165 Covington Drive Lot 56Davie County, NC
0
Tax Parr.Pl RPnnrf
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:
WARNING: THIS 15 NOT A SURVEY
Voluntary Ag. District:
Parcel Information
_
Fire Response District:
H8060A0056
Township:
Shady Grove
5789330917
Municipality:
Middle School Zone:
82529366
Census Tract:
37059-804
MICHAEL HAUSER CONSTRUCTION LL
Voting Precinct:
EAST SHADY GROVE
P O BOX 340
Planning Jurisdiction:
Davie County
)CKSVILLE
Zoning Class: DAVIE COUNTY R -A
NC
Zoning Overlay:
27028-0000
Voluntary Ag. District:
No
LOT 56 COVINGTON CREEK PHASE ONE
Fire Response District:
ADVANCE
0.69
Elementary School Zone:
SHADY GROVE
1/2010
Middle School Zone:
WILLIAM ELLIS
008160332
Soil Types:
Pc82
0007
Flood Zone:
057
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
9All 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
NCor arising out of the use or Inability to use the GIS data provided by this website.
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* DAVIE COUNTY HEALTH DEPARTMENT --- -- -
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900323 Tax PIN/EH M 5789-33-0917.56
Billed To: Voglet's Construction, Inc. Subdivision Info: Covington Creek Sec. 1 Lot # 56
Reference Name: Dick Vogler Location/Address: Covington Drive -27006
Proposed Facility: Residence Property Size: 100 X 302
ATC Number: 2077
**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#People 2 #Bedrooms -3 #Baths
Dishwasher: Clr Garbage Disposal: ❑ Washing Machine: le Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size iODX Zt Type Water Supply/ -�J� Design Wastewater Flow (GPD) —2-6PO Site: New e Repair ❑
System Specifications: Tank Size 11DOO GAL. Pump Tank GAL. Trench Width '6,1
Rock Depth 17-'l
Linear Ft.-r4jcnr
Other: I l Q -t �>JTt a l�)G
Required Site Modifications/Conditions: �� Id c 1K fad. trt,.)C., iG4g-,cP S" t� 1-L6E
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.****
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Environmental Health Specialist's Signature: Date: �O
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT /J
Environmental Health Section SECTION_ LOT
Soil/Site Evaluation �T`
APPLICANT'S NAME
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit ,x
DATE EVALUATED
PROPERTY SIZE y-*�
ROAD NAME
Public
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 l
Structure .e'
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 I
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: /
REMARKS
DCHD (01-90)
EVALUATION BY:
224
PRESENT:
Landscape Position 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
Dist
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
MineralooU
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
APPLICAT ION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760 1
****IMPORTANT**** THIS APPLICATION CANNOT WT, PROCESSED UNLESS ALL
THE REQUIRED INFORMATION IS PROVIDED.
�e. "Skt)r+ c�s� o r+� �7 t
1. Name to be Billed e- S Contact Person 1 �l e- 1"r _
Mailing Address ?i)
j1I 9 t) >l � d 7) Home Phone
City/State/Zip /l UCit`l1 CE'_ /Ut'_ X700 Business Phone 99k'�i%%Z �8/3-$5l/P
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ite Evaluation [ ] Improvement Permit & ATC kl\ [ ] Both
4. System to Serve: [ 1 House [ -] Mobile Home [ ] Business [ ] Industry [ ]Other-�29 %ai ut�l y�.�iy•J
5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ 1 Garbage Disposal
[ ] Washing Machine [ ] Basement/Plumbing [ ] BasemendNo 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? r ] Yes
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUE77 BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: A>at'T c4 66 &C, D4t-Ce ; WRITE DIRECTIONS (from Mocksvllle) TO PROPERTY:
Tax Office PIN: # S789 - � - Ttl� c�f� 1 Sig Id K a:� Adya w
Property Address: Road Dame 901 .mmr a,ij % m � — I.Je5 *1dQ o•T P
City/Zip AV)• 2Zoo 4- ; aC'ri'gS 20CAM adell i4 Ue t'.5
If in Subdivision provide information, as follows:
Name: fes,, b l l l n.YAW C re to y&c gr ed ;
s�
Section: � Lot #• >�' �L
'
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 falsifi-,e o
changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Autho.-.i:.:
of the Davie County Health Department to enter upon above described property located in Davie County and owne
�=1-11r;�AZaTrLL
Revised DCHD (06-96)
all testing procefiWs as necessary to determine the site suitability.
