389 Covington Drive Lot 78Davie County, NC Tax Parcel Report Wednesday, November 30, 2016
WARNING: THIS 1S NOT A SURVEY
Parcel Information
Parcel Number:
H806OA0078
Township: Shady Grove
NCPIN Number:
5789045710
Municipality:
Account Number:
82532021
Census Tract:
37059-804
Listed Owner 1:
SPAUGH JEFFREY W
Voting Precinct: EAST SHADY GROVE
Mailing Address 1:
389 COVINGTON DRIVE
Planning Jurisdiction:
Davie County
City:
ADVANCE
Zoning Class: DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
LOT 78 COVINGTON CREEK PHASE THREE
Fin: Response District:
ADVANCE
Assessed Acreage:
0.70
Elementary School Zone:
SHADY GROVE
Deed Date:
6/2010
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
008280751
Soil Types:
Pc82
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:
Fs-
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, impliedwarrantles of merchantability or fitness for a particular use. Ali 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
NC or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
1 " . Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900093 Tax PIN/EH #: 5789-04-5710SC
Billed To: Shelton Construction Services Subdivision Info: COVINGTON CK Lot # 78
Reference Name: Location/Address: Cov. Ck.Dr.-27006
Proposed Facility: Residence
Property Size: see map
ATC Number: 3269
**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 h4 #People #Bedrooms V #Baths —9,
Dishwashe- Garbage DisposaV!1"*' Washing Machin Basement w/Plumbing: 13Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD) \::76 a Site: New 00'Repair ❑
System Specifications: Tank Size�&46&AL. Pump Tank GAL. Trench Width �Rock Depth Linear FaX
Other:
Required Site Modifications/Conditions:
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 y fnelation. Telephone # is (336)751-8760.****
t-
4
Environmental Health Specialists Signature: - I Date:
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900093
Billed To: Shelton Construction Services
Reference Name:
r -acuity: ttesiaence
ATC Number: 3269
Tax PIN/EH #: 5789-04-5710SC
Subdivision Info: COVINGTON CK Lot # 78
Location/Address: Cov. Ck.Dr.-27006
Size: see
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, Sec ion .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTEWAT ST CTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: - - Date:�-
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 au�the system will function satisfactorily for any
given period of time. ihb
1)�
r
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date: V)1 T
4.
APPLICATION FOR SITE EVALUATION/IhIPROVFAIENT PERhIIT & ATC
Davie County Health Department s�p
Environmental Health Section
P.O. Box 848/210 Hospital Street Q�
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. /
6. If Business/Industry/Other: Specify type
# Commodes
## Showers
IF FOODSERVICE: # Seats
# Urinals
# People # Sinks
# Water Coolers
Estimated Water Usage (gallons per day)
7. Type of water supply:ounty/City
❑ Well
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
n Yes ZW40—
"**1M1'0R7ANT*** CLIENTS MUST COMPLETEE THE REQUIRED PROPERTY INFORMATION REQUESTED
BILLOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION.
Properly Dimensions:
Tax Office PIN: C) y S -7 1 %Z,
Property Address: Road Name t!
City/Zip AW, _ � � 2-700t.
If in a Subdivision provide information, as follows:
Name: <:fe 1. C -f-� t- e
Section: _TTr Block: Lot: /
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
0
Date Property Flagged: 9 l y l y
'Phis is to certify that the information provided is correct to the best of my knowledge. 1 understand that any permit(s)
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 1 am responsible for all charges incurred from
this application. 1, 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 _ S /t. e i �'• .. C • - o f.•..-�': _
to conduct all testing procedures as necessary to determine the site suitability.
DATE 1U '?- 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).
,o-,..'
Revised DCHD (07/99)
EJ s i rT Ij
1
l ✓ e- ✓
Site Revisit Charge
Datc(s):
Client Notification Date:
EHS:
Account No.
Invoice No.�
e
SL. JT.
