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2516 Cornatzer RdDavie Cot�nty, NC r.. . ( �. , Z 4� 1.�.�, ,... Tax Parcel Report � ,,% � �� ,-, � . a�5 �� ` ` - ,, " �� ' '� Wednesday, October 12, 2016 ,� ` : � �%r%. ..,,�'4.�,�'1 ! �i.. .� J .L .i /F' - t f I .�,%�� . �% � .. i � /�� , �' .: � ./�� ' � �� %� � ✓' � � �I S / . WARNING: THIS IS NOT A SURVEY ;, _: _ ` Parcel Information Parcel Number: G700000140 Township: Shady Grove NCPIN Number: 5870320275 Municipality: Account Number: 8304608 Census Tract: 37059-803 Listed Owner 1: ALL-PHASE SERVICES LLC Voting Precinct: EAST SHADY GROVE Mailing Address 1: 118 HIGH FIELD ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY H-B,R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: Legal Description: 1 AC CORNATZER RD Fire Response District: Assessed Acreage: 0.70 Elementary School Zone Deed Date: 8/2014 Middle School Zone: Deed Book / Page: 009650228 Soil Types: Plat Book: Flood Zone: Plat Page: Watershed Overlay: Building Value: 76250.00 Outbuilding & Extra Freatures Value: Land Value: 25840.00 Total Market Value: Total Assessed Value: 108850.00 ADVANCE SHADY GROVE WILLIAM ELLIS Gn62 DAVIE COUNTY 6760.00 108850.00 Q P„ i�, All data Is provlded as is without warranty or guarantee of any kind either exprossed or Implied Including but not Ilmited to the Davie County� implled warranties of inerchantability or fitness for a particular use. All users ot Davfe County's GIS website shall hold harmless the County of Davio, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to no�,N,�'L NC or arlsing out of tho use or Inability to use the GIS data provlded by this we6site. .. ._F. ... . �-�. �.. �y ';� .;:,.s o• .. , — _ . __ , � � � -, .,, , . -. ,,, . ., .. , , � . . . . ., . ., .. . .� .. . � - - ._ ,. � , � .. . . . .. � . --;. �t..,; . .. .- -. . ... �- - _. : ' A � ..�n` :..t G. + . . ..ti _ � . , . i : „ AU�'HORIZf�TION NO: O 9 3 3 DAVIE COUNTY HEALTH DE�ARTMENT f � f�di2T Environmental Health Section PROPERTY INFORMATION Permrttee's �,�; , .�,/ , P.O. Box 848 Name: s � �..� �r�'G, � r.: r- Mocksville, NC 27028 '� Subdivision Name: �; 'r' y ' � ; Phone #: 704-634-8760 � Directions to property: f f��", �.� %�'F�' .�' lr' AUTHORIZATION FOR WASTEWATER �.•! ' SYSTEM CONSTRUCTION Section:.•" � � r Lot: ... Tax Office PIN:# ��`d "" ��"" - �G°� �'�'� Road Name: �[�'c'•�"ff,� � �x��, zip: �c� ��' � !t,-r . , **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pernuts. This Forn�/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Perrnits. (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 ,�-{�,,.`v�;,•j� �r�_.Y.; r.�r�.� , i•,.'' �� IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH S�ECIALIST DATE ISSUED ' . �,,, � ;��. .., .v ,�.; . , _ .. , fi , , . .. .� , .,� _ . , , �,, ... , _ .�, ,r. .,, ; -� . ..,_; ,.; .., .. . , ,� '"`'y '' i " 4 • : � :._ - ;, �r � �. -� - - DAVIE COUNTY HEALTH DEPARTMENT . t�„ �� ' ' S�Ib12'� IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION .; , «� . � - P'ermitt�e;s " � � Name: °"i'� , --''�` �� ,� - :,;�- � - � , �..� . . _ . ��Directions to property: P a�' i``' ' •— , _ " - _ IlNPROVEMENT PERMIT �r Subdivision Name: � k, Section• Lot: Tax Office PIN:# �� `�} *"''�~�'"�" .4 �� ' ,. . ��,� ; ,.w-,-, r � Road Name: ! �G, ��'. .;` ; a- �:-,� Zip. ��i �l �-� �) .� **NOTE** This Improvement Pernut DOFS NOT authorize the construction or installatian of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. � (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Sec6on .1900 Sewage Treatment and Disposal Systems) - ,. _ � . � ^;'...