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3055 Cornatzer Rd Davie County,NC ' Tax Pazcel Report ���� Tuesday, October 4,2016 � i , �17,4 �� � � � 949 32[ � J� �;r ,�, C�i �-i 3 77 3093 Z� 2995 �'3055 ���'�a Y �C,'Q 304 � �'j[)r 31�79 RNA?7��R� � i �R i 31�10 i 3148 ��RN �r' q 3094 ���3146+ 3168' ��R�D ��� � � . Ot�"��f, r I -- --- — __r,/ y 17 — ----- —313 4� -- I � WARNING: THIS IS NOT A SURVEY ;__ .. . .._._ ._ - _�_ , ..._ .._ v. . . . _ .:. _ _ _. . __ . _ . _ . ' ,. Parcel Information _ _._ L._... .._�.,... .., . �..: . , ...:..... .... .:.. ... ....... . ... .. . .... ...... ..,. _._ ...... .....:_�_ ..._... ........_ ....... ..__._......_:: Parcel Number: G800000011 A Township: Shady Grove NCPIN Number: 5870926704 Municipality: Account Number: 44636000 Census Tract: 37059-803 Listed Owner 1: LATHAM CHARLIE Vottng Precinct: EAST SHADY GROVE Mailing Address L• PO BOX 86 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning OveHay: Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 8.053 AC CORNATZER RD Fire Response District: ADVANCE Assessed Acreage: 8.38 Elementary School 2one: SHADY GROVE Deed Date: 7/1995 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 001810661 Soii Types: WeC,Pc62 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 106450.00 Outbuilding&Extra 1250.00 Freatures Value: Land Value: 87900.00 Total Market Value: 195600.00 Total Assessed Value: 195600.00 9�.��, All dah Is provfded as is wlMout wartaMy or yuarantee of any Idnd efther expnsed or impited Ineluding but not Iimked to the Davie County� hnptled warra�tles of inerchaMa6111ty w fltness for a pardcular usa All uaers o!DaWe Courrtya GIS webske shatl hold harmlesa the CouMy M Daviq North Groflna,Its agmts,eonwlhrrts,coMractws w empioyees from ary and�0 daims or causes d actlon due to �pU N'�� N� or arfdng out M the use or Inabillty to uu the GIS data provided by fhis websita _ . /yq`n� i ., �f-s...re1C ''1! 1-J Y �Mj ..�fii�.�.>a�,��:Xk y iv,y.,�� .' 1t "'P.'.�E�ai`�;�^ .r,.._-� �l ?'�%r t ��%' nY' `? - Y ,�. . - 't �+r�.:, y ` 'ALfiPI�.CIRIZATIdN NO: � ��I ?J � �. DAVIE COUNTY HEALTHDEPARTMENT., � ��o ~~ '��'r� ' •��� Environmental Health Section ` PROPERTY INFORMATION 1 Permitfee's � � /�'t P.O.Box 848. , Name:���'.�9 �_ Mocksville,NC 27028 Subdivision Name: �)- / � } Phone#:704-634-8760 " Directions to property: /�� L /c'R�� � ,/ Section: Lot: t� � ,/p � / / AUTHORIZATION FOR , : �(l�r.n,�i�i� ~�J,�.s't'"J�."�d�7 / , r:, , SYSTEM CO S RUCTION Tax Office PIN:#,��+�-�-� ''f ` f,,o(� �� : Road Name: r �"1•Zip:��� . **NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED 6y the Davie County Environmental Health Section prior to issuance of any Building Pemuts.This Form/Authorization Number should be presented to the Davie County Building Inspections. Office wherr applying for Building Pernuts. : (In compliance with Article 11 of G.S:Chapter 130A,Wastewat' Systems,Section.1900 Sewage Treatment and Disposal Systems) r /" � ,/ ' � ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION f� ��fJ' �. _�`` '%`�"`"%" IS VALID FOR A PERIOD OF FIVE YEARS. . `. ENVIRONMENTA�:HEALTH S IALIST<. DATE ISSUED �. .. . _ y"o � �� ?� °T t .�`�� , ';v�.�r"w•-S�> ?:�w. `a_ �, �t�.� e �. . .��.��- -. . ... "�. �f . Y ..E. � � �' r '��=' ���� '��+ �"+'"� 1 "'�� �� �' �`��'`.