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357 Covington Drive Lot 82Davie Countv, NC Tax Parcel Report Wednesday. November 30. 2016 WARNING: TMS 1S NOT A SURVEY Parcel Information Parcel Number: H8060A0082 Township: Shady Grove NCPIN Number: 5789049701 Municipality: Account Number: 82526509 Census Tract: 37059-804 Listed Owner 1: BOST JONAS BLAKE Voting Precinct: EAST SHADY GROVE Mailing Address 1: 357 COVINGTON DR Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006-7892 Voluntary Ag. District: No Legal Description: LOT 82 COVINGTON CREEK PHASE THREE Fire Response District: ADVANCE Assessed Acreage: 0.70 Elementary School Zone: SHADY GROVE Deed Date: 5/2006 Middle School Zone: WILLIAM ELLIS Deed Book I Page: 006640764 Soil Types: WeB,PcB2 Plat Book: 0007 Flood Zone: Plat Page: 171 Watershed Overlay: DAVIE COUNTY Outbuilding 8r Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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 warnudies 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 �T nQ U N� l� C or arising out of the use or inability to use the GIS data provided by this website. Account #: 990003961 Billed To: J. Blake Bost Reference Name: ATC Number: 4386 DAVIE COUNTY HEALTH DEPARTMENT ��� &I Eneironrnental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5789-04-9701.82 Subdivision Info: Covington Ck Section III Lot # 82 Location/Address: 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 Sewa eatment and Disposal Systems). THIS AUTHORIZATION FOR WASTiWATiR99UC I VSB -FSR A PERIOD OF, FIVE YEARS. Environmental Health Specialist's z zs CERTIFICATE OF COMPLETION s Date: **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. o � 7 `$ I� IKI� Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) lip: So DAVIE COUNTY HEALTH DEPARTMENT n .Environmental Health Section P._O_ . Bo 348/210 Hospital Street Mocville, NC 27028 l (336)751-8760 1 IMPROVEMENT/OPERATION PERMIT Account #: 990003961 Tax PIN/EH #: 5789-04-9701.82 Billed To: J. Blake Bost Subdivision Info: Covington Ck Section III Lot # 82 Reference Name: Location/Address: -�67 CN11461-MIA 'Q Proposed Facility: Residence Property Size: 100x300 **NOTE *This Improvemeei t/Operation Perrflit 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 USG #People S #Bedrooms #Baths Z.: Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: Commercial Specification: Facility Type// #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 5/14 A 412JE Type Water SupplyZX>- JriDesign Wastewater Flow (GPD) Site: New Repair ❑ System Specifications: Tank SizebC;oGAL. Pump Tank GAL. Trench Width Rock Depth `� Linear Ft.� t Other: Required Site Modifications/Conditions: PAk� L 1- M7041E 6 SI -b %A/0 t+J 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 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** 6em�� p c� �G J i Environmental Health Specialist's DCHD 05/99 (Revised) too 7s �r Date: 711n. WOO fo PR 2 6 2006 ENVIRONMENTAL HEALTH DAVIE COUNTY R SITE.EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department S Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Application For: ❑ Site Evaluation/Improvement Permit [ Authorization To Construct(ATC) ❑ Both ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed. -1-3 1 A-kt %MT- Contact Person -b i AX4- Billing Address VIZ /f/6H&4 up Alit . A ger3a izu mc Home Phone ZS Z -) I y - U w7 Z, City/State/ZIP � - 7-7z03 Business Phone Name on Permit/ATC if Different than Above Address PROPERTY INFORMATION City/State/Zip ME, NOTE: A survey plat or site plan must accompany this application. (Permit is valid for 60 months with site plan, no expiration with complete plat.) Street Address— City ; . ' Tax PIN# Subdivision Name ootoG-ro j ���� Ic Section/Lot# 1;12 Lot Size /Jd ' x 3d o ' .4ypex. Directions To Site: FR.o w%. (o H Le - o.