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125 Cumberland Court Lot 41Davie County, NC r Tax Parcel Report Wednesday, November 30, 2016 113 G� 109 I ' 244 114 ------- ti f' 117 icy J, 122 121 0 lP`Cj i 0 129 `,123 12;L 132 t - 125- 137 140 14,3 148 --- 10 8 G'�I '-'---- - 153 118�� 4i Off. 158 159 120 162- - ''' ~ ~ r'f ~ -�-- --- � 11.3 --- _-I F-a All datais 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 Mess for a particular use. All 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: H8060A0041 Township: Shady Grove NCPIN Number: 5789148249 Municipality: Account Number: 82530989 Census Tract: 37059-804 Listed Owner 1: HUGHES TIMOTHY R Voting Precinct: EAST SHADY GROVE Mailing Address 1: 125 CUMBERLAND 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 41 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 1.05 Elementary School Zone: SHADY GROVE Deed Date: 7/2009 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 008010785 Soil Types: PaD,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY uildin& Extra Building Value: FO eatures Value: Land Value: Total Market Value: Total Assessed Value: F-a All datais 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 Mess for a particular use. All 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 J Y Z v P. O. Bog 848/210 Hospital Street G� Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001299 Tax PIN/EH M 5789-24-4344.41 Billed To: Con Shelton Subdivision Info: Covington Creek Lot # 41 Reference Name: Location/Address: Cumberland Court -27006 Proposed Facility: Residence Property Size: 1 acre **Nt)TE" *'Ttiisgmprovement/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 #People #Bedrooms LS #Baths oC.� Dishwasher: Garbage Disposal: ❑ Washing Machine;J:� Basement w/Plumbingl❑--� Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 171Lot Size Type Water Supply! Design Wastewater Flow (GPD) Site: New 1r Repair ❑ System Specifications: Tank SizeIP&O GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width ,?O/ ff Rock Depth11 / 11LinearFt IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " 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�i8�p [h. on the day of installation. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: Date: 'An —12 OP / DCHD 05/99 (Revised) DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street MocksviBe, NC 27028 (336)751-8760 Account #: 990001299 Tax PIN/EH #: 5789-24-4344.41 Billed To: Con Shelton Subdivision Info: Covington Creek Lot # 41 Reference Name: Location/Address: Cumberland Court -27006 Proposed Facility: Residence Property Size: 1 acre ATC Number: 2650 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 WASTEWATER 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 I I of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in Y be taken as a tee that the system will function satisfactorily for any given period of time. 70 Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) �14�r /, fir �cc Date: 6 --f � � j �,-- APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & All I R Davie County Health Department DEC 200 Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 ENViRO,�,',1ENTAl HLAITH (336) 751-8760 DAv')E CDl1tJTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be BilledLo n I -v— /L—Contact Person �� — �h /71 Mailing Address% //�-%y\/ _ Home Phone S S� ZA- City/State/2IP _ // 10 `/C 5 ��GZ / 7 • Z s� Business Phone 2 O V G 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. System to Servic4% 21 -NO" ❑ S. If Residence: # People a.shwasher LLAOC age Disposal City/State/Zip 'Improvement Permit/ATC Home ❑ Business ❑ Industry ❑ Other # Bedrooms 9- IEgbing Machine C,BasVment/Plumbing ❑ Both # Bathrooms .� O Basement/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: 1 0, ounty/City ❑ Well ❑ Community o. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED I BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: I J tt -C c Tax Office PIN: # 5� D 9-,a 4- 3 ' Property Address: Road Name City/Zip T=4' ✓-. , c 2700(o 'WRITE DIRECTIONS (from Mocksville) to PROPERTY: If in a Subdivision provide information, as follows: Name: Coo ( ri l� 9 . Section: Block: Lot: % / Date Property Flagged: Z 9 U 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 Representative of the Davie County Heal hZepa"ent to enter upon above described property located in Davie County and owned by c to conduct alltestingprocedures as necessary to determine the site suitability. DATE / v v 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). Revised DCHD (07/99) Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. / Invoice No. a APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE UIRED INFORMATION IS PROVIDED. 1. Name to be Billed HD ,•+n E i Contact Person lel e- A r'(4 Mailing Address?A 9 tl >1 �, d 1) Home Phone City/State/Zip !* UAII! Ce N( . X706 C Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation C) rr [ ] Improvement Permit &ATC � [ ]Both 4. System to Serve: [ 1 House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 10+ Ute l y�.SiOnJ 5. If Residence: # People # Bedrooms # Bathroom$ [ ] Dishwasher [ ] Garbage Disposal [ 1 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? I I! rlj 1; 1. 17. 11 t `r: . 1 I r I I t:: PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: _qtr+ 64 68 aC , QGtrc-e 'WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S ci22 zh Ir•} a-f-_Adya h: ce Property Address: Road Dame j Dw r n X % m �t —I.J Lis City/Zip ��tJ • Z?oo ; c a -C` �c�n-t tie 1 J IUl u�° r5 If in Subdivision provide information, as follows: Name: ' r Section: 1 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 Authorize ve of the Davie County Health Department to enter upon above described property located in Davie County and owne Revised DCHD (06-96) all testing proceoui;cs as necessary to determine the site suitability. 11116 :I 1; T.1 ,II I IS Lir U I U ]"Ul,' 1)1t,1II'I N6 /0IIk s71117 PIAN: 10L`' DAV .7 COUN'T'Y HEALTH DEPARTMENT Environmental Health Section SECTION _ LOTS Soil/Site Evaluation * DATE EVALUATED PROPERTY SIZE Z_ 174 r C / ROAD NAME ..:!a.e..- Sa?ply: On -Site Wel_ Community "aliation By: Auger Pity Public L� Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH ! y Texture group Consistence / Structu.e > Minera_ogy__ HORIZON: Texture g up Consistence ,' 1 Structure _Mineralogy HORIZON IV DEPTH i Texture group Consistence Structure Mineralogy t SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE . t CLASSIFICATION LONG-TERM ACCEPTANCE RATE i SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: CHD (01-90) EVALUATIOXBY: - ! OTHER(S) PRESENT: LEGEND .Landscape Position t - Ridge S - Shoulder L -Linear slope FS - Foot slope N - Nose slope �,C - Concave slope CV - Convex slope T - Terrace FP - Flood Main H - Head slope `:'exture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt Silty clay loam SI:, - Silty loam CL - Clay loam SCL - Sadly clay loam -Sandy clay SC - Silty clay C - Clay CONSISTENCE i`Roist • VFR - Very friable ..?R - Friable FI - Firm VFI - Very firm EFI - Extremely firm W NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic iructure SC - Single grain M - Massive CR - Crumb GR - Granular ABK,-Angular blocky S13K - Subangular blocky PL - Platy PR - Prismatic Mineralm 1:1,1:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolhe - S(suitable), U(unsuitable) -Soil *&ness - 4no1m *'ice UA WWhft 4o4me al &h ohmma ZKar km Ciussification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2