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344 Covington Drive Lot 65Davie County, NC Tax Parcel Report Wednesday, November 30, 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 IS NOT A SURVEY Parcel Information H806OA0065 Township: Shady Grove 5789151022 Municipality: 8303989 Census Tract: 37059-804 COLLUM H GINA Voting Precinct: EAST SHADY GROVE 105 HILLSIDE DRIVE UNIT 2201 Planning Jurisdiction: Davie County ATHENS Zoning Class: DAVIE COUNTY R -A NY 12015-3626 LOT 65 COVINGTON CREEK PHASE THREE 0.70 8/2014 009650948 0007 171 Zoning Overlay: Voluntary Ag. District: No Fire Response District: ADVANCE Elementary School Zone: SHADY GROVE Middle School Zone: WILLIAM ELLIS Soil Types: WeB,PcB2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 9 pv /F All data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Davie County, 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 any and all claims or causes of action due to r'p N� �NC 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. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900317 Tax PIN/EH #: 5779-94-2269.65 GB Billed To: Glory Home Builders Subdivision Info: Covington Creek III Lot # 65 Reference Name: Location/Address: Cov. Ck.Dr.-27006 Proposed Facility Residence Property Size: see map 3q q eO vilv �v A) �2- ATC Number: 4061 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 CO STRUCTION IS VALID FOR A PERIOD OF IVE YEARS. l/ 6 Environmental Health Specialist's Signature: Date: Udfoowu -S CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Complere!! e system described on Improvement/Operation Permit has been installed in compliance with Artier 13 ection .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAYtee that the tem will function satisfactorily for any given period of time. 0, F Septic System Installed By: Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street y s Mocksville, NC 27028 !�f �� a (336)751-8760 7' IMPROVEMENT/OPERATION PERMIT Account #: 989900317 Billed To: Glory Home Builders Reference Name: Proposed Facility Residence Tax PIN/EH #: 5779-94-2269.65 GB Subdivision Info: Covington Creek III Lot # 65 Location/Address: Cov. Ck.Dr.-27006 Property Size: see map ATC Number: 4061 **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 #People . #Bedrooms #Bath Dishwasher: e9f,", Garbage Disposal.;3 Washing Machine: 0'*'— Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Se/ats/1 Industrial Waste: ❑ Lot Size Type Water Supply �_ Design Wastewater Flow (GPD) Site: NewzRepair ❑ System Specifications: Tank Siz/e "o GAL. Pump Tank Other: GAL. Trench Width Rock Depth Z,,2_ Linear Ft. 5'00 stated in 15A NCAC 18A.1969(5 Required Site Modifications/Conditions: As ... also be used 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 1:00p . 0.1:30 p.m. on t of installation. Telephone # is (336)751-8760.**** JfJ c i Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) p EC COVE APPLICATION FOR SITE EVALUATION/IhiPROVE&IENT PERI 1 TC Davie County Health Department APR 2 5 2005 Environmenta/Kea/tfi Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 D&VI E OIJUffAth) (336) 751-8760 DAYIECOUNTY ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. J 1. Name to be Billed6LV" r 0 r£ 4��1JI&D £iLS Contact Person v /► J Mailing Address O 3�5 ��1%i1L C�/ZO�/� �/� ' 12o- Home Phone City/State/ZIP CL �i�fMa.uS iJ C 7-10 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address ` City/State/Zip 3. Application For: ❑ Site Evaluation ytJ Improvement Permit/ATC ❑ Both 4. system to Service: 9e House ❑ Mobile Home /❑`Business ❑ Industry ❑ Other 5. Type system requested: V Conventional ❑ conventional modified ❑ innovative 6. If Residence: # People # Bedrooms 3 # Bathrooms Z IF S Dishwasher XOarbage Disposal /Washing Machine ❑Basement/Plumbing ❑Basement/No Plumbing 7. If Business/Industry /Other: verify type # People # Sinks # Commodes' # Showers # Urinals # Water Coolers IF FOODSERVICE: ti Seats Estimated Water Usage (gallons per day) 8. Type of water supply: J6 County/City ❑ Well ❑ Community 9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes XNo If yes, what type? ***IAIPORTANT*** CLIENTS AIUST COMPLETE- THE REQUIRED PROPERTY INFORMATION REQUESTED BELONV. Either a PLAT or SITE PLAN AIUST BI; SUBAII7 E -D by the client with THIS APPLICATION. Property Dimensions: 11" �`"�'` �''" I� 1VRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: i'� 9 - ��'—' �• Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: Name: CO1/ IIV& % �1% Section: . Block: Lot: 65 Date home corners flagged: 4-'ZO-OS This is to certify that the information provided is correct to tic best of my knowledge. I understand that any permits) issued hereafter arc 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 responsible for all chaises incurred from this application. I, hereby, give consent to the Authorized Representative of the avie County IIcaltli Department to enter upon above described property located in Davic County and owned b� to conduct all testing procedures as necessary to determine the site suitability. DATE �'( ` `J` U SIGNATURI; TIIIS AREA MAY BE USED FOR DRANVING YOUR SITE PLAN (Include al of the ollowing: Existing and proposed property Lincs and dimensions, structures, setbacks, and septic locations). UL—r Sign given Revised DCHD (05103 A Site Revisit Charge Dalc(s): Client Notification Date: EIIS: Account No. 0 0 Invoice No. �`� / r APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT D Davie County Health Department Envlimmental Health SaWon �A, 9 2000 P.O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed _ �.+ ZS)yiDr-t— Contact Parson Hailing Address &))( r -q-.3 o (D,,l1 Home Phone qq6 City/state/ZIP Apt L'n nyz e /I) (-., .� 7U�� Business Phone q IFe 2. Name on Permit/ATC if Different than Above Hailing Address City/state/Lip 3. Application For: Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other a. If Residence: # People # Bedrooms # Bathrooms ❑ Dishwasher n Garbage Disposal ❑ Bashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: specify type # People # sinks # Commodes # showers # Urinals # Nater Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ieYCOunty/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system Is Intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: # Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: Name: C ,6 U/ya+b fJ-�— ,:P-6 /off Section: Block: Lot: WRITEDIRECTIONS (from Mocksville) to PROPERTY: '' aA') —p— i,; ,11 maI- k s, -s Date Property Flagged: � o .S to '# + 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 1, also, understand that I ant responsible for all charges incurredfrom 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 to conduct all testing procedures as necessary to determine the site snit ._ DATE 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). Site Revisit Charge Date(s): I Client Notification Date: I EHS• Revised DCHD (07/99) 9 9 OG 0 Account No. Invoice No. `� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION Account #: 990001288 Billed To: Richard Short Reference Name: Proposed Facility: RESIDENCE Water Supply: Evaluation By: On -Site Well Auger Boring PROPERTY INFORMATION Tax PIN/EH #: 5779-942269.65 Subdivision Info: COVINGTON CK III Lot # 65 Location/Address: Covington Drive -27096x Property Size: 1��ACRES Date Evaluated: 9AL) Community Pit L,---" Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure �1 S 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 , r SITE CLASSIFICATION: l��1 LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND Landscape Position EVALUATION BY: �A/ 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 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 DCHD 05/99 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■c■■■■■■■■■■■■■r.c��■■■■■■■■■■■■e■e■■e■■■ecce■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MENNENMENNENiiiiii'�iiiiiiiiiiiiiMEMNONiiiiii ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■e■■■t■t■■■■■t■■■■■e■■s•/�■■■■■■■t■■■■■■■■■■■■■eee■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■