1975 Cornatzer Rd (2) Davie County,NC Tax Parcel Report Wednesday, February 15, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information`
Parcel Number: G700000035 Township: Shady Grove
NCPIN Number: 5769698636 Municipality:
Account Number: 18515750 Census Tract: 37059-803
Listed Owner 1: CRANFILL LARRY WAYNE Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 857 NC HIGHWAY 801 SOUTH 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: 2 AC CORNATZER RD Fire Response District: CORNATZER-DULIN
Assessed Acreage: 1.94 Elementary School Zone: CORNATZER
Deed Date: 12/2012 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009121013 Soil Types: GnB2,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 75810.00 Outbuilding&Extra 9970.00
Freatures Value:
Land Value: 35640.00 Total Market Value: 121420.00
Total Assessed Value: 121420.00
O vyl� 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, 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
SOU ty�C NC or arising out of the use or Inability to use the GIS data provided by this website.
OPERATION PERMIT or fice use Only
s Davie County Health Department *CDP File Number 199344-1
210 Hospital Street
P.O. Box 848 County ID Number.
Mocksville NC 27028 Evaluated For REPAIR
Phone:336-753-6780 Fax:336-753-1680 Township.
Applicant: Larry Cranfill Property Owner: Lary Cranfill
Address: 857 NC Hwy 801 S Address: 857 NC Hwy 801 S
City: Advance City: Advance
StatefLip: NC 27006 State/Zip: NC 27006
Phone#: (336)817-0237 Phone#: (336)817-0237
Property Location & Site Information
Address/Road #: - Subdivision: Phase: Lot:
1975 Cornatzer Road
Mocksville NC 27028 Directions
structure: SINGLE FAMILY Hwy 64 East turn left on Comatzer Rd. On left before
Howardtown Rd.
#of Bedrooms: 3
#of People:
-water Supply: PUBLIC
*IP Issued by. *System Classification/Description:
TYPE 11 A-CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
*CA issued by: 2140.Nations,Robert
Saprolite System? QYes QQ No
Design Flow: 3 6 0 GRAVITY-PARALLEL
Distribution Type: (eq,d-box) Pump Required?
QYes QNo
Soil Application Rate: 0 - a 7 5 *Pre Treatment:
Drain field
Ntrification Field 1' 3 0 9 Sq.ft. 'System Type: INFILTRATOR QUICK STANDARD
No. Drain Lines 6 Installer: Brian McDaniel
Total Trench Length: 3 a 7 ft. Certification#: 1118
Trench Spacing: — 9 Oinches O.C.
Feet O.C. EH S: 2140-Nations.Robert
Trench Width: 3 Inches
Feet Date: 0 4 / 0 3 / 2 0 1 6
Aggregate Depth: inches
Minimum Trench Depth: 3 6
Inches
Minimum Soil Cover. a 4 Inches Approval Status
Maximum Trench ep
th: 3 6 Inches ® Approved Disapproved
Maximum Soil Cover:
2 4 Inches
CDP File Number 199344 - 1 County ID Number: ' r
Septic Tank
Manufacturer. Lat.
Long:
STB:
Installer:
Date: j j Certification#:
` *EH S:
*Filter Brand:
Date:
ST Marker. ❑ Yes ElNo
Reinforced Tank: El Yes ❑ No App«alStatus
Piece Tank: ❑ Yes ❑ No �❑ Approved❑ alsapprove�
Pump Tank
Manufacturer. Installer.
PT: Certification#:
Gallons: 'EH S:
Date: / / Date.
RiserSealed ❑ Yes ❑ No
RiserHeght: ❑ Yes ❑ No (Min.6 in.) Approval Sfatus
Reinforoed Tank: ❑ Yes ❑ No
❑ �►pproved❑ Disapproved,
I Piece Tank:_❑ Yes ❑ Nosw
Supply Line
Pipe Size: inch diameter Installer:
Pipe Length: feet Certification#:
*Schedule: *EH S:
Pressure Rated ❑ Yes ❑ No Date:
proved fittings ❑ Yes ❑ NoApprovatStatus
❑ Approved❑`Disapproved ='
Pump e
Pump Type: installer:
Dosing Volume: - Gal Certification#:
Draw Down: Inches *EHS:
*Chain:
Date:
Valves Accessible ❑ Yes ❑ No
Flow Adjustment Valve ❑ Yes ❑ No
r
t Check-valve ❑ Yes ❑ No --A pproJat Status
PVC unions ❑ Yes ❑ No ❑ Approved O Disapproved
Vent Hole ❑ Yes ❑ No
Anti-siphon Hole El Yes 0 No
CDP File'Number 199344 - 1 County ID Number:
Electric E uI ment
NEMAUBox or Equivalent ❑ Yes ❑ No Installer:
Box 12 inches Above Grade ❑ Yes ❑ No
Certification#:
Box Adj. Pump Tank ❑ Yes ❑ NO
Conduit Sealed ❑ Yes ❑ No THS:
Pump Manually Operable ❑ Yes ❑ No
"Activation Method: Date:
Approval Stetus
AlarmAudible E01 Yes E-11No ❑ Approved❑ Dlsapp�oved
Alam, visible E3 Yes ❑ No
2140•Nations,Robert
*Operation Permit completed by:
Authorized State Agent: - Date of Issue: 4 / 0 4 / a 0 1 6
Owner/Applicant Signature:
This system has been installed in compliance with applicable NC General Statutes:Article 11,Chapter 130A, Rules for _
Sewage Treatment and Disposal, 15A NCAC 18A .1900 et. Seq.,and all conditions of the Improvement Permit and
Construction Authorization.This property is served by a NPs It A sewage septic system.
Rule.1961 requires that a Type -TYPE II A septic system meet the following criteria:
Minimum System Review By The Local Health Department: NIA
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency ByCertified Operator:
NIA
Reporting Frequency By Certified Operator: NIA
Rule.1961 requires that a Type IV and V septic systems designed fora hometbusiness owner must maintain a valid contract
with a public management entitywith a certified operator or a private certified operator for the life of the septic system.
Rule.1961 requires that Type VI septic systems designed for a homelbusiness owner must maintain a valid contract with a
public management entity with a certified operator for the life of the septic system.
Rule.1961 (2)(e)requires a contract shall be executed between the system owner and a management entity prior to the
issuance of an Operation Permit for a system required to be maintained by a public or private management entity,unless the
system owner and certified operator are the same. The contract shall require specific requirements formaintenance and
operation, responsibilities of the owner and systems operator,provisions that the contract shall be in effect for as long as the
system is in use,and other requirements for the continued proper performance of the system. It shall also be a condition of
the Operation Permit that subsequent owners of the systems execute such a contract.
@Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.** ''
OPERATION PERMIT 199344- 1
Davie County Health Department CDP File Number:
210 Hospital Street
County File Number:
P.O.Box 848
Mocksville NC 27028 Date:
O Inch
Dr-awing O
wing Drawing Type: Operation Permit Scale: ON A k ft.
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CONSTRUCTION For Office Use Only
AUTHORIZATION *CDP File Number, 199344.- 1
Davie County Health Department
County ID Number:
210 Hospital Street Evaluated for: REPAIR
P.O. Box 848
Township:
Mocksville NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax: 336-753-1680 0 1 / 1 9 / 2 0 2 1
Applicant: Larry Cranfill Property Owner: Larry Cranfill
Address: 857 NC Hwy 801 SAddress: 857 NC Hwy 801 S
City: Advance 7 City: Advance
State/Zip: NC 27006 State/Zip: NC 27006
Phone#: (336)817-0237 Phone#: (336)817-0237
Property Location & Site Information
Address/Road#: Subdivision: Phase: Lot:
1975 Comatzer Road
Mocksville NC 27028 Directions
Structure: SINGLE FAMILY Hwy 64 East turn left on Cornatzer Rd. On left before
Howardtown Rd.
#of Bedrooms: 3
#of People:
*Water Supply: PUBLIC
System Specifications
Minimum Trench Depth: a 4
Site Classification: Provisionally Suitable Inches
Sa rolite System? Minimum Soil Cover: 1 a
p y O Yes (&No Inches
Design Flow: 3 6 0 Maximum Trench Depth: 3 6 Inches
Soil Application Rate: 0 . 22 7 5 Maximum Soil Cover: a 4 Inches
*System Classification/Description: *Distribution Type: GRAVITY-PARALLEL(eq.d-box)
TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank:
Gallons
*Proposed System: 25%REDUCTION 1-Piece: O Yes O No
Pump Required: O Yes ®No O May Be Required
Nitrification Field 1 3 0 9
Sq.ft. Pump Tank: Gallons
No. Drain Lines 4 1-Piece: OYes ONo
Total Trench Length: 3 a 7 ft GPM--vs— ft. TDH
Trench Spacing: Inches O.C.
9 Feet O.C. Dosing Volume: Gallons
Trench Width: — 3 O Inches
l�Feet Grease Trap: Gallons
Aggregate Depth: inches
Pre-Treatment: O NSF OTS-I O TS-11
Septic Tank Installer Grade Level Required: 01011 O 111 ON
Page 1 of 3
CDP File Number 199344 - 1 County ID Number:
❑ Open Pump System Sheet
Repair System Required:®Yes ONO ONO, but has Available Space
rDesignFlow:
System Trench Spacing: 9 ®Inches O. .
ification: Provisionally suitable — O Feet O.C.
Trench Width: Inches
3 6 0 _ 3 Feet
Soil Application Rate: 0 - a 7 5 Aggregate Depth: inches
*System Classification/Description: Minimum Trench Depth: a 4 Inches
TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR Minimum Soil Cover:
LESS) 1 Inches
*Proposed System: 25%REDUCTION Maximum Trench Depth: 3 6 Inches
Nitrification Field 1 3 0 9 Sq.ft. Maximum Soil Cover: a 4 Inches
No. Drain Lines4 *Distribution Type: GRAVITY-PARALLEL(eq.d-box)
Total Trench Length: 3 . 7 ft. Pump Required: OYes ®No O May Be Required
Pre-Treatment: O NSF OTS-I OTS-II
*Site Modifications
_ No grading or construction activity.is allowed in areas designated for system and repair without approval of Health Department._ R"aWng
750
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits.The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. Rhw
aining
2000
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit,not
to exceed five years,and may be issued at the same time the Improvement Permit issued(NCGS 130A-336(b)).If the Installation has not been
completed during the period of validity of the Construction Permit,the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect,falsified or changed,or the site is altered,the permit or Construction Authorization shall become
invalid,and may be suspended or revoked(.1937(g)).The person owning or controlling the system shall be responsible for assuring compliance
with the laws,rules,and permit conditions regarding system location,installation,operation,maintenance,monitoring,reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes O No
Applicant/Legal Reps. Signature- Date:
*Issued By: 2140-Nations,Robert Date of Issue: 0 1 1 9 .2 0 1 6
Authorized State Agent: Malfunction Log Oyes a
®Hand Drawing O Import Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
' CONSTRUCTION AUTHORIZATION 199344 - 1
Davie County Health Department CDP File Number:
210 Hospital Street
P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 01 / 19 / ,2016
0 Inch
Drawing Drawing Type: Construction Authorization Scale: , O Block
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CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number: 199344 - 1
P.O.Box 848
Mocksville NC 27028 County File Number:
Date: .O.1) 1.9. / .2 0.1.6.
Click below to import an image from an external location: Drawing Type:Construction Authorization
Page 3 of 3
P1 P2
t
Davie County,NC Tax Parcel Report Thursday,November 10, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number: G700000035 Township: Shady Grove
NCPIN Number: 5769698636 Municipality:
Account Number: 18515750 Census Tract: 37059-803
Listed Owner 1: CRANFILL LARRY WAYNE Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 857 NC HIGHWAY 801 SOUTH 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: 2 AC CORNATZER RD Fire Response District: CORNATZER-DULIN
Assessed Acreage: 1.94 Elementary School Zone: CORNATZER
Deed Date: 12/2012 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009121013 Soil Types: GnB2,RnD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 78910.00 Outbuilding&Extra 13030.00
Freatures Value:
Land Value: 35640.00 Total Market Value: 127580.00
Total Assessed Value: 127580.00
91 All daft Is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or Iltness for a particular use.All users of Davie Countys 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
n0 NC� NC or arising out of the use or Inability to use the GIS data provided by this website.
CONSTRUCTION For Office Use Only
AUTHORIZATION *CDP File Number 199344- 1
Davie County Health Department County ID Number:
210 Hospital Street Evaluated For: REPAIR
.` �.. P.O. Box 848
Township:,:,,,
Mocksville NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax: 336-753-1680 0 1 1 9 a 0 a 1
Applicant: Larry Cranfill Property Owner: Larry Cranfill
Address: 857 NC Hwy 801 SAddress: 857 NC Hwy 801 S
City: Advance 7 City: Advance
State/Zip: NC 27006 State/Zip: NC 27006
Phone#: (336)817-0237 Phone#: (336)817-0237
Property Location & Site Information
Address/Road#: Subdivision: Phase: Lot:
1975 Cornatzer Road
Mocksville NC 27028 Directions
Structure: SINGLE FAMILY Hwy 64 East turn left on Cornatzer Rd. On left before
Howardtown Rd.
#of Bedrooms: 3
#of People:
*Water Supply: PUBLIC
System Specifications
Minimum Trench Depth: a 4
(Design
Classification: Provisionally suitable Inches
Minimum Soil Cover: 1 a
olite System? OYes ®No Inches
Flow: 3 6 0 Maximum Trench Depth: 3 6
Inches
Soil Application Rate: 0 , a 7 5 Maximum Soil Cover: a 4
Inches
*System Classification/Description: *Distribution Type: GRAVITY-PARALLEL(eq.d-box)
TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank:
Gallons
*Proposed System: 25%REDUCTION 1-Piece: O Yes O No
Pump Required: O Yes (gNo O May Be Required
Nitrification Field 1 3 0 g Sq.ft. Pump Tank: Gallons
No. Drain Lines 4 1-Piece: OYes ONo
Total Trench Length: 3 a 7 ft GPM--vs— ft. TDH
Trench Spacing: g— R Inches O.C. —
Feet O.C. Dosing Volume: Gallons
Trench Width: _ 3 Olnches
ADepth:
®Feet Grease Trap: Gallons
inches Pre-Treatment: O NSF OTS-1 OTS-11
Aggregate
Septic Tank Installer Grade Level Required: 01 O I I 0111 ON
Page 1 of 3
r
CDP File Number 199344 - 1 County ID Number:
❑ Open Pump System Sheet
Repair System Required:0Yes O No O No, but has Available Space
Repair System Inches O. .
