360 Covington Drive Lot 67Davie Countv, NC
Tax Parcel Report Wednesday, November 30, 2016
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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 libiess for a particular use. All users of Davis County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees h or. any and all claims or causes of action due to
NC or arising out of the use or Inability to use the GIS data provided by this website.
WARNIENG: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H806OA0067
Township: Shady Grove
NCPIN Number:
5789059015
Municipality:
Account Number:
82522624
Census Tract:
37059-804
Listed Owner 1:
DEAL MICHAEL R
Voting Precinct EAST SHADY GROVE
Mailing Address 1:
360 COVINGTON DRIVE
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 67 COVINGTON CREEK PHASE THREE
Fire Response District:
ADVANCE
Assessed Acreage:
0.71
Elementary School Zone:
SHADY GROVE
Deed Date:
4/2004
Middle School Zone:
WILLIAM ELLIS
Deed Book I Page:
005470748
Soil Types:
WeC,Pc132
Plat Book:
0007
Flood Zone:
Plat Page:
171
Watershed Overlay:
DAVIE COUNTY
g & xtra
OutbuildinFreatures
Building Value:
ValueE:
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 warranties of merchantability or libiess for a particular use. All users of Davis County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees h or. any and all claims or causes of action due to
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. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900093 Tax PIN/EH #: 5789-04-6956
Billed To: Shelton Construction Services Subdivision Info: COVINGTON CK three Lot # 67
Reference Name: Location/Address: Covington Creek Drive -27006
Proposed Facility: Residence Property Size: see map
922
**NOTE** Tfii b�mprovent/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 #Baths r -y'). S
Dishwasher: P/ Garbage Disposal: ❑ Washing Machine:;?," Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seatts Industrial Waste: ❑
Lot Size Type Water Supply �� Design Wastewater Flow (GPD) G—T6U��Site: New ❑- Repair ❑
System Specifications: Tank Size GAL. Pump Tank
Other:
Required Site Modifications/Conditions:
GAL. Trench Width c 1 Rock Depth jj
L Linear FtaLO
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.****
d
t
L
Environmental Health Specialist's Signature: Date: �' ✓��
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900093
Billed To: Shelton Construction Services
Reference Name:
Proposed Facility: Residence
ATC Number: 2922
Tax PIN/EH M 5789-04-6956
Subdivision Info: COVINGTON CK three Lot # 67
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 WASTEWAT#krqNSTRUCTION IS VALID FOR A PERIOD
r�OFFIVE YEARS.
Environmental Health Specialist's Signature: 0 Oft Date: I/ "o[
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 I
Septic System Istalled By:W- / "'-�
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date: / " 6) l
1.
2.
JUL C 9 2001
HEALTH
IN FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
EnvimnmenWI Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
Name to be Billed S� c /lj-- - 4f- - > fry �,
„ - • -
Mailing Address /2- -T 7 u > 14;e L4 T LtiJ
City/State/ZIP I'i%e �C _�... I 1 I'V . �• . Z7 C 2.rr
name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
Contact Person o S i` c. / J .._
Home Phone % S ,S L Z d
Business Phone 3 IY.5 - 2 (Jy to
3. Application For: CSI -bite Evaluation ❑ Improvement Permit/ATC ❑ Both
4. System to Service: House ❑ tM'obile Home ❑ Business [I Industry Ll Other
5. If Residence: # People -/ # Bedrooms 3 # Bathrooms Z. j
�shwasher -T-Garbage Disposal R -Washing Machine 0 Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # Sinks
# Commodes # Showers # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: f9-edu-nty/City ❑ Well ❑ Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes A -N&
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions:
Tax Office PIN: # S 7 27 - D `i - 69 Q.,
Property Address: Road Name e u
City/Zip o u L
If in a Subdivision provide information, as follows:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
J r 4 - D, J ` ` �•
r 1- 4 -
Name:
Section: Block: Lot: Date Property Flagged:
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 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 suitability.
DATE 1 / / `7 / l SIGNATURE
THIS AREA MAY BE USED FOR DRAWING
property lines and dimensions, structures, setb
I 1Z ��
Revised DCHD (07/99) -
1
I S�TE PLAN (Include all of the following: Existing and proposed
an septic locations).
Client Notification Date:
EHS•
Account No.
Invoice No. 2 7 2-
15�IEaV S
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT D
Davie County Health Department
Environmental Health Suction
P.O. Box 848/210 Hospital Street
Mockaville, NC 21028
1336)'151-6160 :r
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Naas to be Billed ! g G ZS)y L t -i— Contact Person R;,A., e' -Z
Mailing Address 76 &)'y ;.3 o a no" phone 9-1 '! IO
City/State/LIP �i"illi Ll eyLe- A) 1, .7,06 Business phone �`7i
2. Haar on Permit/ATC it Different than Above
Mailing Address City/State/tip
3. Application ror: Site Evaluation 0 Improvement Permit/ATC 0 Both
s. system to Service: House ❑ Mobile Home ❑ Business 0 Industry ❑ Other
a. If Residence: 1 People # Bedrooms a Bathrooms
O Dishwasher it Garbage Disposal p flashing Machine U Basement/plumbing U Basement/No Plumbing
G. If Business/Industry/Other: Specify type
I Commodes
Showers
i Urinals
i People # Sinks
i water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: beCounty/City 0 Well 0 Community
s. Do you anticipate additions or expansions of the facility this system Is intended to serve? 0 Yes ❑ No
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: &s:. S I
Tai Office PIN: # S-7-71- 9L/'
Property Address: Road Name
City/Zip
If in a Subdivision provide Information, as follows:
Name: D�'iiud�"Dr,7 Cx$erC -Pse- iv—
J1 &4!s
Section: Block: Lot: 6 7
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
free k. Ca u/tied s—.
Qr\�� Sr�'rUiA%i� /k1Ta
Pr'b,o�
td, I) rev% r k S) �s
Date Property Flagged: � 0 .S tc':+
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 falsilled or changed 1, 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 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 cult
DATE - SIGNATURE y
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
J Date(s):
Client Notification Date:
I EUS:
Revised DCHD (07/99)
Account No. f
Invoice No.
APPLICANT INFORMATION
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
SoiVSite Evaluation
Account #: 990001288
Billed To: Richard Short
Reference Name: RICHARD SHORT
Proposed Facility: RESIDENCE Property Size:
PROPERTY INFORMATION
Tax PIN/EH #: 5779-942269.67
Subdivision Info: COVINGTON CK III Lot # 67
Location/Address: Covington Drive -27006
/�
SEE MAP Date Evaluated: x —! 0v
Water Supply: On -Site Well Community
Evaluation By: Auger Boring Pit 1/1,
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 (.
Mineralogy1.'
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION 773
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: /fJ
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY: AA),I/
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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