191 Covington Drive Lot 54Davie Countv. NC
Tax Parcel R ennrt
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 IS NUT A SURVEY
Parcel Information
H8060A0054 Township: Shady Grove
5789238928 Municipality:
82531195 Census Tract: 37059-804
HARRIS CHRISTOPHER NEAL Voting Precinct: EAST SHADY GROVE
191 COVINGTON DRIVE Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
NC Zoning Overlay:
27006-0000
Voluntary Ag. District:
No
LOT 54 COVINGTON CREEK PHASE ONE
Fire Response District:
ADVANCE
0.69
Elementary School Zone:
SHADY GROVE
9/2009
Middle School Zone:
WILLIAM ELLIS
008070858
Soil Types:
Pc132,PcC2
0007
Flood Zone:
057
Watershed Overlay:
DAVIE COUNTY
Outbuilding & Extra
Freatures Value:
Total Market Value:
161 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 o►gtness for a particular use. A l users of Davie Countys GIS website shall hold harmless the
County or Davie, North Carolina, its agents, consultants,contractors or employees from any and all claims or causes of action due to
NC or arising out of the use or inability to use the GIS data provided by this website.
**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.
**THE ISSUANCE OF THISOPERATION PERMIT SHALL 1N VIC:A 11: 1 HA 1 Hit J Y J 1 r.M Urat;xlni;U ADU V r, HAJ ULLN UNb 1 ALLCU M t;uiv M AM -r.
WITH ARTICLE i 1 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.
t,t� .4'
aUT41ZATION NO:1884 DAVIE C , UNTY HEALTH DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittee'. jP.O. Box 848
Name:' t Mocksville; NC 27028. Subdivision Name: 1 ' � i
Phone # 336-751-8760
Directions to.property: '` r Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION
Road Name.:'. •Zip: / d�%�
NOTE This Authorization for Wastewater System **NOTE** m 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 theL Davie County Building Inspections
Office when applying for Building Permits.
(In comP fiance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
�
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
1%9 G i /� IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH PECIAL(ST DATE IS'
r y DAVIE COUNTY HEALTH DEPARTMENT
r Environmental Health Section SECTION_ LOT
T
Soil/Site Evaluation
APPLICANT'S NAME 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
L
L
Slope %
79
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON 1I DEPTH
Texture group
Consistence
f
i
Structure
/C
Mineralogyl
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: aG.
DCHD (01-90)
EVALUATION BY:
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
Structur
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
APPLICATION FOR SITE EVALUATIONAMPI OVEMENT PERMI'
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.
kt)r+ (21 L.146 P -N
1. Name to be Billed Contact Person / �l a
Mailing Address ?A 1 >e d 2-) Home Phone
City/State/Zip UAtJ Ce N� . %OCa �, Business Phone 999-- V 77. - 18/3-,9y/k j iA,/
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip i
3. Application For: ite Evaluation y
!! [ ] Imlrovement Permit &ATC � [ ] Both
4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ 1 Other St., lyi.S ".64
5. If Residence: # People # Bedrooms # Bathrooms [ J 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? [ ] Yes Hlq-o
If yes, what type?
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions AX Q a.G , pm -c e- I 'WRITE DIRECTIONS (from Mocksvlllle) TO PROPERTY:
Tax Office PIN: # - �_ - Y,3 uy _��� c�2i� 1 'Sa lt-y K ^--C- 'O'd
Property Address: Road Dame SID 1 _D r d X / m �► — t.� +� 4 W .4
City/Zip t'i�r� • 2 ?a o C�'C:� S SL��`�e f lUl 4e r5
If in Subdivision provide information, as follows:
Name: b U /-f-a�l re e•k ��rctaoSed
r
Section: f 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 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
.
Revised DCHD (06-96)
all testing procSoWs as necessary to determine the site suitability.
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APPUCAHON FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC O
IL Davie County Health Department
Environmental Healtfi SmVw
P.O. Box 848/210 Hospital street JAN - 8 1999
Moaksville, NC 27028
13361751-8760
ENVIRONMENTAL HEALTH
***I11P0RTAN2*** THIS APPLICATION CMWOT IM PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed illi r,X Contact person (414nn ieyl7,o i
Nailing Address —O Al" Home Phone/ JDSZ/
City/state/zIP �i��� � �Dn ���lPm ,�C,C �7�a6 Business Phone32&'' Ge"Z OZ-2ZI _
2. Name on Permit/ATC if Different than Above
Hailing Address
3. Application For: U Site Evaluation
City/state/Zip
U-I&Vrovement Permit/ATC ❑ Both
4. system to service: S -Boase ❑ Mobile Home a Business ❑ Industry ❑ Other
s. If Residence: # People # Bedrooms # Bathrooms rS
4 Dishwasher 0 garbage Disposal W Hashing Machine 0 Basement/Plumbing 0 Basement/No Plumbing
G. If Business/Industry/Other: Specify type
# Commodes # showers
# people # sinks
# Urinals # Hater Coolers
IF FOODSERVICE: # Seats Estimated slater Usage (gallons per day)
7. Type of water supply: County/City ❑ Well ❑ Community
s. Do you anticipate additions or expansions of the facility this system is Intended to serve? ❑ Yes ISNo
If yes, what type?
***IMPIDRTANT*** CLIENTS AIUST COMPZETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPWCATION.
'
fi
Property Dimensions: fy 2 rX 20a DIRECTIONS (from Mocksviile) to PROPERTY:
Tax Office PIN. # �7 � � o� � "T �T i •low %Sg � : �i�y
Property Address: Road Name CD 1✓/ Y1 �1 >t ��'' - �'�(� % �� Ty 61" nz bil core"
City/Zip d (�
If in a Subdivision provide information, as follows:
Name:
(!f eV /r of XvYI
Section:
Block:
Lot:
Date Property Flagged: - %�
This Is to certify that the information provided is correct to the best of my knowledge. 1 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 rexponsible for all charges i curred from
this application. 1, 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 &/01-v Iona, e X ' I'A'4S J. 'I
to conduct all testing procedures as necessary to determine the site suitability. �r
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).
Revised DCHD (07/98)
Account No. all
Invoice No.
ar-D n.dR— ij, - .�sy
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