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