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1175 Cornatzer Rd` DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hoepital Street Mocksville, NC 27028 (336)751-87G0 Account #: 990002125 Billed To: Mac Byrum Reference Name: Mike Kelly 'roposed Facilitv: Residence ATC Number: 3174 Tax PIN/EH #: 5769-21-5016.01 Subdivision Info: Location/Address: Cornatzer Road-27028 Proqertv Size: see maq AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MLJST BE ISSLTED by the Davie County Environmental Health Section prior to issuance of any building permit(s). T'his 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 WASTEW O N I ALID FOR A PERIOD FI YEARS. Environmental Health Specialist's Signatu e: Date:C1' �7 Q 7i � � CERTIFICATE OF COMPLETION **NOTE** The issuance ofthis Certificate ofCompletion s all indicate e system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Cha ter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be tak as a guaran tem will function satisfactorily for any given period of time. i ,l � A�.ik i�'I"�, %0"ZZ 1—I C�1.)S�L T� I � T£o �c,�c� � t �� Z� P�� , � �� 2 — 2-� �A��LS � 2 �� u3 — !g i�A►�.z5 ► � � y - z3 P��s Septic System Installed By: Environmental Health Specialist's Signature DC�ID OS/99 (Revised) (�t �.� F� ,,.� c�� 90° w�� - �,J Q L�. 7—� �Z DAVIE COUNTY HEALTH DEPARTMENT , Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (33G)751-87C►0 Account #: 990002125 Billed To: Mac Byrum Reference Name: Mike Kelly Proposed Facility: Residence IMPROVEMENT/OPERATION PERMIT �'�' �" �" �"" y•� Tax PIN/EH #: 5769-21-5016.01 Subdivision Info: Location/Address: Cornatzer Road-27028 Property Size: see map **NOTE�' � Tliibgmproveinent/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 STTE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type � � #People � #Bedrooms � #Baths � � � Dishwasher: � Garbage Disposal: ❑ Washing Machine: � Basement w/Plumbing: � BasementlNo Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: 0 Lot Size �. �� pe Water Supply ��esign Wastewater Flow (GPD) � Site: New �Repair ❑ � � System Specifications: Tank Size ��AL. Pump Tank GAL. Trench Width �. Resl�-Beptlr Linear Ft. �� Other: __ L�./LC� K-�'J�.�GGW SY"�TE�'l �iar A'IrC�.`%S �✓LG! .� 9�DQC3) Required Site Modifications/Conditions: ��w DIJ INIPROVEI�1ENT/OPERATION PERMIT LAYOUT - APPROVED EFF FINISHED GRADE. ****NOTICE: Contact a representative ofthe Davie � 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 �Cor�s��C��- C�r4c�`-�-1tS �FFi� �d�-'r0 !�".C�Nn1��(o �� Ct�.`sSTQ.t)C��'� bG �QfilC,s'�ST�N�- ��A� �. L�1 U., �-� V►2� �Lrrt►�c� a. P�P y'c � Ll ��S i� bQ� ,,�P�x ►�' '�x s � ironmental Health Specialist's Signature: �� DCHD OS/99 (Revised) � � �a.� a � � <� � C--A�= ��, VT FI R RISER(S) IF G" BELOW y ea th Department for final inspection of this lsa�i� Telephone # is (336)751-87G0.