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121 South Hemingway Court Lot 38Davie Countv. NC Tax Pari -t-1 RPnnrt Tuesday. November 29. 2016 Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 10:1 All 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. All users of Davie County's GIS websfte 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 websites WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: H806OA0038 Township: Shady Grove NCPIN Number: 5789146546 Municipality: Account Number: 82532415 Census Tract: 37059-804 Listed Owner 1: ALLARD DANIEL LEE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 121 SOUTH HEMINGWAY COURT 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 38 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE Deed Date: 11/2010 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008421002 Soil Types: 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: 10:1 All 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. All users of Davie County's GIS websfte 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 websites DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Tax PIN/EH #: 5789-146546 Billed To: Glory Home Builders Subdivision Info: COVINGTON CK 2 Lot # 38 Reference Name: Location/Address: S. Hemingway Court -27006 Proposed Facility: Residence Property Size: see map ** OTE* �i s p 2794 OP septic system Y N is m rovement/ eration Permit DOES NOT authorize the construction of a s tic tank tem or an 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 Dishwasher: Er_ Garbage Disposal: ❑ Washing Machine: 11r"'_ Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water SupplyoxL� Design Wastewater Flow (GPD) O' Site: New Repair ❑ System Specifications: Tank Size I VCQAL. Pump Tank GAL. Trench Width=-_ Rock Depth Linear Ft. Other: .3 :,:)cT'ei(�Vi t0A Z�S, � ti10 L-1 " S 01,0.C• ►'`�l trJf Required Site Modifications/Conditions: (t> 1s1cw 10 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISERS) IF 6 " BELOW L 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.**** t,trSe` 4q kP LOP. ta.JE Environmental Health Specialist's Signature Date: d % DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Tax PIN/EH #: 5789-146546 Billed To: Glory Home Builders Subdivision Info: COVINGTON CK 2 Lot # 38 Reference Name: Location/Address: S. Hemingway Court -27006 Proposed Facility: Residence Property Size: see map ** OTE* �i s p 2794 OP septic system Y N is m rovement/ eration Permit DOES NOT authorize the construction of a s tic tank tem or an 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 Dishwasher: Er_ Garbage Disposal: ❑ Washing Machine: 11r"'_ Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water SupplyoxL� Design Wastewater Flow (GPD) O' Site: New Repair ❑ System Specifications: Tank Size I VCQAL. Pump Tank GAL. Trench Width=-_ Rock Depth Linear Ft. Other: .3 :,:)cT'ei(�Vi t0A Z�S, � ti10 L-1 " S 01,0.C• ►'`�l trJf Required Site Modifications/Conditions: (t> 1s1cw 10 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISERS) IF 6 " BELOW L 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.**** t,trSe` 4q kP LOP. ta.JE Environmental Health Specialist's Signature Date: d % DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT I Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900317 Tax PIN/EH #: 5789-14-6546 Billed To: Glory Home Builders Subdivision Info: COVINGTON CK 2 Lot # 38 Reference Name: Location/Address: S Hemingway Court -27006 Proposed Facility: Residence Property Size: see map ATC Number: 2794 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 WAST CO ION IS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signa e: Date: 46 O/ 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 2� given perio c?time. '7S ' �a. 17D \ jv j/Et_ Septic System Installed By: M '1 IlC A,qZ -� Environmental Health Specialist's Signature: D % DCHD 05/99 (Revised) P tj BLIC 10 I CL4 By 48 )A 177. 9 89'58 307-83' S "T 3 i13 CL -6 CC, 62 C-' C'j TE M � i1CAT10N FOR Dave County HealthM1Depa meet PERMIT &ATC fitipironmenta/ Hea/tfi Section AMAm! P.O. Box 848/210 Hospital Street i Mocksville, NC 27028 (336)751-8760 1110N 7PORU" CLI TSIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed Mailing Address City/State/ZIP Vontact Person /J �iJ/ie Home Phone Business Phone-MI/1-19 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ❑ Siete Evaluation Improvement Permit/ATC ❑ Both 4. System to Service: 9 rouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. ZD.eh.asher idence: # People # Bedrooms # Bathrooms 0 Garbage Disposal lashing Machine 0 Basement/Plumbing QJ�Bement/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: L-do-unty/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes t<IlYU If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: /3 x )— ea �x / X.30 Tax Office PIN: # T/ 92 Property Address: Road Name /�� City/Zip �Gle- Pw/,� If in a Subdivision provide information, as follows: Name:L2 �Z'ei 94m Ll ✓- ef' Section: _� Block: Lot: WRITE DIRECTIONS (from M_o/c/ksvilllee))to PROPERTY: i'r D!� o i ✓� 2�a �" Date Property Flagged: /b — ew 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 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 to conduct all testing procedures as necessary to determine the site suitability. DATE �✓ � � J � / SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the foliong: Existing"and proposed property lines and dimensions, structures, setbacks, and septic locations). F .Z 2v _� Revised DCHD (07/99) Site Revisit Charge Date(s); I Client Notification Date: EHS: Account No. `,Klf ►a �( Invoice No. a-)-/ s. A. APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT ` Davie County Health Department D Q Environmental Health Section P.O. Box 848 "!); Mocksville, NC 27028 !1 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL —\ THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed - 1'y� ^-A E S Contact Person Mailing Address ?1) II ili t) )I ;x -3d e-)HomePhone City/State/Zip 06)udid Ce 42C. Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:J� 4ite Evaluation [ 1 Improvement Permit & ATC [ ] Both 4. System to Serve: [ 1 House [ •] Mobile Home [ ] Business [ ] Industry [ ]Other -i&--10+ Sual ui.SiC.t1 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 [`j1Vo If yes, what type? 1 1 r 111 1; ' 111.11 (11; 1 1 1 1 1 1:d PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A)ar+ t4 66 &C. 04rc.e WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S' 789 - 9- y 3 ; T 1 c� 1S Z7% IJ K 0� jod V 4 PU C� Property Address: Road Dame �� j D� r� r 1( / m I — wLS S lolP_ o r 2 f��J • 27o o - City/Zip � �Ca'(!-..5� s'j�m �� C �t i�u�'rS If in Subdivision provide information, as follows: NameCreek.Ortoo�ed ' r Section: 1 Lot #: /01 - 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 Represenlqtive of the Davie County Health Department to enter upon above described property located in Davie County and owne Pig i� r A Revised DCHD (06-96) all testing procSoWs as necessary to determine the site suitability. "1111; Al"T.-1 .11111 Lir I1 I:O 1'()Ii 1)Iz,11PIN(i 'ti1I1 PIAN: ' , . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION_/ LOI,?;e Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED PROPOSED FACILITY PROPERTYSIZE SUBDIVISION eel/2/1(41 �Id i✓ f e eA ROAD NAME S�% /7 )— Water Supply: On -Site Well Community_/ Evaluation By: Auger Boring Pity Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 't p Texture group Consistence / 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: _!F20 Z �W v'J �r oc: )ro1-90► LEGEND Landscaae Position EVALUATION BY: OTHER(S) PRESENT: 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 Mineral ay 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