114 Elrica Ln� - l
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: Blanche E. Parker
Address: 153 Elricia Lane
City: Mocksville
State2ip: NC
Phone #: (336) 492-2280
Pro
Address/Road #:
Elrica Lane
Mocksville
NC 27028
Structure:
SINGLE FAMILY
# of Bedrooms:
3
# of People:
1
*Water Supply:
NEW WELL
27028
lerty Locatio
Subdivision:
*IP Issued by. 2140 -Nations, Robert
'CA issued by:
Design Flow: 3 6 0
Soil Application Rate: 0 a 7 5
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
'CDP File Number 123222-1
F3-000-00-005-14
County ID Number:
Evaluated For: NEW
�otivnship:
�roperty owner: Blanche E. Parker/Gary Williams
Address: 153 Elricia Lane
City Mocksville
State/Zip: NC 27028
one #: (336) 492-2280
S
Phase: Lot:
Directions
601 North, to Blackwelder Road on the left. Turn right
onto Wagner road, Then turn right on Elrica Lane
'System Classification/Description:
TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
SaproliteSystem? OYes ONo
*Distribution Type: Pump Required?
()Yes QNo
'Pre -Treatment:
Drain field
Sq. ft.
()Inches O.C.
Feet O.C.
Olnches
()Feet
inches
Minimum Trench Depth:
Inches
Minimum Soil Cover.
Inches
Maximum Trench Depth:
Inches
Maximum Soil Cover:
Inches
*System Type:
Installer: Randy Rhodes
Certification #:
*EH S: 2140 - Nations, Robert
Date: 0 7/ 0 3/ 2 0 1 4
Approval Status
0 Approved 0 Disapproved
1✓DP Fite Number 123222-1
Manufacturer. Shoaf
STB: 760
Gallons: 1000
Septic Tank
County ID Number:
Lat.
Date:
0
4 1/
.24
/ a 0 14
*Filter Brand:
POLYLOK Dual PL -122 With Pipe Adapter
ST Marker:
❑
Yes
❑
NO
einforced Tank:
❑
Yes
E
No
1 Piece Tank:
❑
Yes
9
No
Manufacturer
PT:
Gallons:
Date:
/
Riser Sealed ❑
Yes
RiserHeight: ❑
Yes
Reinforced Tank: ❑
Yes
1 Piece Tank: ❑
Yes
rA
❑
No
❑
No (Min.6 in.)
❑
No
❑
No
r Pipe Size: inch diameter
Pipe Length: feet
*Schedule:
Pressure Rated ❑ Yes ❑ No
Approved fittings ❑ Yes ❑ No
Long:
Installer: Randy Rhodes
Certification #:
*EH S: 2140- Nations, Robert
F3-000-00-005-14
a
Date: 0 y/ 0 3/ a 0 1 4
Approval Status
L7 Approved ❑ Disapproved
Pump Tank
Installer:
Certification #:
*EH S:
Date:
Approval Status
❑ Approved ❑ Disapproved
Supply Line
Installer:
Certification #:
*EH S:
Date: / /
Approval Status
❑ Approved ❑ Disapproved
Pump Type: Installer:
/ Dosing Volume: — Gal Certification #:
Draw Down: Inches *EHS:
*Chain:
Date:
Valves Accessible
❑ Yes
❑
No
Flow Adjustment Valve
❑ Yes
❑
No
Check -valve
❑ Yes
❑
No
Approval Status
PVC unions
❑ Yes
❑
No
❑ Approved ❑ Disapproved
Vent Hole
❑ Yes
❑
No
Anti -siphon Hole
❑ Yes
0
No
CDP File Number 123222 - 1
NEMA 4X Box or Equivalent ❑ Yes
Box 12 inches Above Grade ❑ Yes
Box Adj. To Pump Tank ❑ Yes
Conduit Sealed ❑ Yes
Pump Manually Operable ❑ Yes
*Activation Method:
Alarm Audible ❑ Yes
Alarm Visible ❑ Yes
County ID Number: F3-000-00-005-14
F-IMAIR; r-LIME1111C111
❑ No
Installer:
❑ No
Certification #:
❑ No
❑ No
*EHS:
❑ No
Date:
❑ No Approval Status
El No ElApproved ❑ Disapproved
2140 - Nations, Robert
*Operation Permit completed by:
Authorized State Agent: V-;,,� Date of Issue: 0 y/ 0 3/ a 0 1 4
This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for
Sewage Treatment and Disposal, 15A NCAC 18A.1900 et. Seq., and all conditions of the Improvement Permit and
Construction Authorization. This property is served by a TYPE II A. sewage septic system.
