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139 Covington Drive Lot 60Davie County, NC , qTax Parcel Report Wednesday, November 30.2016 WAlCNMG: THIS IS NUT A SURVEY Parcel Information Parcel Number: H8060A0060 Township: Shady Grove NCPIN Number: 5789344043 Municipality: Account Number: 82512997 Census Tract: 37059-804 Listed Owner 1: HILL T MAYNE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 139 COVINGTON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 60 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 1.20 Elementary School Zone: SHADY GROVE Deed Date: 8/1999 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003100832 Soil Types: PC132,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 �7 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 Countys 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 l� C or arising out of the use or Inability to use the GIS data provided by this website. FUTURE F v TENNIS COURT'S i —- — — — — — — — — —— G 168.79' )8.00' I 0-i C:5 50.00' 1 �0. 00' 38' DEVELOP R R.C. SHORT CUSTOM HOMES ( 336)998— 4772 170' 64' 64' 170.00' 224.001 COVINGTON CRE.E f'�'i'.;;��ar�'�.x�fi %1� ii''�``^ !w.'Y ' r' �'ji. , 'i.�' � •'+f"��w 3 *'..� "` Wj .... .. ,. _, _:. .w. .,... - ,.,,,..$ k..: r � OUNTY HEALTH DEPARTMENT Pelmittf12. .. � IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Nam'fit'/ ,' Subdivision Name: M% Directions to property: Section: Lot: IMPROVEMENT PERMIT Tax Office PIN:#- -� Road Name f xT�%'�/ - sC11'� •Zip:Q **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the constructionrnstallation of a system or the issuance of a building permit. 1� compliance with Article 11 sof G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ' PLANS OR THE INTENDED. USE CHANGE. YOUR WASTEWATER,, ENVIRONMENTAL HEALTH SPECIALIST. DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE - J. 1 INSTALLING THE SYSTEM. , 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 N' LOT SIZE . S /�" ''CYf E ATER SUPPLY (a� DESIGN WASTEWATER FLOW (GPD) NEW SITE # REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZEGAL. PUMP TANK GAL. TRENCH WIDTHS ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: "CONTACT A REPRESENTATIVE OF, THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT,OI� SYSTEM INSTALLED BY: DCHD 05/96 (Revised) _-1 t,.0 .wvuntl4r rthmll at AI' nn Davie County Health Department EnOfwimenta/Nea/fh SftWon P.O. Box 848/210 Hospital Street DEC Mocksville, HC 27028 (336) 751-8760 ENVIRONMENTAL HEALTH ***IMP0RTANT*** THIS APPLICATION CWWW BE PROCESSED UNLESS ALL Q INFORMATION Is PROOVI/DED. Refer -to the INFR�OjyMZA�T�ION BULLETIN for /i(ns/tructions. name to be Billed !�! / _,64 /JAW contact person Bailing Address Uv Home phone City/state/Zl: Business phone �J ! �l/ 2 p/ A13 XVI Name on Persist/ATC if Different than Above Nailing Address City/state/Lip Application For: U Site Evaluation ; �, Improvement Permit/ATC 0 Both System to service: Douse 0 Mobile Home 0 Business 0 Industry 0 Other If Residence: r i People /� t Bedrooms �shxasher q/Iarbage Disposal HSN... ltachiAe 0 Basement/Plumbing If Business/industry/other: specify type Bathrooms Z D Basement/No Plumbing/wl act, / People # Sinks • Co®odes P showers # urinals f water Coolers IP FOODSERVICE: g Seats Estimated stater Usage (gallons per day) Type of water supply: ❑ County/City 0 hell 0 Community Do you anticipate additions or expansions of the facility this system Is Intended to serve! 0 Yes 0 No If yes, what type' t "IMPORTANT•** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED I BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: �. ? _ ! I a�fJ 17 DIRECt'IONS (from Mocleville) to PROPERTY: OdO�I Tax OMce PIN: * S' 79 — ?�z[ — 14 o %I I UI -5.—17006 Property Address: Road Name h ��- City/Zip to 6) If in a Subdivision provide information, as follows: Name: 1 6 yl, ), Cr6pa-k- c Section: _. / Block: Lot: Date Property Flagged: f /� aq 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 frons this appMeadon. I, hereby, give consent to the Authorized Representative of the Da��oun! ealth 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 suitabilih. DATE ! / l 0 SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PIAN (Include all of the following: Ezfsting and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/98) Account No. Invoice No.0 gg *r. -ro.Y :". k' rs+'4'" "-�'<a !r .a fyr. _.; w ho .. (•.� r -i'. ,:' •rr�. �. .... :s- ... ,... ....i .�z ai i'1 ECUTH &ATION NO, 1831. DAVIE JOUNTY HEALTH DEPARTMENT . - i PROPERTY INFORMATION Environmental Health Section Permittee's P.O. Box 848• Name: i Mocksville, NC 27028 Subdivision Name: Z161 .� Phone # 336-751-8760" Directions to property: X) ✓` Section: Lot: 64 AUTHORIZATION FOR WASTEWATER Tax Office PIN:#450AW- - SYSTEM CONSTRUCTION �!�'a Road Name: -ZiD: **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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) / ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION Gti, l�• l� i/ % IS VALID FOR A PERIOD OF FIVE YEARS. ' ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED