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275 Lakeview Road Section 2 Lot 41Davie County, NC ' V Tax Parcel Report Tuesday. January 17. 2017 Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 41 HICKORY HILL SECTION 2 Fire Response District: Assessed Acreaue: 0.92 Elementary School Zone: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 3/2008 Middle School Zone: 007510981 Soil Types: 0005 Flood Zone: 027 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No CORNATZER - DULIN CORNATZER WILLIAM ELLIS GnB2 DAVIE COUNTY WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: 1614OA0009 Township: Shady Grove NCPIN Number: 5758832722 Municipality: Account Number: 82529412 Census Tract: 37059-804 Listed Owner 1: SCHAFHAUSER PAUL Voting Precinct: WEST SHADY GROVE Mailing Address 1: 275 LAKEVIEW ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: Legal Description: LOT 41 HICKORY HILL SECTION 2 Fire Response District: Assessed Acreaue: 0.92 Elementary School Zone: Deed Date: Deed Book I Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: 3/2008 Middle School Zone: 007510981 Soil Types: 0005 Flood Zone: 027 Watershed Overlay: Outbuilding & Extra Freatures Value: Total Market Value: No CORNATZER - DULIN CORNATZER WILLIAM ELLIS GnB2 DAVIE COUNTY Davie County, All data Is provided as Is without warranty or guarantee of any ldnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS websfte 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. AUTHORIZATION NO: 0 9 1:3 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section , JAA I Li. qjPROPERTY INFORMATION Pdrmitte�'s P.O. Box 848 Name: 'JCA A Mocksville, NC 27028 Subdivision Name: -A4,66Q Phone #: 704-634-8760 Directions to property: Section: Lot: AU I nUKIZ�A 11UA V UK WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION RJdla�:&k&—Vie-k) Zi **NOTE** This Authorization for Wastewater System Construction MUST BEISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented;to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .'1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH 6Pr( ALIST r)AftA9SUED DEedfbb s to property:, 4, MPROVEMENT PERMrr Section: Lot: Tax Office PIN:# .:gq,e , -AP �q�jj.. dw Jr' —&M h NOTE" This Impro,N�enietit�Pemi*W.,"PPES�NO-T authonzetb,.e�congt�,etion'�r-instaflation:of a septic L-A system or anyvastewater system. An AUTF16ka�" FOR WAKEWATER SYSTEM. COMST''U&ION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance witfi-Article 11 oPiq�,,S.,��pter 130A, Wa�iewater Systems, Section 1900 Sewage Treatment and Disposal Syst brns) N N OT P N S ENVIRONMENTAL HEALTH APffbALISTT DATE ISSUED Sy EM Co INS ALLING RESIDENTIAL SPECIFICATION: BUILDING TYPE A/ # BEDROOMS # BATHS # OCCUPANTS GARBAGE'DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE — # PEOPLE — # PEOPLE/SHIFT # SEATS — INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY 1'14 DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIRSITE AW SYSTEM SPECIFICATIONS: TANK SIZE e�00 6GAL. PUMP TANK ----GAL. TRENCH WIDTH ROCK DEPTH 'LINE'AR Fr. coow— jz%.V4 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT T50; , _L- jZ00 . t7-'0'0 "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 I # IS (704) 634-9760. I OPERATION PERMIT u jSYSTEM INSTALLED BY:—?!�t�� ® 00 0 P Z R, AUTHORIZATION NO.��IZ'%\]) OPERATION PERMIT BY: ZNZZ�'� DATE 7 � "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION. 1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE T14AT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) A _14- DAVIE COb NTY HEALTH DEPARTMENT, 1PROPERTY INFORMATION IMPROVEMENT AND OPERATION PERMIT9-" Subdivision, Name: A-AlCi7AM �Qw _1� ame: ions to prpperty:'_�i'/ Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:# CIA ?I R o AVaam`e: J1. kIvie—kj zip:�99_ **NOTE** This Improvement Permft,,BOES�NOT'auth_�orize the construction or installation of a septic tank system or any wastewater system. An WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the AUTHORE KtION FOR I construction/installation of a system or the issuance of a building permit. (In compliancewith Article 11 ofG.S. qhapter 130A, Wastewater Sy ( stems, Section. 1900 Sewage Treatment andDisposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TOREVOC, N IF SITE PLANS OR THE INTENDED USE CHANGE. YO UR WAS,, -:WATER L ENVIRONMENTAL HEALTH SPE I CIALIST SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE DATE ISSUED INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING.TYPE ty # BEDROOMS A?_ # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No CPMMERCIAL SPECIFICATION: FACILITY' PE #PEOPLE #PEOPLE/SHIFF- #SEATS INDUSTRIAL WASTE: Yes or f4o LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD).-..Jff NEW SITE REPAIRSITE SYSTEM SPECIFICATIONS: TANK SIZE _A219 OGAL. PUMP TANK -GAL. TRENCHWIDTH 4 'ROCK DEPTH. 1-_;1-'LiNEAR Fr . t34' OTHER REQUIRED SITE MODIFIi'-'ATIONS/CONDITIONS: Ir IMPROVEMENT PERMIT LAYOUT 6j, IWO VALV�r "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:3.0 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT ISYSTEM INSTALLED BY: - �fl \A A* 4 U11 AUTHORIZATION NO.K�N�'r� OPERATION PERMIT BY: DATE..� "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM RkSCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE 3 WITH ARTICLE I I OF G.S. CHAPTER 130A, SECTION111900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A IV GUARANTEE THAT THE SYSTEM WELL FUNCTION SATISFOACTORILY FORANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) DAVIE COUNTY HEALTH DEPARTMENT (Septic Tank) Improvements Permit and Certificate of Completion (bround Absor ti n�ewage Disposal Sy! Chapter 130 -Article 13C) p7/ St - G S. OWNER OR CONTRACTOR DATE PERMIT LOCATION N? 1668 S.R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE Za" MOBILE HOME BUSINESS House Trailer 800 Gal. 400 Sq. Ft. NO. BEDROOMS NO. BATHROOMS Two Bedroom House 80 600 Sq. Ft. GARBAGE DISPOSAL UNIT YES 0 NO 0 Three Bedroom House 900 � Gal 900 tGal) Sq. Ft. AUTO. DISHWASHER YES [3 NO Four Bedroom House 1 1200 Sq. Ft. AUTO. WASH. MACHINE YES [3 NO SITE SUITABLE YES [3 NO [3 SIZE OF TANK gal. NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: L1,1 WATER SUPPLY: Individual El Public El e INSTALLED BY IMPROVEMENTS PERMIT BY SJ�" /4w CERTIFICATE OF COMPLETION (8/16/73) LOT AREA y *Construction must comply with all other applicable State and local regulations A3 e9-7 - jz a/ 17, 2 DAVIE COUNTY HEALTH DEPARTMENT jft� - A01". (Septic Tank) Improvements Permit and Certificate of Completion (Ground Absorp7ti/n �ewage Dis osa Syste - G.S Chapter 130 -Article 13C) -7) DATE ZI PERMIT OWNER OR CONTRAI X tolleV7 LOCATION S. R. NO. SUBDIVISION NAME LOT NO. SECTION OR BLOCK NO. HOUSE ZBO'- -90-19-ILE ROME E3 BUSINESS El NO. BEDROOMS NO. BATHROOMS GARBAGE DISPOSAL UNIT YES 0 NO 0 AUTO. DISHWASHER YES 0 NO 0 AUTO. WASH. MACHINE YES 0 NO [3 SITE SUITABLE YES C3 NO [3 SIZE OF LV gal. TANK -20 NITRIFICATION FIELD sq. ft. DEPTH OF STONE IN LINES: WATER SUPPLY: Individual 0 Public 0 IMPROVEMENTS PERMIT BY House Trailer Two Bedroom House Three Bedroom House Four Bedroom House INSTALLED BY 800 Gal. XD -Gal--, C22LG a 1--) 1000 Gal. 1668 400 Sq. Ft. 600 Sq. Ft. 900 Sq. Ft. 1200 Sq. Ft. CERTIFICATE OF C014PLETION By Date (8/16/73) *Construction must comply with all other applicable State and local regulations LOT AREA 44"1 14 Datie Cortn�v Xealtlf D' a;rtment a,,Y Xoie Xealt§ Ye 210 HosPITAL STREET/ P.O. BOX 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-5985 February 8, 1988 Betty Potts c/o Betty Potts Realty Rt. 3, Box 332 Advance, NC 27006 Re: Sewage System Check Charles Martin - Owner Hickory Hill II/Lot 40-41 Dear Realtor: As per your request, a representative from this office visited the aforementioned site on February 5, 1988. The purpose of this visit was to determine the condition of the sewage disposal system. At the time of the visit, there was no evidence of any problems and everything appeared to be functioning properly. Please advise should this office be of further assistance. Sincerely, Charles E. Little, R.S. Environmental Health CL/wd Enclosure aA cl- I 'I k e-- --!5o m e- o )q of -:2, 4,� c o fn C-- 0 1'ze Loo— DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION FOR IMPROVEMENTPERMIT (REPAIR) NAME qL a&,o.,- PHONE NUMBER ff U ADDRESS '&V1tk'y-V/e4) �Ka L -SUBDIVISION NAME 4�60'2z, n (I- bs 1"el rlm Y, LOT # Ile )- DIRECTIONS TO SITE o, Se -41 DATE SYSTEM INSTALLE NAME SYSTEM INSTALLE-D'�&QL��-!On TYPE FACILITY -#V &-4�: NUMBERBEDROOMS NUMBER PEOPLE SERVED �2— TYPE WATER SUPPLY_-d�.a —,SPECIFY PROBLEM OCCURRING DATE REQUESTED -6 10-17 INFORMATION TAKEN By This is to certify that the informaton provided is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. If93