106 Cumberland Court Lot 40t
Davie County, NC Tax Parcel Report Tuesday, November 29, 2016
=t I f i
i Z
i r I
COVINOTON DR
]COV INCA T ON DR �O 7aN
t3f�
r
' t 106J p
r j
106 _ z
z
W
^�
10c
114 -Y -
WARNING: THIS IS NOT A SURVEY
Parcel Information
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
knpiled warranties of merchantability or fitness for a particular use. All users or Davie Countys 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
or arising out of the use or Inability to use the GIS data provided by this website.
Parcel Number:
H8060A0040
Township:
Shady Grove
NCPIN Number:
5789146748
Municipality:
Account Number:
8300921
Census Tract:
37059-804
Listed Owner 1:
BARBEE RUSSELL L
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
106 CUMBERLAND COURT
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006
Voluntary Ag. District:
No
Legal Description:
LOT 40 COVINGTON CREEK PHASE TWO
Fire Response District:
ADVANCE
Assessed Acreage:
0.69
Elementary School Zone:
SHADY GROVE
Deed Date:
4/2012
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
008890465
Soil Types:
PcB2
Plat Book:
0007
Flood Zone:
Plat Page:
139
Watershed Overlay:
DAVIE COUNTY
Building Value:
Outbuilding & Extra
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
1:01
Davie County,
NC
All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the
knpiled warranties of merchantability or fitness for a particular use. All users or Davie Countys 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
or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT .2 �4 v
Environmental Health Sectionn �( Cf�
• P. O. Boa 848/210 Hospital Street D /
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900317 Tax PIN/EH #: 5789-14-6748
Billed To: Glory Home Builders Subdivision Info: COVINGTON CK Sec. 2 Lot # 40
Reference Name: Location/Address: Cumberland Court -27006
Proposed Facility: Residence Property Size: see map
fl lyfmbg 2957
**NO E** is mprovement/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 IN'T'ENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People #Bedrooms #Baths
Dishwasher: Garbage Disposal: ;?!r Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type Eln #People #People/Shift #Seats Industrial Waste:
Lot Size Type Water Supply 0 Design Wastewater Flow (GPD) 366 Site: New oo'Repair ❑
System Specifications: Tank Sizeft GAL. Pump Tank
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPR
FINISHED GRADE. ****NOTICE: Contact a representative c
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. o
. I
GAL. Trench Width ,-� Rock Depth /1 Linear Ft.'YGY!
EFFLUENT FILTER RISER(S) IF 6 u BELOW
tvie County Health Department for final inspection of this
y of installation. Telephone # is (336)751-8760.****
lidirl� P f
Environmental Health Specialist's Signature: Date:„—a%
DCHD 05/99 (Revised)
0
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900317
Billed To: Glory Home Builders
Reference Name:
Proposed Facility: Residence
ATC Number: 2957
Tax PIN/EH #: 5789-14-6748
Subdivision Info: COVINGTON CK Sec. 2 Lot #40
Location/Address: Cumberland Court -27006
Property Size: see map
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 Fonm/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 WASTEWA R C NSTRUCTION IS VALID OR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: 1 17 Date:
-
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the syst de 'b,
has been installed in compliance with Article 11 of G.S. Chapter 130 , S tion
Disposal Systems," but shall in NO WAY be taken as a guarant th 1 the
ystei
given period of time.
1 ls�
Septic System Installed By:
0
I on Improvement/Operation Permit
1900 "Sewage Treatment and
will function satisfactorily for any
Environmental Health Specialist's Signature Date:
DCHD 05/99 (Revised)
ca�
- �'a222001
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
EnlrironmentaiHealth Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed
Mailing Address
e,
City/State/ZIP (//('✓�7/y,Q�, /�/�i �� l/%
2. Name on Permit/ATC if Different than Above
Mailing Address
Contact Person i/!U/ ✓1!J�no"--
Home Phone
Business Phone31LS9 Z'
City/State/Zip
3. Application For: �❑ Site Evaluation 41 -Improvement Permit/ATC F-1Both
4. System to Service: 4a douse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms_ # Bathrooms
44- ishwasher garbage Disposal %4419ashing Machine ❑ Basement/Plumbing II 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: County/City ❑ Well CI Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ZlN —"-
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Eithcr a PLAT or SITE PLAN MUST BESUBM17 TED by the client with THIS APPLICATION.
Property Dimensions: a y 26 8 X 'y x' -3z>3 /
Tax Office PIN: #-6-7,81 / LZ beLX/'
Property Address: Road Name t�Gt »�Ir/t'h All
City/Zip J,Y �/or H t'e �-%DDd
If in a Subdivision provide information, as follows:
Name: G� v;(L n 61c
Section: Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Gar n � r aF Cavi ` ✓►g �h �i' �
Cez
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 fron►
this application. 1, hereby, give consent to the Authorized Representative of the Daviff County H a h Dcpartment
to enter upon above described property located in Davie County and owned by �lor�/r1
to conduct all testing procedures as necessary to determine the site suitability.
