320 Potts Rd Davie Count`,,NC Tax Parcel Report Wednesday, February 8, 2017
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WARNING: THIS IS NOT A SURVEY
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Parcel Information
Parcel Number: F80000012101 Township: Shady Grove
NCPIN Number: 5880168350 Municipality:
Account Number: 82529783 Census Tract: 37059-803
Listed Owner 1: CORNATZER ALLEN WAYNE TRUST Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 725 MARKLAND ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 2 AC POTTS RD Fire Response District: ADVANCE
Assessed Acreage: 1.76 Elementary School Zone: SHADY GROVE
Deed Date: 6/1982 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001160785 Soil Types: WeC,PcB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 98650.00 Outbuilding&Extra 10890.00
Freatures Value:
Land Value: 37500.00 Total Market Value: 147040.00
Total Assessed Value: 147040.00
O[ !F 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, 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
�oUpC NC or arising out of the use or Inability to use the GIS data provided by this website.
:A +, -'DAWE COUNTY HEALTH DEPARTMENT
,.f IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: :ssued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
{{ Permit Number
Name /"ftl ,.i ���:� �� Date
Location '1
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Subdivision Name Lot No. Sec. or Block No.
Lot Size 's House Mobile Home _ Business Speculation
No. Bedrooms •--' No. Baths No. in Family
Garbage Disposal YES ❑ NO O,' Specifications for System: /
Auto Dish Washer YES ® NO ❑ , G
Auto Wash Machine YES [] NO ❑ rfi 1")11/`
Type Water Supply 41141 1 L ---1� [>
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements permit bye--'�'e
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*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
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Certificate of Completion - Date r j
*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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name ACGi N GdrzNA7z�2 Date 7- 19— F Z
Address _7770 6RAP411fit_ AD Lot Size Z Ar--
7,7413
r--27az3
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S (V S S
S PS PS PS
U U U U
2) Soil Texture (12-36 in.) Sandy,.__. S S S
Loamy, Clayey, (note 2:1 Clay) qiP &S PS PS
U U U U
3) Soil Structure (12-36 in.) � S S
Clayey Soils &> PS PS
U U U U
4) Soil Depth (inches) 39-yo S SS S S
PS PS
U U U U
5) Soil Drainage: Internal G) ___ ) S S
PS PS PS PS
U U U U
External E7 - S S
PS PS PS PS
U U U U
6) Restrictive Horizons
7) Available Spaces S S
PS PS PS PS
U U U U
8) Other (Specify) S S S S
PS PS PS PS
U U U U
9) Site Classification
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
5-kA LLo-.) /rJs 77Z-A72 o,#J
Described by -��� Title S' ' Date 7 —/1 — S Z
SITE DIAGRAM
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OCHD(6-82)
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone` AS c00'
1. Permit Requested By -t\1 A`I A�Z Business Phone 13 57 A
2. Address _ '\(2 NS- rNO. �,R WJ'C . a-) oa 3
3. Property Owner if Different than Above "S'Ryy-yz T')n N3 r')A W° COPK)Fn-kr-2
Address
4. Permit To: a) Install—X_Alter Repair
b) Privy Conventional.Other Type
Ground Absorption
??c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people -2
6. a) If house or mobile home, state size of home and number of rooms.
i
House Dimensions-_q /X
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:
4
commodes urinals n garbage disposal
lavatory O showers � washing machine
dishwasher sinks T
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes Nov
9. a) Property Dimensions a oxx'e-
'Z.b) Land area designated to building site
-Z-c) Sewage Disposal Contractor Lo PAW Q IZ2{S "i A 0 I< 5 EA-y 1 ASI)VA NGF
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? �G
What type?
This is to certify that the information is correct to the best of my knowledge.
t
ate Ow r Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: 1
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DCHD(6.82)