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134 Alexandria Court Lot 70 Davie Countv. NC Tax Parcel Renort Tuesday. November 29. 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: TtllS 15 NOTA SURVEY Parcel Information H8060A0007 Township: Shady Grove 5789248361 Municipality: 8305027 Census Tract: 37059-804 HUNTER SCOTT Voting Precinct: EAST SHADY GROVE 134 ALEXANDRIA COURT Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006 Voluntary Ag. District: No LOT 7 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE : 0.73 Elementary School Zone: SHADY GROVE 5/2015 Middle School Zone: WILLIAM ELLIS 009890476 Soil Types: WeB,PcC2 0007 Flood Zone: 139 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 1Q:D1 AN 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 fliness for a particular use. All users of Davie County's GIS website shall hold harmless the �Tr County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to l� C or arising out of the use or Inability to use the GIS data provided by this website. t ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900093 Tax PIN/EH #: 5789-248361 Billed To: Shelton Construction Services Reference Name: Con Shelton Proposed Facility: Residence ATC Number: 2300 Subdivision Info: Covington Creek Sec.2 Lot # 7 Location/Address: Alexandria Court -27006 Property Size: .69 Acre 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 WASTEWATTILCONSTRUCTIMS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's 4 3 &-dlzooac CERTIFICATE OF COMPLETION Date: **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: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: C) 4„ DAME COUNTY HEALTH DEPARTMENT r Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 J joof-A- IMPROVEMENT/OPERATION PERMIT 4,'34 Account #: 989900093 Tax PIN/EH #: 5789-248361 Billed To: Shelton Construction Services Subdivision Info: Covington Creek Sec.2 Lot # 7 Reference Name: Con Shelton Location/Address: Alexandria Court -27006 Proposed Facility: Residence Property Size: .69 Acre **NOTE** Ttiisgrriprovement/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 (incompliance 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 THISPERMITBEFORE INSTALLING SYSTEM. Residential Specification: Building Type _ D(�—� #People `T #Bedrooms 3 #Baths 2 Dishwasher: Ey— Garbage Disposal: Ey" Washing Machine: 12"" Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 0.(o9 &CUSType Water Supply�►J!yDesign Wastewater Flow (GPD)�v+© Site: New d Repair ❑ I 1 System Specifications: Tank Size I'ODCZAL. Pump Tank GAL. Trench Width Rock Depth 2 Linear Ft. 2-SCOo Other: I 1 4ST e>oTwZ -Bvy—, it--�TAu_ USS I C)C" y11.3. Required Site Modifications/Conditions: �1:—F,p J`^► I %:� oFF Par ->F> 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. .TTel eghone # is (336)751-8760.**** 1 LaT 4G N 0 Z T Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: Zr DO 41 lqZ? 3 V er,;;er. rnwt or, Ne at tie sold Department. --- -- - - PCQ&'.66THIS CERTIF-CATE DOES NOT CONSTITUTE A PERMIT OR APPROVAL OF *OVIDUAL LOTS IN SAID St"VISION FOR INSTALLATION !JF Sii`wAX FACfLMS. 1 coomly "*oft offktal Dote f :. John C. Croy. a registered land surveyor, llcsnsed number 3513. certify that + thm Piot b Of a surveY that creates a subdiAskxv of land withq, the area of a county or municipality that has an ordinance that regulates parcels of land. i $Ignntwta Dale LOT 20.02, MAP H-8 \ '• µ'ms' f4-8 ROBERT H. DIXON �c \ M. CARTER etc WIFE JILL C. DIXON ;OROTHY P. CARTER DB 138, PG 553 \ PG 393 J 00 rn W Np N x0 0 Z �N LOT 20, MAP H-8 rn � LEWIS M. CARTER z & WIFE DOROTHY P. c DB 59, PG 393 z Z' AL 448.59" 5 87.45' 7" E ' 1" EIP 1" ElP\\ S 87'441'23' E L" EIP 120.84' TOTAL 382.90' S 87.45' it' E TOTAL 153.27' 3 118.00' 52.90' 130.00' 200.00' 73.27' 80.00' l - CO /-----��y� �-� -- ----� I ------1 r--------------- //7 /CONTROL 16'I� % 5 13 I �3 1 // // CORNER I $ o / / 1 N ci Q) I I o, I I N 1 /p / N PHASE i 2 EX S I % I� I I• I ,J� / 11� �► 13 IN I 12 I�' I 11 i // I W I� IV) I !