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134 Donree Ln
�avie County, NC , Tax Parcel Report 1-�-3� � Monday, October 3, 201 E �� ,�� ��{ .`f-� ,.• ,f`----< *,. f , , 112 11' ,�� �+r �% ,''" ''-,,._ -� � '`.;r�r� f.�1 �.22�� ,;� -�- �`�_ �-. ��, r �7' �'^+..,,�;��c� .%- �.,._�' y� i ( ��`�'�.,�_� J;l:�'�`rj �ti+a� l'� �`�. �� fI � ~'~ `r!'�_ � _� �09;�: --,-�._� ( `��:~ �2 31� i "--.,,`2C11�7fx 7'7�f. i � __ . , � ; 4 �' 4 I —.—..�. r ._ ��., '..,,,,,195"''`!2 06 `"~--- '`,�.� -�..`,-- I,� �..o t`%"�'' ,� `-�-.,_� � .,,��21� r�� I ��'�='r�.:1�3 2 � t ,� 1�l,is�� � `�-�.� � :�zii�� -y�-_ r;`f', ''�r`•'\ �-�-.�� +� ''``''• 7�1 l 6� j"%i",,•,;.:1 i 6 ��`' '`^� '`�.,,.__ '"�'r.2 Z q�, r f �" �ti ��!� , n� ;1•?I] �'``�.� ^ ___� ..,.: „,t —� �,'� � �a-w-:�"�,� 13; �- �13.� ��i�2 II 141 ��1�� 166 � , . 129 �'��(j��//V ���" -- r--' �1�� , , ��_�� ,� _r�1 E� 1��134 �-..--�.�i �/ � � � � 3E ' �16'1"'�--� �1�+'3 'I �� � � 11 1 ���.�'(� ��62� j ( I '� 5��"�'�� 1164 J_ ���i "`.;'�,.�.:r;` � 14C1 .� �--�-,' ��---;�x-•2158 I �r�:`� � fi�'` u��5.� I � '� s ?15 3 ' �'-r--� ,1--: �9'7g���`�I �i`��4��`-: 2'�6 ( �' ; � ?'15Uf 1�37,._.v�X''=�.- 2�?6 i �55=`�;�.��� � 211.i �.15? 1' ; ',t � -� 1 1� � ' -,�,�'.. ^10 ``��, 17 q ' `16 4 ,f _ �k.� �I t . �, � �--- �� 1�� � �r� .`�z l�s. �_� _ 13, ���.`.� �•.. Y 140 f. � �'21 g^`�.� � 211].''� '�12 l jf �. ..� , . 4 `� -^""'�.""� : ��. ;` 'Y*��"�,� r �• � �......._.I._........................................_..._._._.I_...._ i _......................................_.f.—_...�...._..--.._....._......................................_'�.......- --' -:,....:....................................................._............._............._......1_t17...... ... ............_...t....__..._____..__... WARNING: THIS IS NOT A SURVEY .... . r., r , _ � __. .. � . _ _ __� _ __ �_ � , : ParcelInformation � . ; Parcel Number: G500000032 Township: Mocksville NCPIN Number: 5749290604 Municipality: Account Number: 56960000 Census Tract: 37059-806 Listed Owner 1: _ PILCHER J T . � ' Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 134 DONREE LANE Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27028-0000 Voluntary Ag.District: No Legal Description: 7.80 AC HWY 158 Fire Response District: MOCKSVILLE Assessed Acreage: 7.88 Elementary School Zone: MOCKSVILLE Deed Date: 2/1986 Middle School Zone: SOUTH DAVIE Deed Book/Page: 001300134 Soil Types: PcC2,RnD,CeB2 Plat Book: Flood Zone: Plat Page: ' Watershed Overlay: DAVIE COUNTY Building Value: 139990.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 59270.00 Total Market Value: 199260.00 Total Assessed Value: 199260.00 ��t AII data Is provided as Is without warranty or guarantee of any kind elther expressed or implted Including but not Iimited to the 9�""� Davie County� Implied warranties of inerchantability or fitness for a particutar use.All users of Davie County's GIS website shall hold harmless lhe 7�7 County of Davie,North Carolina,its agents,eonsuttants,eontraetors or emptoyees from any and all elaims or eauses of action due to �'OUN�� 1�C or arising out of the use or Inabiiity to use the GIS data provided by this website. . . . , < � 1`��'� ` ��� � Da��ie Cotul(.y He�lt�i Depart�nelit � �r �i��iroiuneii�a.I Health Sectioz� ',m�-.�:;;�,.,�; • � P.U. Iiox 8�18 ��_ . � �,� 21U Hospit�il S[��cec ( ' �,� Q��� Coui�ier#: 09-�0-06 -, 1�; i 1 Vlocksvillc,NC 27028 pi,��«:c�-�sa-s�ao r,.:c.�.���-�.��-i f�so ON-SITE WASTEWAT�R C�RTIFICATION (Check One) Repiacement Remodeling Reconnection Name: ���"/�7 ��L��t�G�` Phone Number � �6'�( �� 'l g�� (Home) Mailing Address: j?j� �/7/�� ur/ (Work} �'1 DG«5 �/�LGI� yl/G. 27UL$ Detailed Directions To Site: ��i���V,���1l� �D� (1D0 � / ��J l�� �15f 6 n� L�-�� ,(��s�- �'1'1�i� C i� C�'C� Property Address:_ �Zj I Y��� �/• i�v�� 5�iZLLJz �2"7C��� Please Fill Tn The Following Infoi•mAtion About The EXISTING I{'acility: Name System Installed Under:���5 �yLU�r��,lype OfFacility:���, /l Date System Installed(Month/Date/Year): �j '' � ^�Number Of Bedcooms: Number Of People: Is The Facility Ct[rcently Vacant? Yes � If Yes,For How Long? Any Known ProbEems? Yes � If Yes,Gxplain: Please Fill In The FolIowing Information About T�eNE�i�Facility: ' Type Of Facility:�.�k�� �/l/��-'U��. �hh7umber Of Bedrooms: � Number of People� Pool Size: Garage Size: Other: � � Requested By: �/���Ii — ,�,��,/�� Date Requested: "�` (Signature) � For Environmental Health Office Use Only Approved isapproved _�-- /�j� �" �� �y' ,�/ ,�, Com ents: i�/�Q�l� �C.P�/1 � �Z—/ ��- � /` C?�<7 c/ ,QO���',��- -� �. ° S k Environmental Health Specialist Date: — *The signing of this form by the Environmental Health Staff is in no way intended,nor sl�ould be taken as a guarantee . (extended or limited)that the on-site wastewater system will fiinction properly for any given period of time. Payment: Cash Clieck Money Order # Amount:$ Uate: Paid By: Received By: Account#: � � b�(E 1 Invoice#�: � . • • . ., �cl�l . ROOF-MOUNT PROJECT NAME: B2V@fIy PIICIIef SITE SURVEY(PG 1/3j �ATE: 3/4/16 � PROJECT INFORMATION Surveyor Name and Phone#: Richard�onas�oa-si�-68�6 � Project Address(including Street,City,State,ZIP): 134 Donree Ln.Mocksville,NC 27028 ' Electric Utility Company: Duke Energy Permitting Jurisdiction: Davie County � Special Requests?:(Preferences regarding See attached module layout provided to the customer by NRG visibility/piacement of equipment/comp.) Solar PV EQUIPMENT Solar Modules Inverter(s) Quantity: 25 Quantity: 1 Manufacturer. Canadian solar Manufacturer: Solar Edge Model#: CSP-255-SD Model#: SE5000 ' InVertel'LoCatlon: To be externally mounted by meter and external main BALANCE OF SYSTEM COMPONENTS I Racking&Anchoring System Array Information(Orientation,Tilt/Pitch) ! ' Racking Mfr: Azimuth: �75 ', Model: Tilt/Pitch: 36 degrees � Anchor System: ' DC Disconnect Required?: ves ' AC Disconnect Required?: ves PV Production Meter Required?: No ROOf INfORMATION I Roofrype: Composition Shingle RoofThickness: Standard Rafter Size: zxs ir�s5 Rafter Spacing: is��oc I Roof Notes: longest unsupported span is 9'6" , ELECTRICAL SERVICE EQUIPMENT Main Panel Information Amperage Ratings , Manufacturer: G.E. Panel: 200 Amps ! Location: Nonhsideofchehome Main Breaker. 