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132 South Hemingway Court Lot 27Davie County, NC r Tax Parcel Report Tuesday. November 29. 2016 WAK1VMU: TMS 1S IV0'1' A SUKVEY Parcel Information Parcel Number: H8060A0027 Township: Shady Grove NCPIN Number: 5789142494 Municipality: Account Number: 8304060 Census Tract: 37059-804 Listed Owner 1: JONES STEVEN PERRY Voting Precinct: EAST SHADY GROVE Mailing Address 1: 132 S HEMMINGWAY COURT 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 27 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.67 Elementary School Zone: SHADY GROVE Deed Date: 8/2014 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009670229 Soil Types: WeB,Pc132 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: 101 Davie County, �TC 1� All data Is provided as Is without warranty or guarantee of any kind either expressed or implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. Ali 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 or arising out of the use or Inability to use the GIS data provided by this website DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 ri REPAIR OPERATION PERMIT rnAZtiN�lG(L�t�e Account #: �r Acct: # 124876 Billed To: Martin Frantz Reference Hattie: 132 S Hemingway Ct Proposer! Facility: V..,.------ ID -w .+ Tax PINIEH #: Subdivision Info: LocationiAddress: Propel#.y Size: H8 -070 -AO -027 Covington Creek Section 2 Lot 27 132 S. Hemingway Ct 0.73 Ac. ATC Number: **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. System Type: U S.T. Manufacturer `' S� lank Date Tank Size Pump Tank Size_ BearoomsLl_ System Installed By:i&vt� ,I" s -erq I staller#: (a"� Dater GPS Coordinate: a?Q Ott 3i r 7$ f Gy`�'` Environmental Health Specialist: DCHD 11/06 (Revised) 1 _A. Date: ( � � / DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 REPAIR IMPROVEMENT PERMIT AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: Billed To: /, ar v. Fr a y r - Reference Name: Proposed Facility: 971cpak 5Cove o Se PJtc_ Tax PiN!EH #1: t+80 f ok 0 Gal S -e. l Subdivision info: Co U�.'OtA cr LocationiAddress: ( 3a 14emPtA%'v►5""ar Cl -f Property Size: Q , Z 3 ATC Number: Site Type: ❑New ❑Repair 6dExpansion **NOTE** This IP/ Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS IP/ AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. f IJ & J eon n^ S -to r��._.. I - Residential Specifications: # Bedrdoms� # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size Type of Water Supply: TACounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) D-6 Tank Size ( JAL. Pump Tank AGAL. TrenchWidth Max. Trench Depth 36 Rock Depth Linear Ft. ( b 0 of Site Modifications/Conditions/Other: a' � t ��y.�� Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)753-6780. aa` • v3 LOW Soo .7q • c� Environmental Health Specialist s Date: 710 DCHD 11/06 (Revised) Ir DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 J3Z S',�le`vr�i/l9Gt�zc'�� 5789-14-2494 COVINGTON CK Section II Lot # 27 South Hemingway Ct.-27006 102x310 Account #: 989900093 Tax PIN/EH #: Billed To: Shelton Construction Services Subdivision Info: Reference Name: Con Shelton Location/Address: 'roposed Facility: Residence Propertv Size: ATC Number: 4295 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 fCONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: 114 W// fDate: 'Z9/e� CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate 0 'on shall indicate the system d,sctibed�mprovement/Operation Permit has been installed in compliance with Article 11 o pter 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) Date: DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900093 Billed To: Shelton Construction Services Reference Name: Con Shelton Proposed Facility Residence Tax PIN/EH #: 5789-14-2494 Subdivision Info: COVINGTON CK Section II Lot # 27 Location/Address: South Hemingway Ct.-27006 Property Size: 102x310 ATC Number: 4295 **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 Typehp— #People_ #Bedrooms _'l #Baths Dishwasher: Z Garbage Disposal: l/ Washing Machine: Z� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seeatts173s Industrial Waste: Lot Size Type Water Supply _ Design Wastewater Flow (GPD) '1 c Site: New C� Repair ❑ System Specifications: Tank Size /,#MGAL. Pump Tank Other: Reauired Site Modifications/Conditions: GAL. Trench Width ��Rock Depth Alk Linear Ft? ®a IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED FINISHED GRADE. ****NOTICE: Contact a representative of the D system between 8:30 a.m. to 9:30 a.m. o Cu/vzrt7\ )wA.c., J T FILTER RISERS) IF 6 " BELOW Health Department for final inspection of this tion. Telephone # is 36)751-8760,**** y , i Y/��' Date: J T Environmental Health Specialist's S Signature: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT • • ; y Environmental Health Section 'I��, ' P. O. Boz 848/210 Hospital Street I I Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900093 Tax PIN/EH #: 5789-14-2494 Billed To: Shelton Construction Services Subdivision Info: COVINGTON CK Section II Lot # 27 Reference Name: Con Shelton Location/Address: South Hemingway Ct.