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207 Covington Drive Lot 52Davie County, NC Tax Parcel Report Wednesday, November 30, 2016 WAK1VMG: "1'n1h 1b 1VU"1' A NUKVEY Parcel Information Parcel Number: H8060A0052 Township: Shady Grove NCPIN Number: 5789245088 Municipality: Account Number: 12640000 Census Tract: 37059-804 Listed Owner 1: CAMPBELL JOHN TIMOTHY Voting Precinct: EAST SHADY GROVE Mailing Address 1: 207 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 52 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.90 Elementary School Zone: SHADY GROVE Deed Date: 4/1999 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 002110098 Soil Types: PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 All data is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Impliedwaran as of merchantability or fitness for a particular use. All users of Dade County& GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ag 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. DCHD 05196 (Revised) /CC C_i/�/ � AUTHQRIZA-TION NO;, 1-8-3& DAVIE OUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name:' > Mocksville, NC 27028 Subdivision Name: !V '% �,,rr' Phone# 336-751-8760 Directions to property: Section: Lot: a AUTHORIZATION FOR .WASTEWATER Tax Office PIN:#- - ��Cl SYSTEM CONSTRUCTION Road Name•" �j 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 Office when applying for Building Permits. (In compliance with Article l l of G.S, Cha ter 130A, Wastewater Systems, Section. Sewa a Treatment and Disposal Systems) p P Y. g .. rt ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 1, �'v,� , rr`' r 7r % IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALT 'SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT w Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY oe SUBDIVISION r (' C Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit X SECTION_ LOT DATE EVALUATED ` PROPERTY SIZE 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 f Texture group Consistence — r 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 / SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) Landscape Posits EVALUATION BY: 'a"ll OTHER(S) PRESENT: 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 Moist VFR - Very friable FR - Friable FI - From 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 Minerpj= 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 :and 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) LTA.R Long-term acceptance rate - gal/day/ft2 • -!!� , ;• , ;DAVIE COUNTY HEALTH DEPARTMENT APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Environmental Health Section Soil/Site Evaluation Community, Evaluation By: Auger Boring Pit_ SECTION_ LOT,5� DATE EVALUATED ` PROPERTY SIZE 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 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 SITE CLASSIFICATION: e LONG-TERM ACCEPTANCE RATE: f r REMARKS: .�L��' /1?� n 4-f DCHD (01.90) Landscaue Positi EVALUATION BY: i G OTHER(S) PRESENT: 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 is 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 Mineraloev 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 EVALUATIONAMPROVEMENT PERMI 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 THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed 1'yd ^AE S Contact Person Mailing Address ?1) A d Y �� 61 Home Phone )t City/State/Zip,jUAlu Ce— N(_ Q%U()(3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip i 3. Application For: ite Evaluation [ ] Improvement Permit & ATC C [ ] Both 4. System to Serve: [ ] House [ J Mobile Home [ ] Business [ J Industry [ ]Other 10+ i;it�t]C�l l drS�On1 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ 1 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 H'1qo---- If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: _A>aC4 04 60 a.0 , iMf C of I WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S 789 - 4- y 3St�-/ [ 8wa 22)) zt, id 1\ otC i!R n;G� Property Address: Road Dame�O 1 S D_m� n X f m F city/zip 2 ?a o 4. r- _� M - ' S���e I � �I u�'r5 If in Subdivision provide information, as follows: Name: C LI Z AJ O reek s) wosed ' Section: ! 