200 Amps �i Tap/Splice Possible?: yes Breaker Space Available?: yes Distance between Main Panel and Array: 40 feet G�OUnding: #6 Bare Copper(Existing) Service Phase: Single Service Voltage: �zo �zao Sub-Panel Information Amperage Ratings Manufacturer: Panel: Amps Location: Feeder Breaker: Amps Tap/Splice Possible?: Breaker Space Available?: Distance between Sub-Panel and Main: I Scf�l SITE SURVEY(PG 3/3j PROIECT NAME: B@V@I'Iy PIICII@C ROOF DRAWING/SITE LAYOUT �ArE: 3/4/16 Please Include: _Sketch of Entire Building Example: All Dimensions o Al/Sur aces used f f North Arrow i ,-� — _ _._ _ � ;, u� �._.:_:.:..--- _Direction of Roof Slope _Vents or Obstructions(remember to label origin) ,,,_ I ,�.,,,,,. Main Panel Location " 'e�" � _Inverter Location � � I � _Conduit Paths � Length of DC Run � _ _ ,...,.; , Length of AC Run **Do not forget RIDGE-TO-GUTTER measurements** -.4 7 �, I . � � __ ��y+ • j �� L�`. � �._ ,R`" T'], � d'. 1� �� #'s4 � � __" �'[h: 1 at L r�.t +�yY�i� �� � i� .�. Y4 a� f`1� �0., ^�� •�p,l�v +r". �: �s,�• . g}��y. � �`������ A�!' '1cs� ,►� � ,�. . ' sA ! .y�' ��,y ���H _ �... +��, � �� � ,.�,t1P✓'^\}~� � ���. •k' . ur � , , � ��+ � ' *� �� � ',~� ;�` � . _ & x, � ' � .� �#����� � r � 'Js�4� �,�r . � � ��t sa �� "EiR�, .� .i �*'-n-' � �. t"1F�71GY��r.�'��: ��� �, � � ���� �` ��� �� �� �� � '� Main Service panel � �� � ,� .���: � . �_;y y � : � r� ,� T� �" �x � and meter location '" �--.•, ,_ � c � �"1 �� r _ . ,� , _- � - - ' �, � , =�� �'�,� : � ��.-r:-� , � �� �,: , . � � ;� ��►�,� � ,� �1' �� , . . , '�` '���a�,�� �,, ; • , � � . . x, ,�„ �4 f . ��s. ``.�s' �� �a+€x y4 �1 "f, � k P � . . . . � � ������y_�4.. '� � � � _..r. —_._ ...� �- _ �� n `�, -3�- �� � . ... . *.-r a. .. �. '�:.�� `"!. ✓� i: Array on the front �~ � � K;,,,"�'' , . �,•r of home �. - = � �- `� ��,�` , �� � ._ p � � w� � �� ��� ^�d�� �_ _ � �� � ����' �" I =� � `��""+c�'�i� ' « ����� � ,e�4•. '� •�. � _ I " ` � ' , �..a "� .� ���,. ' t�,p* ✓ ��� 4 , .. ... �,r . a.. . �,.�`tt�. �ft� ��. .x . m .i ,.r ° �"'�> � ti�p� ';'�(�'�... �` � 1 1 X� � ��Y,. .... �� h t�yt t � .• � ' ._ � ����� � .. � Y £ , N`f�l �� '. tt �""s �� �� 'Y'' `}. yfl���. ���� 9 4� �� ��µt i��s���� r y{ � � 4 '�?:. , r, �..'f s.�y' � ��. n� 1"{,.0�` �'My� �w^� # �"��,.. y 1. � � + � 1 tl . ,.�T �; �� r 4 �a . . . ; ` =;' „s,. s �.� ti. � _ , _..�.._.. .r,: � °'�'.�� , � i� '. p . ._. �4l.'� '..,� .4i``� zi�u 6.�. ._ . —..—.--_.._. ___..—_.— _—__ __ _________ __ t x s a e e � e a to it iz i3 u u m n ie io m a n v xs aa ROOF 1 25 PANELS 37' PITCH 177' AZIMUTH 83� SOLAR ACCESS � EXISTING ELECTRIC PANEL � EXISTING ELECTRIC METER .� y ... .._. .__,�R � .-q ...4�1 ..�, , �� � �� � , ' ' ' ` ' � ROOF DIAGNOSTICS � _ � � """ 1�`� , '' � � ` "k'� � PROJECT SITEMAP Home' � . � � SOLAR AND ELECTRIC, LLC �p ��, � � � � � p _ a k;� ��m� �� ��� \��N '�� E\� � � �� �`7�""� � � 3'-3" SOLAR SYSTEM INFORMATION CLIENT INFORMATION � ������� �;� �� � '�� `�°� � � �+� �� . '�`,� PV SYSTEM SIZE � ��, � � � �, � Pilcher, Beverly , ��� �y' .. 