136 Alexandria Court Lot 8Davie County, NC f Tax Parcel Report Tuesday. November 29. 2016
WARNING: THIS 1S NUT A SURVEY
Parcel Information
Parcel Number:
H8060A0008
Township:
Shady Grove
NCPIN Number:
5789249383
Municipality:
Account Number:
8303998
Census Tract:
37059-804
Listed Owner 1:
REILLY MICHAEL R
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
136 ALEXANDRIA 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 8 COVINGTON CREEK PHASE TWO
Fire Response District:
ADVANCE
Assessed Acreage:
0.75
Elementary School Zone: SHADY GROVE
Deed Date:
8/2014
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
009660118
Soil Types:
We13,PcI32
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:
E61All
County,
NC
data is provided as is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to theDavie
Impliedwartartles of merchantability or timess for a particular use. Ag users of Davie County's GIS website shag 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 HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900141 Tax PIN/EH #: 5789-24-9383
Billed To: Michael Wayne Myers, Inc. Subdivision Info: COVINGTON CK Lot # 8
Reference Name: Location/Address: Alexandria Court -27006
Proposed Facility: Residence Property Size: see map
**NOTE* i�iis mpr. ro evment/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 4 #Baths J'"
1 <' f
Dishwasher: Garbage Disposal: Washing Machine: u Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type- #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water SupplyCAW Design Wastewater Flow (GPD) n Site: New Repair ❑
System Specifications: Tank Size 1 000 GAL. Pump Tank GAL. Trench Width Rock Depth 12Linear Ft.`7M
Other: Cad , !r�STdt.l . (_1 •J 3S O. C.
Required Site Modifications/Conditions:�`�iTcP so tn(_-c qQ0�, kEjE—e 10Or-f:
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 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
got
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nvironmental Health Sp cialisYs Signature: Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900141
Billed To: Michael Wayne Myers, Inc.
Reference Name:
I-1upv,n;U 1 0%,1 IIy. I1W1%1011V0
ATC Number: Q, $14 7
Tax PIN/EH #: 5789-24-9383
Subdivision Info: COVINGTON CK Lot # 8
Location/Address: Alexandria Court -27006
M VPU1ly ILC. SCC
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 reatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTE W S TION S VALID FOR A PERIOD OF FIVE YEARS.
koEnvironmental Health Specialist's Signature Date: Z
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
given period of time.
�oc7 x3Lxtg'1
lt0 12-
�S
!21 �o•
D� 7'
Septic System Installed By:
Environmental Health Specialist's Signature: Dat - 70 0
DCHD 05/99 (Revised)
APPUt A110N FOR 511E EVAf UATIUN/IMPROVEMENT PERMIT & ATC
Davie County Health Department
EnvironmenfOfHea/th SMVOn
` P.O. Box 848/210 Hospital street
Mockaville, NC 27028
(336)751-8760
@M0W�
D
JUL 2 6 2000
t
***n►WORTANT*** THIS APPLICATION CANNOT 8E PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Nash to be Billed /�C�d�(J��e �YfY//� / /iG0t7� , /-/m!✓Coataot person 14�
Nailing Address a l7 � L !/ •/ V some Phone l G7 —.r7 MJ
City/State/ZIP 42M.&E //f (— .2/0P(y Business Phone '7.W 5-Z Ive)II
2. Name on Permit/ATC if Different than Above
Nailing Address
3. Application For: U Site Evaluation
City/State/Zip
d1uprovement Permit/ATC ', Both
4. system to Service: IT House 0 Mobile Home 0 Business 0 Industry 0 Other
e. ,If Residence:
B-6lshxasher
/
People # Bedrooms_ # Bathrooms_
.tQarbage Disposal VG�shing Machine 0 Basement/Plumbing 0 Basement/so Plumbing
6. If Business/Industry/Other: Specify type
# Commodes
# People # Sinks
# Shavers # Urinals # Nater Coolers
IF FOODSERVICE'. 11 Seats Estimated Nater Usage (gallons per day)
7. Type of water supply:.9-County/City 0 Well ❑ Co=uunityy
S. Do you anticipate additions or expansions of the facility this system is intended to serve! ❑ Yes ."0
If yes, what type'
***IMPORTANT•** CLIENTS AfUSTCOMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PIAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Prnperh+ Dimensions: la 176�k /f�t 79X �0
Ta: Utlice PIN: #
WRITE DIRECTIONS (from Mocl:sville) to PROPERTY:
Property Address: Road Name C�l1%4:�P1f1 Gd'�j Z 4499.E M
C��p #&;
If in a Subdivision provide Inform tion, follows:
/�T g �ti�iC N i�f G / '�'
Name: g=tll�j//r7"�)/I/
Section: Block: Lot: Date Property Flagged: Z&a ZZ
This is to certify that the inrormation 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 responsiblefor all charges incurred from
this application. 1, 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 p educes as necessary to determine the site suitability.
