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153 South Hemingway Court Lot 34r Davie Countv. NC Tax Parcel R Pnnrt Tuesday, November 29, 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WARNING: THIS 1S NOT A SURVEY Parcel Information H8060A0034 Township: Shady Grove 5789145194 Municipality: 82517152 Census Tract: 37059-804 WILSON WALTER H JR Voting Precinct: EAST SHADY GROVE 153 SOUTH HEMINGWAY COURT Planning Jurisdiction: Davie County ADVANCE Zoning Class: DAVIE COUNTY R -A NC Zoning Overlay: 27006-0000 Voluntary Ag. District: No LOT 34 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE 0.96 Elementary School Zone: SHADY GROVE 612001 Middle School Zone: WILLIAM ELLIS 003760944 Soil Types: PaD,PcB2,PcC2 0007 Flood Zone: 139 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 10:1 Ail data Is 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 merchardabilfty 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 lnablifty to use the GIS data provided by this webslta + DAVIE COUNTY HEALTH DEPARTMENT 1�zc /0 —11-06 Environmental Health Section P. O. Bog 848/210 Hospital Street t Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001296 Tax PIN/EH #: 5789-24-4344.34 Billed To: Michael Myers Subdivision Info: COVINGTON CK Phase II Lot # 34 Reference Name: Location/Address: South Hemingway Ct.-27006 Proposed Facility: Residence Property Size: see map ATC Number: 2577 **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 Type "b VSG #People #Bedrooms 14 #Baths 2 - S' Dishwasher: Dill Garbage Disposal: ❑ Washing Machine: 2K Basement w/Plumbing: ❑ Basement/No Plumbing: 121' Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply CbOr FryDesign Wastewater Flow (GPD) 4$0 Site: New l( Repair ❑ n System Specifications: Tank Sizel= GAL. Pump Tank GAL. Trench Width 3o Rock Depth 1Z*, Linear Ft.'%r Other: q��D S1n Lt, L 1, jes ID. C., uc►j, VP l oT 10 Required Site Modifications/Conditions: !>3 C -&-J i OoQ, .�.� �� oF� PP -1 as kS, (�� l S: v�fr 141 W G ti IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 K 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.**** lo` V.�i"eP OJT O< ;b c, _ I I I 3a Environmental Health Specialist's Signature: Date: OW11I DCHD 05/99 (Revised) Account #: 990001296 Billed To: Michael Myers Reference Name: Proposed Facility: Residence ATC Number: 2577 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5789-244344.34 Subdivision Info: COVINGTON CK Phase II Lot # 34 Location/Address: South Hemingway Ct.-27006 Property Size: see map 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 Treabjient and Disposal Systems). THIS AUTHORIZATION FOR WASTE IS V ID FOR A PERIOD OF FI 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 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. sr,d '29, ---b, — Septic System Installed By; Environmental Health Specialist's Signature: DCHD 05/99 (Revised) lca-f --- Date: c::?�` 7-0 Gl I � � ! O 1 ' ' I cC • 1 �I ` I Co 61 ! I I II j 1, 1 ti' `�+ I; c°I I `�, fil i `',. ' l t �I"� _j rn Ull 121.00, 12 1. 6 C: AD C 'AC z (3 14 3" 0' w L > 50 R/W 5491 N V- -52 TC ' , 54.11 C AH Al N 76*1 4! AU , lie ir- ok f— T C, C - co CO- (ju cl� 73 L > f AO 102 00' S Or.w SO R w Y 31' 10" 0 DOTAL E'T LA-ArD c C. 'D 0+ -v N,F, •00.- 3000 C, c C) - 7, BSC,. z VX, NI' Ub' , APPLICATION FOR SITE EVAWATION/IMPROVEMENT PERMIT b A7 • A • Davie County Health Department � �---�--� EnvliortmenGel Heal& Suction o • P.O. Box 848/210 Hospital Street SEP 2 1 2000 Mooksville, IM 27026 (336)751-6760 ENVIRONMENTAL HEALTH 91414 9011WIX ***I19t7 n1W** 1111I8 "IMICATION CJIPOW ffi PR=88DD UNLIt88 ALL. INrONWION I8 PROVIDED. Rater to the IMM ATIM BU=TIN for instructions. 1. Mus to bs aili.d , �!z�, ;TC1. l'f^ , O( �G Coe►ttat asssooll�f • %V 1 �g ldiliaq address'Pbone City/stat./sec A, QIZ�I•� //i 2�/�//�iBusiness snore. 7P 9�LM4 - Z. Haas on Permit/ATC it Ditgwmnt than Above Hailing Address city/state/zip 3. Application rots 0 site Evaluation 941provement rermit/ATC 0 Both 3. System to Services w6ouse 0 Mobile Home 0 Business 0 Industry 0 Other s. It Residence: people s Bedrooms � I Bathrooms dYDisbwesher p'MrSage Disposal 4"aahing IOWA" a seseaant/Oltisbing V4eaantMo 11wbing 6. It ausinsss/industry/others speaLft type I commodes 4 People # links f showers I urinals I Rater coolers it r00081,RVici: # Beats Estimated Mater Usage tgallons per day) 7. Type of water supply:Coun /City 0 Well 0 Community tY // 9. Do you anticipate additions or expansions of the faellity this system Is intended to serve? 