2949 Cornatzer RdDavie County, NC I Tax Parcel Report 1441 Tuesday, September 27, 2016
2949
00
6578 \I
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101
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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
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 Number:
G80000000601
Township:
Shady Grove
NCPIN Number:
5870834771
Municipality:
Account Number:
82519436
Census Tract:
37059-803
Listed Owner 1:
ZIMMERMAN FAMILY LLC
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
2949 CORNATZER ROAD
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class:
DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
115.580AC CORNATZER ROAD
Fire Response District:
ADVANCE
Assessed Acreage:
113.85
Elementary School Zone:
SHADY GROVE
Deed Date:
10/2003
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
005200668
Soil Types:
WeC,WeB,GnB2.PcB2,GnC2,EnB,RnD,ChA,WATER
Plat Book:
0008
Flood Zone:
x
Plat Page:
051
Watershed Overlay:
-
Building Value:
162390.00
Outbuilding & Extra
4510.00
Freatures Value:
Land Value:
959210.00
Total Market Value:
1126110.00
Total Assessed Value:
457030.00
101
l data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
Davie County, NCimplied 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
causes of action due to or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name IN Kr.� Vs Date Q.cL13 i
ut'>99f'• 114' x S
Location yelx;2���. �a �� . i .% 1.2
Subdivision Name Lot No. Sec. or Block No.
Lot Size House. Mobile Home — Business Speculation
No. Bedrooms !'" —_ No. Baths 1� °° No. ih,Family _
Garbage Disposal YES p ` NO Q� Secifications for _ System:
Auto Dish Washer YES p� NO p �c,–'�
Auto Wash Machine YES NO -p
Type Water. Supply,
—
*This permit Void if sewage system described below is not installed within 36 months from date, of issue.
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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
Q
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Certificate of Completion `s 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.
pd. 10-1446
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
R 0. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
D Home Phone r)l 4\ - �v �-
1. Permit Requested B �- V 0 Business Phone
2. Address �' d 2 v Ate C_ o
3. Property Owner if Different than Above
Address
4. Permit To: a) Installer Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: House Mobile Home Business
IndustryOther
b) Number of people 14
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
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
.1 a),Type water supply: Public Private Community
b) Has the water supply system been approved? Yes I/ No
9. a) Property Dimensions
b) Land area designated to building site
c) Sewage Disposal Contractor `\
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 Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
DCHD (6-62)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Date
Lot Size 2'
FAr;TORR AREA 1 AREA 2 AREA 3 AREA 4
9) Site Classification
Topography/ Landscape Position S S S
PS PS PS
U U U U
!) Soil Texture (12-36 in.) Sandy, S S S AS)
Loamy, Clayey, (note 2:1 Clay)PS PS PS
U U U U
1) Soil Structure (12-36 in.) S S S
Clayey Soils PS PS PS
�--� U U U
G) Soil Depth 4(inches) S S S
S PS PS PS
PS
U U U U
Soil Drainage: Internal S S S S
. � PS PS PS
U U U
External S S S
pS PS PS PS
U U U
i) Restrictive Horizons
Available Space t� S S S
PS PS PS PS
Ll U U U
1) Other (Specify) S S S S
PS PS PS PS
U U U U
, S
U -UNSUITABLE
Recommendations/ Comments:
I
Described by _
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE PS—Provisionally Suitable
Title Date
U -UNSUITABLE
Recommendations/ Comments:
I
Described by _
SITE DIAGRAM
DCHD (6-82)
S—SUITABLE PS—Provisionally Suitable
Title Date
DAVIE COUNTY. HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
'Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
Permit Number
Name �' r '�• %, �'` �, `:f, Date
Location
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home _ Business Speculation
No. Bedrooms No. Baths _ No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for,_System:.
Auto Dish Washer YES E] NO p'
Auto Wash Machine YES ❑ NO C]
Type Water Supply _
"This permit Void if sewage system, described below is not installed within 36 months from date of issue.
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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
Certificate of Completion 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.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
`Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
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r
Name r i �` �% .!' tom'> sr�' ;�i .`� Date s�' /�, r� -;ri` 2649
Location kr_wr f/ lt.r'/c-i_�C� (! �'M i r/ -r!,• / '��/; l / ..'
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home —_
Business Speculation
No. Bedrooms , __ No. Baths , No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for.S,ystem
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑ �� f j-� r''
Y
Type Water Supply -TMf�'• _—
*This permit Void if sewage sy em d\A ribed below is not installed within 36 months from date of issue.
L!;
Improvements permit by € -`-
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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by
Certificate of Completion 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.
DAVIE COUNTY HEALTH DEPAMENT
PERCOLATION TEST RESULTS
DATE
NA14E
LOCATION
FINDINGS: HOLE NO.
2.
3.
4.
S.
COf,R,MNTS
6. /
By :
DAVIE COUNTY HEALTH DEPARTMENT
• ENVIRONMENTAL HEALTH SECTION
-., P.O. BOX 57�.
MOCKSVILLE, N.C. 27028
(704) 634-5985
STATEMENT FOR SEPTIC TANK IMPROVEMENTS PERMITS AND/OR SI EV ATIONS
NAPS AW10Y � �/� DATE .7
ADDRESS PERMIT NO.L�`
EXPLANATION OF CHARGE `a� •
vv
AMOUNT DUE ,• SANITARIAN
PLEASE REMIT THE ABOVE AMOUNT OF RECEIPT OF THIS STATEMENT.
*NOTICE: Evaluation(s) cah not be completed until payment is received.
Improvements Permit(s) can not be issued until payment is received.