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143 Covington Drive Lot 59Davie County, NC Tax Parcel Report Wednesday, November 30. 2016 WAKNING: THIN IS NOTA SURVEY Parcel Information Parcel Number: H8060A0059 Township: Shady Grove NCPIN Number: 5789333946 Municipality: Account Number: 8300948 'Census Tract: 37059-804 Listed Owner 1: CHURCH DEBORAH H Voting Precinct: EAST SHADY GROVE Mailing Address 1: 143 COVINGTON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 59 COVINGTON CREEK PHASE ONE Fire Response District: ADVANCE Assessed Acreage: 0.86 Elementary School Zone: SHADY GROVE Deed Date: 5/2012 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008900085 Soil Types: PcB2,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 057 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8n Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 91 All data is provided as Is without warranty or guarantee of any Idad either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. An users of Davie County's GIS webshe 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 �T �C UNC l� C or arising out ofthe use or Inability to use the GIS data provided by this website. -i�-�+7�`.,.4 d - ti's e; 1 +r,Y: r t•' M�- / ...��.�.A {6 "'i.--. :. e -s vl v. T. .. .."..-r ••r.jrw=,• ^• .y:l "J" r a•;, 6 y„w ?_ �s •-•:'� DAVIE OUNTY HEALTH DEPARTMENT _ iO IMPRO- EMENT AND OPERATION PERMITS PROPERTY INFORMATION Nam�Permittee'sor 104 GaSubdivision, Name: -;'� . � . Directiils to property: +' Section: ' Lot: IMPROVEMENT PERMIT.Tax Office PIN: • r r Road Nam �*NOTE** This Improvement Permit DOES NOT authorize the construction orinstallation 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ' '" t'f f' 1 I ; rf� ,rf<'• PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER /SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ` ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED. I , INSTALLING THE SYSTEM RESIDENTIAL SPECIFICATION: BUILDING TYPE #BEDROOMS 12_ #BATHS .�, SOCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIALL SPECIFICATION:. FACILITY TYPE # PEOPLE # PEOPLE/SHIFT / # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ` TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �b NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE /OII GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. Ob 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. DCHD 05/96 (Revised) .....,,yrurrrruYr ntldl rLUMII &A1C Davie County Health Department q 1� Environmental Health SftWon - ;, P.O. Box 848/210 Hospital street Mockaville, NC 27028 DEC —8 19% (336) 751-8760 ***XWCRTAWT*** THIS APPLICATION CANNW BE PROCESSED UNLESS ALL IMO REQZJIMWE INFORMATION IS PROVIDED. Refer -to the INFORMATION BULLETIN for ins ructions. Hama to be Billed Y5 C Sid /1�C��1//` / �CIJ Contact Person /4f Mailing Address 40e, oD j00 / / Home Phone City/State/ZIP J (�. Business Phone ,y /� % — 1/ / �� !lame on Pe=it/ATC if Different than Above Mailing Address Application For: U site Evaluation system to service: IIHouse If Residence: 0 Dishwasher # People City/State/Lip � UVrovement 'Permit/ATC 0 Both 0 Mobile Home 0 Business 0 Industry ❑ Other # Bedrooms �_ # Bathrooms ;2 0 Garbage Disposal 0 Washing Machine If Business/Industry/other: Specify type 0 Basement/Plumbing 0 Basement/No Plumbing C C_ # People # Sims # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # seats Estimated Water Usage (gallons per day) Type of Mater supply: 0 County/City ❑ Well ❑ Community Do you anticipate additions or expansions of the facility this system h intended to serve! ❑ Yes 0 No If yes, what type. ***IMPDRTANT***CLIENTSDIUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: ��- DIRECTIONS (from Mocluvllle) to PROPERTY: - 04vT/ DD Tax office PIN: M 5-729- 3 3 3 '� � • Property Address: Road Name C,a '? 