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360 Covington Drive Lot 67Davie Countv, NC Tax Parcel Report Wednesday, November 30, 2016 ---------- 121 5. 370 F7 360--- 3 50 (D 386 z 396-, 344- W 1 cc) 07 t Z 373 381 365---357 — ----- ---- 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) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEN ■■■■■■■■■■■■e■■■■■e■■■■■ee■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ UiiiiiiiiiiiiiiMNON MENNEN MEMNONiiiiiiiiMEMNONsommom ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■