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2836 Cornatzer RdDavie County, NC Tax Parcel Report 35 Tuesday, September 27, 2016 4224 218 \ 68 803 4023 -2768 90s y 0 CORNATZER RD ..................... j60 l 2818' c 6989 N 8966 210 70 CORNATZER RD 165f 30 30 l 0o N L0 COM 1 03 1 105 30 30 N 101 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 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 a—'cer tfiforman 7„ Parcel Number: G80000000105 Township: Shady Grove NCPIN Number: 5870628966 Municipality: Account Number: 82531552 Census Tract: 37059-803 Listed Owner 1: COLLINS DOUGLAS A Voting Precinct: EAST SHADY GROVE Mailing Address 1: P 0 BOX 2231 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 1.055 AC CORNATZER RD Fire Response District: ADVANCE Assessed Acreage: 0.87 Elementary School Zone: SHADY GROVE Deed Date: 2/2010 Middle School Zone: WILLIAM ELLIS Deed Book f Page: 008180986 Soil Types: GnB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 101430.00 Outbuilding & Extra 1780.00 Freatures Value: Land Value: 29210.00 Total Market Value: 132420.00 Total Assessed Value: 132420.00 101 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 causes of action due to or arising out of the use or inability to use the GIS data provided by this website. }• ^v .. 'i 3v. +...a.':r .J -'.,•Y YI .J«': .: ti....-...,-..V-.I:.CI eni t•y )Yew , , +_, . _.. - ` / E Q DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT I6A?�PERMIT **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) NAME t l4 /f' %/ C k��l.�/, %/i% S PROPERJY ADDRESS C11'° �� f•'� ,Z ('� { J \� • ( DATES %l� LOCATION''�i' 1 ��;' ,,-,,s' .�`� SUBDIVISION`NAME �-W MJMBER a'— w SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMSr # BATHS # OCCUPANTS GARBAGE DISPOSAL: Ye 91po CRCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL. WASTE: Yes/No r LOT SIZE ! It TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) l G NEW SITE REPAIR SITE 'SYSTEM 5PECIFICATIDNS: TANK 5IZE/GAL. PUMP TANK GAL. TRENCH WIDTH ''r, ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY,l **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FILL INSPECTION OF THIS SYSTEM BETWEEN L 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 SYSTEM INSTALLED BY✓�l jiv AUTHORIZATION NO. f� _ OPERATION PERMIT BY .�� DATE lL **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 138A, SECTION .1900 'SEWAGE TREATMENT AND DISPOSAL SYSTEM", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 tIM 1. Application/Permit Requested By 4as— Mailing ©i Address r�jA � Home Phodg)h) 7159',3# �f� �— � ,� %D D o Business Phone 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation LHISSeptic Tank Installation Permit 4. System to Serve: ®-House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms No. of Bathrooms 9 ❑ Basement/Plumbing ❑ Basement/No Plumbing ;]'Washing Machine ❑ Dishwasher Dwelling Dimensions . S.2 X .?g /V&X - ❑ Garbage Disposal 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: ublic ❑ Private 8. Property Dimensions F-= /•0 - x _-:3Od' i�%/Q PAP!! Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes If yes, what type? ❑ 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. PROPERZU INFORMATION REQUIRED: Directions to Property: ,xraaln 9,,P/ X nW, 4 i - o LDI Aram J� d 0,V s1gAtJ Tax Office PIN: #,5' -- Q- PROPERTJ ADDRESS, as follows: t!r Road Name: (fPPPAT.Z6Q I?J - City: PdvAtiG6�, Nc SU13MIT A PLAT WITH THIS APPLICATION. Revisions effective October 1, 1995. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. -6-- i q- 96 DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY Fanddisposal ECK ONE:I OWN the property. ❑ 2. I 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 all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment system. DATE SIGNATURE DCHD (1/93) 3 c =a \ ? w a 4 -81 1-�L. is t j =- _ "�`'3•=Gia S.83•'3•T2o E. C OSZ SAT' \ ' 3'\• al. 113.1o'cw. 5.85-4.5 Z�jZ j��AS� - \ � 33B.8T cw. „o, S.BCo� 17�Zo"E. PS.a'•135 :.:oc {� �• r`1 . ' �o ' �.. - " \ \ - .�Q/� • \ \ - FwKc J 82.7o•r•, %e g �: 119.teG cN. P ecc„ S.B7'0440'1=.S S7: - So.,Lc 32'ZoIE. G53.2f."-!. q�' \ � 79-B9h.,. P.WCG /Pw, Procan ICeSA cw ;� �« Ft' g`� 4-i This 1454L day of Jody_, 1992. Q��l5TF9ol/= w. 9fi. � m F3E1 t4 PaRilenlS of Le f LOS OP TAK M/>P No. G-8 , i s.lti /.*/uAS AMC ev GOOQD.J�TEs / / 1 ccs' -..0 t t do i oc_; fV o.s. �Co2, fly. 481 - • � .SURV _'i,��q�� ••y,Z`O`� G - I. Ac `- U i Cs,IL1a1SK1 SU RY EY!l.rG Co• - - 0O2�lATLE2 QGAD .0 727 GALT AVS. ��IZ:,yP.7CR� Laz ; G-8 \. ti 0010 -1s A; . oc - N 0 J AD, NCY' - �OMN. N F1eo TS. � - \ � .02 \ s ACt— / SITK D.B. 11-Z. Pr- 4-fts - ,n— S 3(4 - (Yi •• -. LocA-r IoN MAP- N� Z 1 : C --&-a \ �/ -SIDNEW L. H06TS- D11- 162 FG. 7 3 =a \ ? w a 4 -81 1-�L. is t j =- J0H.4 I certify that this.map was drawn from an `Il�i/rrrn,r,, ( actual field survey, made under my supervisions RO 1 that the ratio of precision is 1•x10,000*. �• 0. ...... pq�18 CoUN"N, Pl.c. This 1454L day of Jody_, 1992. Q��l5TF9ol/= 40 F3E1 t4 PaRilenlS of Le f LOS OP TAK M/>P No. G-8 , i s.lti /.*/uAS AMC ev GOOQD.J�TEs / / 1 ccs' -..0 t t do i oc_; See o.s. �Co2, fly. 481 - • � .SURV _'i,��q�� ••y,Z`O`� G ti! - i Cs,IL1a1SK1 SU RY EY!l.rG Co• - - 0O2�lATLE2 QGAD i �dcea 727 GALT AVS. -. .,,; - .- •' -��- Thin ma P not meet N.C.G.S• 47-30 �,Vl..15Ta..l �. S/�l�M, NC.. 2-71og standards and isnotfor recording. ._ -_ 7ZZ-o SS 4- ! ft 13, 901, A fNDOfEDONtia70.1f Mf --- CITY LINE PROPERTY LINE ----------"-"-- ORIGINAL LOT L .....................EASEMENTS ROAD R/W _ RAILROAD R/W STREAMS OR SH( se1e1e CORNATZER ROA Is 20 N s DATE OF tcsV MAP Since informatior and do any dah shown o obhtiaed from ap APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 i X IT AUG 2 11; 1992 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1. Permit Requested By --.Deal 1"9 2. Address 57(2, 3. Property Owner if Different than Above , 4A � Address 4. Permit To: a) Install Alter Repair b) Privy Conventional Other Type Ground Absorption d Home Phone Business Phone c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House ✓ Mobile Home Business IndustryOther b) Number of people 7 6. aj 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 urinals lavatory showers dishwasher sinks garbage disposal washing machine 8. a) Type water supply: Public—� Private Community b) Has the water supply system been approved? Yes ff'No 9. a) Property Dimensions 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 that the information is Date OWNER IS SOLELY RESPONSIBLE FOR COMPL Allow 5 days for Directions to property: 6 7 !",5 � L-94 6! -AIA �Zo r 2 Afeee) 4_0"7>f */�)I/ DCHD (6-82) to the best of Owner Signature I WITH ALL STATE AND LOCAL LAWS )cessing Re A-1461,4 no �`- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SG/o�i�l,/Site Evaluation NAME �` `��v- ` DATE EVALUATED ADDRESS PROPOSED FACIILTY PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well r Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position h L 'Z_— Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH r �� Texture group Consistence Structure _S' 7 Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: Z LANG -TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: 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 'r__#-_ 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 Moist VFR-Very friable FR -Friable FI -Finn 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 Notes 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 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■��■��■��■�■ ■��■��■■�0l��■0��■ ■�■■��■��■��■■! ■ ■ ■�■ ■�■ ■�■ Betty Potts Realty P. 0. Box 2056 Advance, NC 27006 Davie (omqfy Jfeak De arftent Aen and dome .7�eal�i y cy 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634.5985 September 21 1992 Re: Site Evaluation Cornatzer Road/Lot 2 Dear Realtor: As requested, a representative from this office visited the aforementioned site on September 19 1992. The site was found provisionally suitable for the installation of a ground absorption sewage system. If.you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure t � r Daviy Pe Count Health Department ENVIRONMENTAL HEALTH SECTION P.D. Box 665 Mocksville, N.C. 27028 a> AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with.Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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 9?2-11Permits.*** AUTHORIZATION KM*R Wi DATE �,10 03r, 1 NAME ON IMPROVEMENT PERMIT (Ifdifferentthan/above) SITE LOCATION .149e7 COMMENTS/COWITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM **WICE*H THIS AUTHORIZATION EAR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.