Rule .1961 requires that a Type TYPE li A. septic system meet the following criteria:
Minimum System Review ByThe Local Health Department: N/A
Management Entity: OWNER
Minimum System Inspection/Maintenance Frequency By Certified Operator:
N/A
Reporting Frequency By Certified Operator: N/A
Rule .1961 requires that a Type IV and V septic systems designed fora homelbusiness owner must maintain a valid contract
with a public management entitywith a certified operatoror a private certified operator forthe life of the septic system.
Rule .1961 requires that Type VI septic systems designed fora home/business owner must maintain a valid contract with a
public management entity with a certified operator for the life of the septic system.
Rule. 1961 (2) (e) requires a contract shall be executed between the system ownerand a management entity priorto the
issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the
system ownerand certified operator are the same. The contract shall require specific requirements formaintenance and
operation, responsibilities of the ownerand systems operator, provisions that the contract shall be in effect foras long as the
system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of
the Operation Permit that subsequent owners of the systems execute such a contract.
&Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
OPERATION PERMIT
Davie County Health Department CDP File Number: 123222 - 1
210 Hospital Street 173-000-00-005-14
P.O.Box 848 County File Number:
Mocksville NC 27028 Date:
Olnch
Drawing Drawing Type: Operation Permit Scale: . OBlock
ON/A
O _
Account #: 990006162
Billed To: Blanche Parker
Reference Narne:
Proposed Facility: Residence
DAME COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780 /Fax # (336)753-1680
OPERATION PERMIT
Tax PIN/EH #: F3-000-00-005-14
Subdivision info: � /A
LocationiAddress: Elrica Lane -27028
Property Size: 9.190 Ac
ATC Number: 0
**NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type.: S.T. Manufacturer Tank Date Tank Size
Pump Tank Size Bedrooms:
System Installed By: Installer# Date:
GPS Coordinate:
Environmental Health Specialist
DCHD 11/06 (Revised)
Date:
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)753-6780/Fax #(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990006162 Tax PINIEH #: F3-000-00-005-14
Billed To: Blanche Parker Subdivision Info:
Reference Name: LocationfAddress: Elrica Lane -27028
Proposer! Facility: Residence Property Size: 9.190 Ac
ATC Number: 0
Site Type: ❑New ❑Repair ❑Expansion
**NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A
Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat
or the intended use chance.
Residential Specifications: # Bedrooms '3# Bathrooms # People Basement❑ Basement plumbing❑
Non -Residential Specifications: Facility Type # People # Seats
Square Footage(or Dimensions of Facility)
tie -W 9
Lot Size Type of Water Supply: ❑County/City ®Well ❑Community Well 8a5� fib` b
System Specifications: Design Wastewater Flow (GPD) � 40 Tank Sized ppOGAL. Pump Tank 0 GAL. D�
Trench Width. 6 Max. Trench Depth 3 & Rock Depth /oZ I Linear Ft. Lf o 6
Site Modifications/Conditions/Other:
Contact the Davie County Environmental Health Section for final inspection of this system between
8:30 - 9:30a.m. on the day of installation. Telephone # (336)751-8760. r
� n
_ �X�aoe
Environmental
Environmental Health Specialist.
DCHD 11/06 (Revised)
Of
Date: ` / /
IMPROVEMENT PERMIT
SrAYZ- Davie County Health Department
s r 210 Hospital Street
P.O. Box 848
Mocksville NC 27028
For Office Use Only
*CDP File Number 123222 -1
County ID Number: F3-000-00-005-14
Evaluated For: NEW
Township:
Phone: 336-753-6780 Fax: 336-753-1680
PERMIT VALID UNTIL: 9/23/2018
*NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit.