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 Authoriz of the Davie County Health Department to enter upon above described property located in Davie County and owne � C.r •'T�L�7c Revised DCHD (06-96) all testing proc aWs as necessary to determine the site suitability. 1111 �� ;U;F•1 ,11111 Lir tlSrb /-oft L)IM11'IN(i 1;1 11: PIAN: RE PHASE -2 5 SIDEWALK EASEMENT: 8' WIDE AND CENTERED ON SIDEWALK S 63: 0 1 A O DRAINAGE EASEMENT: 25' WIDE AND N i 7 `� CENTERED ON CULVERTS AND DITCHES CONTROL CORNER DRAINAGE EASEMENT ALONG CREEK O 63.21' 44.7x' 4 y�>!'"-E- -\ s� `� \ `� \`, �g TYP. BUILDING SETBACK 128.00' S 87 55' 27" \ \ 1 `� ??i y *• • TENNIS COURT COMMON AREA 3 r - - - - - - - OG• 4 4 5 N I FUTURE 43~F TENNIS vi I COURT'S 8 \ 5 45 �� �� c�Q _ — — — _ 300.40'— 4 5 168.79' i ��; F %� c. _ o G� �'� 20 PUBLIC RD T TAL 4 9.19 -N-F7"31131' — ,C{ C G 87- lQTAL (4 21.19' 100�Oir 100.00' — - - — C S 100.Q0' 98.00' 50.00' p•� G' � ,LO � i I I I � � I I I I i I ,I , ?, h \\ wl IW I Iw I I \\ .ip\ 52 I 4I I. 1 I. 1 w Iw I Iw I I I o, I IN I I,l I IVn I I I I. I I. `' IN I I IIM Iw I I I Iiv � �\ \ ��•\ � N� 53 N I 54 iN I 55 I• I If.R' ail IN IS I Ip I I$ o iM i I I Io I 00 `�--------- -- ---'-------Jin L- -- - L- I I I I I I I 1 In ---� L ----J (`--- 310. 00' 120.00' i 00.00' 100.00' 100.00't OQ.O - - 0 AL 1918.48 N 7.31' 31 w8 Q0, 1 O.pO' .t LOT 36.01, MAP H-8 W.J. ELLIS & WIFE HAZEL L. ELLIS D8 49, PG 423 N - TF: -- - 38' DEVELOPER R.C. SHORT CUSTOM HOMES (336)998-4772 1. Z. APPLICATION FOR SITE EVAWAHON/IMPROVEMENT PERMIT & Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital street DEC 10 MW Mocksville, NC 27028 (336)751-8760 ***ZHPCRrAPPZ*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALB-THE-RLr UI "' INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. Hama to be Billed :5119AW �N+ ,�s/• �y�(�ry. c. Contact Berson ee)p 4/IL Nailing Address /` -C7 1 YG'/ A—�Sr - Ham Phone /�( City/State/ZIP aelenl llG L e_ 2-7U �1'e/ Business Phone Name on Permit/ASC if Different than Above Mailing Address 3. Application For: %-Site Evaluation City/State/Zip ,Improvement Permit/ATC 0 Both e. Oystem to service: kf House 0 Mobile Home 0 Business 0 Industry ❑ Other s. it Resilience: # People # Bedrooms 5 # Bathrooms 0 Dishwasher 0 Garbage Disposal 0 trashing Machine 0 Basement/Plumbing Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Nater Coolers IF FOODSERVICE: i# Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City 0 Well ❑ Community a. 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 COIIIPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: flu "s A 309,9/ Y 34164 Y IS'V WRITE DIRECTIONS (from MockrAlle) to PROPERTY: Tax Office PIN: # -7 - z 1 - S�o 8 0 00-f) Property Address: Road Name r� City/Zip A / 006. If in a Subdivision provide information, as follows: Name: (11)V 144 fa •v ()a "k Section: Block: I Lot: st- Date Property Flagged: P76y 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 cbanged. I, also, understand that I am responsible for all charges incurred front this application. I, hereby, give consent 4o the Authorized Representative of the Davie Counq Health a rtmgnt to enter upon above described property located in Davie County and owned by S �� 121 0 conduct all thing procedures as necessary to determine the site suitability. ;D XR? " %0 f b SIGNATURE L S AaEA MAY BE USED Fait(DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed ;vmopav�y !lays turd dimensions, structures, setbacks, and septic locations). Account No. Revised DCHD (07/98) Invoice No. 3 7 /