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301 IJames Church Road Lot 8Davie County, NC Tax Parcel Report Wednesday, December 28, 2016 276 260_ 268 CHURCH RD JJnr, ES 1 1 ES 9-1 CH RD CHURCH RD i r I i I I i 1 I t i 1 i I i f I 317 rfr i i i --� 267 i -295 287 301 0 279-' 0 x 0 I 1 i t Zip Code: WARNING: THIS IS NOT A SURVEY Voluntary Ag. District: No Legal Description: Parcel Information Fire Response District: Parcel Number: G3060B0008 Township: Mocksville NCPIN Number: 5820311213 Municipality: Middle School Zone: Account Number: 82524435 Census Tract: 37059-806 Listed Owner 1: CORNATZER JAMES DAVID Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 301 IJAMES CHURCH ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 8 FOREST BROOK Fire Response District: CENTER Assessed Acreage: 1.15 Elementary School Zone: WILLIAM R DAVIE Deed Date: 512005 Middle School Zone: NORTH DAVIE Deed Book / Page: 006070965 Soil Types: PcC2,CeB2 Plat Book: 0006 Flood Zone: Plat Page: 137 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 Davie County, NC All 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 Illness for a particular use. All users of Davie Countys GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees fromanyand all claims orcauses ofaction dueto or arising out of the use or Inability to use the GIS data provided by this website ¢�x��y':;", t'i:x3f"�� �"`::fr xi,4' ��c« 4trli',i++ijli'l�{.;:t'fTr-r`. v�°i"� }�,,1"�'.�j.ii3��nr.+s,� y -•i,9, a A:..., ,ems v}.y .�� .s;'.,,t cv,.•..,+--• ,. .:.� x,.'l..g., AUTHORIZATION NO: ; 6 3A DAVIE COUNTY HEALTH DEPARTMENT .,Environmental Health Section PROPERTY INFORMATION �'Permittee's" ,�1,,� ��� P.O. Boz 848 " Name:<CYA�J tjCA�� E a46 �' T11C�Iocksville,NC27028 Subdivision Name: &r2* -<-;T Phone # -:336-751-8760 - Lwt . Directions to property: I[���' Section: Lot: e` {y�G4r9 AUTHORIZATION FOR i t} 'r~; t T L t:�nl (� / WASTEWATER Tax Office PIN:# s ``1b. JZ/3 SYSTEM CONSTRUCTION Road Name: r Zip. 2 . U� Zi **NOTE**tiAu issuance Authorization antsy Building-Pen-nits.`tewateThis F Construction MUST BE f n Number should by the Davie County Environmental' Health Section prior System be presented to the Davie County Building Inspections Office when a lying for'B_ uilding Permits. (In comp with Artic e I I of G.S. Chapter 130A, Wastewater Systems Section .1900 Sewage Treatment and Disposal Systems) NOTICE*** THIS'AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FORA PERIOD OF FIVE YEARS.: ENVIR NTAL HEALTH SPE, CiALIST_ DATt 1S ED , r i r f41, 'b+$� ,,�� = .. t � v ,,.:3 . x ;°•..� „{*r�:'•V+�'iu.Yrt` .a{fes ,� rya fib, Y y x.:. , i' .. a+1 5 6 3A DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's Name: NA ., Z ` t r� t ! ,r ell 1 u � Subdivision Name: Directions to property: / .�� ,� y J/�rt'1t , f.l�,r �x i.� f Section: Lot: IMPROVEMENT �J) _ + is r aI :'rte .. i lj i PERMIT Tax Office PIN:#'- - -12 1' t 1;�. pt,t'.�.� Road Name. rti ' s..., + f Zlp. ;st **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. an compliance with Article 1 I 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 DA IS D SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. - RESIDENTIAL SPECIFICATION: BUILDING TYPE H00 -SC # BEDROOMS # BATHS �L _ # OCCUPANTS GARBAGE DISPOSAL: Yes o 0 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 SYSTEM SPECIFICATIONS: TANK SIZE Cob GAL. PUMP TANK GAL. TRENCH WIDTH -36:� ROCK DEPTH 12-" LINEAR Fr. ._ x O + 1 OTHER ( ST Y,t Dt)Tli NY REQUIRED SITE MODIFICATIONS/CONDITIONS: I rJSYau. pc� GO �rfl t� e .'