Trench Spacing: g �)
*Site Classification: Provisionally suitable — O Feet O.C.
Trench Width: Inches
Design Flow: 3 6 0 — 3 Feet
Soil Application Rate: 0 a 7 5 Aggregate Depth: inches
*System Minimum Trench Depth: a 4 Classification/Description: Inches
TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR Minimum Soil Cover: 1 a
LESS) Inches
Maximum Trench Depth: 3 6 Inches
*Proposed System: 25%REDUCTION
Maximum Soil Cover: a 4
Nitrification Field 1 3 0 9 Sq ft Inches
No. Drain Lines 4 *Distribution Type: GRAVITY-PARALLEL(eq.d-box)
TotalTrench Length: 3 a 7 ft Pump Required: OYes ®No O May Be Required
Pre-Treatment: O NSF OTS-I OTS-II
"-)
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. Rem-irg
750
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. Characters
2000
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit,not
to exceed five years,and may be issued at the same time the Improvement Permit issued(NCGS 130A-336(b)).If the installation has not been
completed during the period of validity of the Construction Permit,the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect,falsified or changed,or the site is altered,the permit or Construction Authorization shall become
invalid,and may be suspended or revoked(.1937(g)).The person owning or controlling the system shall be responsible for assuring compliance
with the laws,rules,and permit conditions regarding system location,installation,operation,maintenance,monitoring,reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes ONO
ApplicanULegal Reps. Signature- Date:
*Issued By: 2140-Nations,Robert Date of Issue: 0 1 / 1 9 / a 0 1 6
Authorized State Agent: Malfunction Log OYeS
0 Hand Drawing O Import Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
CONSTRUCTION AUTHORIZATION 199344 - 1
Davie County Health Department CDP File Number:
210 Hospital Street
P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 01 / 19 / .1016
0Inch
Drawing Drawing Type: Construction Authorization Scale: . N/A Block . , ft.
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Page 3 of 3
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CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number: 199344 - 1
P.O.Box 848
Mocksville NC 27028 County File Number:
Date: .O.1.) 1.9. /...0.1.6.
Click below to import an image from an external location: Drawing Type:Construction Authorization
Page 3 of 3
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Dav�e COUNI Y
210 Hospital Street
P.O. Box 848 - - -
Mocksville NC 27028 TEL: 336-753-6780 FAX: 336-753-1680 Request ID: 62395
REQUEST FOR SERVICE/COMPLAINT INVESTIGATION REPORT
REQUEST DATE: 01/05/2016 TAKEN BY:
SECTION: N/A TYPE:
PROPERTY NUMBER: 199344 ASSIGNED TO: Nations, Robert
ESTABLISHMENT NUMBER:
PERSON OR PREMISES TO SEE: OWNER: Larry Cranfill
Larry Cranfill 857 NC Hwy 801 S
1975 Cornatzer Road Advance , 27006
Mocksville NC, 27028
(336) 817-0237
REQUESTED BY: Homeowner. Rental Property HOME:
WORK:
Cell:
i
Additional Information:
CONDITION REPORTED:sewage surfacing on top of ground
COMMENTS:
RECORD OF INVESTIGATION
DATE: HR/MT: COMMENTS
EHS:
EHS #:
ACT CODE:
DATE: HR/MT: COMMENTS
EHS:
EHS #:
ACT CODE:
DATE: HR/MT: COMMENTS
EHS:
EHS #:
ACT CODE:
DATE: HR/MT: COMMENTS
EHS:
EHS #:
ACT CODE:
DATE: HR/MT: COMMENTS
EHS:
EHS #:
ACT CODE:
Next Inspection Date: Status of Complaint: OPEN Resolved Date:
Complaintant Contacted: NO
Crl
0�'Lc.J
Ab
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION Q
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR) U -7-��� S� f C
NAME PHONE NUMBER
ADDRESS I "I SUBDIVISION NAME
LOT#
DIR CTIONS TO SITEZm 'i ls-� bats-e na
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY Y SC' NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING lrQfti�)
O (k4-
DATE REQUESTED INFORMATION TAKEN BY � Q{rlt Sft_p(n-��tn
This is to certify that the information provided is correct to the best of my knowledge,and that I understand 1 am responsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.1193 1