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157 Covington Drive Lot 57Davie County. NC 61 Tax Parcel R enort Wednesday, November 30, 2016 WAKNMG: T11IS IS NUT A SURVEY Parcel Information Parcel Number: H8060A0057 Township: Shady Grove NCPIN Number: 5789331917 Municipality: Account Number: 82513112 Census Tract: 37059-804 Listed Owner 1: MCCLELLAN JAMES JR Voting Precinct: EAST SHADY GROVE Mailing Address 1: 157 COVINGTON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7866 Voluntary Ag. District: No Legal Description: LOT 57 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.71 Elementary School Zone: SHADY GROVE Deed Date: 9/1999 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003120892 Soil Types: PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY uildin& Extra Building Value: FO eatures Value: Land Value: Total Market Value: Total Assessed Value: AN data Is provided as Is without warranty or guarantee of any Mnd either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or tftness for a particular use. All users of Davie County's GIS website shag hold harmless the County of Davie, North Carolina, Its agents, consuhants, contractors or employees hon any and all claims or causes of action due to �O C NSC NC or arising out of the use or Inability to use the GIS data provided by this website. DCHD 05/96 (Revised) F DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation t APPLICANT'S NAME. PROPOSED FACILITY SUBDIVISION Water Supply: Evaluation By: On -Site Well _ Auger Boring_ _ SECTION____Z_ LOT. DATE EVALUATED PROPERTY SIZE r ROAD M.ME Community { Public Pit K Cut FACTORS .; -! 1 Landscape pCa_tio-t L 2 3 4 5 6 7 L Sloe % _.�� :_ORIZON I DE..WH _Texture grotp Consistence :+ Structure Mineralogy HORIZON II DEPTH Texture group G Consistence Structure is Mineralogyi 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 -TER -1/1 ACCEPTANCE RATE: REMARKS: EVALUATION BY: _ �c✓/ OTHER(S) PRESENT: 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 otes Horizon depth - In inches Depth of rill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable),w 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), 0$, (provisionally suitable), U(unsuitable) .11 LTAR - Lopg-term acceptance rate - gal/day/ft2 DCHD (01.90) j AF16 .APPT.:'C ;"'ION FOR SITE EVALUATIONAMPROVEMENT PERM."T Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 t ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL I cc��THE RE UIRED INFORMATION IS PROVIDED. • Name to be Billed 15I6 ^4 >a S Contact Person �I �- C►f Mailing Address PI) � A (� )e d Home Phone City/State/Zip .!'*�t UeliJ C -e- -2706(3 Business Phone 21k -y77.2- /9/3-994P 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: [ ] House [ •J Mobile Home [ ] Business [ ] Industry [ ] Otherw- 10+ 1 `iubd di.S.1OnJ _ 5. If Residence: # People # Bedrooms # Bathrooms ( ] 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? [ 1 Yes If yes, what type? l 1 ►ori l; '. IY. ll !'r; ,. t it 11 l:, PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: AAar+ Det' 68 &C. IMC -Ce WRITE DIRECTIONS (from Mocksville) TO PROPEP"^i: Tax Office PIN: # 789 - d -q_- 't%3 S�lii [ %�1t a Rz� I ZA IJaD`n��-- Property Address: Road Dame �o l D� rod r o j( % m ► — [�A�S •� C'lo�Q o t City/Zip ,AUP • 27on C'.e'r• !