�-�='� o AF?;ecx. /VD' IMPROVEMENT PERMIT LAYOUT *APPROVED EFFLUENT TER* *RISER(S) IF, 6" B OW FINISHED GRADE* T **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 (NA)WIMMEM (336)751-8760 AUTHORIZATION NO. �, OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE TATHE BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 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) 0 Y **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 (NA)WIMMEM (336)751-8760 AUTHORIZATION NO. �, OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE TATHE BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 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) APPU('AIION FOR SITE EVAWATION/IMPROVEMEM PERMIT do A 'Alt' Davie County Health Department Q d ` Environmental Health SftWon P.O. Box -'848/210 Hospital Street 2 9 Mockaville, HC 27028 MR (336)751-8760 NMENTAL HEALTH ***nWORTANT*t* THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed pt,,Arl /Lo -tact person NtiN JJ -yd K !sailing Address r+' Same Phone � G��� /IJ - 140 City/state/ZIP G O Business Phone 330 -/� 7M 7 2. Name on Permit/ATC if Different than Above Hailing Address City/state/Lip e. Application For: i Evaluation )Improvement Permit/ATC oth 4. system to service: WHouse U Mobile Home H Business 0 Industry 11 Other a. If Re idence: # People" # Bedrooms 3 # Bathrooms Dishwasher U garbage Disposal ;��asq Machine 0 Basement/Plumbing U Basement/No Plvabing 6. If Business/Industry/other: Specify type # Commodes # shovers # Urinals # People # sinks # water coolers Ir FOODSERVICE: I Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City U well U Community o. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes o If yes, what type? ***IMPORTANT*** CLIENTS IIIUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUIU111TED by the client with THIS APPLICATION. Property Dimensions: 106 7 ! 1� I Tax Office PIN: # s4- 31-1Z1 n, Property Address: Road Namxn�L4�dl � /, -} � City/Zip T ll�c.Y-5 t/i ��-e- If C if in a Subdivision provide information, as follows: Name:; 4 17 Section:_ Block: Lot: VVIM DIRECTIONS (from MockrAlle) to PROPERTY: -: 6v IY q d Date Property Flagged: -Y- 9d r �� This Is to certify that the information provided is correct to the best or my knowledge. I understand that any permits) 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, anderstand that I am r+espomMte for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned bv to conduct all t ing. p edures as necessary to determine the site suitabili DATE SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, Revised DCHD (07/98) Account No. �5 Invoice No. s0 ��10o 700 100 1U0 100 100 i 25 0224 1213 2212 3211 9 7 508.79 Scale: l" _ •"'""" April 29,1999 3:47 PM �,- APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested B^yr ) D t Y e t I Mailing Address I ('1 ► Y a I o c C` m b c_ S o d l C Home Phone - �� �� �) �� a� Business Phone A. 2. Name on Permit if Different than Above 3. Application/Permit for: General Evaluation 4. System to Serve:] House ❑ Mobile Home Fo ❑ Business El Industry fZe ❑ Oth r 5. If house, mobile home: Subdivision No. of People _ No. of Bedrooms No. of Bathrooms r I PLOY 1.7 L= DAME COUNTY r �`1L.,i n ? , C .;) 16 ;L-�, ❑ Septic Tank Installation l ❑ Place of Public Assembly i. ❑ Unknown I' Section : Lot # ❑ Basement/Plumbing. ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher Dwelling Dimensions ❑ 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: VPublic ❑ Private ❑ Community 8. Property Dimensions Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No !!) i 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. Directions to Property: IV _� I (1 4}�.. �� (_ IA. l!. G'� ;' �'� T�. 1 (1 �' .��•^ �� .� �, Y,..) i>•.... f `r ' � 1•. ..j i�. I �Y y��.• 1 - o �j�C -1�af r �: C. o b,PA" — A 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 ingurred from this application. & Z . fd.0 tiff -LC. DATE l� SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED P OPERTY Land ECK ONE: ❑ 1. 1 OWN the property. V22. I DO NOT OWN the property. cked 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 << . <i fes._ �'- r, r- ••.1 i" all testing procedures as necessary to determine said site' suitability for a ground absorption sewage treatment al system. ATE 3!G-RATURE DOM (12.90) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section p Soil/Site EvaluationPL q NAME �_ 8 DATE EVALUATED r ADDRESS S P `tea _ PROPERTY SIZE 3V3 PROPOSED FACIILTY 1� °- ' LOCATION OF SITE Water Supply: On -Site Well _ Community Public V Evaluation ByN,'�N-AugerBoring Pit _ Cut FACTORS 1 2 3 4 Landscape position Slope -1 -15 HORIZON I DEPTH Texturegroup_L. L Consistence Z Structure P Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture grouR Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON S SAPROLITE ._.- CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: RAS ^ EVALUATED BY: LONG-TERM ACCEPTANCE RATE: _`� OTHER(S) PRESENT: S�) O N= REMARKS:� ••� � LEGEND Landscave Position R -Ridge S -Shoulder L -Linear slope FS -Foots . lope N -Nose slope CC -Concave slope CV -Convex slope T-TerraceFP-Flood plain H -Head slope Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty :lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+ --.-y 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 ,3C -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 i ■■■■■■.MMM■■.■■.lMM■EMMEe�rs■■\■.�..■.■■....�......■...■....■....■ ■■■■■■■■■■■■■■■■■MEMO■■.II■■'A.��\■.■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■tl■■�I��J1�■►■SP1■■■........■■.■.� ...OMEMEME■■■ ■■■■■■■■■■■■■■■■■■■■■■■■\■1'11\■■■ II■■■.■■■ MEMO■■ ■ MMEMMEM■■■■■.. ■■■■.■■.■■Ee...■■.■■■■.■►■.�J■>■E■aQ1■■.■M■.....■_■�■�i■.■■■■■■.■■■■ ■■■■■■■■■■■■■■■■■■■■■.■■■►■ ■■■■■■►�■.■■■■■■■■■■ moon ■■■MEMMEM■■■■ iii= �IN = � No ■■■ MME■■■■O ■■ ■■■■.■■.■■■ME.E.■■■■■EN■■■.M■■■■■t■■MEOE■.....MON moo■■■■■■■■■■■■■ ■....■■■■MMM.Emm.■■■EE■N.■m.■M...■■■.■..ma...■.1�==■=...sn........ ■■■■■oN■■EM■■E■oE■Moo■■■oMN■M■NE■M■E■Mm.EMs.ME■ _ ...■MMM■..■... ■■■.■■■■■■..■.■■■■■■■■■■■■■■.■■■■■■■ ■H■■■ ■■■■■■ ■■m■■ ■■m■■■■■ ■■■■■N■■■■Nn■■■■■■■■■■■.■■■■■■■■■■ ■�■■■■■■ME ■NM■■■■■■_■ ■■■■Nil l ■■■■■■■■■ENO■.M■MOO■■ENMEN■■■t■■■M=■■.m■■■■■■�■MMMUM■O■■�NOME ■■■■■■■H■■■.■■■■■■■■■■H■■■■■.. ■■■■■■■N ■ ■■NN■■■■■.■■■■ ■E■ ■■EEE■■EMM■MEN■OMMEEE■ME■MMEO■EE�■■EE.....�00 NM..ME..■■mOE■mE■ ■■OEE■MEMEE■■Mmm■E■■NHME■■■EEE■■MENEOO.MO.O. ...■I■■O■■■■■EME ................EMOMEENMMOM.O■MM■M■......■■.... 0 ■■NEmmm.■ill, ■■■■■.■s■■■■■■■■■■■■■■■■■■■■■■..■■■■■■■■■■■■■■■ ■ ■ .■■■■■■■■■ ■■■■■H■■■■EEE■■■■Nm■■EEE■■EEE■■■■■MnOM■■ MEMMMMMIMEMMEMOSIMMMMN■■m U1 ..::C::::C:C::CIMMUNE:::■iiE.�.......� MEMO ............................■■ON■ MEMO m■0. l�imi �:::::: M■■■M■MMOMMMOOOOOMMM■■MMOOE■ME■H ■�IMMEMME . 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