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306 Covington Drive Lot 19Davie County, NC, r Tax Parcel Report Tuesday, November 29, 2016 WAHI. MG: THIS 1S NOTA SURVEY Parcel Information Parcel Number: H806OA0019 Township: Shady Grove NCPIN Number: 5789149555 Municipality: Account Number: 82514430 Census Tract: 37059-804 Listed Owner 1: BATES CHARLES G Voting Precinct: EAST SHADY GROVE Mailing Address 1: 306 COVINGTON CREEK DRIVE 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 19 COVINGTON CREEK PHASE TWO Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 12/1999 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 003210725 Soil Types: PcB2 Plat Book: 0007 Flood Zone: Plat Page: 139 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 161 Davie County, NC All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness 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 anyandagdaimsorcausesofactiondueto or arlWag out of the use or inability to use the GIS data provided by this website. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Billed To: Glory Home Builders Reference Name: Billy Joyner Proposed Facility: Residence Tax PIN/EH #: 5789-14-6924.19 Subdivision Info: Covington Creek Lot # 19 Location/Address: Covington Creek Drive -27006 Property Size: 100.98X302.08 ** OTE*�l,�nb�r: 2287 N is mprovement/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 A— #People #Bedrooms _ #Baths 2 Dishwasher: e Garbage Disposal: ❑ Washing Machine: ❑"�' Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size /#VXJbD Type Water Supply �� Design Wastewater Flow (GPD) -� 6 6 Site: New Pl Repair ❑ System Specifications: Tank Size O GAL. Pump Tank Other: Required Site Modifications/Conditions: I GAL. Trench Width jL Rock Depth JLinear Ft,.Q- 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.**** Environmental Health Specialist's Signature: Date: ,/--a QL� DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900317 Billed To: Glory Home Builders Reference Name: Billy Joyner Proposed Facility: Residence ATC Number: 2287 Tax PIN/EH #: 5789-146924.19 Subdivision Info: Covington Creek Lot # 19 Location/Address: Covington Creek Drive -27006 Property Size: 100.98'X302.08 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 R CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: ';'- f l3 - 06 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. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) l APPLICATION FOR Davie Count T lith Department SMR & Al2 � a n II Envimmenhd Health Suasion D L5 V P.O. sox 849/210 Hospital street DEC 2 91999 Mookavilie, MC 27028 (336) 7'51-8760 V, 6. if SuaLness/Industry/other: specify type E Coamwdes i People # links I showers # urinals # Water coolers Ilr rOODSZRVIC3: # Seats Zatimated Nater Usage tgailoaa par day) 7. Type of water supply: 9"County/City 0 Well O Community 9. Do you anticipate additions or expansions of the faeWty this system is intended to serve? 0 Yes 0 No Dyes, what type? ***IMPORTANT*** CLIENTS MUST CDMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MIJLST BESUBMITIED by the client with THIS APPLICATION. Property Dimensions: 100- % / X -50-2- ' Tai 081ce PIN: # V ��l - �y �% �`"V Property Address: Road Name /" C�, 0 City/Zip ,�A —a*7c e ;Mw U In a Subdivision provide Information, as follows: Name: ere e /C. Section: _� Block: Lot: WRrM DIRECfIONNS(from Mocknille) to PROPERTY: To �dtJ�r�lTGn ��''PP� Date Property Flagged: &1,2 Y- /y This is to certify that the information provided 1s 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 we change, or If the Information submitted in this application is falsified or changed 1, also, understand that l am responsible for all charges Incurred from this applicadom i, hereby, give consent to the Authorized Representative of the Dsvi99 County Health De rtment to enter upon above described property located to Davie County and owned by 7/.N/ , ,G3ti;/�s to conduct all testing procedures as necessary to determine the site suitabW . ��' DATE /,7- I '� L_� — SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include sit of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). r �f Revised DCHD (07/99) Date(s): I Client Notification Date: J ERS: Account No. Invoice No. ***nWGRTANT*** THIS UPLICIlTION CANNOT 82 PA0=6SBD U=80 ALIT .