Loading...
162 South Hemingway Court Lot 31Davie County. NC Tax Parcel Report Tuesday, November 29, 2016 WARNING: THIS 1S NUT A SURVEY Parcel Information Parcel Number: H806OA0031 Township: Shady Grove NCPIN Number: 5789132946 Municipality: Account Number. 40120000 Census Tract: 37059-804 Listed Owner 1: JOHNSON CURTIS VICTOR Voting Precinct: EAST SHADY GROVE Mailing Address 1: 162 SOUTH HEMINGWAY COURT Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7049 Voluntary Ag. District: No Legal Description: LOT 31 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE Deed Date: 10/2005 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 006290345 Soil Types: WeB,PcB2,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: E01 Ail 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. Ali users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultanh, contractors or employees from any and all claims or causes of action due to l� �T C or arising out of the use or Inability to use the GIS data provided by this websites Permittees ` r�- DAVIE COUNTY HEALTH DEPARTMENT Pd� Name: • off -�•'�h Environmental Health Section PROPERTY INFORMATION /(;, 5) , ,, z./ �l cksvi Box Cas�-- Directions to property:+' "' , ��'i �� � �IV4ocksville, NC 27028 Subdivision Name: r • � r' ��'.- � . Phone #: 336-751-8760 ✓�fT' ` ' ( Section: r`✓ Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - AUTHOR.IZATION NO: 002603 A Road Name' f% j,�T,:. �"''''r` Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the bavie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �?Zo NEW SITE REPAIR SITE Y SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH C7 ROCK DEPTH LINEAR FT. OTHER J REQUIRED SITE MODIFICATIONS/CONDITIONS: _( IMPROVEMENT PERMIT LAYOUT f' 147-1 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 07!02 (Revised) �,•tt ,s r-'./, '°'°'�'• ' DAVIE COUNTY HEALTH DEPARTMENT /Vl\IO �Pelmtttee n r ,•�iamer•+ _, Environmental Health Section PROPERTY INFORMATION tPI . Box 848 r' Directi6ns to property . Mocksville, NC 27028 Subdivision Name Phone #: 336-751-8760 f 'y- Section: ~` Lot: AUTHORIZATION FOR -- WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - - AUTHORIZATION NO: 002603 A Road Name: r r{ Zip: 5 **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION !,f, r{ / G IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS✓' # BATHS _ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or esor No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)11,?F/ () NEW SITE REPAIR SITE � SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ''''i 1r. %--JUIN I x 11EALI H lltYAH'I'MENT Name:wv V C !-4 Vd�.S'OY? Environmental Health Section PROPERTY INFORMATION 0e. �U e1R. Box 848 ` Di ti to property: l C� oL. //��%��ocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 lJ Section: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION AUTHORIZATION NO: 002603 A Road Name; Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) r�� • ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL H LTH SPECT DATE ISSUED 4) Account #: Billed To: Reference Name: Proposed Facility: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 989900093 Tax PIN/EH #: 5789-13-2946 1 - Shelton Construction Services Subdivision Info: Covington Creek Sec. • Lot # 31 Con Shelton Location/Address: Hemmingway Drive -27006 Residence Property Size: .69 Acre ATC Number: 2301 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 CONST VAL FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: ate: 1040 