-27006 Proposed Facility: Residence Property Size: 102x310 **NOR'l�*q�gqgprolaPnt/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 H #People 7 #Bedrooms 3 #Baths 2 Dishwasher: X Garbage Disposal: Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply eQ Design Wastewater Flow (GPD) ,� 0. . Site: New M"' Repair ❑ System Specifications: Tank Size /00 GAL. Pump Tank Other: As Required Site Modifications/Conditions: GAL. Trench Width A,"/ Rock Depth Linear FtSdd ,5A NCAC 18A.1969(5) IMPROVEMENT/OPERATION PERMIT LAY - VED EF FINISHED GRADE. ****NOTICE: Contact a repr ea ive o e 5a vie between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p. . on ie aye 0� deer IdP T FILTER RISER(S) IF 6 " BELOW Health Department for final inspection of this tion. Telephone # is (336)751-8760.**** Environmental Health Specialist's Signature: , Date: DCHD 05/99 (Revised) APPLICATION FOR SITE EVALUATION/1hiPROVEM ENT PER TL Q� C; Davie County Health Department Environmental Healtly Section L/A/v P.O. Box 848/210 Hospital Stre 9 Mocksville, NC 27028 406 (336) 751-8760 �I�ENTAI ***IidPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE R ED INFORMATION IS PROVIDED.Refer to the INFORMATION BULLETIN for /iinnstruction . 1 1. Name to be Billed /7 1 �— L_ — . T � � � 4-, Contact Person.— Mailing Address 12 's % L/ Home Phone Ci.ty/State/ZIP f'✓%� /( �.., l C nJ_ C _ Z -7U2 G Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC ❑ 130th 4. system to Service: Buse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other S. Type uystem requested:onventional ❑ conventional modified ❑ innovative t3aCCepted 6. if -Residence: it People # Bedrooms 3 #t Bathrooms 9161 smasher 1darbage Disposal thing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /other: verify type # People # Sinks # Commodes # Showers # Urinals # Plater Coolers IF FOODSERVICE: It Seats Estimated Water Usage (gallons per day) 8. Type of water supply: Lit-County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes n-I'fi'S__ If yes, tivliat type? ***LJ1'0R7;AN7-*** CLIENTS MUST COdfPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SU6bfITTED by the client with THIS APPLICATION. 1 F Property Dimensions: % b 2 X 3 f U Tax Office VIN: it S% k%/ y Z9 9 y Property Address: Road Namc City/Zip 70"(� If in a Subdivision provide information, as follows: Name: /` Section: Block: Lot: — WRITE DIRECTIONS (frons Mocksvillee) to PROPERTY:' gu/ 4 /e, Date home corners flagged: /A /e> This is to certify that the information provided is correct to the best of my knowledge. I understand that any permil(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 ani responsiblefor 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 . SIe / < _ C to conduct all testing procedures as necessary to determine the site suitability. DATE _!-7 A C ' SIGNATURE G_ --- THIS AREA MAY BE USED FOR DRAWING YO I�se'ptic property lines and dimensions, structures, setbacics, and IV z. Sign given Revised DC11D (05/03 ncl de all of the following: Existing and proposed oni. Site Revisit Charge Datc(s): Client Notification Date: EI -IS• Account No. g lg 000 V Invoice No.61 Go ' 3 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department 0 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. fie. 1. Name to be Billed 144 .•+4 E S Contact Person et e— r'� Mailing Address ?I) tl >e -La3 d e-') Home Phone City/State/Zip _ Uaid Ca N( _ 2700C Business Phone ��-'ti�77.- �8/3-�`�.'8' 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: ite Evaluation [ ] Improvement Permit & ATC C [ ] Both 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ]Other -390 -1 --la ut�.l ui.S�On1 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 [y'No If yes, what type? 1 11n If 4. 1-1-11 !'r: 1 1 + 1'1 l PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***'A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICAVON. Property Dimensions: eI o 68 a.0 , ctC-e WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 94/— - y 3 u� _ J[1 a D i SSA t�'� �� Gi1Ja Pu Property Address: Road Dame O l �Di r n 1(VV / m ► — [ LS Slat' e _ � • Z?oo City/Zip ,�d ,� ; C_.e'-�S�_fLm nde ll iwuf't'S If in Subdivision provide information, as follows: Name: e ; 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 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 owne ---f7,N- 04M SIGN Revised DCHD (06-96) all testing procSouFs as necessary to determine the site suitability. I III Iq :t IT4 Al 1.11 I;F. II I:C) I`olt WMIPIN6 !/0I I/? .SI IF MAN: ' DAV IE COUNTY HEALTH DEPARTMENT / ' Environmental Health Section SECTION ---,T-- LOT. Soil/Site Evaluation APPLICANT'S NAME �h$ i DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well Community, Evaluation By: Auger Boring Pit ROAD NAME _211aZ Public L� Cut FACTORS 1 2 3 4 5 6 7 Landscape position .14 11 Slope % HORIZON I DEPTH ( u G Texture group Consistence Structure j Mineralogy HORIZON II DEPTH p Texture group G Consistence , Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATIONVP LONG-TERM ACCEPTANCE RATE r G L , SITE CLAS :CA i'ION: O� LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (0)-90) V �EVALUATION BY: 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 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 ,BK - 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 K