�, 1 /•/ / Irn 'j 1w) I 10CD J Z N _ --7, 17',34" YI 103_05_ yQ L 255.85 5 79* — '1 K� N 87.31 31' 50' R/W o ON FIRE 1 �� S 7'31'31" E ��� I HYDRANT 9 1Cj \ 1 G 103.05' 9\ O $ l � p • � _ C• f G� ,� N � � I n r-----1 �� SSSS\ CONTROLI CORNER QJ � IW I 13 I -"� \ ��� K\�----I 83.21' 44_79' 128.00'S�87 55' 27' E' iZ O \ \\ In COVINGTON . I \ I CREEK \ 2 \� i� F \ \ 3 �\ In I \ o \ �N PHASE 1 IN 1N \� \ Icn TENNIS i C'. J I o COURT \\_ A 62 C: ' �ti5.90' 72.50' TOTAL 300.40 N 87' 31 31 w �{ C'p yf• CREEX IDR. State of North Carolina, County of Davie 1,— Review Officer of Davie County certify that this plot meets all statutory requirements for recording. DEPARTMENT OF TRANSPORTATION DIVISION OF HIGHWAYS PROPOSED SUBDIVISION ROAD CONSTRUCTION STANDARDS CERTIFICATION APPROVED DISTRICIT ENGINEER APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 2 R wM JAN 1 4 2000 ENVIRONA1ENTAl HEALTH DAYIE COUNTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed ::�Z e- /,/. - (:,0- _o _ " 71- .. — 4 )... Contact Person e D 0. S7/ -c- % T - — Mailing Address /'3.S7 U S. 1-1.✓ i.�l t-% Home Phone -7 / - r L 2 ff City/State/ZIP A4 IL - 2 '7 o Z ff Business Phone -3 J Z o U to 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: @ a Improvement Permit/ATC ❑ Both 4. system to service: mouse ❑ tMobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People T # Bedrooms 13 # Bathrooms 2 Z . 4YDishwasher t3�arbage Disposal -ET`kashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: [aunty/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9 -NO If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: • (0 47 to c 0, IV � WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # :5-7 X 5 Z ,1 f 3 b 1 r(0 S �� Com..: �..— C � . _ y-, Z Property Address: Road Name fl l 7^ City/Zip Jl ✓ a i .� �. C. -a.% a 0(. J ' � � . %L -- If in a Subdivision provide information, as follows: Name: Section: Block: Lot: '-7_ Date Property Flagged: / D J This is to certify that the information provided is correct to the best of my knowledge. I understand that avy 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. 1, also, understand that 1 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 to conduct all testing procedures as necessary to determine the site suitability. J DATE % // `�l / 7_ o u 0 SIGNATUREell G 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). < to (, ' Site Revisit Charge Revised DCHD (07/99) -7 V i Date(s): Client Notification Date: EHS• Account No. Invoice No. 7.S APPLICATION FOR SITE EVALUATIONAMPROVEMENT 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 c�THE �RE UIRED INFORMATION IS PROVIDED. �c�s�0 r►�, �1 7 � -// 1. Name to be Billed r+n e— Contact Person / e1 e -A ric Mailing AddressT L�R 1)l --� o e _ Home Phone City/State/Zip AJU1110 Ce NC . ,-2700(, Business Phone 9'9g--5;77. ZL 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ l Industry [ ] Other 'r2 % y+ Stc ► ui.S /o4 5. If Residence: # People # Bedrooms # Bathrooms [ J 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 If yes, what type? L i I111,R A PLA 1 OR 57 11. 11 l:J PROPERTY INFORMATION REQUIRED: *** IMPORTANT *WA LAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A>a 6tC PACC-e WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S789 - P— - 4 ; &1, 961 =Sn ai K r'�c jgj Uri n; C�-t-e Property Address: Road lame g�j C,?m K / m � — � 1 -� S lade at pz City/Zip ^�y• 2 ?o o i L1Cq-&, s =CCA M nde 11 N U e rs If in Subdivision provide information, as follows: Name: el"bl1 /i-a�l reek �rc,racSzd f i Section: I 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 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 ve of the Davie County Health Department to enter upon above described property located in Davie County and owned Revised DCHD (06-96) all testing proceOuFs as necessary to determine the site suitability. '11115 ,1 hErl ,11AI/ LIE I ISEI) j01? DIM IU NC 1 J011R SITE PLAN: DAVIE COUNTY HEALTH DEPARTMENT / 7' Environmental Health Section SECTION X- LOT Soil/Site Evaluation APPLICANT'S NAME Si�A a' DATE EVALUATED `"i�y PROPOSED FACILITY/ PROPERTY SIZE SUBDIVISION e-zl ") '' 4y ROAD NAME_2 (ea Z Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit L� Public Ll --l" Cut FACTORS 1 2 3 4 5 6 7 Landscape position ,L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH K/.,// Texture rouConsistenceStructureMineralo, 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: ✓'S LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01.90) EVALUATION BY: 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 it 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