Applicant: Blanche E. Parker
Address: 153 Elricia Lane
City: Mocksville
State/Zip: NC 27028
Phone #: (336)492-2280
Address/Road #:
Subdivision:
Elrica Lane
Mocksville
NC 27028
Structure:
SINGLE FAMILY
# of Bedrooms:
3
# of People:
1
*Water Supply:
NEW WELL
/-Property Owner: Blanche E. Parker/Gary Williams
Address: 153 Elricia Lane
City: Mocksville
State/Zip: NC 27028
492-2280
Phase: Lot:
Directions
601 North, to Blackwelder Road on the left. Turn
right onto Wagner road, Then turn right on Elrica
Lane
System Specifications
Initial S stem
*Site Classification: PS
Minimum Trench Depth: a 4 Inches
Saprolite System? O Yes 9 No
Maximum Trench Depth: Inches
Design Flow: 3 6 0 Septic Tank:
3 6 Gallons
Soil Application Rate: 0 3 1 -Piece: O Yes (9 No
Pump Required: OYes (9 No O May Be Required
*System Classification/Description:
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR Pump Tank: Gallons
*Proposed System: 25% REDUCTION 1 -Piece: O Yes ONo
Repair System Required:®YeS ONo ONo, but has Available Space
Repair System
*Site Classification: Ps Minimum Trench Depth: a 4 Inches
Soil Application Rate: 0 3 Maximum Trench Depth: 3 6 Inches
Pump Required: OYes (9 No O May q be Required
*System Classification/Description:
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR
LESS)
*Proposed System: 25% REDUCTION
Page 1 of 3
CDP File Number 123222 -1
County ID Number: F3-000-00-005-14
*Site Modifications ❑ Open Fill Sheet
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements.
The Improvement Permit shall be valid for 5 years from date of issue with a site plan (means a drawing not necessarily drawn to
Site Plan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the
0 site for the proposed Wastewater system, and the location of water supplies and surface waters).
Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land
O surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility
and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat
also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy
of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale).
The Department and Local Health Department may impose conditions on the issuance and may revoke the permits for failure of
the system to satisfy the conditions, the rules, or this article. This permit is subject to revocation if the site plan, plat, or intended
use changes (NCGS 130A -335(f)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring,
reporting, and repair (.1938(b)).
Applicant/Legal Reps. Signature Required? Oyes ®No
Applicant/Legal Reps. Signature: Date:
*Issued By, 2244 - Daywalt, Andrew Date of Issue: 0 9 / a 3 a 0 1 3
Authorized State Agent: �/ OValid without Expiration?
O Create CA?
®Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.** Total Time:(HH::7IMM) w
0 1 Hours 0 Minutes
Page 2 of 3
Activity Code: S-4 - IP'S issued: new, valid for 60 mos.
IMPROVEMENT PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC
Drawing Drawing Type: Improvement Permit
CDP File Number: 123222 - 1
County File Number: F3-000-00-005-14
27028 Date: / /
O Inch
Scale: O Block)
O N/A ft.
Page 3 of 3
P1 P2
IMPROVEMENT PERMIT
Davie County Health Department
210 Hospital Street CDP File Number: 123222 - 1
P.O. Box 848 F3-000-00-005-14
Mocksville NC 27028 County File Number:
Date:. 9,/.2 3./.a.0.1.3.
Click below to import an image from an external location: Drawing Type: Improvement Permit
Page 3 of 3 P1 P2
�\ / PPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
l:e. ✓; .•-I �+ Davie County Environmental Health
' P.O. Box 848/210 Hospital Street
5r*p a 6 2013 Mocksville, NC 27028 L,3
j� / e i(336)753-6780/Fax(336)753-1680
DCHEALT c9tion For: N! Sitvaluation/Improvement Permit CI Authorization To Construct (ATC) ❑ Both
Type of Application: VNewSystern URepair to Existing System t;Expansion/Modification of Existing System or Facility
***IMPORTANT"* THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. =1
APPLICANT INFORMATION
Name (3I,ahG 6e, IP- - Pa r f<o r Contact Person U W { koyA.0
Address I4r2 91ri f,d;i Lc>tno. Home Phone 336—'r92^ 2243a
City/State/ZIP IiAnekS�/i(IGT—At(., 2.102_ Business Phone 40-336 07.