& =Cam O d e i4 4 e r— !; If in Subdivision provide information, as follows: ,tf-a�l reek � ' Name: 1)/ rcr��S2d Section: 1 Lot #: 6L -5-% This is to certify that the information provided is correct to the best of my knowledge. ' 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 Authoriz Represen tive of the Davie County Health Department to enter upon above described property located .in Davie County and owne Uy hekonduct all testing ^proce res as ne essary to determine the'site suitability. DATE I - _L�"�'l SIGNATURE z Revised DCHD (06-96) Jill's Al;F4 ,ll til LIE I1 Eb DIMIPIN(i IJ0Ilk .til TF PLAN: `- - S 00°32'38"W 302.17' SCALE TOWNTY SHIP COUNSTATE CAR~• � = 30' SHADY GROVE DAME N. C. p F 00 is" f I if S . HOWARD SURVEYING JOHN RICHARD HOWARD RLS P.O. BOX 276 ADVANCE. N.C. (336) 998-5396 i L•28D0 , I SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR RECORD PLAT AND NOT FROM A SURVEY 5 6 � II COVING1oN DR ISITE _ 0 PEDPL CREEX RD N 02°26'25"E 302.00' LOCATION MAP 1� 1' 1� Tri 1� 1- 22.00' W I p R GARAGE n DRIVE H co N N O 0 o A I 22.00' 12.00' S. coO 55.00' p> _3 57 34.00' ----------------- W z . n I PROPOSED M I~ n $ $ n Ut coz Z g gs z 34.00' I g7 8. I-------SS-ar V S 00°32'38"W 302.17' SCALE TOWNTY SHIP COUNSTATE CAR~• � = 30' SHADY GROVE DAME N. C. p F LOT 57 P.B. 7 PG. 57 COVINGTON CREEK PHASE ONE is" f if S . HOWARD SURVEYING JOHN RICHARD HOWARD RLS P.O. BOX 276 ADVANCE. N.C. (336) 998-5396 i L•28D0 SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR RECORD PLAT AND NOT FROM A SURVEY BY M E. 1=4 !Z:�� cn2D-�--- ,2�� I [z7 I 30 0 30 60 90 GRAPHIC SCALE — FEET FAP OR VOGLAR'S CONSTRUCTION, INC. SCALE TOWNTY SHIP COUNSTATE TE' 6A = 30' SHADY GROVE DAME N. C. 1-5-99 LOT 57 P.B. 7 PG. 57 COVINGTON CREEK PHASE ONE HOWARD SURVEYING JOHN RICHARD HOWARD RLS P.O. BOX 276 ADVANCE. N.C. (336) 998-5396 JOB NO. 99001 APPUCAMON FOR SITE EVAUJA-HON/IMPROVEMENT' PERMIT do ATC Davie County Health Department Environmenfa/Hea/th Section P.O. Box 848/210 Hospital Street F-�d 8 19 . Mockaville, NC 27028 (336) 7S1-8760 ..,.. „T„ ***II1P0RTAN7*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE IRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Nailing Address City/State/ZIP !/Yl Person Home phone Business Phone fr/4 -- /:70 2 2. Name on Permit/ASC if Different than Above (nailing Address Cit 3. Application For: U Site Evaluation rovement Permit/ATC 0 Both 4. system to service: 10*'U'se ❑ Mobile Home ❑ Business ❑ Industry ❑ Other a. ` If Residences / 'Peopled/ # Bedrooms 3 T Bathrooms v� z (-Dishwasher 0 Oarpge Disposal 6-k-a-shing Machine 0 Basement/Plumbing 0 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks #'Commodes # Showers # Urinals # Nater Coolers Il . FOODSERVICE: # Seats Estimated ?Pater Usage (gallons per day) 7. Type of water supply: ounty/City, 0 Well ❑ Ccn=unity s. Do you anticipate adO,"Mons or expansions of the facility this system is intended to serve? 0 Yes kwo— If yes; what type. **..*IMPORTANT'** CLIENTS JIIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PIAT or SITE PLAN AIUST BESUBMITTED by the client with THIS APPLICATION. Propiity Dimensions: 3 2- X ��✓�' Tax Office PIN: # S -79Q -.-3 3 -e9V 7/ Property Address: Road Name City/Zip WRITE DIRECTIONS (from Mocicvilleeh ) to PROPERTY: �aaojP% 4 ,/ � �D/ % S 1-.�a4 :/ -Q If in a Subdivision provide information, as follows: Name: v w p .Section: � � Block: Lot: „ 7 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 90unpr Health Dep ftmen to enter upon above described property located in Davie County and owned b - to conduct all testing procedures as as necessary to determine the site suitability DATE ( SIGNATURE rS THIS AREA Y. BE USED FOR DRAWING YOUR SITE PLAN (Include all of the toll ng: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). f r. P�01,'., ,.t - Account No. Invoice No. A.