371 Cedar Grove Church Rd Davie County, NC Tax Parcel Report �Q�� Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: K700000049 Township: Fulton
NCPIN Number: 5777044839 Municipality:
Account Number: 17834000 Census Tract: 37059-804
Listed Owner 1: CORNATZER TONY RAY Voting Precinct: FULTON
Mailing Address 1: 371 CEDAR GROVE 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: 7.32 AC CEDAR GROVE CHR LOT 2 CARTER Fire Response District: FORK
Assessed Acreage: 7.11 Elementary School Zone: CORNATZER
Deed Date: 2/1994 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001720635 Soil Types: PcB2,PcC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 29300.00 Outbuilding&Extra 3850.00
Freatures Value:
Land Value: 71820.00 Total Market Value: 104970.00
Total Assessed Value: 104970.00
�v 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 websne 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
NC
�C UN�4 or 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 CERTIFICATE OF COMPLETION
` *NOTE:.Issued in Compliance with G.S:of"North Carolina Chapter 130 Article 13c
Sewpge Tref tient apd Disposal Rule�(10 ECAC 10A .1934-.1/968)' Permit N�JmbeP
Name �r I! 7? ,�fate1f �b 0y i
v :7
Location
F-„ 571 adeit-6felfeApy
Subdivision Name Lot No. Sec. or Block No.
Lot Size House v� Mobile Home _ Business Speculation
No. Bedrooms — No. Baths No. in Family
Garbage Disposal YES p NO 2-"' Specifications for System:
Auto Dish Washer YES NO p
Auto Wash Machine YES [tj NO p
Type Water Supply
f
*This permit Void if sewage system described below is not installed within 36 months from date of issue. n,
---------------------
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
/UO
Certificate of Completion �G� 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 be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
r Environmental Health Section
I P o. Box 665 RECEIVED MAY 2 61989
Mocksville, N.C. 27028
f�
JCONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone Z S$
1. Permit Requested By Business Phone G3 y-6 Z y1 gl'> 133
2. Address f'1. C Z 7oz
3. Property Owner if Different than Above
Address
4. Permit To: a) Install ✓Alter Repair
b) Privy Conventional ✓Other Type
Ground Absorption
c) Sub-Division Sec. Lot No.
5. System used to serve what type facility: Housed Mobile Home Business
IndustryOther
b) Number of people
6. aJ If house or mobile home, stake size f home of rooms.
House Dimensions—GZalt4
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 washing machine
dishwasher ✓ sinks
8. a) Type water supply: Public Private Community Z.
b) Has the water supply system been approved? Yes No-
9.
o 9. a) Property Dimensions
b) Land area designated to building site 14 CL 0.-
c) Sewage Disposal Contractor _�°e _4 {.0_��o PA
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.
Date Owner Signa ure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD(6-82)
*wt DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section.
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION /
Name e � �� Date
Address Lot Size
FACTORS AREA 1 AREA 2 AREA 3 AREA 4
1) Topography/Landscape Position S S 45) 67
P PS PS
U U U
2) Soil Texture (12-36 in.) Sandy, S S
Loamy, Clayey, (note 2:1 Clay) S S (tp f
3) Soil Structure (12-36 in.) S
Clayey Soils S S S,
U
4) Soil Depth (inches) S S S
P S
U U
5) Soil Drainage: Internal S
P S
U L U
External St 'C
i'
P F S
UU U
6) Restrictive Horizons
7) Available Space
S P PS PS
U U U
8) Other (Specify) S S S
S PS PS
'a T U U
9) Site Classification LI-S, D�
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/Comments:
Described by Aaa Title Q Date
SITE DIAGRAM
. 3 �
VCHD(6-82)