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113 Covington Drive Lot 64
Davie Countv. NC Tarr Parns�l A s�r�nr♦ Wednesday, November 30, 2016 Parcel Number: NCPIN Number: Account Number. Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WAKlrll�lli: ltltll l� 1rV1 A JUKVEY County, �TAll �rCounty 1\ C Parcel Information H806OA0064 Township: Shady Grove 5789345487 Municipality: 8300167 Census Tract: 37059-804 ANDERS-RAMIREZ MARSHA Voting Precinct: EAST SHADY GROVE 113 COVINGTON DRIVE Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R-20 NC Zoning Overlay: 27006-0000 Voluntary Ag. District: No LOT 64 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE 0.74 Elementary School Zone: SHADY GROVE 3/2011 Middle School Zone: WILLIAM ELLIS 008531032 Soil Types: PcI32 0007 Flood Zone: 057 Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra Freatures Value: Total Market Value: 161 County, �TAll �rCounty 1\ C data Is provided as 1s without wannty or guarantee of any Idnd either expressed or Implied Including but not limited to theDavie Implied warranties of merchantability or Illness for a particular use. All users of Davie County's GIS website shall hold harmlessthe of Davie, North Carolina, tis agents, consultants, contractors or employees from any and ail claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this webake. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section II • ` P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900035 Tax PIN/EH #: 5789-34-5487 Billed To: Richard Short Subdivision Info: Covington Creek Sec. 1 Lot # 64 Reference Name: Phil Strupe Builders Location/Address: Hwy 801 S.-27006 Proposed Facility: Residence Property Size: 250 x 100 **NAP** 'I'lii b�mprovem6ent/Operation Permit DOES NOT authorize the construction 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/installation 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type o L -)SG #People #Bedrooms 3 #Baths OS' Dishwasher: Garbage Disposal: e Washing Machine: 19"' Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water SupplDesign Wastewater Flow (GPD) Site: New ©Repair ❑ 2✓ ,. System Specifications: Tank Size /COO GAL. Pump Tank GAL. Trench Width 2110 Rock Depth 1Z Linear Ft. 3CX:>' Other: I P1s117&Tt0-3 Zub . )N)STAL - (—>J aS 4q 0. e- Required Site Modifications/Conditions: 'Itos-fAl. C*. GC-,3`f0d4 14--F�L-,10 10OFF -rkmp Lo ROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW INISTfED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system betwe 8;30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** 99 'b2., vE- F a)BQ Z. Environmental Health Specialist's Signature: DCHD 05/99 (Revised) ' - nuc fuwsT1� � ��I1 �� - - Date: [X� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section p 7 P. O. Boz 848/210 Hospital Street Y I Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900035 Tax PIN/EH #: 5789-34-5487 Billed To: Richard Short Subdivision Info: Covington Creek Sec. 1 Lot # 64 Reference Name: Richard Short Location/Address: Hwy 801 S.-27006 Proposed Facility: Residence Property Size: 250 x 100 ATC Number: 2186 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction 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/installation 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type I -I 1��--G #People #Bedrooms -f�) #Baths 2 Dishwasher: �'d" Garbage Disposal: Er Washing Machine: 0 ----Basement w/Plumbing: Basement/No Plumbing: Commercial Specification: Facility Typenn #People #People/Shift #Seats Industrial Waste: Lot Size Type Water SupplylAUhiW Design Wastewater Flow (GPD) Site: New Repair M System Specifications: Tank Size 1 °� GAL. Pump Tank GAL. Trench Width -E/n Rock Depth Linear Ft. 5DC� Other: �1�TQ,1 I� oa — iC, �I�C,-Au— l4.)LS 9 Ia.C— Required Site Modifications/Conditions: I t ls-mu- o -,j G �• T��2 _ �� ( l FJ�CIFF ow- Ll aw Peot-LI �. W IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW / FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8al a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** Q goy -o dgo �3 N �, W �7 U3 L� Environmental Health Specialist's Signature: Date: / L� 'V L� DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900035 Tax PIN/EH #: 5789-345487 Billed To: Richard Short. Subdivision Info: Covington Creek Sec. 1 Lot# 64 Reference Name: Richard Short Location/Address: Hwy 801 S.