Email _F.1 I Ca►w. Email:__
Name on Permit/ATC if Different than Above • t+10
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged
NOTE: A survey plat or site plan must accompany this application. IncludedNCite Plaq)lPlat(to scale)
(Permit is valid for 60 months with site plan, no expiration with complete plat.) _ d OMJ �� �O �C�j
Owner's Name _ �IaKj;he �e r"r^ Phone Number 7
Owner's Address 1 j3 a ' G 1 ribo o L a� —City/State/Zip
Property Address T City
Lot Size Tax PIN#
Subdivision Name(if applicable) Section/Lot#
Directions To Site:_--�-eG�
If the answer to any of the following questions is "Yes",supporting docur;entation must be attached:
Are there any existing wastewater systems on the site? _Yes No
Does the site contain jurisdictional wetlands? _Yes t[No
Are there any easements or right-of-ways on the site? �'es _No
Is the site subject to approval by another public agency? _Yes VNo i
Will wastewater other than domestic sewaee be venerated? Yes �ilo
IF RESIDENCE FILL OUT THE BOX BELOW _
�# People# Bedrooms 3 # Bathrooms L Garden Tub/Whirlpool : iYes : o
Basement: eyes L1No Basement Plumbing: fyt'Pes [ INo
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
Type system requested: 1:IConventional ❑Accepted ❑Innovative I lAltemative ;)Other
Water Supply Type: 1=7 County/City Water New Well 0Existing Well U Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? '.; Yes
If yes, what type?
vl�o
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 permit(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 hereby grant right of entry to the Authorized Representative
of the Davie County Health Department to conduct necessary inspections to detennine compliance with applicable laws and rules.
I understand that I am responsible for the proper identification and labeling of properiy lines and comers and locating and flagging
orthe house/faci ity c tion, roposed well location and the location of any other amenities.
--- Site Revisit Charge
ty owner's or owner's legal representative signature
7- J -a Client Notification Date:
Date EI IS:
Sign given t IYes ONon n l% Account # 2✓ ZZZ
Revised 11/06 /fib 1125 L G (_ Invoice #
I
N 66.10-V V
Rflatly OFFICER'S CERTIMATE
N. Redac ~ d Dade County.
w Tfyy r plat to whkh this c"liioatkn
k d- made ak e(atutory "Irsmerde fat recording.
REVIEIY OFFICER DATE
TRACT 2
PAUL SNELL Sr.
PL.B4r. 10, PG. 144
XXX 9, PC. 328
D.B. 772, PG. 1026
1513
AREA— 1.124 AC.
lab
e211
8LLlE L. B1RONW
D.9. 800, PG, 735
AldB for `-�,•d—
1 hereby comfy that 1 ora the owner of theproperty sham
and doaortbod hw*M Won Ycated In the County d Dads
L Crody !. Tutlra. RealeYred !eM Sarw,v Nemb,r I.-da17
oerary' b oa er rase d tin falYrYp ere k�ieabd w/ a X:
that 1 hereby adapt this don d subdhteton with aN here cmlcertL
.,3-.a,1M! this Y a lust of a 61st Wed. a wAdnwpr of
estabil" ndiimam building aMbadt Zinn and detlkato all streets.
=e�ew�
.end akhY an acro d o aa+nty or muNdpMq Shot ham
erdtA that as pawls o! I
.keys,walko. pada mid other dtn and ooumard to puWo or
It of to
��..* at pYl Y e< o aevw9 cwt th Yaobd Y each a
pmtbn at a count' or that Y unrpWmed a b m
pdwte use as A.W. Furthermore. I heeby dedicate all sanitary
dd, plc Y ad a carat' or m ad,Wy pmol or
www and wow Inge to the County d Dade
.r.
pro,Y or Ynd:
„-_a itw! tlde pal u d e exwy d onWfw op6 . corp a an
and
found
from Momatkn found M PL Page
that tin ratio of pr"W.. Is oolaulala0 a 1; +fin
6 u erg w+^q'. or
that this plat were prepay aaoordanc G.S.
9
PAUL SNELL Sr.
?
OA E SNELL
N 66.10-V V
Rflatly OFFICER'S CERTIMATE
N. Redac ~ d Dade County.
w Tfyy r plat to whkh this c"liioatkn
k d- made ak e(atutory "Irsmerde fat recording.
REVIEIY OFFICER DATE
TRACT 2
PAUL SNELL Sr.