�'�' DAVIE COUNTY HEALTH`DEPARTMENT � � ' _�s•,�.h��'�, �' : . �j . ,�, ;: " , 1MPROVEMENT AND`OPERATION PERMITS PROPERTY INFORMATION Permrt�ee,s, , , ' '; r � ' �---, ..•Name: �-�'.�!I? /k''� � %'��"� Subdivision Name: .. . � � 1-, � � `�,�. ...f �,``- �,,�, / Directions to property: �``� � lrJ � � � �� 1 , Section: Lot: ' � � Il�IPROVEMENT y ` ����C.�,`'',�,�:f;`. �- ;��,,,,�y�.-� ��'G::''.�''E��� � PERMIT Tax Office PIN:#"`�� '�:�/_- � .l h.��r`" 7 `,� =}F,t � `� � �% j'fa „�'i ��` r"�`!1 s������!✓�'�s� � Road Name: � t�` � �'1•Zip: UC�f� ,_ , , , � **NOT'E**This ImprovementPernut DOES NOT auttiorize the construcdon or installation of a septic tanlc system oc any wastewater system.An '�' ALTTHORIZATION FOR WASTEWATER$YSTEM CONSTRUCTION must be obtained from this Department prior to}the �conshuction/installation of a system or the issuance of a building pemut. '` , ,� (In compliance with Article 11 of G.S.Chapter 130A,Wastewat�r Systems,Section.1900 Sewage Treatment and Disposal Systems) " ,�r�,.�?`�` � .`�' � _ ,,�`� J r r�`, r-, _ , t�r , ***NOTICE***THIS PERNIIT LS SUBJECT TO REVOCATION IF SITE �'�""�`'�`� �M'�,i"� '��:;�t/`.c'�� ,' ..t �,.•"` ;;�'" '� �' PLANS OR TI�INTENDED USE CHANGE.YOUR WASTEWATER � ;: ' ENVIRONMENTAL HEALTH S�ECIALIST '. DATE ISSUED �SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING T�SYSTEM. : ,RESIDENTIAL SPECIFTCAITON:BUILDING TYPE.j�f f� #BEDROOMS t� #BATHS�_#OCCUPANTS�,�GARI3AGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE - #PEOPLE #PEOPLFJSHIFf #SEATS INDUSTRIAL WASTE:Yes or No LAT SIZE TYPE WATER SUPPLY (•� DESIGN WASTEWATER FLOW(GPD),�� NEW SITE,� REPAIR SITE ; _ . ! - , J SYSTEM SPECIFICATIONS: TANK SIZE„�L�GAL. PUMP TANK GAL. TRENCH WIDTH�� ROCK DEPTH;Lt3 LINEAR FI'.�� . OTHER lL/.!��C ;�. � REQUIRED SITE MODIFICATIONS/CONDITIONS: ` � ` ' IMPROVEMENT PERMIT LAYOUT � �°� �'�'A/,` a u � o- F �ll - 6 ; .`'i ,`�. . � v } � 0 Ve }r,�c �if, b , �nS�Crf! JuS � Q� � � 6 ��r�s ; ���( , , , - ,. . , ,� **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM ° BETWEEN 8:30-9:30 A.M.OR 1:00=1;30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. . OPERATIONPERMIT • � ,�I�kV{1► lr�c� SYSTEM INSTALLED BY: � l ��Jtic �'t3 �}�-,t� . �i , ' r y,,3�'''`� . S�sr�, ,�r� r� ���� 1� ; is �pt' �� ��$' ���S� _ �r ����� M• l�o� AUTHORIZATION NO.��� 1 OPERATION PERMIT BY: DATE: g / **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT YSTEM DESC BED A VE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAPTER 130A,SEGTION.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 OS/96(Revised) . � y ��l � . � � ���� APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE � � a a la�L � � �.\ . Davie County Health Department O �, � Q �0� J � Environmental Health Section �, � i�y�� P.O.Box 848 � � �' � � (� Moc d � 1-8760 �.yo�FR,:' �?��1:��� f4 � �fY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �a ✓1 a�G� � � ��f���..�t �'1�- Contact Person ���� .�-G(7T/���`' Mailing Address � �, � �� =1"�`7 Home Phone City/State/Zip �`� ��l()t/l��Q- /�/� ��� �-P Business Phone ���+ ��� 7 ` � / 2. Name on PermidATC if Different than Above GZ- �'y'1 _ Mailing Address �"� City/State/Zip � � 3. Application For: ❑ Site Evaluation ❑ Improvement Permit&ATC 8' Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry 0 Other �� �5. If Residence: # People Z # Bedrooms - ��,I���# Bathrooms �Dishwasher ❑ Garbage Disposal ' ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks ,# Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage(gallons per day) 7. �pe of water supply: ounty/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? CYYes ❑ No � If yes,what type? `��t-�-.