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 ystem will function satisfactorily for any given period of time. �5 s' 3 � to li �o fop !O 140 Septic System Installed By: - ' t L'LJ`54F' a" Environmental Health Specialist's Signa e: Date: O DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT G O -7 � • , , Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC -27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900093 Tax PIN/EH M 5789-13-2946 Ix Billed To: Shelton Construction Services Subdivision Info: Covington Creek Sec.®Lot# 31 Reference Name: Con Shelton Location/Address: Hemmingway Drive -27006 Proposed Facility: Residence Property Size: .69 Acre **N ) * i iiss provement/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 Z Dishwasher: 0--- Garbage Disposal: 21." Washing Machine: E Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ©, ANC Type Water Supply Design Wastewater Flow (GPD) 3(co Site: New M" Repair ❑ System Specifications: Tank Size I 00:053AL. Pump Tank GAL. Trench Width Rock Depth 12 Linear Ft.3C�� ST2.� 60TIO.J �X- 1 I�S`fi�u., l.�at Other: � t7�C'.. M l,-). Required Site Modifications/Conditions: V42EP S' c)EF jl '� �� a Pkc>v ue,)� 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.**** I I \- %A 8 x (`n r � O Lo -r if 36 Environmental Health Specialist's Signature: Date: 2.1 00 DCHD 05/99 (Revised) L: 13 106.36' _ _ 100.96' 116.72' _U TOTAL 273.23 S 88'53' 59 w FS:,8,3.24' 2" W C3 20' PUBLIC RD. 50� R/W 50' R IW O > 268.21' N 9F53'59 E - t co 12 12 '18' L:12�-2 3 CO VINCTON `t _ _=0) N 83 4 2E �' 1 1----- - - - - -- i 1 C•,� Q c 0a. - - ,n w ; 1N i - 40 I 1yol g r, - m` e a 303.16'I 1 rQcO N I __ J 1 a Qi r N 79-42'36' W i 2 azo �_ _ 2. N 83'4812' E N 290-2 "wl ^ I 39 I��I oq o INA L-- __-- 1 n h' N �. -ki A b o I 25 > ' --- ---J --- - 77 277.67hl 69' ss 23" w � N 2 r.--------------J V I ` 307.83 S 69' 3'43" E 3 r-----"------� ;.,---------------- T 2 IQA I i ( 1 S f co _ \ 288.49 - \ 2 p / In 302.70 - _ I � I 2 f = - - N 80 � 0, W- _ _ � C.�3 < 80'47'27" E----J 11 i�" I 'U I 37 l �I \ �4 0 o I -1 �/ c� / 1 O 1 0 ^I �\c- \ - _ _ JJ a `" n 01,48- _ _ 1 V \ 278,08:- S _ _ II 1 ^Il o o / I' - _ N 7g 9' 42' N f ZI� \� \ j 75'17'23: E -J rn/ `� lh ! - _ oi`' 41 \� \ I _ _ o / moi! Ir 7 1 o �r I 28 � — — 9 �r �� �/ u' r ` 322.op'_N1 12.E"- - _ 1 O �' w -j CONTROL I �� ✓' I - _ CORNER 41 co Q I 35 — s o L � ! a 328 - - _ M N w 29 I f CU A 80' 15' 40� i--- --- �? -� I _ ti % 250.01' S 87'31'31- E N ;� I 34 53'7 ??i / /'goo t _ Cl un b g o N �_ II 33x.00' O of 0 01 r--__ _ 5" IN — ' Ada a� lb I IQ21� z - - - - - -- �--- � 250.00' S 87' 17' 46" E_2 _ _/ o -----------� ^/ 324.2_ N 81'26'12"6 5 / w � COVINGTON CREEK N I 31 �Q 132 00 / 1 °� PHASE 1 co L-------— L — — -- — — � 250.00' I 7~- EASM. 405.01' y TOTAL 655.01' 'N 87' 31' 31" w I 13'4" EIP 148.38' 43.51' i LOT 36.01, MAP H-6 W. J. ELLIS & PHASE 2 EXIST. WIFE HAZEL L. ELLIS D13 49, PG 425 APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT Davie County Health Department JAN 200 Environmenf& Health Secdion P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ENVIRONMENTAL HEALTH (336) 751-8760= DAVIE COUNTY ***XW0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed SAJ . �T _ o — ,7L �-+� ; . _ ...Contact Person e e '54— Mailing 4 Mailing Address 12 r' U S CIL,-) Home Phone -7 S ^ S 6 k city/state/ZIP /V7 o. ,C s 11 � /, e Z 7 6 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. system to service: Q --House ❑ Mobile Home 5. If Residence: # People LI'Trishwasher garbage Disposal CiXimprovement ty/State/Zip Permit/ATC ❑ Both ❑ Business ❑ Industry ❑ Other # Bedrooms 3 # Bathrooms 'Z �ehing 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: ounty/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes &Ko If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: . 6 � A c. ,- c, t WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # -5--7 k `i l '3 Z 9' -q s o Property Address: Road Name -L C1.f iv+ -e y City/Zip . _,J.c. z�aa>6 ✓J� . .�. G V-- -r-b- G /41C If in a Subdivision provide information, as follows: /%-: ,, & + /a 71-�- Name: C._ o—�• / Section: �_ Block: Lot: Date Property Flagged: 1 Z % 1 Q 0 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 . S L C to conduct all testing procedures as necessary to determine the site suitability. DATE /Z L/ 2 0 . J SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions,t)ructures, setbacks, and septic locations). Revised DCHD (07/99) Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. 0,& Invoice No. APPLICATION FOR SITE EVALUATIONAMPROVEMEN'' PERMIT r Davie County Health Departmentn@ t7 n,, Environmental Health Section v u v P.O. Box 848 Lr -);y� Mocksville, NC 27028 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE jUIRED INFORMATION IS PROVIDED. �C. s'�d�` 1. l.�S�'0 r►'� �1 7 , 1. Name to be Billed 1'SI A r" E S Contact Person Mailing Address ?I))/_iti it y ;13 1) _ Home Phone City/State/zip A U600 C -e MC, -2760C Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:MIS'ite Evaluation [ ] Improvement Permit & ATC [ 1 Both 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other %0 �it� {► u�.Si�•J 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 [yNo If yes, what type? l 11?r1N .'. /1.11 (11: ;�l i+ 1 1 1:1 PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions. �� o 66 aC:. o« -e WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # Property Address: Road Dame g01 O�.mpmr ,�{ / r» ► — l�L�� -� S•Ide n -f P City/Zip ^Add 6611-011, � 4 e rzs- If in Subdivision provide information, as follows: Name: ,,, b 1 rt tu— ' 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 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 Revised DCHD (06-56) all testing procedures as necessary to determine the site suitability. iH( :lf;r.t ,11 Ili 1.;r; 11 F;b 1-01%' IWAIl'IN(i Ilc)l(lt ,;I IF PIAN: 1 DAVIE COUNTY HEALTH DEPARTMENT j Environmental Health Section SECTION_ LOT,L Soil/Site Evaluation APPLICANT'S NAME s J�lJ DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION S/i /I �O�✓67e e� /� ` ROAD NAME Water Supply: Evaluation By: On -Site Well Auger Boring Community Pit 4/ Public l� Cut FACTORS 1 2 3 4 5 6 7 Landscape position /C Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure MineralogyJ. 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: >c"/ !iia DCHD (O1-90) EVALUATION BY: A // v OTHER(S) PRESENT: Or 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 DAVIE COUNTY ENVIRONMENTAL HEALTH SECTIO �&,14 T -S Z la APPL CATION FOR IMPROVEMENT PERMIT (REPAI�/ -�y% PHONE NUMBER NAME�c�1�� DIRECTIONS TO SITE L IN NAM LOT # "�,, T7 V DATE SYSTEM INSTALLED f �l�NAME SYSTEM INSTALLED UNDER TYPE FACILITY N MBER BEDROOMS S,, NUMBER P OPLE SERVED TYPE WATER SUPPLY O SPECIFY PROBLEM OCCURRING CtC i DATE REQUESTED INFORMATION TAKEN BY This is to certify that the information provided is correct to the best of my knowled nd do r and I am responsible for all charges inceed from this applica SIGNATURE OF OWNER OR AUTHORIZED AGEAT Rev. 1193 va 10 -e --1S/