-27006 Proposed Facility: Residence Property Size: 250 x 100 ATC Number: 2186 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WAS T TIO IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa re: Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 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. Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) eta MWDate: , APPLICATION FOR SITE EVALUATION/IMPROVEMENT' PERMIT & ATCI Davie County Health Department Envfronmen[a/Hear/th Section P.O. Box 848/210 Hospital Street SEP 2 71999 Mockoville, NC 27028 (336)751-8760 w ***I1�II�ORTANT*** TAIS APPLICATION CEMM BE FA=SBED UNLESS ALL THS REQUIRED =1096MION IS PROVIDED. / IN IRefer to the FORMATION BU=TIN for instructions. 1. Kase to be Billedy /'10r'� CLQ 2;1 /''�A-e-3 Contact * reoo �� �/� r1( ^s Mailing Address T" d eey Boas Phos city/state/s2p 4-2,666 Business phone 999 - 977.14 Fei3- R',//e 2. Naas on ?emit/ATC it Different than Above Mailing Address city/State/sip 3. Application For: 0 Sitee2valuation fd'15�rovem mt Permit/ATC 0 Both B' 4. 9ysten to services House 0 Mobile Home 0 Business 0 Industry 0 Other s. if Residence: f People f Bedrooms -- • Bathrooms ;V6 ®'Dishrashsr Wombage Disposal Machine 0 Baawent/pivabing Rlia;saant/No plumbing 6. Zf Business/2ndustry/others specify type / people • sinks i commodes i shovers i Urinals i Water coolers IF FOODSERYICS: # Seats Eatimated Nater Usage (gallons per day) 7. Type of water supply: County/City 0 Well 0 community 0. Do you anticipate additions or expansions of the facWty this system Is intended to nerve? 0 Yea MCI - If yes, what type? ***IMPORTANT"** CLIENTS MUSTC�OMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITlED by the client wdtb THIS APPLICATION. Property Dimensions: &—hy c7Sd K Tax OMce PIN: # _AI -7915 - . V `.S W 7 Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: Name: 7%Uio%g4-Ad Creek Section: / Block: Lot: —� WRITE DIRECTIONS (from MocksvWe) to PROPERTY: )ev 44 '961 S fa ,neQf Date Property Flagged: nit/ S 1+e 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, Ifthe site plans or intended we change, or If the information submitted in this application is falsified or changed. 1, also, understand that I am responsible for all charges Incurred from this application. I, hereby, give consent to the Authorized Representative of theIth e rtment to enter upon above described property located in Davie County and owned by / 1 _ to conduct all testing procedures as necessary to determine the site snib DATE 17 -99 SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed DroDerty lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge `Date(s): 1 Client Notification Date: I EAS: Revised DCHU (07/99) Account No. Invoice No. �/ DANE COUNTY, NORTH CAROLINA I, a Notary of the County and State aforesaid, certify that John C. Grgy and G. Ropert Stone Registered Land Surveyors, personally appeared before me this day and acknowledged the ♦xecution of the foregoing instrument. Vithes$ my hand and official stomp or seal, ph this A day of November, 1998!.. My commission expires `% _.0 -.Ido mom_._R.P4AWA4- Notary PualiC } RD 4� ,A �. PROJECT / EL LOT 20, MAP H-8 �rj� p s°'LE cN°� ao LEWIS M. CARTER & 2 WIFE DOROTHY P. CARTER ti DB 59, PC 393 J' : T" MCPS ff FUTURE PHASE I 1" EI P ADVANCE UNINCORPORATED /. H S cgot/ TOT L 153.27' 3 J. T S 7' 44' 23"\ 240.00' a Z 'S� " RICHARD C. SHORT COVING TON CREEK — — — — _ — _ T- BLIRZCAP — �8 r s . FUTURE PHASE 2 3 S CD \ CONTROL CORNER N \ S I g9; \ a(j 0 R/WN AT R/W o^ I � 4 / / Qj 2 1 ti. O W 5 / 4E5 CONTROL "> I F E,' 1 �3 1 N it 4'0 CORNER I ^ N I oc.jr� 3.34•—N _ P 83.21' 44.79 CD 128.00' S 87' 55' 27" o f q r 1 tV M M j i4 I FUTURE \ \ o� FJ v 2�8. aj• I o TENNIS (9 > f- lye I =� N I COURTS g$ 7 U/ 69 3�' 19, w` J 5 '6 2 2 _ _►�� 168.79• � I 4 9.19 N 7'31 31 ,� \ p3" 19 S 4B: I 100.00' 98.00' 50.00- C� \\\ \\ 61 ��\ jj LU IN i I I r7 I iq I �•C �� \� \ \ mac': I d �. z i © i I 57 41 58 �Z I g I 8 I 1 \•w� \ pyo. \ \ I rV I f '• I tyy I � I I� I � � � //\ \ I q(a v v U j * .APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC 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 THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed�� r� Contact Person Mailing Address `16 /- .