349 Covington Drive Lot 83Davie County, NC Tax Parcel Report Wednesday, November 30, 2016
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161
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, Impliedwanan es of merchantability or fitness for a particular use. All users of Davie County's CIS 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
NCor arising out of the use or inability to use the GIS data provided by this website.
WARNING: THIS IS NOT A SURVEY
_ Parcel Information
Parcel Number:
H806OA0083
Township: Shady Grove
NCPIN Number:
5789140609
Municipality:
Account Number:
8305531
Census Tract: 37059-804
Listed Owner 1:
AMH 2015-2 BORROWER LLC
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
30601 AGOURA ROAD SUITE 200
Planning Jurisdiction: Davie County
City: AGOURA
HILLS
Zoning Class: DAVIE COUNTY R -A
State:
CA
Zoning Overlay:
Zip Code:
91301
Voluntary Ag. District: No
Legal Description:
LOT 83 COVINGTON CREEK PHASE THREE
Fire Response District: ADVANCE
Assessed Acreage:
0.70
Elementary School Zone: SHADY GROVE
Deed Date:
912015
Middle School Zone: WILLIAM ELLIS
Deed Book / Page:
010010012
Soil Types: WeB
Plat Book:
0007
Flood Zone:
Plat Page:
171
Watershed Overlay: DAVIE COUNTY
Outbuilding & Extra
Building Value:
Freatures Value:
Land Value:
Total Market Value:
Total Assessed Value:
161
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, Impliedwanan es of merchantability or fitness for a particular use. All users of Davie County's CIS 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
NCor arising out of the use or inability to use the GIS data provided by this website.
Account #: 989900317
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
5789-140609
COVI NGTON CK Lot # 83
Location/Address: Cov. Ck.Dr.-27006
Propertv Size: see map
Billed To: Glory Home Builders
Reference Name:
Residence
ATC Number: 3097
Tax PIN/EH #:
Subdivision Info:
rk
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 CONSTRUCTION IS VALID OR A PERIOD OF FIVE YEARS.
�l]�
Environmental Health Specialist's Signature: J, Date:
.3 UDi2atyLs -r4d4h 3V R-D-edh' 10 IjAlear-Pl 600 11
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate ofCompletio h e system described on Improvement/Operation Permit
has been installed in compliance with Article 11 of G.S. Chapter 30A, Section .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAYm-as.�.guarantee hat the system will function satisfactorily for any
given period of time. l
Septic System Installed By:
r, �DDX31(�,Z
Environmental Health Specialist's Signature :� ✓
Date: t
DCHD 05/99 (Revised)
DAME COUNTY HEALTH DEPARTMENT
Environmental Health Section `InD
• P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900317 Tax PIN/EH M 5789-14-0609
Billed To: Glory Home Builders Subdivision Info: COVINGTON CK Lot # 83
Reference Name: Location/Address: Cov. Ck.Dr: 27006
Proposed Facility: Residence Property Size: see map
**Vibfr: 3097
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 _ #People #Bedrooms S? #Baths �Z5—
Dishwasher Garbage Disposal: Washing Machine:,�'�
_ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size 1WX3P P Type Water Supply �� Design Wastewater Flow (GPD) Site: New ❑ Repair ❑
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Widths " Rock DepthlkI' Linear Ft.�,0
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 f° 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 tlpday of installation. Telephone # is (336)751-8760.****
Environmental Health Specialist's Signatures
r
DCHD 05/99 (Revised)
�Vl v
V AP TION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmenta/Health Section
`.n0. .O. Box 848/210 Hospital Street
Mocksville, NC 27028
\�o�M��pUNN (336) 751-8760
Fav �v
** MP99T*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INF TION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed ,I Contact Person Af , 'V U,7,0/-
Mailing
eMailing Address V Home Phone
City/State/ZIP C%P jy► _ ��� G ���^ Business Phone33�'
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: ��❑ Site Evaluation Improvement Permit/ATC ❑ Both
4. System to Service: gYHouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. If
Residence: # People # Bedrooms _ # Bathrooms
VDishwasher W Garbage Disposal UllWashing Machine ❑ Basement/Plumbing n Basement/No Plumbing
6. If Business/Industry/Other: Specify type
# Commodes
# Showers
IF FOODSERVICE: # Seats
# People # Sinks
# Urinals # Water Coolers
Estimated Water Usage (gallons per day)
7. Type of water supply: County/City
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
❑ Yes &G No
***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIREDPROPER1-Y INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
r
Property Dimensions: l00,7�x 30�-X /0,9'>6 3o g /
Tax Office PIN: #� LO ol" o
Property Address: Road Name 014'n I -k, Z1,
City/Zip&.1-11rie .0
If in a Subdivision provide information, as follows:
Name: l- Dr%t �✓19 4,1
Section: �� Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
4
Cove re Ae117 C
' C
Date Property Flagged: 3 —.Z —z9 Z
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 Representative of the Davie County--
�je Ith Department
to enter upon above described property located in Davie County and owned by 4 //l''
to conduct all testing procedures as necessary to determine the site suitability.
