150 Ausitne Lane Lot 39Davie County, NC ' Tax Parcel Report Tuesday. January 3, 2017
WAKNINU: 'l'tilb IN AUl A IUKVEY
Parcel Information
Parcel Number: H7030A0016 Township: Shady Grove
NCPIN Number: 5769963669 Municipality:
Account Number: 17674000 Census Tract: 37059-804
Listed Owner 1: CORNATZER JERRY WAYNE Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 150 AUSTINE LANE Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R -A
State: NC Zoning Overlay:
Zip Code: 27006-7138 Voluntary Ag. District: No
Legal Description: 1.97 AC AUSTIN LN Fire Response District: ADVANCE
Assessed Acreage: 1.99 Elementary School Zone: SHADY GROVE
Deed Date: / Middle School Zone: WILLIAM ELLIS
Deed Book / Page: Soil Types: Gn62
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
I Total Assessed Value: ff
All data Is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the 1
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
NCor arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE
COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND j CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of
North Carolina', Chapter 130—Article 13c.
Permit Number
Name :J�;rt�iy G'o2ivArt iz-
Date J- 7- $Z 3103
Location F£�QR�AfL. %A f
/ tFr 6??&WAa r.19— 10-7 cfYv; G &1- G— 1
�AfT �fl 11 :iIONF %�04
Subdivision Name G!1N/3�iAi�-�
fa Lot No. 31 Sec. or Block No.
Lot Size House,
�1
Mobile Home _ ✓� Business Speculation
No. Bedrooms No. Baths.
No. in Family
Garbage Disposal ' YES NO' fl
f
Specifications for System: /000
Auto Dish Washer , ,,: YES ❑ NO.o.
..
Auto Wash Machine YES "E] NO ❑
6
20o x 3 x /Z, STaNs
Type Water Supply eOIJAIry
r
.D • L�oX nN CoNcn 74
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
J:
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'�
,
1
I i
Certificate of Comp1letion . 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 betaken 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 SSP -2y C'2NATZ.'F-- Date
Address JZ1. Z Lot Size
Az>✓pav cg- N L 2�csz,
FAr`TOP.q ARFA 1 ARFA 9 AREA 3 AREA 4
Topography/ Landscape Position
Q
S
S
S
PS
PS
PS
PS
U
U
U
U
'.) Soil Tex 36 in.) Sandy,
Loamy, ayey note 2:1 Clay)
S
PS
S
PS
S
PS
U
U
U
!) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
O
U
U
U
U
i) Soil Depth (inches)
S
S
S
PS
PS
PS
PS
U
U
U
U
i) Soil Drainage: Internal
79\
S
S
S
PS
PS
PS
PS
U
U
U
U
External
S
S
S
S
PS
PS
PS
U
U
U
U
i) Restrictive Horizons
Available SpaceIS
S
S
S
PS
PS
PS
U
U
U
U
1) Other (Specify)S
(-
S
S
PS
PS
PS
U
U
U
U
1) Site Classification
U—UNSUITABLE
Recommendations/Comments:
S—SUITABLE c PS—Provisionally Suitable
Described by 50�— Title���'
SITE DIAGRAM
�i
DCHD (6-82)
Date r- �
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.
1. Permit Requested By ZIE R R V Id, ( 2) PNZC
2. Address K ;-//d U CP-iyc 4- 13- X 6 /
3. Property Owner if Different than Above
Address
4. Permit To: a) Install � Alter Repair
b) Privy Conventional . L Other Type
Ground Absorption
(f..
Home Phone 19y' 123s
Business Phone
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home -Z-- Business
Industrythe/�� \
b) Number of people41 1 ;%
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 69 X /S/
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 garbage disposal
lavatory % showers Z washing machine
dishwasher sinks 4 �'
8. a) Type water supply: Public Private Community
b) Has the water supply system_ been approved? Yes No
9. a) Property Dimensions �%, �����. X _Y
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 correct to the best of my knowledge.
211
Date / Owner Sigrfature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property: _�
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� �Ci�C Z-�-�- L� C CLZi Cl�c�� 07"� _� -'��.'Z, ��' ti��'lc�.
u-
6/
V ,
DCHD (6-82)