148 South Hemingway Court Lot 29Davie County, NC 4 Tax Parcel Report Tuesday, November 29, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
H806OA0029 Township: Shady Grove
5789142252 Municipality:
82517199 Census Tract: 37059-804
SCHNEGGENBURGER BRUCE L Voting Precinct: EAST SHADY GROVE
148 SOUTH HEMINGWAY COURT Planning Jurisdiction: Davie County
ADVANCE Zoning Class: DAVIE COUNTY R -A
Zoning Overlay:
NC
Zip Code: 27006-7049
Legal Description: LOT 29 COVINGTON CREEK PHASE TWO
Assessed Acreage: 0.65
Deed Date: 7/2001
Deed Book / Page: 003770609
Plat Book: 0007
Plat Page: 139
Building Value:
Land Value:
Total Assessed Value:
Voluntary Ag. District:
No
Fire Response District:
ADVANCE
Elementary School Zone:
SHADY GROVE
Middle School Zone:
WILLIAM ELLIS
Soil Types:
WeB,PcB2
Flood Zone:
Watershed Overlay:
DAVIE COUNTY
Outbuilding 8r Extra
Freatures Value:
Total Market Value:
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 warrardies of merchantability or fitness for a particular use. Ali 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 all claims or causes of action due to
n0 ty C� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT U
Environmental Health Section
' P. O. Boz 848/210 Hospital Street
` Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001296 Tax PIN/EH M 5789-142252
Billed To: Michael Myers Subdivision Info: Covington Ck Two Lot # 29
Reference Name: Location/Address: S.Hemingway-27006
Proposed Facility: Residence Property Size: see map
**NOTE** Tlii bgmprovement/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 3 #Baths 2
Dishwasher: d Garbage Disposal: d Washing Machine: C;ff" Basement w/Plumbing: ❑
Basement/No Plumbing:
Commercial Specification: i�Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot SizeA Type Water Supply CalgYDesign Wastewater Flow (GPD) Site: New Repair ❑
System Specifications: Tank Size F
y p � GAL. Pump Tank GAL. Trench Width Rock Depth %2 �� Linear Ft�
t
Other: 2 PvSTPAAjT)p.) Tne> t ALL uaEs
Required Site Modifications/Conditions: ) t-�RLL, DIS CONMQ�2-. F.tcl:P Id QPr M'•
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. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
\ \ IdMI�,
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Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
5
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mockisville, NC 27028
(336)751-8760
Account #: 990001296 Tax PIN/EH #: 5789-142252
Billed To: Michael Myers Subdivision Info: Covington Ck Two Lot # 29
Reference Name: Location/Address: S.Hemingway-27006
Proposed Facility: Residence Property Size: see map
ATC Number: 2655
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 WASTE O IS V I OR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signa re: Date: (� 4a
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:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date: </
2 8 p"
N °°�
> o COVINGTON CREEK DR N
S 8j
E 256.1 S'
LOCATION MAP
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.- 27.00• - - - - _ _ ell"v
Lal $ 80.00• ------t0 �R
2 g PROPOSED
tog
2.00 I^ 00 co
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17 00
p 2.00' 4.Op• I�r i E
Z---- ----------163.4x ------------------------ 27.00• a h o I \\��/,/
lao o W w . ���`� 'CN ... A!�p %�.
--------eo.00------- Q c pQ 'FEss�o Ci
QQ� ti9f•
SEAL
I t� = o': ` L-2890 Q Ir z:
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1 0 1 3"!�'•. SURA.. `l
O pR�CHARO ��0��•
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1 t7 N
N 871_31 "W 250.01' I I
SITE PLAN ONLY
I THIS WAS MAPPED FROM A DEED OR
RECORD PLAT AND NOT FROM A SURVEY
I BY -ME.
30 I
J
30 0 30 60 90
I- GRAPHIC SCALE FEET
MAP
MICHAEL WAYNE MYERS, INC.
SCALE TOWNSHIP COUNTY STATE
DATE,s
1" = 30' SHADY GROVE DAME N. C.
11-30-00
LOT 29 COVINGTON CREEK PHASE TWO P.B. 7 PG. 97
HOWARD SURVEYING
JOHN RICHARD HOWARD PLS
P.O. BOX 276 ADVANCE, N.C. .(336) 998-5396
JOB NO,
0106
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATCrEENV1RnX1A4rA,1..
Davie County Health DepartmentEnvironmental Health Secdon P.O. Box 848/210 Hospital StreetMocksville, NC 27028
(336)751-8760
***1WC1RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed &e4#Aa kl, 4rF f } ZW/ Contact Person �"i
Mailing Address /0� �X 2 0� Home Phone�� 0//n -Jr
City/State/ZIP A 4 K4411- lz 27" Business Phone �279--4d57
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ❑ Site Evaluation 0/Improvement Permit/ATC ❑ Both
4. System to Service: &-House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If.Residence # People # Bedrooms # Bathrooms
EYDishwasher IM Garbage Disposal £ washing 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: -&-County/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 9140
If yes, what type?
***IMPORTANT*** CLIENTS MUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUSTBESUBM17TED by the client with THIS APPLICATION.
Property Dimensions: ST%j WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: #
Property Address: Road Name S,�/C%fi lAll-wi I y l.Or/�/�/ Q/i� G/e 1-22 &6�'Or
City/zip
If in a Subdivision provide information, as follows:
Name: K12W 4:A
Section: Block: Lot:
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
to conduct all testing procedures as necessary to determine the site suitability.
DATE / 4-/ / / 409/1 SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Includell of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client Notification Date:
EHS:
Revised DCHD (07/99)
Account No.
Invoice No. v
11
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI
Davie County Health Department
3nvironmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PRGCESSED UNLESS ALL
THE RE UIRED INFORMATION IS PROVIDED.
1. Name to be Billed 1D .-+� S Contact Person et e. �► <<f �1
Mailing Address ?1)��� 9 b >! ;)L'3,)1) Home Phone
City/State/Zip .l�UaiJ Ce%Ud(� Business Phone h13 -39/8'+J1
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip r 1
3. Application For: tie Evaluation
Improvement Permit k ATC]Both
4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other % o'i' ut��[► ui.S iOm/ _
5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ 1 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 Hl o
If yes, what type?
I i► m I, .'. /./_ 11 ! If: ' I I I Il I:!
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: A>:Zr + o 10 0 &C. I14r•c-e 'WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # -y 3 y to a -S t -i € :- lg U4 w C
Property Address: Road name
City/Zip ASU• Z?ooCole 11 Mmer5
If in Subdivision provide information, as follows/: _
Name: _ bt /'Lz4 +y ree-k / �rtraoSzcC -
/� i
Section: 1 Lot #:
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereaftn� ;-
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsir-!d c
changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Autnoriz
of the Davie County Health Department to enter upon above described property located in Davie County and owne
I I
TIC
nNawma."
Revised DCHD (06-96)
SIGN
all testing procSour.ps as necessary to determine the site suitability.
1111,S' AI;P.1 .11111 BE 1KVb I -Oft 11K, IHN(i I1(1111C lI1' PIAN:
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION; LOT
Soil/Site Evaluation
APPLICANT'S NAME �h 8 �� DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE
SUBDIVISION
Water Supply: On -Site Well
Community,
Evaluation By: Auger Boring Pit I
ROAD NAME affa z
Public Ll --l'
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
IV
y
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: 0
LONG-TERM ACCEPTANCE RATE:
REMARKS:
xHD (01.90)
Landscape Position
EVALUATION BY:
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
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
Mineraloav
1:1, 2:1, Mixed
to
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 - Lona -term acceptance rate - gal/day/ft2