)-..��,
S ) IA.—
Te=Mailing
1. Name to be Billed
_ 4!<.6
_ , _ Contact Person
"
Mailing Address
z
Lc 4 (,J Home Phone � �$
� - S G 2.s'
City/State/ZIP
%r%r, ` ,. 1� t
C
/J- C _ Z% 04a Business Phone -3 V
T
V- - ZOO 6
2. Name on Permit/ATC
if Different than
Above
Mailing Address
City/State/Zip
3. Application For:e
Evaluation Improvement Permit/ATC
II Both
4. System to service:
ZL- ouse n Mobile Home El Business ❑ Industry
11 Other
5. If Residence:
# People_
# Bedrooms_ # Bathrooms 2.
14-D1Shwasher
�rbage Disposal
Wishing Machine f_I Basement/Plumbing 11
Basement/No Plumbing
6. If Business/Industry/Other: Specify type
# Commodes
## Showers
IF FOODSERVICE: # Seats
# Urinals
# People # Sinks
# Water Coolers
Estimated Water Usage (gallons per day)
7. Type of water supply:ounty/City
❑ Well
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?
❑ Community
n Yes ZW40—
"**1M1'0R7ANT*** CLIENTS MUST COMPLETEE THE REQUIRED PROPERTY INFORMATION REQUESTED
BILLOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION.
Properly Dimensions:
Tax Office PIN: C) y S -7 1 %Z,
Property Address: Road Name t!
City/Zip AW, _ � � 2-700t.
If in a Subdivision provide information, as follows:
Name: <:fe 1. C -f-� t- e
Section: _TTr Block: Lot: /
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
0
Date Property Flagged: 9 l y l y
'Phis is to certify that the information provided is correct to the best of my knowledge. 1 understand that any permit(s)
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 1 am responsible for all charges incurred from
this application. 1, 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 _ S /t. e i �'• .. C • - o f.•..-�': _
to conduct all testing procedures as necessary to determine the site suitability.
DATE 1U '?- 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).
,o-,..'
Revised DCHD (07/99)
EJ s i rT Ij
1
l ✓ e- ✓
Site Revisit Charge
Datc(s):
Client Notification Date:
EHS:
Account No.
Invoice No.�
e
' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT D
Davie County Health Department
Env1f vninental Kea/th SL -Wan A 19
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760
t:
***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for
::2
instructions.
1. Name to be Billed l 1 G �)� L t Contact Parson jC i e I e'vl
Mailing Address ?b &)'y ;Z o a .l some Phone 9c78- -J ?AY'
City/Stats/2,11? -12dl l n%L.e, A) Business Phone R13- MR'
a. flame on Permit/ATC if Different than Above
Hailing Address City/atate/Lig
3. Application For: Site Evaluation ❑ Improvement Permit/ATC ❑ Both
4. Systan to ssrvias: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
s. If Residence: # People i Bedrooms i Bathrooms
n Dishwasher Il Garbage Disposal U Washing Machine U Basement/Plumbing U Basement/No Plumbing
6. It Business/Industry/Others Specify type # People # Sinks
i Commodes # Showers • Urinals # Water Coolers
IS FOODSERVICE: # Seats Estimated Nater Usage tgalions per day)
7. Type of Water supply: LKCounty/City ❑ well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: 'y %}'C.
Tax Omce PIN: C),-/- CP -1Z�
Property Address: Road Name
City/Zip
If In a Subdivision provide Information, as follows:
Name: (J1)11i/U1J'+b ,) 1i.l._
�-� I o
Section: Block: Lot: _Z
WRITE DIRECTIONS (from Mocksvitie) to PROPERTY:
fc i I -H-� C Lj"�"i
rbc r%!t
V'11 ft'4Xl- k S1 e.S
Date Property Flagged: +0 67y'#+
This is to certify that the information provided Is correct to the best of my knowledge. I understand that any permits)
Issued berealler are subject to suspension or revocation, if the site plans or intended use change, or if the information
submitted in this application is falsiiled or changed 1, also, understand that I am responsible for all charges lncarred from
this application. I, bereby, 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 sul
DATE - lJ 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)
Account No. / q S Y
Involce No. 0 f? 3
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
4.
Soil/Site Evaluation
PROPERTY INFORMATION
Tax PIN/EH #: 5779-942269.78
Subdivision Info: COVINGTON CK III Lot # 78
Location/Address: Covington Creek Drive -27006
Property Size: SEE MAP Date Evaluated:`
Community
Public 11-11,
Evaluation By: Auger Boring Pit 1/ Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
L�
Slope %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupC
C'
Consistence
Structure
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
SITE CLASSIFICATION:
v
LONG-TERM ACCEPTANCE RATE: -
REMARKS:
EVALUATION BY: 17,
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
Mois
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
tructur
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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