DATE �! SIGNATURE �i /�'�O�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 (07/99)
Site Revisit Charge
Datc(s):
Client Notification Date:
EHS:
7 � 170 0 'Z / q
Account No.
Invoice No. ��
.APPLICATION FOR SITE EVALUATIONAMPROVEMENT PER1V'{T
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
/1RE UIRED/� IyN�FORMATION IS PROVIDED.
1. Name to be Billed � S Contact Person
Mailing Address ?1) R t1 >l :L,33 61) Home Phone
City/State/Zip� . UCilu c -e 2760 Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip i
3. Application For: ite Evaluation
Imrrovement Permit &ATC � [ ]Both
4. System to Serve: [ ] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other / ai-Cl cty�.S ia10
5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ I 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? [ 1 Yes [y1Vo
If yes, what type?
I 11111 1: 1. 1 I 11 ('r; , 1 11 I'1 1:l
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:�t•+ o! -Fa 4.6 ac, 0,rc-e � � WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # S' 789 - 9-4
Property Address: Road Dame n
City/Zip a orINSSti-rm Ede It kA 4e rs
If in Subdivision provide information, as follows:
,tom I-a� reek '
Name: bl rcr��cec� ;
. //IIll r
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 Authorize
ve of the Davie County Health Department to enter upon above described property located in Davie County and owne
SIGN
all testing procSOws as necessary to determine the site suitability.
Revised DCHD (06-96)
illi: AIJ:.1 A1111 BE, II F:b 1-01t I)IMI1'IN(i !10111% S111- MAN:
. DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION__ LOT
Soil/Site Evaluation
APPLICANT'S NAME �� / DATEEVALUATED
PROPOSED FACILITY
�JPROPERTY SIZE
SUBDIVISION < At/i //� �OA,) 4e elt ROAD NAME
Wy
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pity� Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
Slope %
1140
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH dd
''
Texture grou
''
Consistence r
r
Structure
C
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 (0)-90)
EVALUATION BY: ,,& Z
OTHER(S) PRESENT:
LEGEND
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
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
0
U
16
COVINGTON DRIVE
C CCREEK DR N
g�
H LOCATION MAP
\`\\\\\\\ % 111111 t 11 l 1 r �
2O? ES�U
QQ°� �'sr 9
SEAL
SITE PLAN ONLY= < L -28')O
THIS WAS MAPPED FROM A DEED OR ,�yy'ti�St;�N`�`��
RECORD PLAT AND NOT FROM A SURVEY
'�� �CHnP
BY E. �����ruunua111��``�\\
30 01 30 60 90
GRAPHIC SCALE FEET
MAP
FOR GLORY BUILDERS INC.
SCALE
I TOWNSHIP
--► CHORD
DATE,s
1-- = 30'
SHADY GROVE.
DAME N. C.
_�
N 88053'59"E 268.21'
LOT 40 COMNGTON CREEK P.B. 7 PG. 139
n S 87023'3711E 52.44'
+
JOB N0.
01088 .
a' urnm �so�rr
_ — —; — — -I. — — = = ,- -� _A=52.48' 2=405.00'
_ _.
_
----i -- -- — —
— — — — — — — — — — — — — — 8C' SIDEED ON MAUWC�
1 1
I 1
1 1
I SIGHT EASEMENT r
1
lowo,1
1+ 1�
1-4
1
;v r
0 soff EASEMENT
14.33• 31.Op' "
24.00'
----__LC
`tom
N
88
L't
ra00 o
aDI
cyV
U
o
N1 ,y GARAGE
$
1
----------------
- PROPOSED
N I�
3
'v
I -----------------------
-----------------
198.28.
4.00•
HOUSE 24.0o -
1.8i F..
0
—_____ ___ sq
43.15'.
'�
�
is
1
v
------
3.00
N .. 3.00
I Q
in
I+i
w
FSI
31.00•
N 7g'4236"
w03.
� 303-16'-
16,
C CCREEK DR N
g�
H LOCATION MAP
\`\\\\\\\ % 111111 t 11 l 1 r �
2O? ES�U
QQ°� �'sr 9
SEAL
SITE PLAN ONLY= < L -28')O
THIS WAS MAPPED FROM A DEED OR ,�yy'ti�St;�N`�`��
RECORD PLAT AND NOT FROM A SURVEY
'�� �CHnP
BY E. �����ruunua111��``�\\
30 01 30 60 90
GRAPHIC SCALE FEET
MAP
FOR GLORY BUILDERS INC.
SCALE
I TOWNSHIP
I COUNTY I STATE
DATE,s
1-- = 30'
SHADY GROVE.
DAME N. C.
8-22-01
LOT 40 COMNGTON CREEK P.B. 7 PG. 139
HOWARD SURVEYING
JOHN RICHARD HOWARD PLS
P.O. BOX 276 ADVANCE, N.C. .(336) 998-5396
JOB N0.
01088 .