DATE SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include ai the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Michael Wayne Myers, Inc.
General Contractor
PO
P4 Box 2040
Advance, NO 27006
(W) 940.5208
471
t d
Account No. 41
1-70!
Revised DCHD (01A �q I /p Invoice N%
12V
j
rIc°v
\\\3p•k
Ztr11
OPEN"�
SPACE �\ �4f\ ya
O 1 \ \
4
'I CONTROLC'j �� �• c
C'A_CORNER �•�`. 5
2,
3 E
Ii20C
�S1 82 1 —
N 7TH 4
100 200 300
• , ' .. 1•:T00•
I I
Q-
103_05_ _
N 87.31' 31" W
r� \ X-7
50' R/W
1
\CCB
State of North Carolina, County of Davie
I, Tech (nAwMatE Review Officer of
Davie County certify that this plat meets
all statutory requirements" for. recording.
7 27 9Y
ReviA Offices Dote
1. e
R.C. SHORT CUSTOM HOMES
(336)998-4772
MAILING ADDR SS•
P.O. BOX 2300
ADVANCE, NC 27006
STREET ADDRFcc•
2516 CORNATZER RD.
ADVANCE, NC 27006
vA� ON FIRE -'r`
U4l r H rcKarlT C
r
r,
41 � =;
v s9 CONTROL I i
CORNER
128.00' S 37• �5' 27' 1
0 \ 1 \ Ir COV;NGTON
N I.'. CREEK
I �2 I. PHASE i
014
TENNIS
o 6 I COURT
L-----\
----� `----JI i
_165.90• � 72.50'
OTAL 300.40' N 87.31 3t r,
CREE f DR.
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
PROPOSED SUBDIVISION ROAD.
CONSTRUCTION STANDARDS CERTIFICATION
APPROVED aw
DATE __C111 IWIgq 'gSTRICITIENGINEER
DANE COUNTY, NORTH CAROLINA
COVINGTON CREEK
PHASE TWO
SUBDI VISION
PROPERTY OF:
RICHARD C. SHOR T
PARCEL 22, TAX NAP H-8
DEED BOOK 200. PG. 741
GREY ENGINEERING. INC.
Environmr ntoi and Civil oesion
haei Wayne Myers, I=
General Contractpr. .
PO BOX 2040
Advance, NC 27006
(398) 940.5208
ontractor
iox 2040.
Advance, NC 270M
(336) 940.5208
SHEET: OF 2
TOWNSHIP:
SHADY GROVE
COUNTY:
DAVIE
STATE:
NORTH GAROUNA
PR04 NO- 193.002.GE
SURbEY eY: /� tT ST01E
oATE: e/1e/99 :�
DRAW 8Y: G 6ULARC
OATS rl
5 a .^,y COVINGTON
CREEK
PHASE 1
AT KEYNOTES:
iGHT EASEMENT: 10'x 70' TRIANGLE
ITILITY EASEMENT: T,YP.. $'W AT R/W
3DEWALK EASEMENT: 8' WIDE AND
,ENTERED ON SIDEWALK--
IRAINAGE EASEMENT. 25' WIDE AND
'ENTERED ON CULVERTS.AND DITCHES
S
,RAINAGE EASEMENT ALONG CREEK
YP. BUILDING SETBACK
►SEMENT ON LOT FOR 5'w UTILITY
50'W ROAD R/W
• i
MLs
SHEET 2 .OF 2 FOR.
A TABLES AND GENERAL NOTES.
100 200 300
• , ' .. 1•:T00•
I I
Q-
103_05_ _
N 87.31' 31" W
r� \ X-7
50' R/W
1
\CCB
State of North Carolina, County of Davie
I, Tech (nAwMatE Review Officer of
Davie County certify that this plat meets
all statutory requirements" for. recording.
