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1055 Cornatzer RdDavie County, NC Tax Parcel Report Tuesday, September 27, 2016 I data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davis County, NC 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 [w] causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY 7 iV, 4537 Parcel In 6 -6 - Parcel Number: H600000090 Township: Shady Grove NCPIN Number: 5759901336 Municipality: Account Number: 8502 Census Tract: 37059-804 Listed Owner 1: POTTS DOUGLAS LANDON Voting Precinct: 1069 Mailing Address 1: 1055 CORNATZER ROAD Planning jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 A070 1387 r LAD 77 77 77 77 5.55 AC CORNATZER RD % CORNATZER - DULIN Assessed Acreage: 5.37 Elementary School Zone: CORNATZER Deed Date: 2/1999 268 WILLIAM ELLIS Deed Book I Page: 002090929 Soil Types: RnC,GnB2,RnD ,)g _9, '19, 9 -1058 C) CA Plat Page: �01 �01 �01 �o/ `tip ._ Building Value: 32040.00 601 Outbuilding & Extra 0.00 Freature3 Value: "?6 6121 60910.00 Total Market Value: 92950.00 A31( N I data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davis County, NC 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 [w] causes of action due to or arising out of the use or inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel In 6 -6 - Parcel Number: H600000090 Township: Shady Grove NCPIN Number: 5759901336 Municipality: Account Number: 82514345 Census Tract: 37059-804 Listed Owner 1: POTTS DOUGLAS LANDON Voting Precinct: WEST SHADY GROVE Mailing Address 1: 1055 CORNATZER ROAD Planning jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: 5.55 AC CORNATZER RD Fire Response District: CORNATZER - DULIN Assessed Acreage: 5.37 Elementary School Zone: CORNATZER Deed Date: 2/1999 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 002090929 Soil Types: RnC,GnB2,RnD Plat Book: Flood Zone: X Plat Page: Watershed Overlay: Building Value: 32040.00 Outbuilding & Extra 0.00 Freature3 Value: Land Value: 60910.00 Total Market Value: 92950.00 Total Assessed Value: 92950.00 I data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the Davis County, NC 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 [w] causes of action due to or arising out of the use or inability to use the GIS data provided by this website. r- .^ s.•v. v 'a„ , Pr Win- ., .r-._:..�. -., - .< ' Pennittee's DAVIE COUNTY HEALTH DEPARTMENT -- Name: r.�?n �' 4a Environmental Health Section PROPER Y INFORMATION P.O. Box 848 Directions to property: �'�� - r� f� 9/,-"rr Mocksville, NC 27028 Subdivision Name: Phone #; 336-751-8760 C Section: pLot: —r AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - 055 arnuierzeksv�- AUTHORIZATION NO:A Koad Name. Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Countv 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .—!"*NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION i ✓� t: 4��[�f%� '''/ '.� IS VALID FOR A PERIOD OF FIVE YEARS. .-ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # 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 DESIGN WASTEWATER FLOW (GPD) 06 NEW SITE- REPAIR SITE J� SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT/dD OTHER REQUIRED SITE MODIFICATIONS/CONDITIONSi F "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 (336)751-8760.' **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS 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 /STT ADAM-Mr;-rUATTLTC CVCTCl.f UM T CITXTr-Mr%M CA"QV A r-mDTT V UnD A MV.IIMCAT DCD1iA1-I/1C Til No at"y' }� _h r l .-.4 ��✓ V --'f'-. J u .`�, y Y.Ia �,.. yt(v,. y !•• ... .: ..-. --. -..++'t .,a ,:: ". sem+': .- i DAVIE COUNTY HEALTH DEPAR MENTA s1r,-i" sy�: C l PROPERTY INFORMATION _ �� .. Environmental Health Section ,- R.O. Box 848 Directionslo,propeMocksville, NC 27028. Subdivision Name: Phone #:`336.751-8760 Section: Lot: r r, AUTHORIZATION. FOR " WASTEWATER Tax Office PIN:# - - SYSTEM CONSTRUCTION � AUTHORIZATION NO: 1�� d Name.'!, M ' / Zv��iSdi' l if .` A p: **NOTE** This Authorization for Wastewater Systdp Construction MUST BE ISSUED 6the 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 11of G.S. Chapter 130A,"Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) -***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION N, IS r )::,a:a'`ris' it IS VALID FOR A PERIOD, OF FIVE YEARS. ENVIRONMENTAL- HEALTH SPECIALIST DATE ISSUED M' RESIDENTIAL SPECIFICATION: BUILDING TYPE # 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 DESIGN WASTEWATER FLOW (GPD) ( NEW SITE - REPAIR SITE , SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANGAL. TRENCH WIDTH vrkn ROCK DEPT K H � ! � LINEAR FTj�% OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: 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 (336)751-8760. Via ��D',t 3hi•,+ Nrw AUTHORIZATION NO. t�� OPERATION PERMIT BY: /` "la - l DATE: � **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS 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 02/02 (Revised) 3Y. Z } s DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLI ATION FOR IMPROVEMENT PERMIT (REPAIR) NAME -S, PHONE NUMBER r 3� ADDRESS ✓� �7L.� SUBDIVISION NAME LOT # DIRECTIONS TO SITE �/J �� '`{� G�/��Y2 DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQ FORMATION TAKEN BY i�/ This Is to certify that the information 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, 1193