� ':� ENVIRONMENTAL HEALTH SPECIALIST ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ;�: ;3 J PLANS OR Tf� INTENDED USE CHANGE. YOUR WASTEWATER DATE ISSUED SYSTEM CONTRACTOR MUST SEE TFIIS PERNIIT BEFORE ; INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDIN 'TYPE �# BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFTCATION: FACILIT TYPE �# PEOPLE �# PEOPLFISHIFT # SEATS INDUSTRIAL WASTE: Yes or No L i7 � LOT SIZE 3,/� /„/' TYPE WATER SUPPLY ___L_T DESIGN WASTEWATER FLOW (GPD) ��/%' NEW SITE v� REPAIR STl'E l f fQ., SYSTEM SPECIFICATIONS: TANK SIZE ;✓f�7� GAL. � PUMP TANK GAL. TRENCH WIDTH �-�i � ROCK DEP'TH �'�= LINEAR FI'. ��'� � �� . . lITL.TIID . � . REQUIRED SITE MODIFICATIONS/CONDTffONS: � "` IMPROVEMENT PERMIT LAYOUT � . r ,;,�� ~ .� �.._, :`- � ,�`) . � 1. �,`;��f 6u.� ftO�ii !`i��i� O � lit�lt�d� /T **CONTACI' 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 (704) 634-8760. OPERATION PERMIT AUTHORIZATION NO. OPERATION PERMIT BY: SYSTEM INSTALLED BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT Ti� 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 WII.L FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD OS/96 (Revised) - .. .: ,. : _ .. - . . __. _ .. .:., ., . .. : ,- . _ , _ F—:,, � . - - _.. �_ _ ., . . _ . , . �, , s z,�. - � �` ,� ;�' - � DAVIE COUNTY HEALTH DEPARTMENT �►,��'':� �. � � f-{�t?f IMPROVEMENT AND OPERATYON PERMITS PROPERTY INFORMATION : .w�-:` = i ' - :.� ' P�rmittee s • _ .------�--`""' < J Name: •�� Directions to property: % K ,,.^ - .. , Il17PROVEMENT ` PERMIT. Subdivision Name: '� Section: Lot: .�' . - , r: �' , y � f�s' �?'.'' Tax Office PIN:# `+ " .�' •_ a�'" - �`�'��"� " Rnari Namr�• �f r ....�-�-r q-��. �ti.,.�. . . Af.`; � �;• t� . 't: i +=.:� m• ,� **NOTE** This Improvement Pernut DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/'mstallation of a system or the issuance of a building pernut. - (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) , ***NOTICE*** TI�S PERNIIT IS SUBJECT TO REVOCATION IF SITE -� PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING Ti� SYSTEM. RESIDENTIAL SPECIFICATION: BUILDIN � TYPE ,;_ # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No . _ { �`+ COMMERCIAL SPECIFICATION: FACIL TYPE �'"�', # PEOPLE �,� # PEOPI.E/SHIFf # SEATS INDUSTRIAL WASTE: Yes or No LOT S1ZE '� ��'i' TYPE WATER SUP LY �=T.�� DESIGN WASTEWATER FLOW (GPD) �:��- r" NEW SITE �—"`� REPAIR SITE • J �.�" SYSTEM SPECIFICATIONS: TANK SIZE r�!!'i[' GAL. PUMP TANK GAL. TRENCH WIDTH =% � ROCK DEPTH �ry'"�'— LINEAR FT. �-��` � �; "� REQUIRED SITE MODIFICATIONS/CONDTfIONS: I �PROVEMENT PERMTT LAYOUT y, __....�,,.....�._� �1 .. . {,; �= � — � ,�/��, , ,��.� [�' t'' C"4,t �` -j'!,' 4 �:; t U�1;i`r,- r^, �'/':?� c' �� '�� '� "`*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FTNAL IN$PECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 130 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMTT AUTHORIZATION NO. OPERATION PERMIT BY: SYSTEM INSTALLED BY: ''�,:. , ; DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COIv�PLIANCE 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 WII.,L FUNCTION SATISFACTORILY FOR ANY GNEN PERIOD OF TIME. - — DCHD OS/96 (ReviseA) �� APPLICATION FOR SITE EVALUATION/IMPROVEMENT Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 M (704) 634-8760 ��o_�� JU�'V I 719�7 I �***IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Name to be Billed � �� „�l.� ,� r� Contact Person �icd�✓�i2c�' ,�<' �D/._� � MailingAddress , O!' HomePhone�C.