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139 Alexandria Court Lot 10Davie County, NC I # Tax Parcel Report Tuesdav, November 29, 2016 WARNING: TH15 Ri 14U'l' A SUKV.LY Parcel Information Parcel Number: H8060A0010 Township: Shady Grove NCPIN Number: 5789340663 Municipality: Account Number: 8305457 Census Tract: 37059-804 Listed Owner 1: MIGLIARESE JOSEPH A Voting Precinct: EAST SHADY GROVE Mailing Address 1: 139 ALEXANDRIA COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 10 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.89 Elementary School Zone: SHADY GROVE Deed Date: 9/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009990768 Soil Types: WeB,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra Building Value:, g Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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 or fitness for a particular use. All users or Davie County's 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 rep p�� NC or arising out or the use or Inability to use the GIS data provided by this website f ' DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital street Mocksville, NC 27028 (336)751-8760 / p /J1&m _��Q Account M 989900141 Tax PIN/EH M M99MM 5789-14-9555.10 Billed To: Michael Wayne Myers, Inc. Subdivision Info: Covington Creek Sec.11 Lot # 10 Reference Name: Mike Myers Location/Address: Alexandria Court -27006 Proposed Facility: Residence Property Size: 256x220x80x3 ATC Number: 2430 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 WASTEWATE CON U IS V ID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur . Date: Z Ob - V Z I 2-/11DAnti^ l 7V / 1--L/VI •G.✓V I/ f"J CERTIFICATE OF **NOTE** The issuance of this Certificate of Completion shall ' d has been installed in compliance with Article 11 o G.S Disposal Systems," but shall in NO WAY be tao as a given period of timeA, �3+ Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) PL yo6m described on Improvement/Operation Permit OA, Section .1900 "Sewage Treatment and that the system will function satisfactorily for any i4.1K -rte 7-9 DAVIE COUNTY HEALTH DEPARTMENT / 3 3a ^v v Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900141 Tax PIN/EH #: Wgffi l 5789-14-9555.10 Billed To: Michael Wayne Myers, Inc. Subdivision Info: Covington Creek Sec.11 Lot # 10 Reference Name: Mike Myers Location/Address: Alexandria Court -27006 Proposed Facility: Residence Property Size: 256x220x80x3 Jho4e**NIs prment/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 �-1ws-c #People #Bedrooms I #Baths 7 Dishwasher: 13� Garbage Disposal: 16 Washing Machine: M" Basement w/Plumbing: 0 Basement/No Plumbing: M" Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: Lot Size Type Water Supple Design Wastewater Flow (GPD) 4W Site: New d Repair System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width �i I Rock Depth IZ-� � Linear Ft.jq001 �1I . Other: �Z DfZ;lf1_&)Tro�J-T)o}G=S T 1�35Xb„l-1, ly�•J�-5 1 O -G, r"" Required Site Modifications/Conditions: 1 rJ—ST6,L p,J Cp+J-rau 2 Icco 1 S OFA r1)�j Kz'w wpf4= Q¢&P 1►J N 47 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " 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. 1:30 p.m. on the day of installation. Telephone # is (33 )751-8760.**** M Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: " /45/00 APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & MAY 2 2000 Davie County Health Department Environmental Health Section ENVIRONMENTAL H P.O. Boa 848/210 Hospital Street DAVIE COUNTYEALTH Mocksville, NC 27028 (336) 751-8760 ***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 tact Person �!f� Z�q} g ai f Mailing Address Home Phoneea=14� City/State/ZIP Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation City�/ tate/Zip al/improvement Permit/ATC 4. system to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other ❑ Both 5. If Residence: // # People # Bedrooms f # Bathrooms Dishwasher 1T5arbage Disposal L'YWaahing Machine ❑ Basement/Plumbing Ve`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: "9-County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 14a o If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: #�-iF=-�.�jd ►r , i� Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: WRITE DIRECTIONS (from Mocksville) to PROPERTY: Name: lOky. o -=e /2 49—E K Section: �� Block: Lot: Date Property Flagged: �l 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 to conduct all testing procedures as necessary to determine the site suitability. DATE S `"�,2 "�SIGNATURE ' THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the followin /Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/99) Site Revisit Charge `Date(s): Client Notification Date: I EHS• Account No. Invoice No. D� c/ PROPOSED &j HOUSE i 1 IQ OUP n" o. ALEXANDRIA CT. I I i \� / J 01 1 "W 256.55' 0 el SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR RECORD PIAT AND NOT FROM A SURVEY BY M E. Azz " SITE S 87"44'23"E 80.00' �' �ptPNpR�►. � z 1 COMNGTON CREQC DR N Olt LOCATION MAP y O O O N N N I 0 ZZ 0 01 I C,�.. 4� �•,,,� Q' E 551 p - a SEAL < o < L-2890 i/Qyy y�Q s u v:N 9�CHAfk �� ■■■■■■■■■■ -.- m V 'O G7 V FOR MICHAEL WAYNE MYERS INC. SCALE TOWNSHIP COUNTY STATE DATE,s 1" = 40' SHADY GROVE DAVIE N. C. 4-25-00 LOT 10 COVINGTON CREEK P.B. 7 PG. 97 HOWARD SURVEYING JOHN RICHARD HOWARD PLS P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 JOB NO. 0033 • ; ' APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT 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 RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed r+n Contact Person 6 e - Mailing Address �� t) >! Home Phone City/State/Zip 07'/i O'1PQ C.e WL Q700(3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: P4eEvaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: (] House [ •] Mobile Home [ J Business [ ] Industry [ ] Other c2 ZZ J0+ SUb,41 Iii -S1.010 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 [i]1Vo If yes, what type? 1111108 -1 I'LA I coli 51 11 1'1_ IN 0 PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***�A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:.Da,r+ C4 66 &C, P CC- - /I ; WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 98`3 - — - -=� 1d �i �Sb id 1\ aZC %i V 4 pu Le Property Address: Road lame So1 D� rp r A,z( % m t — wLS -d side a't City/Zip 19 � • Z ?� o ; (� �[�,� S__=Oc6 m e r5 ae If in Subdivision provide information, as follows: Name: CbV/�dAJ Oree.IC aeraoszd)-,If 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 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 by et onduct all testing /proce r,ps as ne essary to determine the site suitability. DATE !t - .��i SIGNATURE Revised DCHD (06-96) 71118 rl $E,1 L;E 11SEL) )1011 WMIIII NC7 1101/1? SITE PPI N: t DAVIE COUNTY HEALTH DEPARTMENT / D Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit L DATE EVALUATED PROPERTY SIZE J�IAC� ROAD NAME 2S:22 Z Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH " Texture groupG 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: _ LONG-TERM ACCEPTANCE RATE: REMARKS: 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 W 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