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298 Covington Drive Lot 18Davie County, NC , # Tax Parcel Report Tuesday, November 29, 2016 121------- Q `s 0 312 306 298 290---- 282 1068 — --- LU 107 ' Z COVINGTON DR-COVINGT� R OV""Gro _ r r i � I — F — -- -- ---. - -- - 26 a - -- - -- 106- -- --- --- -- 106 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