�--�.__ E I THER tt PLAT OR S Z TE PLAN PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A P.�THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: Z UO x Zv� � WRITE DIRECTIONS(from � Mocksville)TO PROPERTY: Tax Office PIN: # s�7� ' �a � ��� 1 (�i 'f' e.� � , LQ.�� 1 Property Address: Road Name ��� 0��.-�- ' � , City/Zip V-1 11v��C� �C- Z�UV�-(�� 1 l G'l 1' ; �Uc._-�i � .. �.�'1�.c1 (�`c�l� _ If in Subdivision provide information,as follows: 1 1 \'� . r � + 1 Name: � �� 1 � 1 ` r Section• Lot #• � , � �r .��� � , W This is to certify that the information provided is correct to the best of my knowledge.I understand that any permit(s)issued hereafter are subject to suspension or revocation,if the site plans or intended use change,or if the information submitted in this application is falsified or changed.I,also,understand that I am responsible for all charges incurred from this application.I,hereby,give consent to the Authorized Representative of the Davie County Health Dep ent to enter upon above described property located in Davie County and owned by CZ2�[,C,C.... �� to conduct all testing procedures as necessary to determine the site suitability. DATE �7 ' / / —� � SIGNATURE LZ�?(�?G�- !�� Revised DCHD(06-96) iJOU Mtll�/ USE THE $ACK O�' THZS �ORN �OR blZtIWZNG 1�/OUR SZTE PLAN. Y � � � � � • . � . , f. �'���� 1 �:' � j,. i • )� �� }� � � �7�- ,� �ermoMena�� � ,�G� �� � , � _ ��s/ , . � _ . . _ . ,.. ..., , : • � �l..� ;:� , , � � ' r � ` �, � �� _._ � . � � '•n - o � ' � , � � • � � i '�"� �w•J.� S� i esor ExErawarra+� • ; • • _ � �• • �, ' — � .��: �' .... � , � . __ . � I �... _ _ . � , _.,. ^.I� • � _ .., � I _' �oj� ' ` . 1 � � t pJt4 1 \ � ! 0587 � T � . � ;6 INDEXED INDE ED ��'� ;` , ' ON O = � ' � ; � 5870.16 5870.1 I � , p ; 223 �' . � _ 12� , ..,, � _ (34�J _. ._ .. . . - AD rss2� - � r���` - . �12�� INDEXED ON �•w _,� �rs58� S�UTH.ERN 5880.17 . RAILRpAD �� � /� i��e�, �� Sq�� ��^ .�-----,~ Scale:l"= 13 April 17,1998 9:21 AM 'toi�25�' ��``% f�G3 � � ' � � � DAVIE COUNTY HEALTH DEPARTMENT , � A � Environmental Health Section SECTION LOT Soil/Site Evaluation � APPLICANT'S NAME � ���1: DATE EVALUATED �`��"�� PROPOSED FACILITY �J't� PROPERTY SIZE / ��� SUBDIVISION ROAD NAME ����r'�T 1�" y Water Supply: On-Site Well Community Public � Evaluation By: Auger Boring � Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition ,� Slo e% HORIZON I DEPTH ` " Texture rou .� Consistence Structure Mineralo HORIZON II DEPTH �' � � Texture rou ' Consistence ' j Structure ,� � Mineralo ,• HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou � Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE ' � ` , SITE CLASSIFICATION: � EVALUATION BY: LONG-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 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 tructure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogv 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-gaUday/ft2 DCHD(01-90) ■�■��������■■■■�����■�■���0�■�■��■��■��■���■■��■■■��■��■�����■■■�■ 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