� - �%�_ City/State/Zip If �/1��i �. �00 • Business Phone �� " � �� O 2. Name on PermidATC if Different than Above Mailing Address City/State/Zip 3. Application For: [] Site Evaluation [ mp ovement Permit & ATC j�j'Both 4. System to Serve: [] House [] Mobile Home [�siness [] Industry (] Other 5. If Residence: # People # Bedrooms # Bathrooms � i [] Dishwasher [] Garbage Disposal [] Washing Machine [] Basement/Plumbing [] Basement/No Plumbing .: 6. If Business/Other: Specify type # People 2 #Sinks_� # Commodes� # Showers # Urinals # Water Coolers , If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [ County/City [] Well [] Communi[y 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [] Yes [�o If yes, what type? EZTHER �l YLAT OIZ SZTE PL�1N PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** ��'�OF THE PROPERTY MUST BE y SUBMITTED WITH �I,S APPLICATION. 1 Property Dimensions: ��%� j�C� � WRITE DIRECTIONS (from ocksville) TO PROPERTI': TaxOfficePIN: #��D - .�Z - 0 �� ; � S/� f �6� �-f'(�`/ow�'/t Property Address: Road Name c,l� . � v�J �t�lL W r��/'._�c� City/Zip 'aI'✓��.� pa ; � . If in Subdivision provide information, as follows: � � Name: � � � Section: Lot #: ; This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by DATE �7 — C?� Revised DCHD (06-96) to THZS �IItEAI �ltllj 13E USEb �OLZ bltttWlNC JOULZ SZTE 1'LttN: HT�7= procedures as nece�y to C D �lf 1� %�� x/s'i/N� ,�u/,L,d��t/� P�� a , �� 7'��'�s � the site suitability. , - • . ' DAVIE COUNTY HEALTH DEPARTMENT �' Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME ��l�T'� DATE EVALUATED �' �'9/ PROPOSED FACILITY � t�C� PROPERTY SIZE � t'°r� SUBDNISION � ROAD NAME Water Supply: On-Site Well Community Evaluation By: Auger Boring ✓ Pit HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: �� LONG-TERM ACCEPTANCE RATE: � !/ REMARKS: DCHD (01-90) Public c� Cut EVALUATION BY: _ OTI-�ER(S) PRESENT: LEGEND Landscape Position R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Terrace FP - Flood plain H- Head slope Texture S- Sand LS - Loamy sand SL - Sandy loam L- Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C- Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S- Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P- Plastic VP - Very plastic Structure SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineraloav 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gaUday/ft2 ■■ ■■ ■■ ■■ ■■ ■�■��■��■��■■■�\�■■��■■■■■! ■�■■�■■■�■■■■■■■■�■■■■■■■■�■ ■�■■�■■��■��■■��■ ■�■��■■��■��■�■�■�■��7 ■��0��rV ■�■�■■■■��■��■��■��■�■■■�%■ ■■��■��■�■��■■��■��■�■�■ri�■ ■■��t■�■■��■��■■■■■t�i��■ ■■■■■��■�■��■■■■■■�■��■■ ■■��■�■�t��■��■��u�■ ■��■■�■��■■��■■■I■C�■■ ■■�■■■■�■��■■■■��I��■ ■■��■�■�■■■■■■■��■�■I�■■■■■S ■■��■�■■■��■��i��■��■■ ■■��■��■��w��■��■■ ■■�■��■■��■■��■!�V■■■■■■■■ ■■�■��■�■�■■��■�►�■��■■��■■ ■■■■■■■■■■■■■■■■■�/L\■■■■■■■ ■��■��■■■��■■■��■�V�\�Al��■■ ■■�■��■�■��■��■�■\\��J■��■■ ■■ ■■ ■��■ ■■■■IN■■�■■■M��H ■■��I��■■■■�■■ ■■��I�■■��■�■■��■■��■ ■■■■I�■�■■■■■■�■■■�■��■ ■��■�■■�I�■��■■��■■■■■■ ■��■��L'��i■��===== :�ii� ■�■■�■��■■��■��■��■ ■■■■■■■■■■■■■�■■ ■■■■��■ ■�■�■■��■��■��■■ ■��■�■�■ ■�■�■�■■■■�■��■��!�i�■■�■■ ■��■��■��Il�■�■■�■■ ■■��■��■■■■�■■��■Y��■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■■�■ ■��■ ■�■ ■■■■■■ ■■��■ ■■��■ ■��■ ■��■ ■■■■■■ ■ ■■�■��■■�■ ■�■■��■■■ ■�■■��■�■��■ ■■��■�■■ ■■��■�■�■�■■ ■■��■��■�■■■ ■■■■■■■■��■ ■��■■■ ■■■■■■■■��■ ■■■■��■■■�■ ■��■■■■ ■��■��■��■ ■��■�■��■ ■��■��■■■■ ■��■��■■ ■�■�■■��■■■ ■■■■■■■■■■■■�■ ■�■�■��■ ■■■■■■■��■ ■��■■■■■■■��■ ■■��■��■■ ■�■��■��■ ■■■■■■��■■�■ ■��■�■■■■■■■ ■■■■■��■ ■��■■■■■■■ ■��■■■■■■ ■■■■��■��■■ ■��■��■■ ■��■■■■■■■�■�■ ■■�■■■■■��■�■ ■■■�■�■��■■ ■��■■■■��■ ■■■�■■��■■�■ ■��■■■■■■■ ■■�■■■■��■■■■