�1�c v�-3d(j Home Phone 999 — 4177 City/State/Zip /�'of Vst n1 Le— /1/ C Business Phone F/. 3 - R YZe' 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [ Site Evaluation 4. System to Serve: [uses [ ] Mobile Home City/State/Zip [ ] Improvement Permit & ATC [ ] Business [ ] Industry [ ] Other [ ] Both 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ J Washing Machine [ J Basement/Plumbing [ J 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: [k,-60'unty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [� If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***A nwr OF THE PROPERTY MUST BE I SUBMITTED WITH THIS APPLICATION. Property Dimensions: 66_ y7 acres ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 4& Property Address: Road Dame A Wu 5M 1 l r S'6 City/Zip /moi 1j'a1t1C F IUL.�17,; If in Subdivision provide information, as fRows: Name: Creak- Pc a5 � Section: SLf777-0.10 Lot #: (o 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 Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by t=- DATE_' LZ- % J Revised DCHD (06-96) all testing procedures as necessary to determine the site suitability. THIS AREA MAI/ LIE 11SEb j01t I)RAIIIINC 1/0111? SITE PLAN: APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation Water Supply: On -Site Well Community SECTION LOT" DATE EVALUATED` PROPERTY SIZE ROAD NAME Public Evaluation By: Auger Boring Pit 7 Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure / S .e Mineralogy . ' l 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: EVALUATION BY: L LONG-TERM ACCEPTANCE RATE: r• OTHERS) P ESENT: REMARKS: �Y Awt o/j//- lir 111'� fi / 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 Moist 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 Mineralogy 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 (01-90) r �01 0 N� GN ZZ, Davie County Health Department and.Come Health .Agency Environmenta(Health Section P.O. Box 848 / 210 Hosprm STREET COURIER #09-40-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-8760 July 13, 1998 R. C. Short Custom Homes P. 0. Box 2300 Advance, HC 27006 Re: Site Evaluation Covington Creek/Lot 64 Tax PIN: #5789-24-4344 Dear Client(s): As requested, a representative from this office visited the aforementioned subdivision from May 27th through June 17th, 1998. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system; however, topography could be a limiting factor in some areas. It is imperative that the developer and this office work closely together to ensure that ample space is available for the proposed installation. Before a permit can be issued the appropriate application must be filled out and the house/mobile hone location staked off. If you have any questions, please feel free to contact this office. RH/wd Enciosure(s) cc: Zoninq Uifice Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC 'r 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 THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed �7 �D r'� Contact Person Mailing Address�� ,�'S a -36e) Home Phone 999 — 4/ 7 7 c�L- City/State/Zip R'Awi 1' L,C A) e e) Business Phone R,1, /C 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [' Site Evaluation 4. System to Serve: [uses [ ] Mobile Home City/State/Zip [ ] Improvement Permit & ATC [ ] Business [ ] Industry [ ] Other [ ] Both 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] 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: [411c"ounty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [1.1<0 If yes, what type? .1 EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***QCFM OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 66,10 A Gre S WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S%89 - _ - _5 f -fid 361 aA -S'd'K �s7n---t_ Property Address: Road Name A Wu qa 1 -> c -r gc ss - -1 I I� City/Zip /�i�lL-3/tjt'P A)c 7M�:i If in Subdivision provide information, as f ows: Name:&')/nr 4t"J Creek- /�r0 oS� Sect Section: .a �✓ -- - Lot #: ; 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 Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by A=- C— ^ lr-I - DATE -3-1 7- %7t' Revised DCHD (06-96) all testing procedures as necessary to determine the site suitability. THIS AREA XtAY BE USED FOR DRAWINCJ YOUR SITE PLAN: