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149 Covington Drive Lot 58Davie County, NC Tax Parcel Report Wednesday. November 30.2016 WA t.NMCT: '1'rilb 111VV'1' A JUKVEY Parcel Information Parcel Number: H8060A0058 Township: Shady Grove NCPIN Number: 5789332926 Municipality: Account Number: 3961350 Census Tract: 37059-804 Listed Owner 1: BANDY DARRYL LEE JR Voting Precinct: EAST SHADY GROVE Mailing Address 1: 149 COVINGTON DRIVE 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 58 COVINGTON CREBK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.72 Elementary School Zone: SHADY GROVE Deed Date: 512000 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003330274 Soil Types: PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY & Extra Building Value: FOreatures Va ue: Land Value: Total Market Value: Total Assessed Value: 9 A��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, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS webaite shall hold harmless the County of Davie, North Carolina, its agents, consultands, contractors or employees from any and all claims or causes of action due to r'p C p4 NC or arising out of the use or Inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section ' P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000909 Tax PIN/EH #: 5789-24-4344 Billed To: Phil Strupe Builders, Inc. Subdivision Info: Covington Creek Sec.1 Lot # 58 Reference Name: Phil Strupe Location/Address: Covington Drive -27028 Proposed Facility: Residence Property Size: 3/4 Acre **NOTE* iIsgmpro2vieigent/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 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 17' #People #Bedrooms 12 #BathsZ--- Dishwasher: e Garbage Disposal: ET'� Washing Machine: C2" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size RI -0 e- Type Water Supply Design Wastewater Flow (GPD) Site: New Repair ❑ System Specifications: Tank Size% GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width 6?�C/, Rock Depth Linear Ft,-,;�)O' "' IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 K 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 nn the day �f;n�+aiiarion. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature:A". Date: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990000909 Billed To: Phil Strupe Builders, Inc. Reference Name: Phil Strupe Proposed Facility: Residence ATC Number: 2278 Tax PIN/EH #: 5789-24-4344 Subdivision Info: Covington Creek Sec.1 Lot # 58 Location/Address: Covington Drive -27028 Property Size: 3/4 Acre 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 WA C NSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: �� Date: 102 ,,1 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 stem will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature: ��/��4� Date: 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 #: 990000909 Billed To: Phil Strupe Builders, Inc. Reference Name: Phil Strupe Proposed Facility: Residence - ATC Number: 2278 Tax PIN/EH #: 5789-24-4344 Subdivision Info: Covington Creek Sec -1 Lot # 58 Location/Address: Covington Drive -27,028 Property Size: 3/4 Acre 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 WA C ;7TRUCTION IISVALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature:� �c 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 betaken ote�tem will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature : �i,/� Date: DCHD 05/99 (Revised) R DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION j APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME DjfRjZPHONE NUMBER ADDRESS bk. gdV4 A4 SUBDIVISION NAME LOT # DIRECTIONS TO SITE �� • /(�f�/1/ 7 0 c3 y�^'i � 7 ry4d DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1193 fl1L. i94XY "uo< DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION ,moo APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) NAME * �'�`�' �-" IS6'ejDy PHONE NUMBER Wo ADDRESS �'7 `^"' �►dam . VV Cor' SUBDIVISION NAME LOT # 1 �� DIRECTIONS TO SITE DATE SYSTEM INSTALLED 0� NAME SYSTEM INSTALLED UNDER SSC TYPE FACILITY I fl&l� NUMBER BEDROOMS NUMBER PEOPLE SERVED 6 3 Vynl T TYPE WATER SUPPLY VSPECIFY PROBLEM OCCURRING DATE REQUESTED I�I��O INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowledge, and that I understand I am responsible for all charges Incurred from this application. SIGNATURE OF OWNER OR AUTHORIZED AGENT Rev. 1/93 1 TE Dn1 (,J4y Tv AtiDilAv,0 _�_C"��►,� (� ire - ��_�.1�--_s `� G2�SS v.96yc--/2- yJDOLbt1'T I � O ti� �2AGSS> C-E Fr W 1774-�t�'lix9�Jni� — i . _ -H Permittees t j -� �, DAVIE COUNTY HEALTH DEPARTMENT - Names Environmental Health Section PROPERTY INFORMA ION P.O. Box 848 - ; `� �. C, , Dlrecuonrtt property: 1 - Mocksville, NC 27028 Subdivision Name:.1:'i+�`t x Phone #: 336-751-8760 , r c .�`lw677t:`i1' Section: Lot:' AUTHORIZATION FOR y WASTEWATER ` r - SYSTEM CONSTRUCTION Tax Office PIN:# - - AUTHORIZATION NO: 002670 A Road Nam ? e: f -'r` Zip: % 1 >0 (,e **NOTE** This Authorization for Wastewater Systeiri 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; vith'-Article l l df G.S. C -h ipter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. .fH SPE IALIST D TE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS .' # BATHS _2_.S # OCCUPANTS _15� GARBAGE DISPOSAL: Yes or No, COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTT: Yes/or No LOT SIZE TYPE WATER SUPPLY uNTY DESIGN WASTEWATER FLOW (GPD)__ NEW SITE REPAIR SITE ,t SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMPTANKGAL. TRENCH WIDTHROCK DEPTH LINEAR FT. .5 2�ys-7-e, _ REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT !v' 1 s i`stC►) • �S' IAII�� 1 r�...C"""., tai, of � �1 ��"1► ni(� t � ,�;, 4 av � 01 1 4 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT Zb tj1t,,,) M 1 L SYSTEM INSTALLED BY: �l l� 1 Qv t Sib CA,,U (NA �Ar�L AUTHORIZATION NO. 2020 A OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRI Er(ABOVE S EEN INSTALLED IN CO IPLIANCE WITH ARTICLE 1 I 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 SATISFACTOPULY FOR ANY GIVEN PERIOD OF TIME. j J DCFID 07!02 (Revised) � � t . ! .t i �✓ `f �1 � Permittee s� �(� AVIE COUNTY HEALTH DEPARTMENT / Name: _.�''� Environmental Health Section PROPERTY INFORMATION I P.O. Box 848 Dike tions t property: Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 1+ c � Section: Lot: AUTHORIZATION NO: 002670 A AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION Ll - - A LD J 1� 'C'1t�C?t,, 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 Offipe,when applying for Building Permits. Qn compliac�1�.W"' icle 11�6f G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION id '21--, / k& IS VALID FOR A PERIOD OF FIVE YEARS. RESIDENTIAL SPECIFICATION: BUILDING TYPE AU_k x# BEDROOMS -3 # BATHS 2 .�' # OCCUPANTS S GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLYUN1y DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE W", 0 SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH � ROCK DEPTH NJ A LINEAR FT. 7S OTHER At.liCIPrd 2-5Z Z DJG7ia-J .sV9re.%,_ REQUIRED SITE MODIFICATIONS/CONDITIONS: INSYALL CW C.►&,Jr0a, L- /D, rjy Feop- %,I -x) IMPROVEMENT PERMIT LAYOUT RIVE ,OFC t �r,� Petio off- ,EY�1S1 t niC-� � t 1 �pca�*it i62 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: M �"Owi ao M% AUTHORIZATION NO. "�'�D"� OPERATION PERMIT BY:DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DES, ABOVE FEN INSTALLED IN CO IPLIANCE WITH ARTICLE I I 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) J) 0 t. j. t f tJ ,i,) (,/ q `'. r)AVIE COUNTY HEALTH DE?ARTMENT ".1vironmental Health Section SECTION__ LOT_<�? • Scil/Site Evaluation 10 APP'LICANT'S NAME PROPOSED FACILITY SUBDIVISION C DATE EVALUATED PROPERTY SIZE /1�� ROAD NAME W. :er Supp:;,: Cn-Site WC.' Community Public Evaluation B y: Auger Boring— Pit Cut HORIZON I DEPTY Texture group Consistence Structure m: neraiogy HORIZON II DEPTH _ f e 9 Texture F. up Lam' Consistence Structure /C _ _'.vIneralogy HORIZON III DEPTH exture group Consistence _ Structurf, _ Mineralog;' HORIZON IV DEPTH u: -F: grour, Strut: ire Mine-,alogy- SOIL WHTNESS REST.R. rIVE HORIZON SAPROLI'';? CLASSIFICiNiON T nNC:-TERM ACCFPTANC'F"•RATE SITE CLASSIFICAT.:ON: EVALUATION BY: LONG-TERM ACCEPTANC3 RATE: OTHER(S) R. S ANT: REMARKS: �� i ',lo w), 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 - Loariy sand SL - Sandy loam L - Loam SI - Silt Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sanc y clay SIC - Si"..' clay C - Clay CONSISTENCE moist VFR - Ve.y friab::e FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 't NS - Noa sticky SS - Slightly sticky S - S:icky VS - Very