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 for Building Permits.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRU
A�,
l!J. J��r /1�-� C{l �/jJ"/", � IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEAL PECIALIST DATE ISSUED
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,t DAVIE COUNTY HEALTH DEPARTMENT
r` IMPROVEMENT AND OPERATIONYE� PROPERTY INFORMATION
Perm tttft R' ? r
Subdivision Name:
Dirbctions to property: ` Section: Lot:
I114PROVEMENT
PERMIT Tax Office PIN:# -
t�l'<�>r1 {='r ,/ ,, r F,�rr',:, ✓fEr'�/'• Roacl� ame: �r>►"1 �y `zip: c; "clic, '
**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)
f / ***NOTICE***THLS PERMIT IS SUBJECT TO REVOCATION IF SITE
��� !. .tk=f ,✓� ,` ,�`� PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTI-f SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM. %- -
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS',—r—#BATHS -2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) NEW SITE - REPAIR SITE V
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH, LINEAR Fr. d b
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
d
�e
1
"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(704)634-8760.
OPERATION PERMIT J ,
SYSTEM INSTALLED BY: /U
`a
o
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
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DAVIE COUNTY HEALTH DEPARTME T
r , ,.i +" _ _ r'•�%� IMPROVEMENT AND OPERATION�EI PROPERTY INFORMATION
,e '" Subdivision Name:
k...
Directions to property: *11t�'x Section: Lot:
IMPROVEMENT
PERMIT
Tax Office PIN:# - -
Road Name ' f 't. "fN G p� �4~+` r rte'✓�`"'
**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
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM. Y.,
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOM ,,�#BATHS -'9 #OCCUPANTS '�/ GARBAGE DISPOSAL:Yes or No '
.COMMERCIAL SPECIFICATION: FACILITY TYPE
#PEOPLE- #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Ye No
LOT SIZE TYPE WATER SUPPLY < <� DESIGN WASTEWATER FLOW(GPD) NEW SITE,_ REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH {l ROCK DEPTH( LINEAR FT._.C706
V OTHERi11
L REQUIRED SITE MODIFICATIONS/CONDITIONS: !
IMPROVEMENT PERMIT LAYOUT t
�a>JJL
n
**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(704)6348760. qz
OPERATION PERMIT
SYSTEM INSTALLED BY: '
NO
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5�;
,r
7
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE 11 OF G.S.CHAPTER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPpSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised) t
See �m►r-l� 9�g-gl�'7l0
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
' I APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) p // /
NAME i)C'A Mrd- .SDi1�GZh PHONE NUMBER ��0 �G T IO
ADDRESS I �9� CD a e/� - SUBDIVISION NAME
OCkSV' LOT#
DIRECTI446E�(�1Je/J D-F �dl' '�7 er 4LL TLcld ' ' Ll
d S
DATE SYSTEM INSTALLED S , NAME SYSTEM INSTALLED UNDER
TYPE FACILITY-4fi NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY Z SPECIFY PROBLEM OCCURRING TU M P(�_p cL
a Y'D Gt'y�� t,� c��.r��e p j � � ► yam.
DATE REQUESTED D,`1 '�(y 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