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3148 Cornatzer RdDavie County, NC Tax Parcel Report 6 6 cj qq N Tuesday, September 27, 2016 141 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, 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 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: G600000O1901 Township: Shady Grove NCPIN Number. 5880026192 Municipality: Account Number: o) Census Tract: t � 3179 Listed Owner 1: _...---........ Voting Precinct: EAST SHADY GROVE Mailing Address 1: P O BOX 2012 60 `�``---�_ IV City: ADVANCE 440 t 134 ,..,RRo .� •`'' a 3110LJ Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 0.451AC CORNATZER RD + RR Fire Response District: ADVANCE Assessed Acreage: Uz� Elementary School Zone: SHADY GROVE Deed Date: 3/2016 Middle School Zone: rn Deed Book f Page: 010140210 ` - 163 N `"6627 Flood Zone: - -.• �`�. Plat Page: + 6192 - Building Value: 49250.00 Outbuilding & Extra 1600.00 _(380L.9044 ±� i "� C62�-� 134 62 Total Market Value: r ^� A 66100.00 N ---------�, 727 141 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, 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 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: G600000O1901 Township: Shady Grove NCPIN Number. 5880026192 Municipality: Account Number: 82522583 Census Tract: 37059-803 Listed Owner 1: TRIPLE P REAL ESTATE INVEST Voting Precinct: EAST SHADY GROVE Mailing Address 1: P O BOX 2012 Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: 0.451AC CORNATZER RD + RR Fire Response District: ADVANCE Assessed Acreage: 0.44 Elementary School Zone: SHADY GROVE Deed Date: 3/2016 Middle School Zone: WILLIAM ELLIS Deed Book f Page: 010140210 Soil Types: WeB,PcB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 49250.00 Outbuilding & Extra 1600.00 Freatures Value: Land Value: 15250.00 Total Market Value: 66100.00 Total Assessed Value: 66100.00 141 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, 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 causes of action due to or arising out of the use or inability to use the GIS data provided by this website, Permittee's DAVIE COUNTY HEALTH DEPARTMENT Name: - c k. )ne Environmental Health Section PROPERTY INFORMATION r� P.O. Box 848 •-Direetions to property: 7 �^ Ut; U+Y t�Gt�.�,�1 Mocksville, NC 27028 Subdivision Name: "4) (jA��t�.. Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR WASTEWATER t SYSTEM CONSTRUCTION Tax Office PIN:#. • AUTHORIZATION NO: 002944 A Ko �d Dame: CU (VA' S7 r Zip: Z"(� �4 e **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED 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 1 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. ENVIRONME TAL HEALTH SPECIALIST DATE RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS ' # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLF/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY • DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANKSIZEIL00 GAL. PUMP TANK N LA—GAL. TRENCH WIDTHS ROCK DEPTH LINEAR FT. l OTHER f'100gkd SUSTltms o!-. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT EF MIT LAYOUTto Imes 6� Tt N Nt WTall U f2 El L] el Do W gh�� ��� prut, GVe r C t �\ '< (JY �) O Y V, 0 ` y ` _ . Nva Sy sly+ o n� lv C I W, C,Yu ,1 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: Baa -r,, 14r-- Pa4c V 1 1s cN -tom fooI AUTHORIZATION 10. OPERATION PERMIT BY: �J, i DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE &YSTEM 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 THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 07/02 (Revised) f':t•Q L `7 /;? �;,pvr ♦. --.,a�` _ s -j- � ..r -t.-. v r�.f.' i,.: �..�. si._. ry,. �w a:�- �Yvr3 h.,,;'0.' C i r .., i� :Permittee's, DAVIE COUNTY HEALTH DEPA T` WN pr Environmental Health Section PROPERTY INFORMATION / ;, = P.O. Box 848 - ir Directions to property: ' =` f i ' ��► �� `Ai_ Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: NO: 002944 A AUTHORIZATION FOR WASTEWATER Tax Office PIN:# - �:• - �' `1 , SYSTEM CONSTRUCTION � � LY n iA r-- Road Name:_ iJY?OA V,y Zip: If **NOTE** This Authorization for Wastewater System ConstruFtion MUST BE ISSUED 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ! ., ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION J <�' 1 t' r� `��7 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEAL y SPECIALIST DA E I SUED RESIDENTIAL SPECIFICATION: BUILDING TYPE V-- # 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 UP GAL. PUMP TANK N GAL. TRENCH WIDTH �)(QIl ROCK DEPTH LINEAR FT. L OTHER 1't C (E (} -( L1 sm o -c m S A. f/ REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT �, f4p ► (� C S �'11 r �( 3' �1 14 fitEl ux Tay ti .x ' ,DoNGA Dor 0) New n IV L: i ► t`1t\� CYu 11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION SYSTEM INSTALLED BY: SItiYu 'oc 0 009Sit t 1►OoOc �l ' Shad C H -ice 3�R - = -- ,goo' �z�►-i�l29 AUTHORIZATIO O. OPERATION PERMIT BY: DATE: �3Ca9 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE Sa STEM DESCR ED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SfSTEMS", 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) n .. 41 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Water Supply: On -Site Well Community Evaluation By: Auger Boring If Pit PROPERTY INFORMATION 2-70DU Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH - 2 Texture groupG Consistence ; Structure Mineralogy5 HORIZON II DEPTH - - 2Iq Texture group Ci Consistence 4ri Structure S 1L Mineralogy HORIZON III DEPTH 101^ t{ Texture group 5CAL 5611 Consistence Q- 5 Structure R Mineralogy6 HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: �S LONG-TERM ACCEPTANCE RATE: • RFMARKS EVALUATION BY: OTHER(S) PRESENT: LEGEND Land cage 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 IYIQiSt VFR - Very friable FR - Friable FI - Firm VFI -Very firm EFI Extremely firm Mkl 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 Mineralogy 1:1, 2:1, Mixed l�stes 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 - gal/day/ft2 DCHD 05105 (Revised) ■■■■■■e■■■■■■■■■■se■e■e■es■■eee■■■ee■s■■■■cs■■■■■■■■■e■ac■■■■■■■ ■■ee■■■■■■■■■■■■■■■■■■■■e■■e■■■■■c■■■■■■eee■■■■e■■■■■■ece■■■■■■■■■ ■sse■■■■■ce■■■c■c■■■■■ses■■■■■■cc■■■■■■■e■■■■■■ce■■■■■■ec■■■■■■■■■ ■■■e■e■■■■■■e■■■■■■e■e■e■ee■cec■ ■■eee■■■■■■■e■■■e■■■■■e■■■ec■■e■ ■ee■■■■■■■■e■e■eee■■■■■■e■■■c■■■■c■■■■e■■■cc■eec■e■■■■■c■■■■ecc■■■ ■eee■c■e■■e■■■■■■■■e■■eee■■■■e■e■e■■■eee■■■a■see■■■■e■■■■■■■e■■■■■ ■■e■eee■■■■■■■■■■■■■■■■■■■■■■■■e�■■■■■■■■c■■■■■■■■■■■■■■■e■■■■■■■ ■sse■■eccaee■■■■■■■c■a■■■e■■c■c■■■■■■■es■■■■ee■■■■■■■■■■■■■■■■■■■■ ■■e■■■c■ec■e■ec■■■■■e■■■e■■■■■cess■■e■s■e■■■■■■c■■■e■■■■■■■■■■e■■■ e■■■■■■■■c■■e■ae■■■■■■■ee■ee■e■■�iee■■■eee■■■ee■■e■e■■ee■■■■eee■e■ ■■e■eee■■■■■■■■■■■■■■■■■■■■■■■c■■■■■e■e■e■■■■■eee■e■eee■■■eee■eee■ ■■■■■■■■■e■■■■■c■■e■■■■■■se■e■■ee■c■■e■■■ec■e■■■■e■■■■■ecce■■■ec■■ ■■■c■sec■■■■■c■■■■■■■■■e■■■■■■c■■■■■■■■c■c■■■cae■scc■eeccce■c■ce■■ MENNENMESONS l ' iiiiiiMENNENMEMNONMENNEN ■■c■■e■■■■■■■■■■■sec■■■cccc■■■■■■■■■■c■■■■■e■c■■■■ccc■■ec■e■c■c■■■ ■■■■■■c■■■■■ec■■■■■■■e■■■■■■e■■■cc■■■■■e■■■■■■cc■■■c■■■■■ccs■■■c■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■ee■■■c■■■c■■■■■■■■■e■■■cseec■■acct■ ce■e■■c■cccc■ccs■■■ece■■■■■ce■■■■c■e■■c■■■cc■■c■ic■■ecce■■ccs■■■cc■ ■■■■■■■■■■■■■■■e■■■■■■■u�■■■es■■ ■�:.�n■■■■■seance■■■■■■■■■■c■■■■■ ■■■■■■■■■■■■■c■■■■■■■■■yin■e■■■c■�■�i■■enc■ee■ieu��■■■c■■■e■c■■■■c■e■ ■■■■■■■e■■■■■c■ecce■■c■.�■ee■eecee■■■i■e■u■eeenceue■■■■ce■e■e■ee■e■■ ■■■■eee■ee■e■■�.■eee■■■e■■■■■■ecce■■I■■■�i■■e■u��i�■c■e■■c■■e■■■■■■■■ ■■■■■■■■■■■■■■l�i�■■■■■■■■■■■NEMESES ■■I■■■■I■■■■It\�Im■■■■■■■■■■■■■■■ONE ■■■■■■■■■■■■■■■■c■■■■■■■■■■■■■■■■■■■■c■■■■■■■■■■■c■■■■secs■■■cc■e■ ■■■■■■■■■■■ec■■e■■c■■■■ee■■■■■■■■ece■■e■■■sec■e■■■■■e■■ec■ec■ec■■■ ■■■■■■■■■c■■■■■■e■■■■■■■■■■■■■■■�l■■■■c■■■■■■■■■■c■e■■■e■ece■ccc■■ ti A I NAME�L('i t �� ADDRESS I ILI Ao b le DIRECTIONS TO Sc 3lq{ Amoss DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION APPLICATION_ FOR IMPROVEMENT PERMIT (REPAIR) S, tal01VA &/y yo/, Ed'o'l Owbrie-4l"z) PHONE NUMBER 7,10- Zo✓�� BDIVISION NAME LOT #_ DATE SYSTEM INSTALLED Or NAME SYSTEM INSTALLED UNDER TYPE FACILITY AIS61 NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING ind;rw Up of 0@�g DATE REQUESTED INFORMATION TAKEN BY 154X 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 O/Fp OWNER OR AUTHORIZED AGENT Rev. 1/93 FROM :ADUANCE000NTRY5TORE 1 ` FAX NO. :3369985367 May. 04 2009 05:02PM P1 App r—A.TION FOR SITE EVALUATIONAI WROVEMENT PERMIT & ATC Davit Cotaoty F,uvironmtntpl Hearth T,0- BC1846II10 Hospital Stmt Moe4svtlk.14C 27028 .(336)751-6760/ Fa: (336)7_-514786 ApplieetianFor Site Ev01=dedl1VpromVmtFft'mtt At AdmodunToCoremtrel(IhTC) BOOS Tvac of Am Ikamime New SvMm Reoair Os Eaistlne Svskm E m mi MMC41 oat's OrexWne Svamm ar FaaGtt• i ��vlA/PORTAIV7�" TFIIS Appy1CAT10N CANNOT BB PROC1+1'SED UIZJALL OF THE RFQUDtFA I INFORMATION IS PROVIDED. Re%rtC the 1NFORMATI0N BULLVnW for instruaiOrm A nm Tn Awrr rwrwn0 V A1ww' Naune to be Billed_._ Coated Paean �� Billing Address, Low-i HMM phw ^lS 'P Yo � City&VftalP asicps phone ,.