Sticky NP - Non plastic - Slightly plastic P - Plastic VP - Very plastic Struc(ure SC - ".ng:e grain M - !Iassive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subar.;-ular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches D<,pd- of fill - In inches Rest.,, ctive 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 D^HD ;01-90) APPLICATION FOR SITE EVALUATIONAMPROV ,MEN PERMIT - Davie County Health Departrierl,* Environmental Health Section 1J V P.O. Box 848 J'11V l� Mocksville, NC 27028 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PPOCESSED UNLESS ALL `. THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed -A e C Contact Person / �r e- � <►f Mailing Address ?_),) i! t) )e Home Phone City/State/Zip/mit — ,Uapu Ce- N� _ %OCAC Business Phone 18/3-391k(Afib,l 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ J House [ •] Mobile Home [ J Business [ ] Industry [ ] Other /0+ sua l ui5."04 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Dis.3osal [ ] 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 Hlqo- If yes, what type? ►rr�ir�; �. IY.t1 ��; t►�r ►� l:; PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A)a &C, Q4V-Ce ( WRITE DIRECTIONS (from Mocksville) TO PROPERTY. Tax Office PIN: # J 789 _ �'t_ - 3 TJd a RIl l QST IJ K wra t•1 y4 pu Property Address: Road lame 1I r' O� m�X / m IAA --: S4 S Ia�2 0 city/Zip A�U• 2700 C_�'�,��Cc6m If in Subdivision provide information, as follows: Name: a (�AJ reek J y?X posed ' Section: 1 Lot #: P- S� 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 by onduct all testing /^proce r,ps as ne essary to determine the site suitability. DATE % - _�n"� SIGNATURE L" Revised DCHD (06-96) 1III C1 :v;r.1,uIt/ ;;r; IISF) 1-01; ii0iil; .ti17r PIAN: RD. 21.1 4 I. (h Ito N N it t9 LOT 36.01, MAP H-8 W.J. ELLIS & WIFE HAZEL L. ELLIS DB 49, PG 423 =E: SHEET 2, OF 2 FOR 4 TABLES AND GENERAL NOTES. 4 DEVELOPER R.C. SHORT CUSTOM HOMES (336)998-4772 MAILING 6QDRE5S: P.O. BOX 2300 ADVANCE, INC 27006 -TR--T A -----S- 0 z 0 a� zd. Q U 00 UO P (L� 4 M -JvOQ 13's" EIP BENT NAIL SET CO VING TON CREEK I SHEET: 1 OF 2 STS O ]HT1 PHASE I TOWNSHIP: GROVE SUBDIVISION � COUNTY: PROPERTY bF: DAVIE RICHARD C. SHORT STATE: PARCEL 22, TAX MAP H-8 NORTH CAROLINA DEED BOOK 200, PG. 741 PRCJ. NO.: 195.002.GE 0 ►� , APPLICATION FOR Davie Count Health Department PERMIT & ATC FU Environmental11w1fh Sead►onP.O: Box 848/210 Hospital Street71999 Mockoville, NC 27028 (336)751-8760 ***IMP0RTANT*** THIS APPLICATION C.RNNOT BZ PROMOMM UNLESS ALL INFORMlITION 28 PROVIDED. Refer to the INaVMWICH BULLETIN for instructions. None to be Billed 57/LUP� �1%/u! Jule contact Person jO//'LCI -577401G- moiling Address b7 /� /d� 4fW Oii None Phone Y-14 / y-57-- "o 17 City/state/2211 N, Business Phone Name on Perait/A= if Different than Above Nailing Address City/State/sip !. Application For: (3 81 Evaluation. Improvement Permit/ATC a Both e.sten to services House a Mobile Home a Business a Indus �r try a Other s. If Residents: # People # Bedrooms # Bathrooms ecJ 0 Dishwasher a Garbage Disposal a Washing Nsoti" 0 Baseaent/Plumbing 0 Basement/Ko Plumbing 6. If Business/Industry/others specify type # People # sinks # Commodes # showers # Urinals # Water Coolers It FWDSERVICE: # Seats Estimated Nater Usage (gallon per day) 7. Type of water supply: wtounty/City o Well a Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? a Yes O 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: V X V5, Tax Office PIN: # 5 O / —Z Y 7 3�/ 7 Property Address: Road Name a v/n/G7D) i%e. City/Zip 7,-7 QZ rq If In a Subdivision provide information, as follows: WRITE DIRECTIONS (from Modm4le) to PROPERTY: 137Y -,4w fe/S' a 7-4 49jE7�T G Name:'! 1%l/✓F� 7rJ�liG'�%� Section: Block: Lot: Date Property Flagged:'A %2 ZrJ This is to certify that the Information provided is correct to the best of my knowledge. I understand that any permit(:) 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 1, also, understand that I ant responsible for all charges lncar ed Juni 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 suite ly. DATE �/ �%� �� SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN Oilude all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Revised DCHD (07/99) Date(s): I Client Notification Date: I EHS: Account No. � O / Invoice No. �"