DATE d J 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):
Client Notification Date:
EHS:
f'F9900
Account No. 317
Revised DCHD (07/99) Invoice No. 45 ('
A/
15
co
—P.B7 PG. 171
CArj "el,,
. ..........
SEAL
c—'- L-2390
%F- 0
��%Y�O S J� �t� I�OvQ`A
/fill 1
SITE PLAN ONLY
THIS WAS MAPPED FROM A DEED OR
RECORD PLAT AND NOT FROM A SURVEY
aY E.
40 80 120
GRAPHIC SCALE — FEET
MAP GLORY BUILDERS INC.
FOR
SCALE
I TOWNSHIP COUNTY I STATE
DATE,s
40'
SHADY GROVE DAVIE N. C.
3-12-02
LOT 83 COVINGTON- CREEK PHASE 3 P.B. 7 PG. 171
HOWARD SURVEYING
'JOB NO.
JOHN RICHARD HOWARD PLS
02023
P.O. BOX 276 ADVANCE, N.C. - (336) 998-5396
' • _ i _ APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT v `�
. D
Davie County Health Department
Env1rvnmenW1 fleaM Secdon
P.O. Box 848/210 Hospital Street
Mockaville, NC 21028
(336) 751-8760
***n1P0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the IMRMATION BULLETIN for instructions.
1. Name to be Billed 2 C_+ aSiX'L t� Contact Parson `C ! t��}l1 q e—'Z /
!tailing Address 76J �d X .2-306 Homs Phone 99fQ� - -1 ?�-J7'
city/state/SiP '/`7p( 1kP AJ 1,e, AIC, -2-W &o susiness Phone R )1*3- � � 1 �i
Z. Name on Permit/ASC if Different than Above
Mailing Address city/state/Sip
3. Application For: Site Evaluation ❑ Improvement Permit/ATC O Both
a. system to service: House ❑ Mobile Home ❑ Business O Industry ❑ Other
s. If Residence: # People # Bedrooma # Bathrooms
n Dishwasher h Garbage Disposal n Washing Machine U basement/Plumbing U basement/No Plumbing
G. if business/industry/Othsr: Specify type # People # sinks
# Commodes # showers # urinals # Mater Coolers
IS FOODSERVICE: # Seats// Estimated Water Usage (gallons per day)
z. Type of water supply: Jaunty/City ❑ Well i] Community
9. Do you anticipate additions or expansions of the facility this system is Intended to serve? ❑ Yes ❑ No
If yes, what type?
{ ***1MPOR1ANT*** CLIENTS MUST CIOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED I
I BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: i<-. '5 1
Tax Office PIN: # S-7-71- 9Ll' 2 -1-
Property Address: Road Name
City/Zip
If in a Subdivision provide information, as follows:
Name:-�—
�� !ate
Section: Block: Lot: 233
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
tl�� �11�171Lw1;r��7irl
i
V'11 mark s / cs
Date Property Flagged: -�p
This 6 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 ani responsible for all charges incurred froth
this appUcatlon. 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 conductalltesting procedures as necessary to determine the site sal _
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:
Account No. / !:), g -
Revised DCHD (01/99) Invoice No. 16JJ
APPLICANT INFORMATION
Account #: 990001288
Billed To: Richard Short
Reference Name:
Proposed Facility: residence
Water Supply: On -Site Well
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
PROPERTY INFORMATION
Tax PIN/EH #: 5779-94-2269.83
Subdivision Info: COVINGTON CK III Lot # 83
Location/Address: Covington Creek Drive -27066
Property Size: see map Date Evaluated: -1199-1100
Community_
Evaluation By: Auger Boring Pit
Publicy
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
Mineralogyr
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 RATE:
REMARKS:
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
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)
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