**** plm�lr I�� _ �n� � L4t[i Z 06-12-2002 11�54AM FROM KELLYCONTSVC TD 7518786 P.02 . ' . • . (� -� . . �—..� � b[. /pI Carr.. ��ri1f/ 1��Mdtr as �v�enw �i1 � ' .p.rr�al�a. fM� IIIA ti� A�1q fraw w st�r11 tl�t� . � - � �1M �Yt�f�. ' � {� �-�►,'. t�-' ' . �,' ►.vr.w r�_ awo a....y.. � t1rs3 � . �� tpp . 0 1001 Z00 300 �ap, y,P „b am-r �^r-� -��---�t •-.• � • GR�PHC 6CJ�LE -• FEET ' I rr% • �►'a �MI �s vl11[� +o sX Ll :.��7Fi. �. R •�/a 0� � 6��r /�IO A R YR t�NI I�ii. �fi�� y/�pr �pp��r� RI�—�M'�I tg a'"� a�� 1�11a � I wP ti R A� MY YCL� W� �.f�� '� � � �� '� �, � � �� / c. n..� . �� N �� ``a � / I � � / � . , ' � . � � � �`'^�r � f � � �� : $� o � ��..... � . / v �$ � � 1 � � Rrsd M Ts 16q � a� i�aT � 3� r� � L�t `� 1 � Pretiminory Plai 1'.�cAvlep C. IByru�o. III and Karea G. $yrtim �� : � � � �,.. � .� � . �" = ICO' FuRon Dvrta �� (,1otp6rto Ol-Z3�-02 . ' � � 114 Gpot Stroa3 �Q � � N��: 1AoCkwiM. 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Re1`'ox to th4 INNOAtdAT2pN BUI,LETZN !or in ctio ,� 1. x... ce b. osil.e i�1%�G 3y/W�^^ /Y79L -`—r��', �� e.,z.o� �=,a. L3y `�. � , , , Ii.Allnq A.fdr..w &47� S � yE-n�S�'L�1�t�( �0- no�, �„M 7�a -9S8�y '��F` l�'�! ,,, . � �/}, -`'L'�*,R ca�/�ewr.�/szv C(%1n�oN$ �NC 27„{}f� z...i,�..• st�„�. 76�1�/77�/ ,� 2. aw on F.s�atc/wTC it nirr.�n,t th�n Abow � . w,f.l.inp wd4s�w ' Clky/Yt�b/ !p � (p b L C;r ► �. �pal.oAtion �or: G�BiC� &v�luation RlImprovenwnt P�n t/ ' 0 Both ♦. ur.t,.� w sax,.se., 1� goua• O Mobile, Homr O Busin�ee O xz�dustrx O OChox � s_ z� 34iid�na.i � Peoyl�l �� b�droome �/ f Sathroom.e � 7- g Di�Lrub�s (7 Gacb�p� Alrpo�ai G71f..1►!n4 �uehLM R'b+.�wot/n1aa.�e4 O D.....nc/xe a,1.v4Lq � 6. T[ au�l,n��llndu.lsy/Ot1ur� op.aLia. Lyp� f v+qpi• 1 Oidc� � COmd�• I Oi16w�i� � 11il.�a:� �`� I M�G�i Coo1�R� 21' Y'OODW�ItVIp4: N 8eeta Hatlmated pubqr U�aq+ tp.iion. v�r e.y1 �_ Typw o,� watu= e�spply: F3 Cous�ty/Cj,l� (7 Na7.1 p Co�un.�t7( •. Do rou nnliclpnte �dJflione or ez�analoua of tLe Caclltty thls ayslem !a Inteaded (o aervc2 C7 ye� BTio Ilyc�, rvbat type7 �`�!AlPDXTAN7''•� CUFNtB MUSTGiOdlALET&7'}IE R6QU:/L&D PROPERTY INFORAtAT10N REQUESPED BELOW. E114e�aP1,ATorSITE➢I.ANMUSTBESUBMI77'EDb IhccUeot rrltbTHiSAPPLICATION. froyerry UlmenAlods: �/' �r� ��"� � WRiTE btN,F.(,ti'(ONS (from ►1Sotksvllle) to PROP�RTY: Tax 0[11ce YIN: H pkR� oF I� boo0eoo"Z l l-IxGHwa.1�� %b Coii.�vRi7�ti � Pro{Krty Addrese: ltouj4�� 5 �aa�A � z�t t2p - S a r� 0�, LfF� SFQE� e�- cuyraN ►�c��C�Jy��,� Lon�so�� zc-�. .i us � aFrs� K�►2�St'OE- /'� ` IIItI Y gY�{YIbIOp �INY{JE IIIIU[mR1I0A� YS �OIICiw:: Lryv� ' C3V� LQTN[� ST rF_ wx c�. g�. (� GOGFt i E-� I�✓E FitN Q T F;'� 531A5 N�we• - Secqoa: !llucic: I.olt Ih�te Propartr Flap,ged: � � L . ,.. . Th[t Is to Cerilty lhyt the lnfotwqllon yrovldoJ b correcl lo Ih¢ lrpl of my kuuwlod{�a T aaden�ad IGaf euy permil(f) Lseacd bo�ealler �ra eubJcct to avape�u+(un or rovucatloo, lf 14e dle, pibtu or {uteuded roe c6eage� or U 1he ial'ormaUon aubu+fltal ia 141a �pVlkal[on Is tylsiU,ai or ehnaged. A, aLso, wudersrand rHar t am responslbfe jor a!! cbargcs lncurr�ajrom !bb appllcallon. i, hereby, Y(vc cotiaoal �o tbe AutQorizerl fteprarnnfallve n( tLe Anvle Covnty Hcelih Deparnneot ta rnlcr upoa above deacribed pruperly loeatcd lu Lavie Counly �nJ mwed Ly to conduct a11 latlug proceduree w necessary fo daldnnioe t6e slle aultabtlfty. DAiE ,_ �� 3 l� 2. SIGNATURE �� `- �/_�___�_�� '�- � / 'TfiI3 AREA MAY BE USEb FOR pItAWLNG XOUR 517`k k'i.A.Ci (Taclude �li of Ihe foUmringt EziiUag aod propooed proptHy Iloee and dimenalons, ttruelures, satbacks, and atpltc IocaQoaa). 5fte Revitlt C6arge ,��. Datt(e): ✓ ��r�/_ � 7 , Client lYotificalton bate: v lJ I � � EH5- Zi� �� C� � � 7 � g � ��d�n�Na �� , f � �� iterGed I)L'EQl (07l99) � , . Iovoice No. � � � � V ��I , � � . '�� q ** TOTAL PAGE.03 ** 5�t,oS �� _,� j�t � � � N \� ��'W� f r+ N o2�'z � 4'' n� w � �.70' � _ �. �� _� � f', � DB 1 �`� � � n . �d ,e• ) � �,BR�y ?�g'S; , � � � � � �p �,�e N,ry, -a�-tr- �T ' ' . �� 4�� iq��a�t ��y � 4„e ��$ �� ?'x � �� ''e��. � I�p� � ' ��+� � . ��,�� W • � - ^r.� � � � - 00 � �� ,r�.er { 4 s orao�eo�w � �, '�s �' f— S��Q' +�"; � � �� ; �'�`" b ' � � x � ^ � � � � � N y � �� :... j . + � �� t�' n �� i � \ . \ y cS � � � 2 � � � • � � � 7 �� l� \ \ � � � ; ,� -�� g �, � � . �` ,� �_=T.:. ► , �:�;�,.�::... �` .�,`� � .� _ . .. � u � �' ~�O� � S �3'� ` , ,.. � � � D �� -�.-"� �r� � ; _`� � 7 I ��JOtiy i � a F �� ,��, � C rn �a � � �� o d ' , 2��, ss,�.,o,w � . `-,,., 2a.JJ. —�. ° `��i. .. .. - �;Ss � � � .� ,,.y." ':y1M_:.,. . S �` �. ID 0. � :qr. � „� � lL:.� � ��.;f Ve°�,.'. {. I e�� ,. I � �i' , .TA�`I ie � 02 �'.� � �7 •. -'-'nr,'"' � t . - i.'R ...��r�r;`:� :'-FiL•c. �2 • •1 � ., APPLICANT INFORMATION DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPERTY INFORMATION Account #: 990002125 Tax PIN/EH #: 5769-21-5016.01 Billed To: Mac Byrum Subdivision fnfo: Reference Name: Location/Address: Comatzer Road-27028 Proposed Faciliiy: Residence Property Size: see map Date Evaluated: �� Water Supply: On-Site Well Community Public ✓ Evaluation By: Auger Boring � Pit Cut FACTORS Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON '0000�� #��---� r�1'.!�'��•l�� ff��'a • � �� ---� Z��r��---� , �� Y�/�-t ) � C +. T— �� SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE D- SITE CLASSIFICATION: � v� `�� Q�� LONG-TERM ACCEPTANCE RATE: v ' ` REMARKS: �'�3 ��"�C.�4 �r`TD'�,' (�,*�� "�-�4.