6.500 kW DC RESIDENCE � �`;,� �n -` ' �,,, .d� x � _I SMA STRING INVERTER 134 Donree Ln, SB6000TL—US (1) STRING OF 12 � .u�� a , � ° � ����,.,� 1° Mocksville, NC 27028 (1) STRING OF 13 . �, �� � � � �""°"� � TSM-260PD05.08 SOLAR PANELS DESIGN DATE: 1�13�2016 ���� � °� �° PANELS-260W DRAWING BY: cc ' � • " r.'�'�� ' ,a _ ,��� Trina Solar Panels 25 MODULES � 260W PER MODULE �... . a a • . . • DAVIE COUNTY HEALTH DEPARTMENT � Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (33G)751-8760 Account #: 990003954 Tax PIN/EH#: 5749-29-0604 Billed To: James Pilcher Subdivision Info: Reference Name: Location/Address: Donree Lane-27028 Pro osed Facilit : Residence Pro ert Size: ATC Number: 4399 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MLTST BE ISSUED 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 WASTEWAT S IS V LID R A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signatur . Date: � �� ��D CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvementl0peration 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. � �L.� �j � �q 1si � �-�' �, �'� �✓�1 0 ��� � 4hc��t �� c!-1���2 —�a.�l� 'D.4�c '"Z�d Septic System Installed By: ����-�� �`�� Environmental Health Specialist's Signature: Date: DCHD OS/99(Revised) . . ' ,. DAVIE COi1NTY HEALTH DEPARTMENT ���,� . • ' Environmental Health Section , ,' ' P.O.Boz 848/210 Hospital Street �D Mocksville,NC 27028 1� ( '� (33G)751-87(0 �\ IMPROVEMENT/OPERATION PERMIT Account #: 990003954 Tax PIN/EH#: 5749-29-0604 Billed To: James Pilcher Subdivision Info: Reference Name: Location/Address: Donree Lane-27028 Proposed Facility: Residence Property Size: **NOTE�*'I'his Impro4emn t/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An ALTTHORIZATION 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 � Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size /. �Type Water Supply��-��'� Design Wastewater Flow(GPD)�_� Site: New�Repair❑ ,� � System Specifications: Tank Size����GAL. Pump Tank GAL. Trench Width�o Rock Depth� 4 Linear Ft.� Other: �`C.l�.-�=�"j�1� �tk'�to�J S�STc��� � ��g�l w1 10•� �� Required Site Modifications/Conditions: ��T�.L Q� C� ��.�_ �� �O� �-1- ��'Q L�� I1�IPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FiLTER. RISER S) IF 6 "BELOW FtNISHED GRADE. ****NOTICE: Contact a representative ofthe Davie County Health Department f r final inspection ofthis 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.**** ',� 1�IJ� I�r'i�� 2y' ^�� I �� � u� 1►� �� �I� , I N ST � ��-�U_�i.� , 40' �� �o�JT E—�� '� . � � � � ' ��- ' o, . 