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2222 Hwy 801SDavie County, NC Tax Parcel Report - 7920 — ! -"C a _1 --j }t 2218 5836 J `2120 - - 5745 � 2 (797) - d ' 2230 0 0 7605 2 247 318 60 DEER HOLLOW LN 127 1 N t 4530 ��D2138 0 w, 5A_1 A ""- _N Tuesday, September 27, 2 W2 2908 W21;7 1892 ' 404 C 0AA4 COPE RD ----- — i (407) 00 1 r- 0) 1651j 1-2229 407 ------------- A Davie County, NC WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G8130A000501 Township: Shady Grove NCPIN Number: 5789275745 Municipality: Account (Number: 8300222 Census Tract: 37058-804 Listed Owner 1: CORNATZER MARTY JASON Voting Precinct: EAST SHADY GROVE Mailing Address 1: 2222 NC HIGHWAY 801 SOUTH Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAME COUNTY R -&R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOTS 13-16 + 46 WALNUT HILL Fire Response District: ADVANCE Assessed Acreage: 1.86 Elementary School Zone., SHADY GROVE Deed Date: 11/2010 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003530178 Soil Types: WeC,PcB2 Plat Book: 0003 Flood Zone: X Plat Page: 017 Watershed Overlay: WS -IV P Building Value: 39710.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 33680.00 Total Market Value: 73390.00 Total Assessed Value: 73390.00 A Davie County, NC AD 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. AD users of Davie County's GIS website shall hold heartless 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. DAViE COUNTY HEALTH DEPARTMENT{ h.� ! IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION�� *NOT4: Issued in Compliance With Article I I of G.S. Chapter 130a Sanitary Sewage, Sly!?1srjt�/� //– 4�j„s��' ;Y �S�-/� ,��tr��r - Permit Number Name . �,��I ,� ��*,-:' � ... Date '09 -�i/ N2 Location 2� Jr Subdivision Name Lot No. Sec. or Block No. Lot Size 6�A`—_ House Mobile Home —Business Speculation No. Bedrooms .No: Baths __ No. in Family _ Garbage Disposal YES ❑ NO Specifications for System: Auto Dish Washer YES NO ❑,�° Auto Wash Ma.hine 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. a 645 TO 4ZA411 Improvements permit by _ , *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. Final Installation Diagram: System Installed by Certificate of Completion Date' *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. y� o L, Certificate of Completion Date' *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. 0. Box 665 Mockaville, NC 27028 73 17 1991 _ _r� 1. Application/Permit. Requested By 0,JrIP5 U.) Mailing Address V3 -QVanee_ 1)-0. 97006 Home Phone �qq—ygyb Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation 5. System to Serve: House TY Mobile Home Industry u Other 6. If house, mobile home: Subdivision e/s/Tank Installation 0 Business 0 Unknown Sec. Lott No. of People Dwelling Dimensions No. of Bedroomsci, Basement/Plumbing No. of Bathrooms 1 Basement/No Plumbing (Washing Machine rj Dishwasher 0 Garbage Dispusai 7. If business, industry, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers 8. Type of water supply: Public 0 Private 0 Community 9. Property Dimensions / 1 10. Sewage Disposal Contractor �Drh4,�Z�r 11. Do you anticipate additions/ex ansions of the facility this system is intended to serve? 0 Yes 7o If yes, what type? *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. 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. /% -Z/ bate Signature Directions to Property: /X -J— g o /-lv�r.+.�c. G� e-s.a. AA 7A41-4 - DCHD (10-89) ` DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: DATE RECEIVED (office use only) es no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described property, however, I certify that I have consent from owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. x � DATE SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: Owner only — Owners designated representative - Anyone requesting results — Only those listed below ?" "YZ TE SIGNATURE DCHD (11 /84) r, DAVIE COUNTY HEALTH DEPARTMENT .-' Environmental Health Section Soil/Site Evaluation NAME C /9,P/2 99 � ADDRESS J PROPOSED FACIILTY 1/ 1 Zf DATE EVALUATED/4: c,� PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well Community Public L� Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position L j— L Slope HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH -16 G O 117> Texture group 0 C Consistence 4 Kr 71 Structure 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 e SITE CLASSIFICATION: _ //!_ LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD(01-901 EVALUATED BY: �/IV4 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 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 wateil 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 ■■e■■■■■O■■■■Mee■■■■■■e■■■■■■■■■ ■■■e■O..■■e.e■....eO■■■■..Mee■i�■ ■Mee.■.■■.■■■■■■■■■■■■■■■e.■■■■■ ■■■■■■.t■■■■.■■..■■■■.■■■■■■■■■■ ■■■■■■■■.■■■■■■■■■■.■■■■■■■■■■■■ ■■O■■■■.■■■■■■....■■■■■■e■■■=■■■ .................................................................. .........■...................... e............................... ■....■■.■■.■■M..O..■■..■n.■■.E■EMEM.00..■■■i�■■......■.■■■ MEMO..■■ ■....MMM■■■M■■MME..■MMMM�iM■■■■MMMMMMM■■.M■Mi�MM.■■■■■■MMMMMMMMMM■■■ ■■■■■■ ■■■e■■ ■■■■■■� ■■■■■■ ■■■■■N MUMMEM"■■E■■■ ■■.M..� ■■■■MME........■■■■O■■O.�i....■...■■■■MMMMM.��MMMMMMMMMM■M■..MMM■MM■ ■■..........■■M■■■■■■■■■��■MM..M.E.M.■MMMMMMi�M..■■■■M■.■■■MOO..■..■ ■.....■....■■M■■■M......!■MMM■M.■■■■■■■MMM�MeE■M■■■■M■.M■E.O■■....■ ■........■■■MMMMM■M.MM■■■■■■■■■■■■■■■MMMMMMMM■■■■■MMMMMM■■EMM ■■■■ ....■................................................... ........ .................................................................. 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