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125 Covington Drive Lot 63Davie Countv. NC ' r Tax Parcel Report Wednesday. November 30. 2016 WAKNMG: '1'H1S 1, 1VU'1' A NUKVEY Parcel Information Parcel Number: H8060A0063 Township: Shady Grove NCPIN Number. 5789345384 Municipality: Account Number: 8301653 Census Tract: 37059-804 Listed Owner 1: BARNEY BETTY W Voting Precinct: EAST SHADY GROVE Mailing Address 1: 125 COVINGTON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 63 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE Deed Date: 12/2012 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009100274 Soil Types: PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: g Freatures Value: Land Value: Total Market Value: Total Assessed Value: (ED 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, Impliedwanan es of merchantability or fitness for a particular use. All users of Davie Countys GIS website shall hold harmless the NC County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to or arising out of the use or Inability to use the GIS data provided by this website. �.-.,,i fr fi✓+'1Y"` wd �� w Y -n'. - -r; .,� - •. 5 +. �..r • -v.. , � :1. /�,.: ,1..r. r...t+�.7i AUTHA��1$ N NO: `� DAVIE COUNTY HEALTH DEPARTMENT wk,•�. f w k z : nvironmental Health Section PROPERTY INFORMATION Perm6ee'y`k ,/%� P.O. Box 848. �! Name, +�l'/ ;�f. Mocksville, NC 27028 Subdivision Name:. . Phone #'336-751-8760 ,r Section: +f Lot: Directions to property: rt%• - /`-� r AUTHORIZATION FOR WASTEWATER Tax Office PIN: SYSTEM CONSTRUCTION Road Name: I .. Zip; **NOTE**.This Authorization for Wastewater System Construction MUST BE ISSUED bythe Davie County. Environmental Health Section prior to issuance of any Building-Pernuts.•Th s Form/AuthorizationNumber should be presented to the Davie. CountyBuilding Inspections ' Office when applying for Building Permits. (In compliance with Article 11'of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) . ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST , DATE ISSUED y ' Ila // DAVIE C DUNTY HEALTH DEPARTMENT IMPEMENTAN D OPERATION PERMITS PROPERTY INFORMATION Subdivision Name: D�re�dons to property '� f j �f'/ Section: Lot:. IMPROVEMENT PERMITN _ •/ Tax .Office PI . �b Road Name .;}ir , Zip: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of aseptic 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) r. ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE. PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ' ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE' INSTALLING THE SYSTEM. , 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 (J DESIGN WASTEWATER FLOW (GPD) _ NEW SITE Ao< REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH �] 6 (ROCK DEPTH LINEAR FT. /OGd OTHER l ✓P P — !j/°� /� i. f�/D ` JT.Crf� /` (> REQUIRED SITE MODIFICATIONS/CONDITIONS: "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. DCHD 051% (Revised) ` + APPUCATION FOR SIZE EVAWABON/IMPROVEMENT PERMRIE jR0 Davie County Health Department n Environmental Health Sulo, 10 P.O. Bos 848/210 Hospital Street Mocksville NC 27028le(336)751-8760 E COUL HEALTH NTy ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. flame to be Billed �,rxvf 25 ee J 7z7a cC (� Contact Person /O�LGy� �►!T ��� Mailing Address %i--,5,7 A4 d eves r tame Phone city/state/ziP Business Phone !!Q- J�2% 2. flame on Permit/ATC if Different than Above Mailing Address City/state/zip 3. Aipplication For: .1C Site Evaluation ❑ Improvement Permit/ATC 0 Both 4. system to service: le House ❑ Mobile Home ❑ Business ❑ Industry 0 Other 5. If Residence: # People # Bedrooms -5 # Bathrooms 0 Dishwasher 0 Garbage Disposal 0 Washing Machine 0 Basement/Plumbing U Basement/no Plumbing 6. If Business/Industry/Other: specify type # People # sinks # Co®odes # showers # Urinals # Water Coolers Ir FOODSERVICE: # Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: ( County/City ❑ well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve! ❑ Yes 0 No If yes, what type' ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Eitber a PIAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: IN 4 4 X M6, X /#(d Y 20// WRITE DIRECTIONS (from Mocksville) to PROPERTY: TaL Office PIN: # S '7 FS � ' 3 `i ' S � �� 6 000- I) Property Address: Road Name �� S ' edV/I X, bR ' City/Zip If in a Subdivision provide information, as. follows: Name: (2 00 xr— aL-- L Section: Block: Lot: 13 Date Property Flagged: / A - /l - 9 d 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 to conduct all testing procedures as necessary to determine the site suitability. DATE m Q l d SIGNATURE I'H;S 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). Revised DCHD (07/98) Account No. q5 Invoice No. #05 5 o.o 0 -- T_Be4 HARD RlCAP �5 21C.C., SHORT e, T ;OVINGTON CRMK rUTURE 'PHASE 2 ` . 3 s , CONTROL o \ CORNER ! Sg: \ 0 9 `� �,� 2 �� ppb °o�'� °DW `� O `� $'�l �0 as z 0 0- e,, - N 6 CQ ( N \ F CONTROL CORNER ^ N /Z c°�n 39.34 �IP 83.21'`\ ® •�� cb d 'oK I a 44.79' r � I 128.00' S87' 55' 7" 0 ~ 2 �1 o�I civ Iz° � cr - - - - - - FUTURETENNIS COURTS 88 69 34 19 iL-------- -- - - —- - 4 5 C) `i 31 ,Q•. i � � J• ` I ass ` c j 4 C7 S 98.00' 50.00' \ \ 6 \ 00 04 � 1 Ir I I cJ9 \i 57 1z I ! o00, I 7 1 \ 708.00' 120.00' \2. 10J !� .,- ' 31' 31' w 38' 170' 64' 64' 58. 3 t 70.00' 224.00' DEVELOPER R.C. SHORT CUSTOM HOMES (336)998-477? IN 11 1 �-4" EIP BENT NAIL SET CO VING TON CREEK I SHEET: CF 2 PHASE ONE OWNSH,P: �HADv I,PnVE c1 ir�n� lsici�n; . -. ,''?LICAXION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC t 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� ��/ ,� c;-366 Home Phone 9 SS � o"L - 7 7 City/State/Zip 9140 nl L, IU':- ---A-21666 Business Phone & i - 9 ZZE I e -A --k 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: [' Site Evaluation 4. System to Serve: [buses [ ] Mobile dome 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: [K1150unty/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [� If yes, what type? E I THEIZ A PLAT OIZ SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT **f<A-TL` T OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: (o4. y y A c re s 'WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # ��%�� - - _� 15-9 46 961a10 Se M±L Property Address: Road lame 11 Wu Zi / c.rars -6-ef city/zip /moi lleill1C F AX t)7),; If in Subdivision provide information, as f ows: Name: d LWV' f -6) r -ea /?r4 0SNd Section' SGz'TD N 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 /= C- -.) Asy-T DATE -3-.Z7- /Fr Revised DCHD (06-96) all testing procedures as necessary to determine the site suitability. THIS A1ZEA MAI/ BE USED f -01Z b1M l!'I Nh I J01M SITE PLAN: y DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT/ Soil/Site Evaluation APPLICANT'S NAME �o:,dl—DATE EVALUATED ` PROPOSED FACILITY ,/ < PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 1( 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 Vi SITE CLASSIFICATION: 2 5 EVALUATION BY: Y)Ull LONG-TERM ACCEPTANCE RATE: / / OTHER(S) PRESENT:REMARKS:. 2-1-C `•E! s/�' i� �`' EGEND 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)