2*yL City/Zip A 7606 If in a Subdivision provide information, as follows: Name: t6l1/ pa n Cree, Section: _�_ Block: Lot: C/G Date Property Flagged: 2' This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) 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 rrsponsWefor all charges Incurred fro g this application. I, hereby, give consent to the Authorized Representative of the Davi 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:�2d SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Account No. Revised DCHD (07/99) Invoice No. � ` g i;.I(s ttibv•i'i'•7..,.+:.:•%.-.`"rr}'rq.,?3Y>4'.tZ1M'>7"r t�+..y.y;.t�.�'rt�;.a. i. .t..�. a..>•.,r3 n.. a.a�/.,,..fd« . , .. u -e,;•.. AUTHOW4TION NO:, 1 8 32 DAVIE OUNTY HEALTH. DEPARTMENT . - i Environmental Health Section PROPERTY INFORMATION Permittee 's 4 P.O. Box 848 Name: Mocksville, NC 27028 ' Subdivision Name: _ r% �'��' Directions to 3 Phone # 336-751-8760 Section:—,r r" Lot: property: AUTHORIZATION FOR WASTEWATER Tax Office PIN:# �' SYSTEM CONSTRUCTION Road Name �!Y ip; ,moi �fJ **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 CountyBuilding Inspections Office when applying for Building Permits. (In compliance with Article l Iof G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t' y ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department D o Environmental Health Section P.O. Box 848 J��; / 1 Mocksville, NC 27028 J (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be filled Contact Person Mailing Address f?' 6 91)e Home Phone City/State/Zip 06 ' U-' JJ C -e- NL . 2706(J Business Phone %Gl�'y%%Z 9/3-,39 P 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ° :ite Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ -] Mobile Home [ ] Business [ ] Industry [ ]Other'! 10+ st�1�11 yt•S tO•J 5. If Residence: # People # Bedrooms # Bathrooms [ ] Dishwasher [ ] Garbage Disposal [ ] Washing Machine [ ] Basement/Plumbing (1 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 H<O If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS AP,?LICATION. Property Dimensions: A)rtctC , 6t -C -c° [ WRITE DIRECTIONS (from Mocksville) TO PROPERTY. - Tax Office PIN: # 78`3 - - y� u� i I,V a ��T Ic'V L, �� Qd V 4 rt; 4-e Property Address: Road Dame So j S / m �i — t ►� LS - S'lo�e o P City/Zip ^Ajy• If in Subdivision provide information, as follows: Name: b[l/ reea. �rcr��czcC 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 Authoriz- of the Davie County Health Department to enter upon above described property located in Davie County and ownec all testing procesiurps as necessary to determine t'se site suitability. Revised DCHD (06-96) illi: :U;T•t ,11111 BT: 11--Et)t I -O IWAIHNci I01I t .~1117 PLAN: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION "o e oe Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit _ SECTION / 1,01 5� DATE EVALUATED PROPERTY SIZE y,' ROAD NAME Public Cut FACTORS.- 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 1f ` Texture group rG Consistence _17 Structure SJ df Mineralogy, l 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 2 SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: EVALUATION BY: OTHER(S) PRESENT: REMARKS: c C P z4 w i_ d C A& 4121% C ✓t -e l - EGEND 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 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 DCHD (01-90) -}� 98.00' 50.00' CS 87 f 1Q8 -Q0' 3T. 1 31� W �is 1 �0. p0' 38' DEVELOPER R.C. SHORT CUSTOM HOMES (336)998-4772 M AILIN Q 6DDRESS,: r T P.O. BOX 2300 ADVANCE, NC 27006 STREET ADDRUS; 2516 CORNATZER RD. ADVANCE, NC 27006 170.Do' 170' 64' 224. COVINGTON PHA SE � SUBDI V1 I PRQPFRTY 0i- RI CHA FAD C. ARCS! 22, TAX r` I Ap DEED BOOK 200, GREY ENGINEER Environ,nentgl ❑nd Ci are yen aineerin Q. corn Mocksville, N.C,