� 2�Y�� LEGEND EVALUATION BY: OTHER(S) PRESENT: 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 plai❑ 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 - Subangulaz blocky PL - Platy PR - Prismatic MineraloEv � 1:1, 2:1, Mixed 2\ Notes �" r� C Z � Horizon depth - In inches i� �� Depth of fill - In inches �� Restrictive horizon - Thickness and inches from land surface Z3 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 Classiiication - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD OS/99 (Revised) ■■�■ ■��■ ■��■ ■■��■�■ ■■■��■ ■■��■ ■��■��■ ■��■�■ ■��■ ■��■ ■■■��■■ ■��■ ■��■■ ■�■�■■ ■�■■�■ ■��■ ■��■■ ■��■■ ■�■��■ ■��■�■ ■��■�■ ��■�■ ■��■ ■�■�■■ ■�■�■■ ■/��■ ■��■ ■r��■ ■��■■ ■�■��■ ■ ■■ ■■ ■■ ■■ ■��■■■■■�■��■■ ■��■�■■�r■��■■��■ ■��■�■��■��■ ■��■��■■��■■■ ■■��■��■��■ ■��■ ■■■��■ ■��■ ■�■��■��■■�i ■��f��■��■�■��■�■ ■■I,11l��■��■��■�■��11�■■■ ■��V��3ri1��11��■■ ■��`�!======�l��■■�►:■11��■■ ■�■vr�l■��ii�■��II;`il��■ ■��■\■�■ 1��■��■iill��■■ ■��■��■ 1��■■�11��■■ ■�■��■��IIE: \�■■��II��■■ ■��/li�i'%��II��■ ■■��■��11�■■��■�■■1! \�� ■��■■��■■��■■�r.n��r�e■ ■■��■�■�■��■�■��r�!�■ ■■■��■��t��■■��,��►:� ■��■■ :====�=====�:�►Y t.'��l� ■��■��■■ 1■■�tiiGri7�_l��iii�■�■LJ■ ■��■��■�■��I�■��■r��■��■ ■��■��■�■��I�■�/1��■��■ ■■��■��■�1��■!!rilf�:ie�■i��■ ■■��■■�■0�11■�<t!`i��i�11��■ ■��I��■��■ ■�■��I��■��■�■�■ ■��■�S■��■■��■■��vl\�■� ■��■■��■��■��■�■I��■ ■�■��■��■��■��I��■ ■��(fi7■ ■��■��■��■�\��■��ICirrr■ ■��■��■��1��■ ■■■��■��■��■��11��■ ■■■��H��■■��IA��■ ■■��■■��■��■�H■■��■��■ ■■�■�■��■�■��■��■��■��■ ■��■■�■��■��■��■��■��■■��■ ■��■��■��■ ■�■��■\�■��■■��■��■■��■■��■■�■ ■■��■��■��■�■��■ ■■��■��■�■��■■�\��■��■ ■��■��■��■■■��y��■G�■■��■ ■��■�■��■■■��■��■\■/.r��!��C: �i�■��■ ■■��■��■■��■��■■�■�■�■ ■��■■��■■��■��H��■ ■ ■��■ ■��■ ■��■■ ■��■ ■■��■ ■ ■■�■ ■■■■ ■�■■ ■�■■ ■��■ ■��■ ■��■ ■��■ �� ■■ ■■ �� 1 �, � Z-- • ' , � • . Ae�uG� � 8mE �vau� ,�' l — , 110�i/IMPNOVF]NEM PfAMtT A� ATC ' . `. ' b�vle Counfy Ha�Mh paparbn�nt ' - . �EmfiiarMx�►�ta/Has/�IiSe�r!/av� � ' P.O. 8ox 6�8/210 eoapital 8tr�et � '��-----, Moek�vill�, NC 2T028 -• (396)7�1-8760 . 1 `�Q/G (Jr1 �V ^ 1 6 // v �� , •�*IMppR?aNT��• TI{ZS APFLICAT20N CALR7D? 8! PROt�88�D VNI.m88 :�LL SHE REQUIRBD (/ INK�RM7►SSON SS PkOV;DbD. Rei�r to tho Iti7'OTtl�1TIOZt 8VL2dGTIN !or ln�tructiona. 1. Mur te D� DL�1«! l 1�N� �P�1�Y� coo�ot lsrson U-( 0�� M�Slinq A4dt.�• R5� U ,�'8- 7G9�' � � Yoar 1t�on� �s�„�,ww�:�p /�{ -�v_i( lV - D .,,,.�,,....,.�,�. 751-22ZZ ��'�� O! z. N... M P�a�l!/ATC !L Di[L�sNI! CR�n i6ow `%�h Tran C'pG�ryy� x.sis,�v .ear�. �[f��'% Yat�kn%�c �d c►eY/rua/ssp _._��Sv/%%, /�G Q%L� �. Applioation lor: !7 81t� �v�lu�tioq ❑ IsprovsaAnt P�rmit/ASG ❑ Bokh �. �r•� ��•�e.� �Hou�� O ldobi�a ftoas 0 8usin��• 0 Zadustry d othar a. !t A�■id�nw: i P�opl� „�_ f HWrooaa � � BRthroos.e � �.e...a.r n wresq. es�pO•.1 �.nino M.e�uM1. �.y�fe/vl�lBq o a...rnc�Nu n1l�ieo i. I! l�a�in��/ieWu�lt=/OM�s: dy�altY typ� �?