PL.B4r. 10, PG. 144
XXX 9, PC. 328
D.B. 772, PG. 1026
1513
AREA— 1.124 AC.
lab
e211
8LLlE L. B1RONW
D.9. 800, PG, 735
AldB for `-�,•d—
L Crody !. Tutlra. RealeYred !eM Sarw,v Nemb,r I.-da17
oerary' b oa er rase d tin falYrYp ere k�ieabd w/ a X:
.,3-.a,1M! this Y a lust of a 61st Wed. a wAdnwpr of
=e�ew�
.end akhY an acro d o aa+nty or muNdpMq Shot ham
erdtA that as pawls o! I
i. OradY L Tuderow, aKHy that this Plat were dram
It of to
��..* at pYl Y e< o aevw9 cwt th Yaobd Y each a
pmtbn at a count' or that Y unrpWmed a b m
under my wpeMaien from on actual w ray mode
under my wpenddor! (deed dawcrl Um raaords0 in
dd, plc Y ad a carat' or m ad,Wy pmol or
eta.) oNsr))that 1M
bwndarke not an oleo btdioatetl ere dram
.r.
pro,Y or Ynd:
„-_a itw! tlde pal u d e exwy d onWfw op6 . corp a an
and
found
from Momatkn found M PL Page
that tin ratio of pr"W.. Is oolaulala0 a 1; +fin
6 u erg w+^q'. or
that this plat were prepay aaoordanc G.S.
• _a The the NfanratYn awemY m 6u. «near Y awn
cal I er aet.mino6en Mn
47-30 as amended n1T oral signature,
em -Ii% mdu a io tat of rea
Pufas nal oaay ere to p+eddar eoM&W Y e. U..qh d alma.
ragletndlon number and wool this _ day of
.
A.D. 2013
Surveyor
a,welar BaplWwm Nuodwr
(Sri or Stamp) WwWdon Number
TRACT
PAUL SNELL Sr.
PL.B1C 10, PG. 144
PL.BB. 9, PG. 828
D.B. 772, PG. 1026
Filed for regltlrctfon at o'dak ..LL.
2013 and recorded in
Plat dock Page
fWp fur i P" Y a6FNT lew - CAN tis. eeekkr M Deed,
by
Duff -1s srwlr
NOTES!
1. TOTAL TRACTS. 1
2. TOTAL AC.. 1.124 A0.
3. K• UNMARKED POINT OF PROPERTY IN CA OF ROAD
AND IN EASEMENT.
4, NO NCGS GRID MONUMENT LOCATED WITHIN 2000 FT.
M �
P
Nu few A
NO 3c"
VICINITY MAP _
NO APPROVAL REQUIRED BY THE
tLtMF COUNTY PLANNING DEFF.
DAME COUNTY Y PLANNING DIRECTOR
PLAT MAP:
PA UL SNELL, Sr.
JULIE SNELL
OWNER ------------------ DEVELOPER
PAUL SNELL Sr.
137 ELRECA LANE
MOCKSVIUF. NO 27028
CLARKSVILLE TOWNSHIP
DAVIE COUNTY, NORTH CAROLINA
DATE- MAR -25-2013
TAX MAP REF.: F-8, P/0 PARCEL 508
SURVEYED BY:
TtT1TEROW BURVRMG COMPANY
107 NORTH SALISBURY STREET
MOCKSIALLE. NO 27028
(336) 731-5616
50 25 0 50 100 150
SCALE IN FEET
SLE LANAE COORO Nwel DR WINO NUMBEW
WILL -OM2 JIWME-56 .1013-3
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na
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01hab Idn r rl•d FraR.r . 1 t.rdy rdw.r a0 OaWaY
1 rryAJ WW )NINWAC W w CO.* d Oaf.
a,4
iI#ALL SNELL Sr. t-
•
1
SNELL
1
M 07-W V X••
na°
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12"
i7M M
TRACT 2
AREA= 4.301 AC.
Z
t
TAKEN FMW TRACT 1 MJOL 0, M 3]a
IILCDIOW IN PL WL 4 1'C. 173
01CA006 S.L 1310 R/Y
i WYoy. E
S dd••ssy E Y E S
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330.6
J
- _TAKEN FKM TRACE i PL_
0. M 328
UCORM W PL WL 4 PC .. 473
11ICIA0 u 1,110 RN'..:
N. :MYMfi MaA XGA (I4• ACL
AREA= 4.698 AC.
