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119 Roxbury Court Lot 50Davie County, NC f Taal Parcel Report Wednesday, November 30, 2016 WARNILN is 1"HIJ 1S INU'1' A b UMV.L Y Parcel Information Parcel Number: H8060A0050 Township: Shady Grove NCPIN Number: 5789233963 Municipality: Account Number: 82513150 Census Tract: 37059-804 Listed Owner 1: MCKAIN JAMES Voting Precinct: EAST SHADY GROVE Mailing Address 1: 119 ROXBURY COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7877 Voluntary Ag. District: No Legal Description: LOT 50 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.67 Elementary School Zone: SHADY GROVE Deed Date: 9/1999 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 003140758 Soil Types: PcB2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Ouuildin& Extra Building Value: Features Va ue: Land Value: Total Market Value: Total Assessed Value: 91f� All 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 na N t NC or arising out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT j j) �� -0 Environmental Health Section / P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Tax PIN/EH #: 5789-23-3963 Billed To: Glory Home Builders Subdivision Info: Covington Creek Sec. 1/Blk 1 Lot # 50 Reference Name: Harvey Schneider Location/Address: Roxbury Court -27006 Proposed Facility: Residence Property Size: See map ATC Number: 2129 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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 1 l 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 Me #People #Bedrooms 3 #Baths 2 Dishwasher: u Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats l.D� IndustrialC3lWWaste: Lot Size Type Water SupplyDesign Wastewater Flow (GPD) —300 Site: New 9 Repair ❑ " a System Specifications: Tank Size IDCOGAL. Pump Tank GAL. Trench Width -G Rock Depth %x Linear Ft -300' Other: 1T)bZ .— Required Site Modifications/Conditions: In TaU V witty., W � t eEE , K`P to a .u1367 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 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.**** r We" 1201 �o t7SE AllI Health Specialist's Signatu Date: DCHD 05/99 (Revised) Account #: 989900317 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Billed To: Glory Home Builders Reference Name: Harvey Schneider Proposed Facility: Residence ATC Number: 2129 Tax PIN/EH M 5789-23-3963 Subdivision Info: Covington Creek Sec. 1/Blk 1 Lot # 50 Location/Address: Roxbury Court -27006 Property Size: See map 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 WASTE W CTION I ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatu Date: i 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: et( I J-,� J i ✓ 6D Environmental Health Specialist's Signature: r i�'t`f� Date: S (7 DCHD 05/99 (Revised) eo ODELL MYE= LOCATION MAP j PEOPL CREEK RD O L-2890 ti • �� ` ,g •. v SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR RECORD PLAT AND NOT FROM A SURVEY BY M E. • • 30 .• •• ■■■■■■■■■■III GRAPHIC SCALE - FEET FOR GLORY BUILDERS SCALE I TOWNSHIP I COUNTY STATE DATE,s 1" = 30' 1 SHADY GROVE I DAVIE N. C. 7-29—q LOT 50 COVINGTON CREEK PHASE ONE P.B. 7 PG. 57 HOWARD SURVEYING JOHN RICHARD HOWARD PLS P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 JOB NO. 99093 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION %l%i✓ /G e� Water Supply: On -Site Well Community Evaluation By: Auger Boring Pity SECTION_ LOTt DATE EVALUATED 96 r PROPERTYSIZE ROAD NAME S:7o6 % /7 Public L/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position A— Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Slp 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: K LONG-TERM ACCEPTANCE RATE: 4 f, REMARKS: �� / LEGEND DCHD (01-90) Landscape Position EVALUATION BY: OTHER(S) PRESENT: 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 pis 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 MineraIQU 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 4APPLICATION AOR S!TE EVALUATION/IMPROVEMENT PERMIT Davie County Health Department D Q Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSI$D UNLESS ALL THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person % et e- A -'f � Mailing Address f�L� t) X 3 d 7) Home Phone City/State/Zip , UniJ CC— N(. 766 Business Phone_ 919-- Y77.2- �8l3-��i/8• (�`�+bel 2. Name on Permit/ATC if Different than Above Mailing Address City/Staterlip r 3. Application For: M4ioteevaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other %0+ 84al yi.SiOnJ 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ l 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 H11 -0 --- If yes, what type? I 1 111, 1); '. 11. 11 !'f: ,: ► 1) i ► i 1:, PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPER171 MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: )a al 6644, QGst-Ge WRITE DIRECTIONS (from Mocksville) TOPROPERTY: Tax Office PIN: # X89 - Property Address: Road liame gOl i _ Duero n.4 / m ► — L,JLS •� S`talP o �' Cit /Zi ��y• Z?oo cS�-bm- Y 1? -, � 1),l C_.�1�. -4- r m If in Subdivision provide information, as follows: �' a � � f-a�l C� eeic % Name: � lam— r r- r Section: 1 Lot #: jl!�- 1517 i This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) issued hereafter ar subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this app"ication is falsified of changed. I, also, understand that I am responsible for all charges incurred from this application. 1, hereby, give consent to the Aat or,'.ze of the Davie County Health Department to enter upon above described property located in Davie County anri ow •:r. Revised DCHD (06-96) all testing procgOn cs as negessary to determine the site suitability. rill," ,Aikil t;r; 11 Fv 1-01; t)lrMu'1N6 li0111%' 6111 PLAN: • �,. ' _ APPUfATION FOR SITE EVAUJATION/IMPROVEMENT PERMIT & ATC=Jd Davie County Health Department D Envit�onmental Heap}► Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE INFORMATION IS PROV/I'DED. Refer to the�IINFORMATION BULLETIN for instructions. 1. Name to be Billed !c/ / c/'J/'7'OM &/,*�6 P//Jf contact P.rson TTXryPy�cf�n�,�.^ Mailing Address �1; 03 3 �i`a �6,-/,eA /`/, /Z 40'11 Home Phone . 33L 9�2 2d 7 f %VC z-7/�G Business Phone $4? -?7 e-- 2. ✓2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: ❑ Site Evaluation i -improvement Permit/ATC ❑ Both 4. system to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms 3 # Bathrooms 2,5— Dishxashor ❑ Garbage Disposal t4ashing Machine ❑ Basement/Plumbing fl Basement/No Plumbing 6. If Business/Industry/other: Specify type # Commodes # Showers # People # sinks # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Nater supply: s'County/City ❑ Well ❑ Comm'uiity s. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: # Property Address: Road Name Xo ,K hU r y City/Zip , ,� j/a *I e- lf If in a Subdivision provide information, as follows: Name: C 0 Ula h C(e e K Section: 9 Block: / Lot:_ WRITE DIRECTIONS (from MockrAlle) to PROPERTY: T- Llo E, �o Sv 10 CO21"dak F, s; A0 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 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 &Z-Arr S/ to conduct all testing procedures as necessary to determine the site suitability. DATE �7--�/-97 SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: EHS• Revised DCHD (07/99) Account No. C Invoice No.V4/