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108 Roxbury Court Lot 45Davie County, NC Tax Parcel Report Wednesday, November 30, 2016 OLiyEXANDRIhCT 123 ' 125 O� 'tf112 128-�' O 134- i floe COVINGTON DR— { lie 120 207 ^199 191~ 122 113 -- -- - ---------- --- -------- -` - ----i -1-14---- --- -- - - - - -- ------ - - -- - E01All data Is provided as Is without warranty or guarantee of any Idnd 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 NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H806OA0045 Township: Shady Grove NCPIN Number: 5789243257 Municipality: Account Number: 82528650 Census Tract: 37059-804 Listed Owner 1: YOUNG REBECCA PARKER Voting Precinct: EAST SHADY GROVE Mailing Address 1: 108 ROXBURY COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 45 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 1.24 Elementary School Zone: SHADY GROVE Deed Date: 912007 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 007281138 Soil Types: PaD,PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: E01All data Is provided as Is without warranty or guarantee of any Idnd 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 NC or arising out of the use or Inability to use the GIS data provided by this website. r r� s�.--~+��-�^.,it•sf!�wxs,E+S �� 3�'►-i�"'ik2� �!'=5-t:.•v��..�..Ya+'� .y-+�,�.,�.,F• ;x, ,.,, r ..,�-. _ ;..�: '^ '� o-f`�.�;�' AFi�LATIC='N18 y DAVIE Ctvironmental NTY HEALTH DEPARTMENT *'' hPROPERTY INFORMATION ;,•>,_�'` ' ' Health `Permtttee's J1 P.O. Box.848 Name " �,} + Mocksville; NCS 27028 Subdivision Name: ©'% f(, r / ' -04 Phone # 336451-8760 Directions to property: 1 +rf�'!/ Section: Lot: 7=j AUTHORIZATION FOR WASTEWATER Tax Office PIN:#- -�+, SYSTEM CONSTRUCTION Road Name: c UT. ip. ' **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 I lof G.S. Chapter 130A; Wastewater Systems, Section,. 1900 Sewage Treatment and Disposal Systems) 1f . f r7 l ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION C ' /, IS VALID FOR A PERIOD OF FIVE YEARS. "ENVIRONMENTAL -HEALTH SPECIALI5T DATE ISSUED. r^ •r. �t. �, . C -••.� �i4Y r ..i rS :'"v_r. ° .. ..,.� a x.. n' .-,y-Ny.i-.:vF+ °i'.YY�.2 :..-."- ru-ir ♦ .a'W,y,y., '' Pemii� s DAVI COUNTY HEALTH DEPARTMENT Name..✓�,�'/l�G-'�J✓J7° Environmental Health Section PROPERTY INFORMATION . P.O. Box 848 Directions to property: �G r C, Mocksville, NC 27028 Subdivision Name: �%�'l�i C-• /rr"/f� Phone #: 336-751-8760 Section: Lot ' '�✓ AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - AUTHORIZATION NO: 2354 A Road Name: Zip: **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 1 I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION l IS VALID FORA PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPE IALIST DAT ISSUE 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 ✓ JJ � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK 'GAL., TRENCH WIDTH ROCK DEPTH OC 1 LINEAR FT. AIV OTHER 4. . REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT p 1 �o�X.�'X� � �' mak. s �•��P ,aPC�� �d�lrs iI/PGt% **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 (336)751-8760. OPERATION PERMIT . SYSTEM INSTALLED BY: 1.[aNFJ1 ' r y1 G41, � ii2v! ge,c.LL IR 'I Fel �akS -eD �oaL,,.1D C7r, AUTHORIZATION NO. � A OPERATION PERMIT BY: FNINSTALLED TE: Z **TILE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM RIBED ABOVE HAS 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 02/02 (Revised) -,17 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_ LOT Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY .11 SUBDIVISION Water Supply: On -Site Well ,, e eA Community. Evaluation By: Auger Boring Pit t� DATE EVALUATED �J d PROPERTY SIZE ROAD NAME Public l� Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence r Structure S / 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: LONG-TERM ACCEPTANCE RA REMARKS: DCHD (01-90) EVALUATION BY: la // OTHER(S) PRESENT: yp '02 - T 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 ois 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 Mineraloev 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 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI' Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL ..�e THE RE UIRED INFORMATION IS PROVIDED. skbr�' k34,0 1,--%�1� 1. Name to be Billed HA -., S Contact Person / el e- k r'f 4 Mailing Address PI) � At) >1 01►�3 C'� el) Home Phone City/State/Zip ,0 t yJeliu C- e- X7666 Business Phone %�l�''y77.1. �8/3-aWe 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip _ 3. Application For: ` ite Evaluation [ 1 Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ ] Mobile Home [ ] Business [ ] Industry [ J Other 10+ sub'L 1 diS /'0' A) 5. If Residence: # People # Bedrooms # Bathrooms [ 1 Dishwasher [ J Garbage Disposal [ ] Washing 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: County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes If yes, what type? 11 1 111 1: '. 17- l 1 ! 'r: ; I I II i t PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A>a of 60 a.0 , /Sect -'ems /� .' WRITE DIRECTIONS (from Mocksvillle) TO PROPERTY: Tax Office PIN: # 78� - - -=� ` ] Y --, y c I � t1 Sal ei K V 4 K: Le Property Address: Road Dame i�0 j _O�.mpmr oo �( / m ► — t��LS -� S ►o�P e P City/Zip „��U • Z?oo 4- ; C_a- rXm^nd2 Me r-5 If in Subdivision provide information, as follows: Name: e ; Section: 1 Lot #: T This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter ar subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified o changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorize ve of the Davie County Health Department to enter upon above described property located in Davie County and owne !f t5 . Revised DCHD (06-96) SIGN all testing procSoWs as necessary to determine the site suitability. 1111; AIT,1 A1111 tir 11,517b /-Of, L)IMIUN6 10111? SIIF MAN: tc criteriQ an.c con i ions ,.y.• der dnd same is found to comply with such criteria ana conditions as found in such evaluation. For details of this evaluation and I'I :ations see the written report on file at the said Department. ANT R+OSICE: THIS CERTIFICATE DOES NOT CONSTITUTE A PERMIT 'ROYAL OF INDIVIDUAL LOTS IN SAID SUBDIVISION FOR INSTALLATION IAGE FACILITIES. I-�Pe Health Official )Q 2VOWo .Date { RICHARD C. SHORT I COVI NGTON CREEK NORT i FUTURE PHASE 2 'EEK + 3 00.00 -18-34 6 1 � O•r� 4 5 C'.IN \ ,j4- ✓ / c, /,• 6 47 G. G• �p �oI" C _._.,...��.�ente•neU�tJlttlVl PtBMII &AIC Davie County Health Department EaKivnmenta//fea/th SaWon ' P.O. Box 848/210 Hospital Street _ 8 19W Mockaville, NC 27028 DECG (336) 751-8760 ***IHPe7RTANT*** THIS APPLICATION e3 MWr BB PROCLSSED UNLESS ALL THS!-REQtT3RED' INFORMATION IS PROVIDED. Refer -to the IN1WtVATIOH BULLETIN for instructions. Name to be Billed of Qr�,I dd-,CkAAaContact Person //I C Nailing Address 11,9,1)O' 6,0 '7 / now Phone l City/State/ZIP oeqd /% ll4lt� _ IV Business Phone Name on Permit/ATC If Different than Above Mailing address City/state/Lip Application For: U Site Evaluation Improvement Permit/ATC 0 Both system to service: V11ouse 0 Mobile Home 0 Business 0 Industry 0 Other If Residence: �/ People _C. 9 Bedrooms_ O'bishwasher 41'bw bage Disposai"1j,Rishing Machine If Business/Industry/other: specify type a Basement/Plumbing / Bathrooms __)_ "asement/No Plumbing # people # Sinks # Commodes # Showers # Urinals # Nater Coolers IF FOODSERVICE: # Seats Estimated hater Usage (gallons per day) 7. Type of water supply: 0 County/City 0 well 0 Community a. Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yes 0 No If yes, what type? ***IMPORTANT*** CLIENTS AfUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions:_ �ITE WRDIRECTIONS (from Moci:sville) to PROPERTY: Tax OMce PIN: #—.2:7 4 — aZ3 5%�(i0U Z70 0 6 Property Address: Road Name W 0x bL( r"4 a�� City/Zip oZ 70 If In a Subdivision provide information, as follows: Name: (�vV! n at R Section: _Z_ Block: Lot: 7` s cIC- Date Property Flagged: 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 pians or intended use change, or if the information submitted in this application Is falsified or changed. I, also, understand that I ane responsible for all charges incurred from this appllcadwL I, hereby, give consent to the Authorized Representative 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 %2, / 'T / r% 9- SIGNATURE V THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include aH of the following: Existing and proposed property lines and dimensions, structures, setbaclu4 and septic locations). Account No.� Revised DCHD (07/98) Invoice No. 7g