't� 95` �� � � � V Environmental Health Specialist's Signature: Date /17 P,Iv DCHD OS/99(Revised) � ��� �� ,��r�% t � h ~ •� � u • � I t ._ �. APPLIC OR SITE EVALUATION/IMPROVEMENT PERMIT & ATC � � � �] [� Davie County Health Department Q � Environmental Health Section � Z��r� P•O. Box 848/210 Hospital Street AQ� 2 _ Mocksville,NC 27028 (336)751-8760/Fax (336)751-8786 ����;���El`i�h�liE�, Applica �tE uation/Improvement Permit ❑ Authorization To Construct(ATC) k�oth ***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��,,,��_�;���� Contact Person j�,�S �;i e� � Billing Address i4D lbncz� �,,.s� Home Phone �,S'� -��y'7 City/State/ZIP �fV1DGKS✓►11� ,/UC �,`]DZS Business Phone__`j��- j�Z""! Name on Permit/ATC if Different than Above Mailing Address jy� }},,�;� �a� City/State/Zip (',('����,s;�i� N ! 270 Z S PROPERTY INFORMATION 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�"c�I�s.,�i 1 L Tax PIN# 5`l �l 9 2� t�c��� Subdivision Name Section/Lot# Lot Size Directions To Site: (no ��.,,,�� ��g _'�c-,;,-- - ����,��jT��, se�e pJ.��� �� , �� 1��� �e-F t �:���-�.-.ree. (�,� .1�.� ��,� t.���, -i�� t--1 .J� Date House/Facility Corners Flagged L � � If the answer to any of the following questi s is" es",supporting documeri�ation must be attached. Are there any existing wastewater systems on the site? ❑Yes�No Does the site contain jurisdictional wetlands? ❑Yes C�'No Are there any easements or right-of-ways on the site? ❑Yes�No Is the site subject to approval by another public agency? ❑Yes f�?'No Will wastewater other than domestic sewage be generated? ❑Yes [�3do IF RESIDENCE FILL OUT THE BOX BELOW #People � #Bedrooms _� #Bathrooms_� Garden Tub/Whirlpool ❑Yes C�T�10 _ Basement: ❑Yes �o Basement Plumbing: ❑Yes ❑No 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 Typesystemrequested: �onventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: �1'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 pernut(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 understancl 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 deternune compliance with applicable laws and rules on the above described property located in Davie County and owned by�,%� P;��S'-' � 6a�!� Site Revisit Charge roperty owner's or owner's legal representative signature Date(s): ,� Client Notification Date: �te EHS: Si n iven �'Yes ❑No � � � Account# cJ� Revised 2/06 Invoice# ., � • "' • • ' . '' DAVIE COUNTY HEALTH DEPARTMENT. � ' Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003954 Tax PIN/EH#: 5749-29-0604 Biiled To: James Pilcher Subdivision Info: Reference Name: � Location/Address: Donree Lane-27028� � Proposed Facility: Residence `�Property Size: Date Evaluated: Water Supply: On-Site Well Community Public ✓ Evaluation By: Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e osition •�"— L Slo e% 5 L� HORIZON I DEPTH � - -- /2 � - 1 '- !�- Texture rou ' CL �— s�--- L� S�-L Consistence � F✓ S5, . ' S 1 S�P �r.��S SS Structure S.� S^� � �- S 3i� iC Mineralo �'� � • : �. HORIZON II DEPTH � -Z ' - 2�t� �t •Z C•�3� Texture rou $G S� +- '..D C.� � G Consistence 'S r'SS S �'S Structure � � S� �� � S� � Mineralo 5;, �. �.