298 Covington Drive Lot 18Davie County, NC , # Tax Parcel Report Tuesday, November 29, 2016
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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. Au 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H806OA0018
Township: Shady Grove
NCPIN Number:
5789147914
Municipality:
Account Number:
82515147
Census Tract:
37059-804
Listed Owner 1:
BURFORD JAMES T
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
298 COVINGTON DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 18 COVINGTON CREEK PHASE TWO
Fire Response District:
ADVANCE
Assessed Acreage:
0.69
Elementary School Zone:
SHADY GROVE
Deed Date:
7/2000
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
003410445
Soil Types:
PcB2
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:
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. Au 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
NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900317 Tax PIN/EH #: 5789-14-7914.18
Billed To: Glory Home Builders Subdivision Info: Covington Creek Lot # 18
Reference Name: Billy Joyner Location/Address: Covington Creek Drive -27006
Proposed Facility: Residence Property Size: 110' X 302'
ATC Number: 2288
**NOTE** This Improvement/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 i7 #People #Bedrooms --T #Baths I
Dishwasher: 21"' Garbage Disposal: ❑ Washing Machine: Ga�Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size led X'la Type Water Supply_ Design Wastewater Flow (GPD) (6d Site: New Repair ❑
System Specifications: Tank Size —P GAL. Pump Tank
Required Site Modifications/Conditions:
A Al �
GAL. Trench Width<5V" Rock Depth ,/,9 Linear Ft,3�
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. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signature: AJ& Date: /,-
DCHD 05/99 (Revised)
,,.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900317
Billed To: Glory Home Builders
Reference Name: Billy Joyner
Proposed Facility: Residence
ATC Number: 2288
Tax PIN/EH #: 5789-14-7914.18
Subdivision Info: Covington Creek Lot # 18
Location/Address: Covington Creek Drive -27006
Property Size: 110' X 302'
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 W TER CONSTRUCTION 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.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
`s-lpeloctll
Date: 4� —"/-so Ab
APPLICATION FOR
�TION/I enSMR & ATC
Dale SITE
Department D
Environmental HwIth 5eaadon D
P.O. Bos 848/210 Hospital Str..t DEC 2 91999
Mockaville, NC 27028
(336)751-8760
***?ifpt7ftV"** THIS APPLICATION C MINDT EX PJW=SSZD MESS ALL T= REQUIRED
INFORMATION 18 PROVIDZD. Refer to the INTO//RM ION BULT+ICTIN for instructions,
1. Mame to be Billed O 1Y! GC 11contact *Orson A'AL1 to
Nailing Address�� Raise p!►one3 �- �a
City/stats/sat► tali /15/on�+- �4en7 —I '4 , %� lab swipe.. seons33�"
Z. Mane on perait/ATC it Different than Above
Meiling Address C`itr//state/sip
y. Application For: 0 Sita !valuation provemant Parsnit/ATC 0 Both
4. systee► to services "a use 0 Mobile Home 0 Business 0 Industry 0 Other
a. If Residence: # people ! Bedrooms _ Bathrooms v' .
1-YDiihwaeber H/ garbage Disposal Wli; hing Haobine 0 Baaeaent/pluebing p Bueaent/Mo pludAng
6. It ansiuessAndustcy/other: specify type # People # sink.
# Comodes # showers # Urinals # Mater Coolers
t! I=SBRVICB: # Seats_Zatimated hater Usage tgallone per day)
Type /
7. pe of Mater supply: B'County/Cite 0 Well 0 Community
9. Do you anticipate additions or expansions of the facWty this system Is intended to nerve? 0 Yes U.No
U yes, what type?
***IMPORTANT*** CWENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PWT cr SITE PLAN MWBESVBM77ED by the client with THIS APPLICATION.
Property Dimensions:
Tax Office PIN: #
Property Address: Rosd Name �'� t r� +"•
City/Zip
U in a Subdivision provide information, as follows:
WRITE DIRECTIONS prom Mod wAle) to PROPERTY:
j 41a ,0 go/
1=
K01 d
Name:
COrl i v�q
ere r
Section:
�-
Block: Lot: __.L_1L
Date Property Flagged: — e
Th1s 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 1, also, understand that I ant responsible for all charges incarned front
this application. I, hereby, give consent to the Authorized Representative of the Da a Count Pealth Department
to enter upon above described property located In Davie County and owned by G
to conduct all testing procedures as necessary to determine the site suitability.
DATE ��' 2— SIGNATURE r
THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (Include all o the fo ening: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
�_ yy
i
i
Revised DCHD (07/99)
l
Site Revisit Charge
Date(s)s
Notifleation Date:
j EAS:
Account No.
invoice No. //S Y
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT
Davie County Health Department n
Environmental Health Section U
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL —�
THE RE IRED INFORMATION IS PROVIDED.
1. Name to be Billed Hb r+A a q Contact Person el e -
Mailing Address ?L) il-, h >1 '-1-3 1)1 / Home Phone
City/State/Zip A)Uaij Ce . A2 2 %o6 ( Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: M4te Evaluation [ ] Improvement Permit & ATC [ ] Both
4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other C2.2, % d+51 -t . / t!i•S lay
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
If yes, what type?
L i 111L1� ,t PLAT 01� '571F PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***A' FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: A)a o4 66 &C, aA-,rC-e- WR,I'TE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # S 789 - - ; ��� c� � �S� Ir-' K a�C AdyR pu ne
Property Address: Road lame gel Dir A 4C m t — Lou is
City/Zip J��� • 2 Z o /a cmss = c m Cd e 11 Mie rs -e
NJ
If in Subdivision provide information, as follows:
Name: z ;
r
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
of the Davie County Health Department to enter upon above described property located in Davie County and owned
==-T Am4rd
SIGN
all testing proc AuFs as necessary to determine the site suitability.
Revised DCHD (06-96)
11115 AIiEA A1.,11/ BE 11SEL) r0ft WGIIIIINC 1/0111t SITE PLM:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOTL4
Soil/Site Evaluation
APPLICANT'S NAME Sib
PROPOSED FACILITY
SUBDIVISION
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit L/
DATE EVALUATED
PROPERTY SIZE J�IAC�
ROAD NAME ,reaZ
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
11-1
Texture group
Consistence
Structure
Mineralogy
HORIZON 1I DEPTH
Texture groupGt
Consistence
i
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:. )iZ
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
xtu
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
oist
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)
LIAR - Long-term acceptance rate - gal/day/ft2