•. Ce4-o -. Aygv . To t Date House/Facility Corners Flagged If the answer to any of the following questions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? ❑Yes ^o Does the site contain jurisdictional wetlands? ❑Yes 2No Are there any easements or right-of-ways on the site? 0Yes ❑No Is the site subject to approval by another public agency? ❑ Yes ,BNo Will wastewater other than domestic sewage be generated? ❑Yes P1No IF RESIDENCE FILL OUT THE BOX BELOW # People 3 # Bedrooms - 3 # Bathrooms 2 % Garden Tub/Whirlpool fd'Yes ❑No Basement: Q3Yes ❑No Basement Plumbing: 0Yes,21No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers _ # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: /Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other .i*ITi �'titatTe(L. Water Supply Type:/County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes /No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to rmine compliance with a plicable laws and rules on the above described property located in Davie County and owned by .�,. 164 Site Revisit Charge Prop o s or owner representative signature Date(s): o It,, Client Notification Date: Date EHS: Sign given ❑Yes QNo I i U0ice Account #l[i� Revised 2/0606nipkb-5j / Invoice # .w v A6- , jq ' 970 it 82 � � n h b r�t#r � 1 L� � 1..7 � L.l S APPUCAMON FOR SITE EYAWATION/IMPROVEMENT PERMIT & ATIO Davie County Health Department Envlronmenta/ Health Sectfon .�(. 9 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 z.F.:.:. > . . ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Nass to be Silled _ G SL b (-i Contact person / e�l1GtQ,��cj Hailing Address �J 'eC) X ;1Z 0 / Homs phone City/state/tip J701 b' !y Le A) L- 2'%/06 Business phone 2. Rams on permit/ATC if Different than Above Hailing Address 3. Application For: Site Evaluation 4. system to Service: House ❑ Mobile Home S. If Residence: # People . City/state/Lip O Improvement Permit/ATC ❑ Both ❑ Business ❑ industry ❑ Other # Bedrooms # Bathrooms U Dishwasher n Garbage Disposal q Mashing Machine U Basement/plumbing O Sassment/Ro plumbing 6. if Business/Industry/Others specify type # people # Commodes # showers # vrinals # sinks # Mater coolers IF FOODSERVICE: 11 Seats Estimated stater Usage (gallons per day) 7. Type of Mater supply: 1founty/City ❑ hell ❑ Community e. no you anticipate additions or expansions of the facility this system Is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQI/IRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: f,�:..4S� y l+C. Tai Office PIN: # IS-771-191/- Property S-7%1i-9Ll' Property Address: Road Name City/Zip If in a Subdivision provide information, as follows: Name:C �d /y--2,* b FJ-�-L- 90 low Section: Block: Lot: WRITE DIRECTIONS (from MocW11e) to PROPERTY: V'11 /+�o�r• 1c S1 G.s Date Property Flagged: ±0 S u t + 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 ase change, or If the information submitted in this application Is fabitled or changed I, also, andetstand that I ant responsible for all charges incurred from 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 ani DATE % SIGNATURE ,7 2,4,e� 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 I Date(s): Client Notification Date: I EHS: Revised DCHD (07/99) Account No. �((-- Invoice No. (P � J % V'11 /+�o�r• 1c S1 G.s Date Property Flagged: ±0 S u t + 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 ase change, or If the information submitted in this application Is fabitled or changed I, also, andetstand that I ant responsible for all charges incurred from 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 ani DATE % SIGNATURE ,7 2,4,e� 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 I Date(s): Client Notification Date: I EHS: Revised DCHD (07/99) Account No. �((-- Invoice No. (P � w 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 #: 5779-94-2269.82 Subdivision Info: COVINGTON CK III Lot # 82 Location/Address: Covington Creek Drive -27006 Property Size: SEE MAP Date Evaluated: �'/��© 0 �4 rod Community Public Evaluation By: Auger Boring Pit � Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % V716 - HORIZON I DEPTH 7/ sr Texture group�C C Consistence L4S'f Structure G f` Mineralogy C HORIZON II DEPTH 04ff/ Texture group Consistence ( (- Structure J a' Mineralogy / HORIZON III DEPTH Texture group Consistence G Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: X LONG-TERM ACCEPTANCE RATE: /r 1 , f REMARKS: "Go cc __ y �l �l� h✓.