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143 South Hemingway Court Lot 35Davie County, NC , r Tax Parcel Report Tuesday, November 29, 2016 129 132 -- __ , , - "`-- 125--- i 137 140 (_ 143 C3 _ 1 148 `-------, d • �------ -? 153 L°1 _ T ti 158 159 5 122 ---__ 162 -- - -----`r i WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: H806OA0035 Township: Shady Grove NCPIN Number: 5789146204 Municipality: Account Number: 8306809 Census Tract 37059-804 Listed Owner 1: MEANS LANDON Voting Precinct: EAST SHADY GROVE Mailing Address 1: 143 S HEMINGWAY 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 35 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 1.06 Elementary School Zone: SHADY GROVE Deed Date: 8/2016 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010280113 Soil Types: PaD,PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r 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, Implied warranties;of merchantability or fitness 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 ail claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. f4- DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 '�-' -3 Account #: 989900093 Billed To: Shelton Construction Services Reference Name: Proposed Facility: Residence ATC Number: 2811 Tax PIN/EH #: 5789-14-6204 Subdivision Info: Covington Ck Sec. 2 Lot # 35 Location/Address: HEMINGWAY COURT -27028 Property Size: 1.027 acres 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 STRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature:Date: 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. 9 Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) 4a -7s Date: DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT 0 103 Account #: 989900093 Billed To: Shelton Construction Services Reference Name: Proposed Facility: Residence Tax PIN/EH #: 5789-14-6204 Subdivision Info: Covington Ck Sec. 2 Lot # 35 Location/Address: HEMINGWAY COURT -27028 Property Size: 1.027 acres **NOTE* iI mprov8ement/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 #People , #Bedrooms #Baths S Dishwasher: Garbage Disposal: Washing Machine: Z Basement w/Plumbing: Basement/No Plumbing: Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD) � Site: NewEr-'Repair ❑ System Specifications: Tank SizeAMP GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width ,, �/0,7Rock Depth/; � Linear F O� IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) 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. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** wV d -P Srjo� �' )ow�� Environmental Health Specialist's Signature: 1 a-6 Date: G•/ 1 DCHD 05/99 (Revised) V, 3 a Q . +APP CATION FOR SITE EVAI11ATION/IMPROiEM1.E ll PERMIT & ATC UDavie County Health Department EnvironmentalIfavith Section ?.O. Box 848/210 Hospital Street Mocksville, NC 27028 1396) 731-0760 ***r_WMi'l X"** THIS I1PnICATION am= 88 FROCUMM UMSS am Ta RZQIlUM tKIII&MMION IS PROVIDED . Refer to the =01=2X011 8ULi.RTIN !or instructions. Kum 1. me to be BillJed /L / 1 . 4 Contact Ve"on Nailing Address / Z S i l/ S }% / y Noce Phone City/state/sip IyI o -J>-'. I I e- dy • L- Z70 2 Y a numss pion. 3 y - Zy o (� Z. game on permlit/ATC it Ditterent than Above Hailiaq address 3. Awlication Tor: ,'.bite =valuation City/stab/sip "___�rovenlsnt Perni.t/ATC 0 Both a, *ystan to services J"o03e 0 Mobile Home O quoins** O Industry 0 other S. I! Residence: i People i Bedrooms 3 e Bathrooms Z- Z ebrasbar 4-0 ba Disposal @-Na hinq Machias A4"ssiont/Pluabing O aasemant/Ka, pluabinq 6. I! auainess/Zodustry/Others speoitr type 1 people i sides 6 Commodes i showers i urinals 0 mater Coolers I! TOODSERVICE: Ii seat* Zotimated Water Usage (gauons pan day) 7. Type of Water supply: IL-Munty/City 0 W011 0 Consmaity e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yea Dia If yes, what type? 'IMPORTANT' CWENTS MECST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED l BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the cheat with THIS APPLICATION. Property Dimensions: / • ° _72 -7 Iq - — , WRITE DIRECTIONS (from MockrAlle) to PROPERTY: Tax Office PIN: 6 S —7 N 7 - / 1_4 - Property Address: Road Name lic Cityrup�-�- If In a Subdivision provide information, as follows: Name: 4f_`� 0 J Section: Blockt ILAM Date Property Flogged: / Z Q / 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 cbsnge, or If the information submitted in this application Is falsified or changed I, also, understand that I am responsible for all charges incurred firom 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 54 1,/ - _ C .. _ . �__ J: to conduct all testing procedures as necessary to determine the site ssitabWty. DATE Y/Z �Z� / SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SFPE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). N Revised DCHD p d V- Pro`' i Site Revisit Charge IDate(s): Client Notification Date: EHS: Account No. Invoice No. -APFLICATION 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 THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed rn e S Contact Person Mailing Addressfes- L�S d >1 -1.3 o 7) Home Phone City/State/Zip 06)udld Ce— N1( . -2700(3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation [ J Improvement Permit & ATC ,[ l Both 4. System to Serve: [ J House [ ] Mobile Home [ ] Business [ J Industry [ ] Other�- 10+ uua lyi.S ia"V 5. If Residence: # People # Bedrooms # Bathrooms [ j Dishwasher [ ] Garbage Disposal [ j 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? [ 1 Yes If yes, what type? 1 1!111 I; '. 14. 11 ('I: t !' 1" 1:d PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A)a a 66 &C, fLACC-e- WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #T `� - So id o�C AG,yapuo C� Property Address: Road lame 901 O r A 4 / m ► — Wes S'Ici e -r City/Zip Q�U • Z?oo [ (�Crr' -Ss =CCA n nde l l M me t s If in Subdivision provide information, as follows: Name: �b( i, i-dAJ C ree-k 2ryose ' 3' ' /s ' Section: l 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 applicatic n 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 -r v by a onduct all testing pro'CSOurcs as ne essary to determine the site suitability. DATE SIGNATURE L" Revised DCHD (06-96) 1111:'. ;11;1"'.1 ,1111 LIF, II; F.b jolt 1)lMIVIN6 /Olil? S111: PIAN: DAVIE COUNTY HEALTH DEPARTMENT ,,/ Environmental Health Section SECTION--/-LOT�s " - Soil/Site Evaluation APPLICANT'S NAME � DATE EVALUATED 1W 6 d PROPOSED FACILITY__ PROPERTY SIZE SUBDIVISION( Z,L//!/�i iii✓ ?J7e e� ROAD NAME Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH A fi" Texture group Consistence Structure /l i Mineralogyl• / HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralog SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: l� LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) LEGEND Landscaue Position EVALUATION BY: ' l/ 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 - 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 Mineraloay 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