^ 7 of r Name on Permit/ATC ifDifferew than Above Mail' aAddreas Ctty/StatclL>P— PROPERTY INFORMATION 'Date Hotae/F Comas FI NOTE: A survey plater lik Pisa must appampaey tlT4 appiatiaa Ialydad Silo Plows pwla sate) (Penult is vali far 6l tuonths with sire plan. 0 orpnauon with complete pW ) • Phone t 7nmtw 177 Owua's Namo"A Ownces Address 1 Lcm C+ty!S�a+yet A I G> -1> P opery Address, 31,N m Al 4 Z C w Lot Sim t12 Ae-t.p Tax PIN# Subdivision Name(if a icablo) — SoeOenlL Directim To Site. goIS JA /ON g - 9nr/�i.�s�n�[eT.L Vthe answer to any o[tre "lowing questions is "yea", suppoaio6 doaaaamnieo mud be ducked Are that ay estspng vuasostwar sydema Co the six? <Cck7No Does the sire contain jmiadicdaral weuaods? Yes 01:3 Ape tbm any cw masa or tight of -ways on rhe site? Yas <Inc> Is the sile subject to sprovat by artotlter public sgraey? t'Yi9� No Will wadeusderotwftndomestic wmp be RPWUcd7ra u IF' 11iA1 FNCEPILLOMTHEBOXBEUW a --a 7F�� 3Vp9a1• }#People C #Bodsooms --3— 0Bathmoms�_ _. Gmd.Tnbfwmdpod Yes No II 8wmmt--.—y—as-7& Basemalt Plommm Yes f TR IVAW_gK'CITt.'Mr`a'. irT T nTrr"4p Rnir RFT nw " Type a[Y'acility/BushoaTs • Total Square Footage of Buddies 117 0 6 # # Sulo �;__ # ce®meaa # Shewaa I # Urimbr. _ F k>� bast d oh Estimated Water Usage(galtonsperday) uwk fAttachdocamemsrioaefsimgwfwUi waterq' pion) vjwt. \C % ?,OA go"- JOODSERVICE ONLY: #'' Stzab u Typear we ramd (C'mroeatiaeatS Aecepxd [oraysiive Alternative Ot6a geS)f (AP-O�Nz 4 533 �A W— Srotnty Tru - Couert�//f:i�N�W�� Ne.. Well r.istme Well Cammtmiw well Dovou anticipate sdditiom m o=mtiore oftha facnity this system is intended to serve? V. 1q, Jfyes. wsattype? This is to ccrtily 90 the ur6amttion pmMed oa tbis uppliattm is true ad Corset 10 the best ofmy lmowtellp. I utdtxstmr4 that VIN nennitfsl or ATCfs) beefed hweathr am sahiect to soaterwion armpecWon irS* site is aloft& rho be"" use obanM a if the 66 nrAfim adanilled io this applicstipn b ads i6ed or I> �, o[edry b the Autlwriyad Rcrnrsentseive of de Oavee CnunN Fred*, Deoarmrert to teerdu0 noennry bmrodwurs lo deoe o m eanerlianx widr aaolicahla Iaws and reties. I eardersbaod so am raspsrmbis for rue pngar ideati0pppn and labeling orprVerly Imes ad Comers ad laeslina and Ina er s4 le'n"e "cue' "ty Iacatift erWll6ed well lacwtirm and the kmalnsr cram olheramenitim. properly ~a lye sigaae/n Sift Chwgc G jCliN_etiDate(sT. 1D Iit6%� siprgivetl Ya No � St /K/�+iie ,• _ ,+soars# ✓!�/ �/ ttaytsed GoMAPS - Davie County NC Public Access Davie County, NC - GIS/Mapping System A V! + - ' ) Y'_, Click Here To Start Over Active Layer. Use ,,+Fap Tip s o F ,RCEL3 Map Tips Available) «, It 4 , Page I of I Quick Search:(County ID or Owner• Ni 141 Addre. http://maps.co.davie.nc.usIGoMapslmap/Index.cfm?mainmapservice=gomaps&CFID=4129... 5/5/2009