% HORIZON III DEPTH ` 3t'i ' ' ' '? �- '�f Z ? Texture rou S� t�. �{-S SC t�. ,�G-►S� Consistence ; SS '/ r' � Structure Mineralo 5� HORIZON IV DEPTH Texture rou .; Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE �' '— "' . SITE CLASSIFICATION: > �1�'�LL�%� EVALUATION BY: �� ` ��'�'���� LONG-TERM ACCEPTANCE RATE: �'I OTHER(S)PRESENT: ' xE�xs: i�2iC �o71U•+�G a•+��l C%�/"L�� LEGEND Landsca,pe 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 .nNSIST .N . . Mois VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm � � NS-Non sticky SS-Slightly sticky S-Sticky VS -Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic �g SC -Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogv 1:1,2:1,Mixed �Q�ES 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 OS/OS (Revised) . / / � � , , ■■�■�■■��■■�■■■■■�■■������■��■■■■■■■■��������■■■�Y11■■■■��■���■■�■■ ■■■��■■��■■�■���■�■■■���■��■■■����■����■�����■���/iRiil�■��■�■�■■��■ ■��■��■■■■■■�■■����������■�■���■ ■�■■■■�������■■��ur�■■�■�■�■��■■ 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Y �Z L S G<5:_� � ��..�. �vc�< �J � 3� c.��i� !�(..2�,�. �,;c,r-�r i Zv 3�, sc �' �� ;r,.,z<< �3� �, s� v5 v 5 U> , �� �� �S �.;; P� '�G l .__---___.__�...._.__ � ;� � G �;,sr� . � ; l� ' � � j f _ `��L .,� , . ` I� __ _ , �,; � ;�S��' , �-. � , � >t � � � � �� 34 � Y' , �\ � �5 �•» ��u�,� \ _ ! � ,..\ , x' \ `�,,, I � � ��� '��C '` Z ' __ -._. r--- --� - .__. � � P �' �� y .._-_�� S L� l � ,-- tli-, �' � �1 3� ; � ; �� � � 1� � ��: �� � g� ' �, � � �; \\ n �,i `3 1 'c�— ��� ' ,�,� n ,� �, t`� ?�� � \ 1 � � ,z � ,-�,'� S � • , Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760/Fax (336)751-8786 May 10, 2006 . James Pilcher 140 Donree Lane Mocksville,NC 27028 Re: 7.89 Acre Tract/Donree Lane Tax PIN# 5749290604 Dear Client(s): 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: � � �i'-������.�= Wastewater Design Flow: � System Type: ❑Conventional C�Accepted ❑Innovative ❑Alternative ❑Other System Location: �--�V+�'� �i� GF ���:; Valid: ,�Years ❑No Expiration Site Modifications/Permit Conditions: ,- � ,� � �a a nviro ►� 1 e lt ' st at ps-i.p.letter 2/06 . , . � � . - DAVI� COUNTY HEALTH DEPARTMCNT ' � � - ' � Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION I'ROPERTY INFORMATION Account #: � Tax PIN/EH#: Bilied To: ��}� Subdivision Info: Reference Name: Location/Address: Proposed Facility: . Property Size: Date Evaluated: L�4 _ Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit f Cut FACTORS I 2 3 4 5 6 7 Landsca e osition �= Slo e% �O HORIZON I DEPTH O-1 �^ 2 �'� Texture rou s GL u— Consistence fSS S -('r SS Swcture Mineralo y ` HORIZON II DEPTH 12� -Z� p� Z �- Texture rou C 5�, �� Consistence " S r' Swcture � t < �' Mineralo J ' � � � HORIZON III DEPTH r3 �-/ �� �'� Texture rou G1- C-h�'�' � S . , Consistence ` 5 �� r • Struc[ure 5g � � Mineralo .!1C. �-- '-= � HORIZON IV DEPTH 3 � 3 � Texture rou � $t_ �h� i St L Consistence t3$ 13. Structure Mineralo SOIL WETNESS RESTRICTIV�HORIZON SAPROI.ITE .S -5 CLASSIFICATION .S � `� LONG-TERM ACCEPTANCE RATE •3J " O�3� SITE CLASSIFICATION: EVALUATION BY: eJ� LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: ���^'�� ,�''"^'� REMARKS: 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 Mineraloav 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-gaUday/ft2 DCI-iD OS/99(Revised)