�opl� 1 Dlnk� � ea�erf�• � ��Low�r� � Urtnal� �__ 1 1ht�r Coo1.:0 . Z� !'ppD9EAVZCl: � e�at• s�ti�atad lfater tlsaq� tvuo+.. ar e.r) ____ 7. Syp� o! rat�r �upply: d COuniy/Ciiy O Ilall -❑ Com4swlty a, Do yo� �nNcipile �ddttiooe or etpsoalous oilhe fic1111y l6V fystew 1� lotended to �erva? 0 Ye� ��iNo If ra, w�6it typeT •��/MPORTANT"' CWF.NI'SMGLS'!'C�MPLBTfl'THf: R6Qt11REDPitOPER7Y INFORMATION REQUESTED BEIAW. EH6er a PLA'f or 31TE PLAN Ml/STBESUdMl77ED b Il�s dieol M�6 THIS APPL1CATtON. i.1 Property Dlmeudo�if: / d � �� i• WItITE D�ItECi'IONS (from Mockrvllle) Io PROPER7Y: T�:Olriee PI1V: i� � � lo �� /j� �2er- �rr� �j —'—'t�#.�Trvtw owr� {yaM !'roperh Addras: Raa rr.d. nrnq� � ,lAnd acrossn-� d�d; 6i- C�'i . ci�y�ip G� VI lR r� �Yce.� �as .S i/ds �� , 1f lu � Babdivlsios provlQe Infore�ation, ae foilo�e: b� � �1, G Ne��: N �i� ��se�, �ar,�.d � SecNoe: 81oek: Loe: D�11e hopert� F1a=gal: 0 7'hU U fo ea'll(y I�et Ihe lnfarm�Hoq pravlded li cotrcet to iLe bc�t of my kqolrledee. I nedentaad that �py permil(�) inrtd �ereafler �rc anbJat fo �u�pensloo or revocaHor. !f ti�e eite ptoos or irteedcd de change, or i! tha informstloo �ubmlttcd Is ihl� �pplieaHos b fi�bifled or c►�eged !, elco, a�dtrslaedl6all ani rcapon.tJAle jor aNeNarg�s lncunrejrom rNls eypdea�lon. I, Dereby, give eonfeat to fbro Authorized ReprqentaHve of t6a Davie�qupry Heait6 ep�rtmenl to enler rpoo �bave descr{bed propttty iac�ted Iq bavfe Connty ��d a�raed by �-�!3 � �� to coodnet �!I ta1lo� procedura u neeaasry to determine t6e dte �ulabU(ty. DATE l�✓% .�D_I SIGNATURE TH13 AftEA MAY BE USED FOIi ARAWINC XOUR 617E PLAN (Ieclade �11 ot e Ilowlog: EthNug aad propoetd P►Oplrij' IIOts p0d dlttllO/IOO/� l:�Y[(MI'W� relbaek�, and aeptic IocaHon�). . Slle Rcviaft Ch�t�e _ �-. i1�te(e): Clk�t Notifie�Non D�te: EH3: �� / Accoant Na, Aevt�ed DCHD (07/99) Involcc Na � -- DAVI� COUN1'Y HEALTH D�PARTMCNT Environmental Health Section Soil/Site Evaluation . LiCANT INFORMATION PROPERTY INFORMATION • � Account #: 990000761 Tax PIN/EH #: 5769-21-5016 :," Billed To: Swicegood -Wall Reaitors Subdivision info: ' Reference Name: Location/Address: Comatzer Road-27 2 � Proposed Facility: Residence Property Size: 10 acres Date Evaluated: � �2 Water Supply: Evaluation By: FACTORS iosition Slope % HORIZON I DEPTH Texture group Consistence Swcture HORIZON II DEPTH Texture group Consistence Structurc Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mincralogy HORIZON IV DEPTH Texture eroua On-Site Well Community Auger Boring �^ Pit Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: �� Public Cut 3 4 5 6 7 EVALUATION BY: LONG-TERM ACCEPTANCE RATE: �`� ��' ZS OTHER(S) PRESENT: REMARKS: � �1 JW !'(Y�� %a�s �tl.t- i^�M�� L� , SJ+uC SM . �G(� M.iKl3f� � �J N�1 L ^''Zl% �` LEGEND � Landscape Position R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Tenace 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 day 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 Structurc SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangulaz blocky PL - Platy PR - Prismatic Mineralog,y l; l, 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 tq,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 - gaUday/ft2 DCFiD OS/99 (Revised) . ...........................�............................� ■��r��►��■��■��■ ■ ii�iiii�iiiCiiiiiiiiiiiiiiaiii�i�iiiiiiiiiiiiiiiiiiiiiiiiiii■ ■_�� _��■ ■��■�■��■■��a��■ _■ _ �=i�iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiioiiiii:i�i�iiiiiii�i` ... . ._�_...�.............�.��..................C.........C. �.C. . .. ...C............�,:.��..��._.......C..C.........C. . ■ ■ _��■ ■�■��■��■ ■■��■�■ ■■ ■��a�■ ■ ��■ ■ ■ ��i��■ �■ ■■ � ��■��■��l��ll��■��■ ■ �� \��J�l�ll��r�� C. ��.. ...............�.�.��............................_ .SC CS . ..�................�..��.....�................... ... . . �� ...................�:.��........................C...E �. ■ ■■■■■■■■■■■■■■■■■■��■��■■ �.u.■■■■■■■■■■■■■■■■■■■■■■ ■ ■ 11� ■�� ■ ■�■ ��;;��u��i��t��■ ■��■ ■ ■ ��■ ■�C■ ■_�■��■■��►�_�i��■r�s�i�■■��C��■ ■ ■ �■�■ �i��i■ ��■��■��t��i��i��r.��■ .� C.....■.�......■.......::��....�...,►:�........�H��,.......�. 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C�:��:�:C:::�::::CC:::::::C:CC:C::::::::C::C:::::C::CC::::�: �� .5.��..................................................■.�. . ..........................................................■ C::':�C::::::::::::C::::::::::::�:::::::::::::::G::::::::�'.■ : ...C�=......................................................,. . .� ... ...................................�................,...�� S� ��C=��■��■��■��i��I:a►� � ■�� ■��■��■��■�■��n►i.��■��e�� ■ ■■ ��■��■�■��■��■��■t��■��r_.�._�� i�iiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiiiii�Qi=ii ■��t�■��■��■��i��■��■��_�■ ■��■ ■��■��■��■��i��■e��■��■ ■■ ■ ■■ ��I�� _ ��■��■��■��■��■■��■��■��■�� ■ ■��■■�■■�■��■��■��■■��i■■��■�� i ■��■��■�■■��■��i��■■��■ ��■ ��, ,��i��■ � �■ ■�� ■��■��■��■■��■�■ ■��■��■�■��■ ■■ �n� ��■��■��i��i ■ ■■ ■�� ■■��■ ��■��■��■■■��i��■■��■ ■��■ ��■ _ ��i��■ ■ ■ ■ ..=�..0...............................��.�...............�� 0 C. �a .. ..................................��.��................. .. ..... ................................-.��............. . .. =nC��C�CC�CCCC��CCCCC�C�C�CC�C'�'��CC��C�C��"?� ��'J �.......■..■..■....■......■....■.■..■..■■..............�.� ■ i I { ` . /` ' • . . � • Z7avle Gounty,�fealt`h T�e�artment Envlronmental ,�-fealth Sectiorr Po �X s4s / no H��t s��t Mocksville, NC 27028 � Phone: (336)751-8760 Februaty 4, 2002 Mac Byrum '� 6976 Styers Ferry Road Clemmons, NC 27012 Re: 2 Site Evaluations- 5381 Acre Tract/Cornatzer Road Tax PIN: 5769-21-5016 Dear Mr. Byrum: As requested, a representative from this office visited the above site(s) on February 2, 2002. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, Site #1 (near silos, with frontage on Cornatzer Road) was found to be provisionally suitable for the installation of an on-site sewage disposal system. Please be aware that house location and plumbing outfall may require setting a lift station for the on-site wastewater system. Additionally, due to the lake and some steep and complex topography on the tract, area for the system is limited. Site #2 that has frontage on Hearthside Lane was also evaluated February 2, 2002. This site was found to be unsuitable for the installation an on-site sewage system for the following reason(s): Rule .1941 - Soil Characteristics, Rule .1943 - Soil Depth, Rule .1945 - Available Space. Due to the limitation(s) on this site, this o�ce is not aware of modifications or alternative measures that can be implemented at the present time to upgrade the classification from "unsuitable" to "provisionally suitable." Your application for Improvement Permits for the second site must, therefore, be denied. You have the right to an informal review of this decision by the Environmental Health Director of this office and also by the regional staff of the Department of Environment and Natural Resources. You should contact this office to arrange for this further review. � You may also wish to obtain the services of a private consultant to collect site- specific data and submit such data and a system design to this office for technical review. A site may be reclassified to provisionally suitable provided written documentation, �-- ; ' • .r � • � • ,' , � including engineering, hydrogeologic, geologic or soil studies indicates to this of�ce that a proposed on-site sewage system or a proposed alternative system can reasonably be expected to function satisfactorily. The substantiating data from these studies must indicate that: A) The effiuent(wastewater) will receive adequate treatment; B) The ei�luent(wastewater) will not contaminate any ground water or surface water; and C) The ef�luent(wastewater) will not be exposed on the ground surface or be , discharged to surface waters where it could come into contact with people, ' - animals or vectors. � You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 733-0926. The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Offce of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is February 4, 2002. Meeting the 30 day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 150B-23) to send a copy of your petition to the North Carolina Department of Environment and Natural Resources. Send the copy to: Office of General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of the petition to Davie County Health Department. Sending a copy of your petition to Davie County Health Department will NOT satisfy the legal requirements in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDENR. Ifyou have any questions, feel free to contact this office at (336)751-8760. � Sincerely, � Jeff G. Beauchamp, R . Environmental Health Section enc(s)