7 27 9Y
ReviA Offices Dote
1. e
R.C. SHORT CUSTOM HOMES
(336)998-4772
MAILING ADDR SS•
P.O. BOX 2300
ADVANCE, NC 27006
STREET ADDRFcc•
2516 CORNATZER RD.
ADVANCE, NC 27006
vA� ON FIRE -'r`
U4l r H rcKarlT C
r
r,
41 � =;
v s9 CONTROL I i
CORNER
128.00' S 37• �5' 27' 1
0 \ 1 \ Ir COV;NGTON
N I.'. CREEK
I �2 I. PHASE i
014
TENNIS
o 6 I COURT
L-----\
----� `----JI i
_165.90• � 72.50'
OTAL 300.40' N 87.31 3t r,
CREE f DR.
DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
PROPOSED SUBDIVISION ROAD.
CONSTRUCTION STANDARDS CERTIFICATION
APPROVED aw
DATE __C111 IWIgq 'gSTRICITIENGINEER
DANE COUNTY, NORTH CAROLINA
COVINGTON CREEK
PHASE TWO
SUBDI VISION
PROPERTY OF:
RICHARD C. SHOR T
PARCEL 22, TAX NAP H-8
DEED BOOK 200. PG. 741
GREY ENGINEERING. INC.
Environmr ntoi and Civil oesion
haei Wayne Myers, I=
General Contractpr. .
PO BOX 2040
Advance, NC 27006
(398) 940.5208
ontractor
iox 2040.
Advance, NC 270M
(336) 940.5208
SHEET: OF 2
TOWNSHIP:
SHADY GROVE
COUNTY:
DAVIE
STATE:
NORTH GAROUNA
PR04 NO- 193.002.GE
SURbEY eY: /� tT ST01E
oATE: e/1e/99 :�
DRAW 8Y: G 6ULARC
OATS rl
r
'f
.11
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMT
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville, NC 27028
(704) 634-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL
THE RETrf-6
RED INFORMATION IS PROVIDED.
�e1 1.. �Aiabb r"
1. Name to be Billed Hb ^.Ae S Contact Person / �1 �- �►f�'1
Mailing Address ?C) �, t) >e '-1-3 Home Phone
City/State/Zip —,)U Avid Ce- 27oo, Business Phone ?IS --Y771- �8/3-,99/P' 6040 d
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 c2 -�% J0+ SUal lOS/nn1
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
If yes, what type?
1.1111Lfi ,1 111_Al (Ilk c;) ll: PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***A FLAT OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: qtr+ 4'c' L)A{C-e- 'WRITE DIRECTIONS (from Mocksville) TO PROPERTY:
Tax Office PIN: # S- 789 - 9-4/ - old c�f� a ICA Z)!� '0d -J l A; Ce
Property Address: Road Dame Sol Dw r 6'K % m 1 — 1.) LS C Sic�Q o't j
City/Zip Add • Z?o0 Ce [����rzm nde % m Ue S ae
If in Subdivision provide information, as follows:
Name: ,�bjl/A-x4del ree-k- �roraeSzd ;
Section: l Lot #: do-
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
of the Davie County Health Department to enter upon above described property located in Davie County and owned
,
Revised DCHD (06-96)
all testing procedures as nepessary to determine the site suitability.
I1iIS :l$Erl Al+tl� LIF. IISEI) r01t b1?A11'IN(j 110111? SITE PLAN:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
-f
Soil/Site Evaluation
APPLICANT'S NAME �hd �� DATE EVALUATED
PROPOSED FACILITY PROPERTY SIZE - S�iAls
SUBDIVISION
Water Supply: On -Site Well
Evaluation By: Auger Boring
Community,
Pit I �
ROAD NAME 2!ra Z
Public
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
'"
U
Texture groupG
Consistence
Structure
S i�
Mineralo
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 I
V Ii
SITE CLASSIFICATION: ez
LONG-TERM ACCEPTANCE RATE: J
c
REMARKS:
DCHD (0i-90)
EVALUATION BY: Z& /Z
OTHER(S) PRESENT:
01'oilv
LEGEND
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
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineraloev
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