� (� )t // Landscape Position EVALUATION BY: OTHER(S) 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) ■■ ■ ■■■■■■MM ■■■■■■o■ ■ENENE■Il ■■■e■■■i■ ■■■■■■■!■ ■■■■■SNI■ ■E■EM■■ MEMEMEM ■MNEME■ ■EME■■MEMM■ME■■■E■ ■■EN■■■EM■MEMM■ME■ ■■EM■EM■M■■ME■MME■ ■EM■■EMEMEME■MEME■ ■■e■■■■M■■■MOMMEM■ ■■■■■■S■■■■■■M■■■■ eM■M■ ■■■■■ MENS■ ■ENE■ ■■■■■ NOOSE ■■■■M ■■■MM SOMME ■■■E■ ■■■■■ SOMME MENEM ■m■■■ SWINE ■W��■ ■E■■■ :.■■■ ■5NO-M ■E■■■ ■■e■■■M■■M■eee■■■■■■■■■■■■�■Ileee■■e■■■■eM■Me■rda■rieee■■r■■■■■■e■■■■ ■■■■■■■■■■■■Dari■■■■■■■■■■■�Irl�■■■■■e■■■■s■■■■�■r�■■■■M■t!■eeeM■■■e■■■ ■■■■■■■■■■Ol`97J■Y■■■■■■■■■■ilii■■■■■■■■■■■■■■■■■■■■e■■fi■i■I\■■■■■■■■ EiEmommummONHEN ONlIummmHNNONE mommom WINE NOON NEEMBmommomNNNUON112 ARCH EMINENnot:FgNCmosoCNU ■■■e��e■Sfr!llie■■■■■■■■■■S�i■■■■E■■■■■■■■■■ecce■M■■Oe■,■■%A■�J■■■■■■■ ■■■■■■■■■Jlill■■■■■■■■■■■■:/�'l■■■■■■■■eee■■■■■Nee■■i■■■■f�lY/ ii.►.i■■■■■■ ■■■■■■■■■■■■II■■■■■■■■■■■■%NII■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■S■ ■■■■■NOON■■■11■■■■■■e■■■■IIl:�I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■NOON■■■■Il■■■■■MM■■r�■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■Il■■■e■■■■■■■■■eeeeeee■e■■ee■ee■■■■e��e■eM■N■■■■■■■e■■■■ ■■■■■■■■■■■ItM■■■■■M■ire■■■■■■■■■■■►�i■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■Il■NOON■■E:1►I■■■■■■■■■■■Y■■■■■■■■■Nee■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■I!•NOON■■►I1.'■■■■■■■■■■■■■■■■■■N■■Nee■■■■■■■■■■■■■■■■■Nee■■ NOON■■eee■■I/■O■■■■►1NI■■■■■■MM■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■II■■■M■■�I'I■■■■■■■■■■■■■■■■■■■■e■NeeNee■■■■■■■■■■e■■■Nee■ ■e��e■■■■■SIIS■■■■SI,■eee■■■■SOOO■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■NOON■■■■I■■■■■■■II■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■11NOON■/I■■■■■■■■■■■■■■■■■■■■■■S■■eeeee■■■■■■■■■■■■Nee■O■ ■eeeee■■■■■tl■■■■►I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■N■■M■■II■■■/,■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Nee■■■■■■ ■■■■■■■■■■■II■■■Y:e■■■■eee■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■SS■■■■■■■■/1■■1'1■■■■■■■■■■eee■■■■■■■■■■■■■Nee■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■u■�■�■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■e■■eNee■■■■■■■■■■■■■ ■e■eee■■■e��e■�a■■■■e■eee■■■eNee■Nee■■■■■■■■■ecce■■■■■■■Nee■■■■■■■ ■■■■■■■■■■■■■■��■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eNee■■■■■■Nee■■■■■ ■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■1�1■■■■■■■Nee■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■�����������������������������\■Nee■■■■■■■■■■■■■■■■■■■■■■ Davie County Health Department Envitonmental Health Section P.O. Box 848/210 HospitalStreet Mocksville, NC 27028 (336) 751-8760/'Fax (336) 751-8786 May 10, 2006 Mr. J. Blake Bost 832 Highland Ave. Asheboro, NC 27203 Re: Covington Creek III, Lot #82 Tax Pin #: 5789-04-9701 Dear Mr. Bost As requested, a representative from this office visited the above site May 9, 2006, to perform a site evaluation. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans or the intended use change. Improvement Permit System To Serve: Wastewater Design Flow: System Type: ❑Conventional 08 (Ccepted ❑Innovative ❑Alternative ❑Other d System Location: Valid: DTVears ❑No Expiration Site M difications/Permit Conditions: "IJ ��-,A9 /® Environmental Health Specialist Date ps-i.p.letter 2/06 ----------- �..I � it `III - - ---- - ----- - ill jl� li I,I i � � I II � Iii � I �i �iili I � I iiII_o IT �,!-� Irl �I _Ili} �f �iW i� i f��ii ii IIS I I � � 1 it I I' � } I � �I I � -{,I � � _ IIS � _ ;il i i i� �r_'�I � iii I !� i I� 'wb�k � - ISI i t � � I T �I F � J '_, ��q�i III � r ,'1i i k{=�,i,�,i,�� -,-� � � IIS-� � Ili �. IT �a'�3�� L hrin2�- CV) � 1. i i� ' _�i _ + l i �_ _L ,5L � i I