0 Ya ?,Vo Uyes, what type? ***1MPOR7ANT"** CLIENTS MUSTCOMPLEIETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with TUN APPLICATION. Property Dimensions: I'F—k �' WRTTE DIRECTIONS (from MoeWlle) to PROPERTY: Tax Office PIN: # SS� —3'f 3�r S -22 Property Address: Road Name 12f= 49Mba City/Zip �l�f��/i6� 4Y1 HIn a Subdivision provide Information, as follows: Names Sections ,� Block: LAU--•-��-- Date Property Flagged: This Is to certify that the lutbrmation provided Is correct to the but of my knowledge. I understand that any permit(s) Issued hereafter are subject to suspension or revocation, if the site pians or intended we cbsnge, or if the lulbrmation submitted in this application is Pals lied or changed 1, also, understand that Imre nVondblejor all charges Incurred frons this appllcadom 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 a necessary to determine the site suitability. DATE ,` 2,��% SIGN AT[1REgy4gm / THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inclu all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations?, 5;!F V j��r� Site Revisit Charge Date(s)s I Client Notiliadon Date: EAS: Revised DCHD (07/99) Account No. %`;k 9 (- n .tx Invoice NO. 0 O X28'3 ,A r S 80-75'401,,E 0° S 40„ F 328 32. N 81°16'05„ 10---W 334-10-'o- 33 34 0o, 33 40900 cl o' COVWGTON CREEK DR N G�1 m /LOCATION � MAP SITE N MIMI i +� S / 40 0 40 80 120 GRAPHIC SCALE — FEET SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR Ei c— L SEAL ` o � -2890 RECORD PLAT AND NOT FROM A SURVEY PY ME9IcHuR pos'�•` ��%iillrrnAR►���\���`� FOR MICHAEL WAYNE MYERS, INC. SCALE TOWNSHIP COUNTY STATE DATE,s 1 " = 40' SHADY GROVE I DAVIE N . C . 9-18-00 LOT 34 COVUNGTON CREEK PHASE 2 P.B. 7 PG. 97 HOWARD SURVEYING JOHN RICHARD HOWARD PLS P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 JOB NO. 0087 I r� I T� V W a? Irg 1 Lo ov a. 1 v Ot Q �n I Fey Z _ — — - f _ — — 80.57' I26.83 — — f - 'q 26.83' I I O 0 1.67'0 S HOUSE I 1.67 � nm gc) 60.00' — — N 26.83 �I r I � Z04 � fn S 80-75'401,,E 0° S 40„ F 328 32. N 81°16'05„ 10---W 334-10-'o- 33 34 0o, 33 40900 cl o' COVWGTON CREEK DR N G�1 m /LOCATION � MAP SITE N MIMI i +� S / 40 0 40 80 120 GRAPHIC SCALE — FEET SITE PLAN ONLY THIS WAS MAPPED FROM A DEED OR Ei c— L SEAL ` o � -2890 RECORD PLAT AND NOT FROM A SURVEY PY ME9IcHuR pos'�•` ��%iillrrnAR►���\���`� FOR MICHAEL WAYNE MYERS, INC. SCALE TOWNSHIP COUNTY STATE DATE,s 1 " = 40' SHADY GROVE I DAVIE N . C . 9-18-00 LOT 34 COVUNGTON CREEK PHASE 2 P.B. 7 PG. 97 HOWARD SURVEYING JOHN RICHARD HOWARD PLS P.O. BOX 276 ADVANCE, N.C. (336) 998-5396 JOB NO. 0087 •' ., , ' APPLICATION FOR SITE EVALUATION/7IdPROV MENT ',IF ERMIT Davie County Heal''r, Department 5 = ►fir,.p Environmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed ^4 E S Contact Person Mailing Address ?L) 8)l Home Phone City/State/Zip _,yapJ Ce WC. -2706(3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip i 3. Application For: ite Evaluation (] Improvement Permit & ATC C [ 1 Both 4. System to Serve: [ ] House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 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 HITO If yes, what type? 11 I err ►; .'. 1'I_ t 1 �'�; f t p �� A:; PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions. &C , pc V-c.e s WRITE DIRECTIONS (from Macksville) TO PROPER!',?: Tax Office PIN: # 789 ---[� c 2S7, Icy Property Address: Road lame 910/ so of r b A / m ► — wLis l S We n � City/Zip ^���ll • 2?oo 4- Clr0 lS =Cam If in Subdivision provide information, as follows: Name: (.blli�'aA] Oreek �y�rtro�Szd , / U 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 faisi ied o changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authoriz 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 procSoWs as necessary to determine the site suitability. 1111: :10,11 ,u ti( br; usr:U foPl Mmil'INq !0111; 'SITT L'I-.1N: ,d 4 ` DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section SECTION,_,_ LOT Soil/Site Evaluation APPLICANT'S NAME % DATE EVALUATED�J PROPOSED FACILITY PROPERTY SIZE SUBDIVISION tee e ROAD NAME Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit 4. Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH �- Texture groupC Consistence i Structure Mineralogy , 'Z. HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy ' SOIL WETNESS _ RESTRICTIVE HOLIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: C LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-90) EVALUATION BY:. OTHER(S) PRESENT: 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 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