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113 South Hemingway Court Lot 39Davie County, NC , r Tax Parcel Report Tuesday, November 29, 2016 WAKN1 G: TMS 1S NOTA SURVEY Parcel Information Parcel Number. H8060A0039 Township: Shady Grove NCPIN Number: 5789146627 Municipality: Account Number. 82527900 Census Tract: 37059-804 Listed Owner 1: HOUGH KATHRYN J Voting Precinct: EAST SHADY GROVE Mailing Address 1: 113 SOUTH HEMINGWAY COURT 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 39 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE Deed Date: 4/2007 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 007080163 Soil Types: PcI32,PcC2 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: F-0-1 All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to theDavie County, Implied warranties of merchantability or itmess 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 ag daims or rouses 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 ^' Environmental Health Section P. O. Boz 848/210 Hospital Street • Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Tax PIN/EH #: 5789-14-6627 Billed To: Glory Home Builders Subdivision Info: Covington Creek Phase II Lot # 39 Reference Name: Billy Joyner Location/Address: South Hemingway Ct.-27006 Proposed Facility: Residence Property Size: see map **NOTE* Isgrriprovement/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 140 VSE #People #Bedrooms � #Baths 2.5 - Dishwasher: Garbage Disposal: Er'� Washing Machine: 15 Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specifition: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Z Lot Size' A 000 -*-1 Type Water Supply /d7'% Design Wastewater Flow (GPD) J&Q Site: New T J Repair ❑ System Specifications: Tank SizeGAL. Pump �1C�� Tank "`=—.'�G Rock Depth "AL. Trench Width th � 2 Linear Ft. Other: Required Site Modifications/Conditions: LL, 04 CVtJ'ToJR- �-� I0� pFC- PW. IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 K 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.**** a� Environmental Health Specialist's Signature: (/ y e Date: DCHD 05/99 (Revised) -_.,111111k . r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900317 Billed To: Glory Home Builders Reference Name: Billy Joyner Proposed Facility: Residence ATC Number: 2575 Tax PIN/EH #: 5789-14-6627 Subdivision Info: Covington Creek Phase II Lot # 39 Location/Address: South Hemingway Ct.-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 Form/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 WASTEWATER ONSTRUCCTION IS VALID FOR PERIOD OF FIVE YEARS. Environmental Health Specialists Signature: C� - JJ�ate. 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. Septic System Installed By: -YUP � Sl JO Co��t _ \/ 0 IF. Environmental Health Specialist's Signature: Lq'y Date: DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PEI Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***IMPORTRNT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be BilleddJ 7[Lo� t�� .�iI ; l(/i Cr� j /Contact Person Mailing Address VJ 7n C—e-a (�- (41a -ye e-ju. /� Home Phone 334-/�'p City/State/ZIP -C len�vi7nn5 /7 �i / Business Phone � i, �o�•�� 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Site Evaluation kf'Improvement Permit/ATC ❑ Both 4. System to service: ❑ House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms o2.,_ Dishwasher IU�arbags Disposal 1,} Ashing Machine 11 Basement/Plumbing 4-lY>Fasement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Commodes # showers # Urinals # Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: S-Co—unty/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9 -No If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: �� b XX3 DU 1 9J Tax Office PIN: # ZSq ` / r % Property Address: Road Name Sateli )` m 1c f l -l- City/Zipfi��ti: rr+� e - WRITE DIRECTIONS (from Mocksville) to PROPERTY: 2- Ild /e—' /0 &) / If in a Subdivision provide information, as follows: Name: Cr O (l ,'ti �i ld m i cre c° ! _f �} Section: _ Block: Lot: —f— 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 County Health Department to enter upon above described property located in Davie County and owned by G/ar I _A;11R"s to conduct all testing procedures as necessary to determine the site suitability. DATE 2' ZY — LIV SIGNATURE 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). Site Revisit Charge Date(s): Client Notification Date: EHS• Cl Revised DCHD (07/99) Account No. / Invoice No. 1 I 1- 6 APPLICATION FOR SITE EVALUATION/IIVIPROVEMENT PERMIT Davie County Health Department Environmental Health Section D Q V P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE UIRED INFORMATION IS PROVIDED. Ze. 5kbr+ � �S a Y" - - 1. Name to be Billed '::,A 14A r,n E C Contact Person / el e- k r'f .Mailing Address ?L)l iP 111 �.►�� d � Home Phone City/State/Z p ,06 ' Uelpd Ce N� . �%UCS ( Business Phone 99k- q77.2- 1913,391k 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip i 3. Application For: ite Evaluation Imrrovement Permit &ATC Nk [ ]Both 4. System to Serve: [ ] House [ -] Mobile Home [ ] Business [ ] Industry [ ] Other /,D+ 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] 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? I I ►Ii►11 '. 111.11 (fi ; I [r II 1:; PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A>a a 66 a.c , IMI -GC : WRITE DIRECTIONS (from Mocksville) TO PROP:K'17Y" Tax Office PIN: # S 739 - -4-'4 - w n sa ld K ptC ,edv4 w ce Property Address: Road Dame City/Zip ��• 2?o0� rr.m IU1uer5 If in Subdivision provide information, as follows: re Name: btl rcra�cgqec/ ' Section: 1 Lot#: 0" 79 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 of the Davie County Health Department to enter upon above described property located in Davie County and owne I � VaIIY.T��`_i1 C Revised DCHD (06-96) all testing procefiWs as necessary to determine the site suitability. 1111, ,V;F.t Alkli 8F; 11SF-1) I -oft IWAIIIINcj 1 cult, .51117 PLAN: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME �J4I-' PROPOSED FACILITY I SUBDIVISION Ahh /14 A0A,� P C C� Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit 4/ SECTION_ LOT DATE EVALUATED eJ +? d' PROPERTY SIZE ��4e ROAD NAME Public I1� Cut FACTORS 1 2 3 4 5 6 7 Landscape position L. Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON H DEPTH Texture groupC C Consistence ,(' - 77 Structure /c S 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: EVALUATION BY: A LONG-TERM ACCEPTANCE RATE: i OTHER(S) PRESENT: REMARKS: 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 DCHD (01.90) U c/ COV)NCroN cREEK DR N m JA LOCATION MAP V1 0 79 303.? 6' S -�36„E \\��tt1N I t i i►�rrrrr��/i SITE PLAN ONLY c Q2 SEAL 9<' THIS WAS MAPPED FROM A DEED OR L-2690 RECORD PLAT AND NOT FROM A SURVEY°tiy �tiosu�,�-�°� Q' . BY M E. ii�rn r u n m u t t ` vs � 1 30 0 30 60 90 GRAPHIC SCALE — FEET FOR GLORY BUILDERS INC. SCALE TOWNSHIP COUNTY STATE DATE,s 1" = 30' SHADY GROVE DAVIE N. C. 9--18-00 LOT 39 COVINGTON CREEK PHASE 2 P.B. 7 PG. 97 HOWARD SURVEYING JOHN RICHARD HOWARD PLS P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 JOB NO. 0086