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GRAPHIC SCALE — FEET
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT O V
Davie County Health Department
Environmental Healifi Section tltl`'
P.O. Box 848/210 Hospital Street JUN 2 9 1999
JJ� Mocksville, NC 27028
(336) 751-8760
FNVIRf1NMFNTAI HFAITH
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PR IDED. Refer to the INFORMATION BULLETIN for instructions.
( ( /1 i _ , f
1. Name to be Billed 1 �`"�P— V
Mailing Address
C Contact Person
Some Phone l dt
City/Stat*/ZIP L Business Phone
r
2. Name on Permit/ATC if Differs than Above
Mailing Address City/state/Zip
3. Application For: ❑ Site Evaluation rovement Permit/ATC ❑ Both
4. system to service:ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
s. If Residence: # People # Bedrooms 17 # Bathrooms _
ishwasher ❑ Garbage Disposal Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: specify type
# Commodes
# showers
# Urinals
# People # sinks
# Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: ounty/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes $W
If yes, what type?
I***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED I
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions:
Iwx Sv`-•"�
Tax Office PIN: # 3 3 DLJ' l 5L
Property Address: Road Name ( d -,e
City/Zip ✓ C 2 a0C
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot: =6;ln
WRITE DIRECTIpNS (from Mocksville) to PROPERTY:
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 Dave 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 bility.
DATE SIGNATURE Y
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, an septic locations).
r
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Account No. 92-3
Revised DCHD (07/99) Invoice No. "7pa—
Account #:
Billed To:
Reference Name:
Proposed Facility:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
989900323 Tax PIN/EH #: 5789-33-0917.56
Vogler's Construction, Inc. Subdivision Info: Covington Creek Sec. 1 Lot # 56
Dick Vogler Location/Address: Covington Drive -27006
Residence Property Size: 100 X 302
ATC Number: 2077
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 1 I of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWATE O IS V ID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signa Date: 14
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. ]j,�►1L �1� 9. I 1
— - ——
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S 120' C 3oTI
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Septic System Installed By: Y W 11 w�?—
Environmental Health Specialist's Signature: 4, Date: 12-9 A9
DCHD 05/99 (Revised)
01A
LocAnON MAP
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comNGTON DRIVE ODELL WERS RD
\A C A %
. ........
S E A L
c- L-2890
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SITE PLAN ONLY
THIS WAS MAPPED FROM A DEED OR
RECORD PLAT AND NOT FROM A SURVEY
BY M E.
r-P.B. 7 PG. - 57
30 0 30 60 90
GRAPHIC SCALE — FEET
MAP
FOR VOGLER'S CONSTRUCTION, INC.
Lij
DATE,8
>
6-22-99
LOT 56 COVINGTON CREEK PHASE ONE P.B. 7 PG. 57
ry
HOWARD SURVEYING
JOHN RICHARD HOWARD PLS
P.O. BOX 276 ADVANCE, N.C. (336) 998-5396
JOB NO.
99083
1 1
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0
co
In
>
0
r-P.B. 7 PG. - 57
30 0 30 60 90
GRAPHIC SCALE — FEET
MAP
FOR VOGLER'S CONSTRUCTION, INC.
SCALE TOWNSHIP � COUNTY -1 -STATE
DATE,8
1-- = 30- SHADY GROVE I DAME I N. C.
6-22-99
LOT 56 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.
99083
1 1