1136 Cornatzer Rd (2) Davie County,NC Tax Parcel Report Wednesday, October 12, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: H600000072 Township: Shady Grove
NCPIN Number: 5769104520 Municipality:
Account Number: 14526000 Census Tract: 37059-804
Listed Owner 1: CAUDLE WILLIAM A Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 1136 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: 13.494 AC CORNATZER ROAD Fire Response District: CORNATZER-DULIN
Assessed Acreage: 13.86 Elementary School Zone: CORNATZER
Deed Date: 6/1995 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001810288 Soil Types: RnC,GnB2,EnB,MsC,ChA
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 46180.00 Outbuilding&Extra 10040.00
Freatures Value:
Land Value: 109950.00 Total Market Value: 166170.00
Total Assessed Value: 166170.00
rl v� All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9 1N1°F Davie County, 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
p 11 N� NC or arising out of the use or Inability to use the GIS data provided by this website.
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AUTIHQ1iIzaTION No: 0573 DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Prr1�`ittee's P.O Box 848
Name. / 4 jdwi el (.J' Mocksville,NC 27028• Subdivision Name:
Phone#:704-634-8760
Directions to�property:;�41 `'i r/ Section: Lot:
AUTHORIZATION FOR /q
WASTEWATER Tax Office PIN:#5w 1-16 a Q
SYSTEM CONSTRUCTION
Road Name: 0-o p-A 'z . p
**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 11 of G.S.Chapter 130A,Wastewater Systems,Section..1900 Sewage Treatment and Disposal"Systems)
1 / ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,, y rf • ;f -' IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST ',DATE ISSUED"
pe'Y 6'*,/inHRsmY�,.�d�s rfA}.,w y,twhxh:c rY4,Y� 7 r"i'r'+1„s.\ Ffa[.�r_t'^is1.5: e-4g _;Y _ ,�� fl•t;.t-,, .;-,�,,, �. t<� ��
DAVIE COUNTY HEALTH DEPARTMENT •'�o ry
IMPROVEMENT AND,OPERATION PERMITS PROPERTY INFORMATION
1� rrrltttee`s
Subdivision Name:
rNOW
irections to property:.^ f.11/?j,'1_ ` Section: Lot:
y IMPROVEMENT
,it � _ �.f t¢ �'� f� _ PERMIT . Tax Office PIN:#�
* f Road Name:�`'(�t�'ti-r;z E�'>. p:y`a ELI '
x
**NOTE**,This Improvement Permit 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 permit.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
4.�tf` , ,t' k ��`' , r.? ' PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION:BUILDING TYPE f #BEDROOMS 4? #BATHS --:2 #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFf �v #SEATS INDUSTRIAL WASTE:Yes or No
.49
LOT SIZE OC �l?[� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) (_J NEW SITE 11 REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE A22n" D GAL. PUMP TANK GAL. TREN1CH WIDTH�� ROCK DEPTH �07 LINEAR FT."7��1)
OTHER +� U G� lr ri t� C>-9- k/ _4 rS
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
Y
I If;
**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 THE DAY OF INSTALLATION.TELEPHONE#IS(704)6348760.
OPERATION PERMIT
S S INST ED BY:
/00
AUTHORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE 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 WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 05/96(Revised)
d APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC /
Davie County Health Department
Environmental Health Section
P.O.Box 848
Mocksville,NC 27028
(704)634-8760
0�
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS
ALL THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed ( 1`l _ U� Contact Person
Mailing Address f 1 .�7 C_a V h ay, R C� Home Phone
City/State/Zip I Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address to IY\CJ_ City/State/Zip
3. Application For: ❑ Site Evaluation ❑ Improvement Permit&ATC ❑ Both
4. System to Serve: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms # Bathrooms
Dishwasher ❑ Garbage Disposal Ul<ashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage(gallons per day)
7. Type of water supply: M County/City ❑ Well ❑ Community —
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ElV
Yes LNo
If yes,what type?
PROPERTY INFORMATION REQUIRED: ***IMPORTANT***A PLAT OF THE PROPERTY MUST BE
pt n ^ // SUBMITTED WITH THIS APPLICATION.
Property Dimensions: �� w��� 1 WRITE DIRECTIONS(from
1 Mocksville)TO PROPERTY:
Tax Office PIN: #
�[ 1 C"
Property Address: Road Name ��14 in 1/1 T,a, 9,-.Y 11 A . 1 J
� 1
1
City/Zip
1
If in Subdivision provide information,as follows: Cf
Name: 1
1
Section: Lot #: 1
1
1
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 Represent tive of the Davie County Health Department to enter upon above described property located in Davie County
and owned by to conduct all testing procedures
as necessary to determine the site suitability.
DATE SIGNATURE (10,kA
Revised DCHD(06-96)
tl
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME l lil'i't(�/G DATE EVALUATED
ADDRESS PROPERTY SIZE 't�c
PROPOSED FACIILTY LOCATION OF SITE
Water Supply: On-Site Well _ Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position .LL
Slope
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH J
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: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: 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 ;lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-V+--.-y 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
,3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineraloizy
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
DCHD(01-901
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WILLIAM A. & wife, ROBERT L. & wife,
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AGNES W. CAUDLEMARGARET L.
DB 105 PG 625 DB 65 PG 493 LLIS
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LUVADA B. HOWELL
DB 155 PG 568 '
GRAPHIC SCALE — FEET
MAP WILLIAM A. & wife, AGNES W. CAUDLE
I•JOHN RICHARD HOWARD certify that �,.�+" '''�oFOR
this map was drawn from an actual pQPtN CARO(/ti SCALE
,
.� TOWNSHIP COUNTY STATE
field survey under my direction and G�9T 9 DATE, s
.1" 200' FULTON DAVIE N. C. 5-29-95
supervision, that the ratio of t`'•;
precision is 1 SEAL
r •f L-2890 :
•,y'G 'SU S PQM R 1CHARD HOWARD JOB NO. ,
REGISTERED LAND SURVEYOR L-2890 ''., CNARDN ,�° SURVEYING 95056
•_'•,a„�,..,,,••`` P.O. BOX 276 ADVANCE, N.C. (9 10) 998-5396