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3197 Cornatzer RdDavie County, NC Tax Parcel Report Qt '7)-G O � � Tuesday, September 27, 2016 •M 51914 OD, WARNING: THIS IS NOT A SURVEY Il` ^{ '16Ei1.S, t1'i causes of action due to or arising out of the use or inability to use the GIS data provided by this website. I G800000020 i Shady Grove ZI 878 5880123212 Municipality: `1 9644000 Census Tract: ogre Davie County, NC WARNING: THIS IS NOT A SURVEY ° n causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Parcel Number: G800000020 Township: Shady Grove NCPIN Number: 5880123212 Municipality: Account Number: 9644000 Census Tract: 37059-803 , Listed Owner 1: BRANDON GILBERT LEO Voting Precinct: EAST SHADY GROVE Mailing Address 1: 3197 CORNATZER ROAD 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: 2.40 AC CORNATZER RD Fire Response District: ADVANCE Assessed Acreage: 2.32 Elementary School Zone: SHADY GROVE Deed Data: 10/1974 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 000940433 Soil Types: WeB,PcB2 Plat Book: Flood Zone: X Plat Page: Watershed Overlay: - Building Value: 89190.00 Outbuilding & Extra 16690.00 Freatures Value: Land Value: 46230.00 Total Market Value: 152110.00 Total Assessed Value: 152110.00 Davie County, NC All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the 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 ° n causes of action due to or arising out of the use or inability to use the GIS data provided by this website. Permi tee�'l , DAVIE COONTY HEALTH DEPARTMENT EaWronmental Health Section PROPERTY INFORMATION T �� P O.,Box 848 Directions o property: �hlocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot,: AUTH, QRIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - 002608 319? �o' a� AUTHORIZATION NO: A Road Nam • ,?N.4 w •Zip: Z7004 **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Pen -nits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. R (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 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) "� NEW SITE REPAIR SITE V SYSTEM SPECIFICATIONS: TANK SIZ /! (/ a GAL. PUMP TANK —IGAL. TRENCH WIDTH . J ROCK DEPTH � J� LINEAR Fr. OTHER G� - J / lJ / J /z IMPROVEMENT PERMIT LAYOUT rIZ,;ve P 10�- _ ' I. i As stated in 15A NCAC 18A.1969(5) accepted Systems may also be use 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 IN TALL ED BY- `i64-V- Y: `i64- - Twi-e, Lo, -2 AUTHORIZATION NO. Co �t OPERATI()N PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TH SYS 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. ncHnovozcRevisea> �C'�T <3 f-73 1, .Zv Vo/ -e 50 5 3 tw n f Pernutl'e�" ' ;, DAV COUNTY HEALTH DEPS " RTMENT . >�, --,Namex-.;,+' F,pwronmental Health Sectipn PROPERTY,INFORMATION P.O. $oz 848 Directions to property: '`' " i� ;R .�' f r' ` ' MocksTle, NC 2'7028 Subdivision Name: f., Phone #,. 336-751-8760 Section: Lot: r AUTHORIZATION FOR _ WASTEWATER Tax Office PIN:# p SYSTEM CONSTRUCTION/q,, - - ,� yf /j 002,508 AUTHORIZATION NO: �A L � Road Namel...O/M4;�Z�°/ Zip: � X760, ,6 **NOTE** This 4uthorization for Wastewat r System Construction MUST BE ISSUED by the Davie Cougty Environmental Health Section prior to issuance of any Building Penni s'-11his Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building`Pemits. `(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 / 71" �' IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSG-8D RESIDENTIAL SPECIFICATION: BUILDING TYPE *. # BEDROOMS _ # BATHS # OCCUPANTS_ `, GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: F CILITh TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) `+-'V� NEW SITE REPAIR SITE V t" SYSTEM SPECIFICATIONS. TANK SIZ�� '� GAL. PUMP TA K GAS.. TRENCH IDTH 4 ' ,ROCK DEPTH -I "/� LINEAR FT. OTHER REQUIRED SITE MODIFIGA.;�'IONS/CONDITIONS: " " IMPROVEMENT PERMITLAYOUT A..w, 7. 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 IN TAL ED BY: ""'' � ' aVdi - r Z 7bT4L 1 10 x'' axx� `j/ ,W- ►jam t�, (.O-2. y Ae, AUTHORIZATION NO. r12+r �Y OPERATIQN PERMIT BY: DATE: v *'THE ISSUANCE OF THIS OPERATION PERMIT. SHALL INDICATE THAT TH SYST 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. V0 lee ncHn 0= (Revised) 5�S"3 ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: Billed To:, Reference Name: Proposed Facility: PROPERTY INFORMATION Tax PIN/EH #: Subdivision Info: Location/Address: Property Size: Date Evaluated: o Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit— Cut FACTORS 1 2 3 4 5 6 7 Landscape position L-, Slope % HORIZON I DEPTH Texture &roup Consistence Structure C" Mineralogy HORIZON II DEPTH Texture group Consistence l Structure Mineralogy HORIZON III DEPTH Texture group -5AnZJAf Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: Q LONG-TERM ACCEPTANCE RATE: c EVALUATION BY:C-1 If O� OTHER(S) PRESENT: REMARKS: 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 Mineralogy 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 - gal/day/ft2 • DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION dell- 01 -902,51 - APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME &WA'Ed oeRflA/61dAJ PHONE NUMBER ADDRESS 3 97 (ol ifIz-,r kill i SUBDIVISION NAME Myalvc&IQ- aZ?w LOT # " �'— DIRECTIONS TO SITE 60,-1V1t26e 120,4Z) Adu-)e 0/y LfA/ / `(sl/ tjsV sh ta,6 Bee ) S_d%Q6/ IZV-S6rvee�y DATE SYSTEM INSTALLED ? NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS _� NUMBER PEOPLE SERVED a TYPE WATER SUPPLY Cann SPECIFY PROBLEM OCCURRINGA0 / f eeG o /" eZ /Z�%f/�so 1< u �2 et� VA ey hq V e fel woQ ov�ei s� �ic tiov�. DATE REQUESTED a % INFORMATION TAKEN BYkPA l Lt. This is to certify that the information provided is correct to the best of my knowlqdge, ano that I understand I am responsible for all chary a incurred from this application. u SIGNATURE OF OWNER OR AUTHORIZED AGENT n Z< �� L Rev. 1/93