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260 Covington Drive Lot 15Davie Countv, NC r Tax Parcel Report Tuesday, November 29, 2016 WARN 01 T: '1'H1J 1h 1VU'1' A JUKVLI' Y Parcel Information Parcel Number: H8060A0015 Township: Shady Grove NCPIN Number: 5789242703 Municipality: Account Number: 82515692 Census Tract: 37059-804 Listed Owner 1: CUNNINGHAM A KYLE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 260 COVINGTON DRIVE Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7876 Voluntary Ag. District: No Legal Description: LOT 15 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 1.04 Elementary School Zone: SHADY GROVE Deed Date: 11/2000 Middle School Zone: WILLIAM ELLIS Deed Book i Page: 003510040 Soil Types: Pc62,PcC2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY & Extra Building Value: F eatuires Va ue: Land Value: Total Market Value: Total Assessed Value: EO All 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 merchantability or Iftness for a particular use. All users of Davie County's GIS website shall hold harmless the �T County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ag dalms or causes of action due to l� C 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 M 990001299 Tax PIN/EH #: 5789-242703 Billed To: Con Shelton Subdivision Info: Covington Ck jLot # 15 Reference Name: Location/Address: Covington Creek Drive -27006 Proposed Facility: Residence Property Size: see map **Nd '� iIsbgmprov6e 8ent/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 3 #Bedrooms #Baths � S Dishwasher: Ef Garbage Disposal: e Washing Machine: Vroo' Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Design Wastewater Flow (GPD) Site: New Repair ❑ System Specifications: Tank Size%28 d GAL. Pump Tan3AL. Trench Width jg � � Rock Depth Linear Ft.,?O D Other: Required Site Modifications/Conditions: ` IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 u 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.**** ylre�r� )V19 P 4X Alf r Environmental Health Specialist's Signature: Date: A DCHD 05/99 (Revised) V Im Account #: 990001299 Billed To: Con Shelton Reference Name: Proposed Facility: Residence ATC Number: 2628 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5789-242703 Subdivision Info: Covington Ck 21ot # 15 Location/Address: Covington Creek Drive -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 Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTE WATE O STRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: /'o j/3 - e0 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 time. n� �� { 10 Gdry IC/ �t G0 Xof / r Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: / %/' a� APPUCATION FOR SITE EVALUA'UON/IMPROVEMENT PERMIT A ATC 15 L v Davie County Health Department D Environmental Nouslds Seton B.O. Eos 069/210 Hospital Street OCT 2 4 2n 14ackoviile, VC 27029 (3361731-9760 ***MWCRTAN"** THIS APPLICATION CRMWT BX PRt =881:D MM1188 = THR REQUIRED IN1'OMMION IS PROVIDED. Refer to the MNl'oMMION BULLUTIN for instruction/s. 1. mama to be Gilled S h , / T - — U � � - -� 4, • - Contact pte,reon �a _ � .0 / � l` ptailisw address ? U S 14,1 L�+IA) some phone, 7 S-%- S � 2.k city/state/s2hp f'�%o �: 1 1 A), C- , 7ozb' anrinesss phone, -3 Z o u Z. lReass on sperm!/ATC It Different than Above Waiting Address• City/state/sip S. Application ror: Slit's E�vaination 0 Improvement Permit/ATC O Both e. syetes to services 0 Mobile Home O Sassiness O Industry 0 Other a. It Residence: f People 3 I Bedrooms 7 ; Bathrooms 2-, s D•Qisshwasshar *-gaga Disspossal assbissq Machine O aaspe,nt/PludAng D sasssaent/pto PUMA" S. 29 aussiness•/Iuduatry/others specify type, I commodes i showers to pte,opie, f sinks t) 'Urinals water Coolers It 1=81mcz: # seats Ratimated water Usage (ga11onss spar day) 7. Type of water supply: It-6unty/City 0 well 0 Community e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? 0 Yes 8<0 If yes, what type? ***IJNPORTANP" CLIENTS MI1ST COMPLEIETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MIST BE SVBJW7 TED by the client withTHIS APPLICATION. Property Dimenslons: l . / Z � A Tax Office Pots N � 7 & 1' - -,>I Property Address: Road Name Citylzip )V, _ _ < < Z7 o t, G If in a Subdivision provide informsdon, as follows: Name: Section: IL i- IT Block: Loh � WRITE DIRECTIONS (from MockrAlle) to PROPERTY: CA- ` 2-- -4 Date Property Flagged: / -b / Z (--,, a o This Is to certify that the Information provided Is correct to the beet of my knowledge. I understand that any permit(s) Issued hereafter are enbject to suspension or revocation, If the site plans or intended nee change, or if the information submitted In this application Is falsilied or changed 1, also, understand that I am "Vonsible for all charges lncamed from skis application. I, hereby, give consent to the Authorized Representative of the Davie Conn Health Department to enter upon above described property located In Dsvle County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE % 0 A Q/0 -.1 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). .5 a o Site Revisit Charge I Date(s): Client Notification Date: 1 EHS: Account No. Invoice No. (��y ��`yJ``� f 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 REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person el e- A kr� Mailing Address,II t) >e d Home Phone City/State/Zip &Uald Ce- A2L J2706C Business Phone 99�'�i77.:L A3'3zi/P'CAfA l 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 / 0+ 514&41yiSiO4) 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 [y1So If yes, what type? L77111It ,1 PL•tl OR ',IIT; PLtN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***`A FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: iDar+ &C, OArce i WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # S-789 - —� - � �26 � z b lcy K c� j0,d V 41u 4� � Property Address: Road lame 919 O�r�1( m 1 — GV LS Sy o l 9 City/Zip 20a 0 LAS S_--oc6 m 1UI u e rs -p If in Subdivision provide information, as follows: Name: ��I-ate () bil/ reek. roracszcl. Section: Lot #:_ �S 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 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 /./1 f Revised DCHD (06-96) all testing procSoWs as neyessary to determine the site suitability. 7111S ,%I?E,t AMIJ BE 11SEb 1-01t bIMIUNC IJ011R SITE: P1 -,M: ' DAVIE COUNTY HEALTH DEPARTMENT ,�' Al Environmental Health Section SECTION T-. LOT Soil/Site Evaluation APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit L DATE EVALUATED PROPERTY SIZE ROAD NAME Public L/i Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % G HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH * h r Texture group Consistence Structure SJ 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:y c LONG-TERM ACCEPTANCE RATE: % REMARKS:' LEGEND LCHD (01.90) EVALUATION BY: ,CLQ / OTHER(S) PRESENT: tie*l" ;� 'e4A" 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 /e"� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990002162 Billed To: Bob Cope & Son Construction Reference Name: Proposed Facility: Residence ATC Number: 3658 Tax PIN/EH #: 5861-38-2199.15BC Subdivision Info: Redland Place Lot # 15 Location/Address: Graywood Court -27006 Property Size: 1.827 Acres 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 WASTEWA N T ION I VALID FOR A PERIOD OF IVE YEARS. Environmental Health Specialist's Signature , Dater CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit 40 has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and 11p Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. 6io iL` Septic System Install By: _ Environmental Health Specialist's Signature : —DCHD 05/99 (Revised)