� _ R>ZD MI IMS210H IS >tRM=ZD. Refer to the Tum BULI.ZTIA for instruations. 1. Wor Name to be sellae 'n cost - o! Person 6 TJ 39 / / r cling Address 44' /1 ; mons rho" city/stat./azP �0 , _ �. au.in a mons T��� s. Mans on Pe=it/ATC if Different than eve Nailing Address City/stab/sip 1. Application ror: 0 Site svalnation WI-01-w"rovement permit/ATC 0 Both a. System to servioss Ionse 0 Mobile Home 0 Huainess 0 Industry 0 Other s. it Residence: t people Bedrooms Bathrooms_ ' ff Dishxuher o Garbage Disposal aShinQ Naobine o Dasewit/Dh o Dasesent/so plumbing 6. if SuaLness/Industry/other: specify type E Coamwdes i People # links I showers # urinals # Water coolers Ilr rOODSZRVIC3: # Seats Zatimated Nater Usage tgailoaa par day) 7. Type of water supply: 9"County/City 0 Well O Community 9. Do you anticipate additions or expansions of the faeWty this system is intended to serve? 0 Yes 0 No Dyes, what type? ***IMPORTANT*** CLIENTS MUST CDMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MIJLST BESUBMITIED by the client with THIS APPLICATION. Property Dimensions: 100- % / X -50-2- ' Tai 081ce PIN: # V ��l - �y �% �`"V Property Address: Road Name /" C�, 0 City/Zip ,�A —a*7c e ;Mw U In a Subdivision provide Information, as follows: Name: ere e /C. Section: _� Block: Lot: WRrM DIRECfIONNS(from Mocknille) to PROPERTY: To �dtJ�r�lTGn ��''PP� Date Property Flagged: &1,2 Y- /y This is to certify that the information provided 1s 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 we change, or If the Information submitted in this application is falsified or changed 1, also, understand that l am responsible for all charges Incurred from this applicadom i, hereby, give consent to the Authorized Representative of the Dsvi99 County Health De rtment to enter upon above described property located to Davie County and owned by 7/.N/ , ,G3ti;/�s to conduct all testing procedures as necessary to determine the site suitabW . ��' DATE /,7- I '� L_� — SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include sit of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). r �f Revised DCHD (07/99) Date(s): I Client Notification Date: J ERS: Account No. Invoice No. :ti:t. l,� 4. ,v �•Y s r. I 4, CA Y/z � t y � Off' :ti:t. l,� 4. ,v �•Y GRAPHIC SCALE FEET ` CA Y/z � Off' . SITE PLAN ONLY Q SEAL = 1 -THIS WAS :MAPPED' FROM. A: DEED OR 8 0 �� L 2 s K 1 RECORD PLAT AND NOT FROM A' SURVEY �yasu-�°oma ,r �yy ��i,�ZC14AR������ GRAPHIC SCALE FEET 1 s APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIV/7 Davie County Health DepartmentEnvironmental Health Section P.O. Box 848 Mocksville, NC 27028 (704) 634-8760 1 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE RE U+I-RED/IyN�FORMATION IS PROVIDED. 1. Name to be Billed rv% a Contact Person Mailing Address ) X '-L+3 d in / Home Phone City/State/Zip U���l Ce A2 �( Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: M4ite Evaluation [ ] Improvement Permit & ATC [ ] Both 4. System to Serve: [ ] House [ •] Mobile Home [ ] Business [ ] Industry [ ] Other c2 % 0+ SUaI V6 /a 5. If Residence: # People # Bedrooms # Bathrooms (] Dishwasher [ 1 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? F..lIllF.li A PLA1 C11 SI1T, PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A'FLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: A>ar+ &C, LiAcc-C'- I ; WR1I�TE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: #V 4 Pu Ce Property Address: Road Dame 801 � � CA g % m ► — Wes � CIoIQ of City/Zip ,,�i�/l • Z?o o _ i C�C� � S =OCZ$ M M u e r5 l If in Subdivision provide information, as follows: Name: b])/ Ai reek– firaraoSed �, 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 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 proce�Ws as necessary to determine the site suitability. 1I1IS ,IREA ,kbtl1 13E 11SED 101 111AIVINC7 110111 SITE PLAN: � 1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION --,,T— LOT–Z Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED '- PROPOSED FACILITY PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit L ROAD NAME ara z Public L/i Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure 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: LONG-TERM ACCEPTANCE RA REMARKS: DCHD (01-90) Landscape Position EVALUATION BY:. OTHER(S) PRESENT: 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