749 Cornatzer Rd101
Davie County, NC
WARNING: THIS IS NOT A SURVEY
�., . Pa(cafTnformatiori -
Parcel Number:
1600000036
Township:
Shady Grove
NCPIN Number.
5758775450
Municipality:
Account Number:
4703000
Census Tract:
37059-804
Listed Owner 1:
BARNEY SALLIE AVA
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
749 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:
6 AC CORNATZER RD
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
4.26
Elementary School Zone:
CORNATZER
Deed Date:
5/1984
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
001230076
Soil Types:
GnB2,RnC
Plat Book:
Flood Zone:
X
Plat Page:
Watershed Overlay:
-
Building Value:
59190.00
Outbuilding & Extra
2880.00
Freatures Value:
Land Value:
52490.00
Total Market Value:
114560.00
Total Assessed Value:
114560.00
101
Davie County, NC
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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.
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Permluee's / DAVIE COUNTY HEALTH DEPARTMENT �(4�]
Name: Environmental Health Section PROPERTY INFO ;M�XTION
cif; P.O. Box 848 � a C l
Directions to property:' i7 Mocksville, NC 2702E Subdivision Name:
Phone #: 336-751-8760
�t L N �: ►e.r:� WIC Ltd# Section: Lot:
AUTHORIZATION; FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
LD
AUTHORIZATION NO: 2194
A Road Name: 'ip: r
k**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
Offig when applying for Building Permits.
(In complianee*ith Article,l, of &S, iter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systeins)
***NOTICE***.THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
> IS VALID FOR A'PERIOD OF FIVE YEARS.
ENVIR E AL - EA TH E t'ALIS ' DA E ISS ED
RESIDENTIAL SPECIFICATION: BUILDING TYPE Hoch # BEDROOMS —3— # BATHS # OCCUPANTS :5 GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT #. SEATS INDUSTRIAL WASTE: Yes
or No I
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) v3L� NEW SITE REPAIR SITE •
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH y Z LINEAR FT. ^�
OTHER'
71>.S'frI'C�VTLC),.J
11
REQUIRED SITE MODIFICATIONS/CONDITIONS:Mt7�k%
. 7 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR)
'f 4
NAME Aylor,--s PHONE NUMBER .g l / o (�
ADDRESS �I� �) C4-rj4TZ+ra- LD AdAd-, SUBDIVISION NAME
LOT #
DIRECTIONS TO SITE
DATE SYSTEM INSTALLED U t NAME SYSTEM INSTALLED UNDER u'�ib NAY'
TYPE FACILITY ���! NUMBER BEDROOMS t NUMBER PEOPLE SERVED 3
TYPE WATER SUPPLY 00SPECIFY PROBLEM OCCURRING . �k1�-i�1�6 OP
L]
r
DATE REQUESTED Z� INFORMATION TAKEN BY (�
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
,�J� O/V-a--90-1A�
V.
Rev. 1/93