151 Spry LnDavie County, NC T Tax Parcel Report G O O Thursday, October 6, 2016
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 4.50AC CORNATZER RD LOTS 5-6 Fire Response District:
Assessed Acreage: 4.52 Elementary School Zone:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
4/1989
WARNING: THIS IS NOTA SURVEY
001480292
Soil Types:
Parcel Information
Flood Zone:
Parcel Number:
G700000025
Township:
Shady Grove
NCPIN Number:
5769783454
Municipality:
Total Market Value:
Account Number:
560000
Census Tract:
37059-804
Listed Owner 1:
ALLEN CHARLES PATRICK
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
151 SPRY LANE
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class:
DAVIE COUNTY R-A,I-3
State:
NC
Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
Legal Description: 4.50AC CORNATZER RD LOTS 5-6 Fire Response District:
Assessed Acreage: 4.52 Elementary School Zone:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
4/1989
Middle School Zone:
001480292
Soil Types:
0003
Flood Zone:
084
Watershed Overlay:
197490.00
Outbuilding & Extra
Freatures Value:
52700.00
Total Market Value:
250190.00
IN
CORNATZER - DULIN
SHADY GROVE,CORNATZER
WILLIAM ELLIS
Gn132
DAVIE COUNTY
a97 , 811�i7
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Davie County,
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
NCor
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH "DEPARTMENT
IMPROVEMENTS • PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article 11 of G.S. Chapter 130a (SP(,/ /742Pe'rmit Number
Sanitary Sewage Systems
F
Name
Date N2
Location Q
----------------
Subdivision Name Lot No. Sec. or Block No.
Lot Size
House Mobile Home
Business --- Speculation
No. Bedrooms
No.
Baths No. in Family
Garbage Disposal
YES
❑ NO
Specifications for System:
Auto Dish Washer
YES
E] NO E]--'
Auto Wash Machine
YES
Ey- NO ❑
Type Water Supply
Ute"V,
*This permit Void if, sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
r.4
ImprUVW11V11Ls permit by
i
*Contact a representative of the Davie County Health Department fort final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. T61ephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion Date
'The signing of this certificate shall indicate that the system described above has been installed
Iled in complial i with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will.. nction
satisfactorily for any given period of time.
r
1. Permit F
2. Address
APPLI TION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department VS'o MAR 1
Environmental Health Section'C,��
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
p Home Phone 9 Vg (�)_q6
�cuested RV uo':-c It 'eT _ _ Business Phone /��<a> �
3. Property Owner if Different than
Address n';1 b �►��`
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: Hous obile Homeusiness
Industry Other
b) Number of people
6. a} If house or mobile home, state size of home and number of rooms.
House Dimens' ns
Bed Rooms Bath Rooms— Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc. '—
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes ' urinals garbage disposal
lavatory showers 2, washing machine
dishwasher sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes No _
9. a) Property Dimensions .2yy ���
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my�owledge.
- V'Z
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
Ufg-
r_
DCHD (6-82)
4 S 7-- / ��•� �s
Jor
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes no `', 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of th above described property, however, I certify that I
have consent from t/G / S::3) , owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
=yesno 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
.y I vl�� V'Jo,
DATE SIGNATURE
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
DATESIGNATURE
DCHD (11 /84)
Owner only
— Owners designated representative
one requesting results
— Only those listed below
" " I
F
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section,
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name �,, C\g�-- Date o `
Address V., n'� Lot Size ti -our k � 6-1),
FAr.TOPR
AREA 1 i ARFO) AR�� Alder
1) Topography/ Landscape Position
S
S
PS
��
PS
PS
U
U
U
U
2) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
P
S
c2a—�>
3) Soil Structure (12-36 in.)
Clayey Soils
P
PS
&S—)(PS'1
U
U
1) Soil Depth (inches)
PS
PS
PS
PS
�
U
i) Soil Drainage: Internal
P
S
<tt�
External
pSC
U
S
PS
(S)
U
i) Restrictive Horizons
Available Space
S
S
S
PS
U
U
U
U
1) Other (Specify)
S
PS
U
S
PS
U
S
PS
U
S
PS
i) Site Classification
S
U—UNSUITABLE S—SUITABLE PS Provisionally Suitable
Recommendations/Comments:
Described by �- Title Date
SITE DIAGRAM
5N
DCHD (6-82)
Davie County NealtFr De artment
and Name .11ealtk Ayency
210 HOSPITAL STREET/ P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
April 7, 1989
Charles P. Allen
309 Casa Bella Dr.
Advance, NC 27006
Re: Site Evaluation
Off Cornatzer Road
Dear Mr. Allen:
On April 6, 1989, as you requested a representative from this office
visited the above mentioned site. The soil was found provisionally suitable
for the: installation of a ground absorption sewage system.
If you have any questions, please feel free to contact this office.
Sincerely,
Charles E. Little, R.S.
Environmental Health Section
CL/wd