BLUB L. BROT.V
D.B. 330. PC. 735 j
(
L Cl" L Tutlrw, o.rOry that tnl. Pidt rr d -- --------J
rma« Fry •r,P.�r�aa r.n, m ac+..al •ar•Y mad.
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Baer _: Pop• _, rc�1:Ud tlr
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mostratmwt rmrbW and Nd "_ti- d9W of •OP Y4�',:
JLYAD..
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TRACT 1
AREA= 4.715 AC.
TMWTI FRO" TRAt.T 2 PL.BK 0. PG. 320
IIOmaw IN PL. WL 4 PL 173
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X., �.
VICINITY MAP
IRA" 3 FINAL
AREA= 4.478 AC. DIVISION 9 DISTRICT 2
Tmm Prov TRACT 2 PLOL aP- 3L SEP 2 Z 1079
REOOWO W Pl. RK 4 PG. 173
I
REVIEWED BY _L7amiL& PLAT MAP:
GARY R. WILLIAMS
I RICHIE A. WILLIAMS
PAUL SNELL, Sr.
JULIE SNELL
BSTBLLg SKlTB OWNER --------- -- DEVELOPER
R
D.B. 138. PC. 6PB
I --t GARY WILLIAMS PAUL SNELL Sr. �: C E I V T U �320PEDOICOAT COURT 1606 SAXONBURY WAY
1 NOTES: IRr 11D 21162 CHARLOTTE. NC 28263
SEP o 9 2009
1.
TOTAL TRACT— 4 CLARKSVILLE TOWNSHIP
'DP7 01.7Rn\SIg1N1'n'Ill7h
2. TOTAL AC.. 18.193 AC. i!H1.70iti1_7UFP1( 1_ DAVIE COUNTY, NORTH CAROLINA
3. X. L011ARKED POWr OF PROPERTY W C/L Cr Rao --- - D
AND NEV ATE: JULY -13-2006
TAY YAP REF.: F-3. PARCEL 5013
+. No NCcs cR10 MONUMENT LOCATED *11"zLGo Fr. SURVEYED
S. NO EXISTING DWELLINGS LOCATED ON PROPERTIES TUTTEROX SURVEYING COMPANY
AT THIS TIME. 107 NORTH SALISBURY STREET
6. TRACTS I t 2 WILL HAVE ACCESS TO WAGNER NOCKSVILLE. NC 27028
ROAD ONLY. (336) 751-5616
7. TRACTS i 8 2 AT THIS TIME ARE OWNED BY I* - 100'
PAUL t ALIS SNELL PLBIL 0. PC. 328 100 50 0 100 200 300
8. TRACTS 3 A tr AT THOS TIME ARE OWNED BY
GARY R. M RICHIE L WIEL"S PLBK. 9. PG. 326 SCALE 1N FEET
9. 50 FT EXISTING EASEWEN' AS SHOWN ON PLPK. 9. PC. 328 FILE r Er COORD R E:
WILL f E CID6EO WON THE RECORDING OF OELIG AND THIS PLAT.oRAwi -uu..cX
WLLL-GAR JIYHYDE-56 360W 9-3
r
APPLICANT INFORMATION
Aaadte, Pv &
1 53 Elrieiitali e
0919 ry GU; l(i -1�vvLS
Cl�o) 3�z
3��a
Water Supply: On -Site Well
Evaluation By: Auger Boring
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
r Community
/A
PROPERTY INFORMATION
F3_ -e)00 -00-005--1z1
Public
Cut
FACTORS
1 2
3 4 5 6 7
Landscape position
L
Slope %
. 4
HORIZON I DEPTH
Texture group
Consistence
Structure
S403
is Inc
Mineralogy
(, f
HORIZON II DEPTH
q fn
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
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
• Z
SITE CLASSIFICATION: 'S
EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
6tp� Zy4 MIL4a ' LEGEND
OTHER(S) PRESENT: CMN U9 &4Q
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
Mid 1.
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky /
NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic O A n Vr n .. — -!ten
__
��ructure �.
SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky 6914"
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1 2:1, Mixed
r V C�rii
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)
TTAR - T.nnv-tarm arrP.ntanrP rate - oat//IaOft7 Tll'T TTI AC InC in___!__ 11