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131 Essic RdDAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900385 Tax PIN/EH #: 5823-76-1457.000OP Billed To: Robert Lege Subdivision Info: Reference Name: Robert Lege Location/Address: Essic Road -27028 Proposed Facility: Property Size: ATC Number: 2160 **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 /" i# #People 2 #Bedrooms ,? #Baths �!- Dishwasher: Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Sizef/9e_ Type Water Supply _� Design Wastewater Flow (GPD) -,M!� Site: New 00"' Repair ❑ System Specifications: Tank Size GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width!moi r Rock Depth /o2 �Linear IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW FINIS ED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this systembetween 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:3p.m. on the day of installation. Telephone # is (336)751-8760.**** 00i - %C Environmental Health Specialist's Signature: vy G?� c�l` 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 #: 989900385 Tax PIN/EH #: 5823-76-1457.000OP Billed To: Robert Lege Subdivision Info: Reference Name: Robert Lege Location/Address: Essic Road -27028 Proposed Facility: Property Size: ATC Number: 2160 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 WASTEWATE ONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature:x Date: 9 g�, 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. � Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) r V Date:, �"�� ✓% r vAPPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMI T Davie County Health Department 0 �� Environmental Health Section 7 v�C`p P. O. Box 848 2 7 IMocksville, NC 27028 4 /0 (336)751-8760, EI7YIROt!!/"{EPffkLHfJ'ii11 GQ��iIG J ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE 1. 2. ALL THE REQUIRED INFORMATION IS PROVIDED. Name to be Billed Ani F-12T/tf ��G G Contact PersonD MailingAddress /�Olt�- Cof2/17p,5' !�Q City/State/Zip / /O�%i5 :�) 1 -i -t /'-) C - Name on Permit/ATC if Different than Above o b E?- r -/- Home Phonaa ' moi c 8- 38 0 Business Phone � '0" 6�$ Mailing Address S,q T) l E�— City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit & ATC 4. System to Serve: 5. If Residence: e Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ja 2- House ❑ Mobile Home ❑ Business ❑ Industry # People 5�)-- # Bedrooms 3 .0 Garbage Disposal Specify type 8`94-s-hing Machine 011asement/Plumbing # Showers # Urinals # People # Seats Estimated Water Usage (gallons per day) ❑ Other # Bathrooms ❑ Basement/No Plumbing # Sinks # Water Coolers 7. Type of water supply: ounty/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes �No If yes, what type? _ f )d 40 1-isi-ft C P t;r.;4. - i( EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A RkA5 QF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: !� �� / WRITE DIRECTIONS (from / J J� 1 Mocksville) TO PROPERTY: Tax Office PIN: # A 3 - - �' 1 • 1 /N _ Property Address: Road Name 90 ,E 6 s 1 c K RD 1 . �_ 1 -� 3 1L'S City/Zip Ve- �/SV/ i CL� A11C a 7na7? 1 1 Oli 1 If in Subdivision provide information, as follows: 1 1 Name: 1 Section: 1 1 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 constnt to the Authorized Representative of the Davie County Health Department -to enter upon above described property located in Davie County and owned b�, A4 V -L. /-E- 00 7"--'> to conduct all testing procedures as necessary to determine the sittee suitability. DATE 3'' -2 % - O SIGNATUR J��� 4, /-'1 r - Revised DCHD (06-96) YOU MAY USE THE $ACK OF THIS FORM FOR DRAWING YOUR SITE PLAN. to p 29 ZAP x _ �, a V. ,v ' GG -x� ,:. .S(♦� PyQ i.4i. y� . -�NEV. �� �'-. i•. ' �+•`y�� ' -',� 0 _.. 'A'^sI'ti, « i'" i. '7 Y�F l'\w- ♦ a�4 �� N 77 �` t k+�H Yya F ti K j 4 4 g�'7"j r t « a r' i�s'i"�'�► } 1 t Ir 4. IN j r 1S s A v�''iw "�� I�� �•. 9Z,{£6Z (�"�/ � /� ��itry� �+<-��`` •kir_ ��� q* 4' � .s i���y'}, �vt �% A� r. lh CA T!, ®:'" '�i'"w+' ,'f �' t r 4. * ' �. N a L �{ / 0 Z6.9.91 OP Lbs L61 z i t (0•LL �G'Z6 '�F • t � f 6 • ho 10 `�. '�{ e'y: .'{'�V '�' - q"r f •' .i • 6 qi s�ppa.. " ` zifPd�� { Q q 0) W r `9 + ► A „.1, OVtl 018, aod5 g:: Z9.01 4 >�♦Y �, ��-,n+t,� •A��� { O/tom '�C . ofi�� •s y 69 Ef " Cn •ate ..:�' ~ '� � - ` >��, �#;� � � ' DAVIE COUNTY HEALTH DEPARTMENT 1 • , Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME DATE EVALUATED PROPOSED FACILITY %b" PROPERTY SIZE/d C' SUBDIVISION ROAD NAME Water Supply: On -Site Well Community Public l� Evaluation By: Auger Boring / / Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH « �+ Texture group 14 k Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure /171 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: LONG-TERM ACCEPTANCE RATE: zlz ZZ -2: REMARKS: LEGEND Landscape Position EVALUATION BY: OTHER(S) PRESENT: 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 (0]-90) Davie County Health Department and.Come Health Agency Environmental Health Section P.O. Box 848 / 210 HOSPITAL STREET COURIER #09-40-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-8760 May 211 _99P Robert A. Lege Z27 l=our Corners Rd. Macksvilie, NC 27028 Re: C Site Evaluations Site 1 — 17.4 acres Site 2 — c Acres Hwy. 801 n Essic Rd. Tax PIN: 4ES23-76-1457 Dear- Mr. Lege: As requested through your application(s), Robert 8. Hail, Jr., R.S., Environmental Health Spscialist(s) with this office, visited the aforementioned sites on May 15, 1998. The purpose of said evaluations was to determine the soil/site suitability for the installation of an on—site sewage system on each lot. Based upon the information provided on the application(s) for site evaluation(s) and after an evaluation was completed on each site, site 1 was found to be provisionally suitable for the installation of a modified, oversized on—site sewage disposal system. Before a permit can be issued for site i the house/mobile home iocawion must be established and that immediate area evaluated. The results of the evaluation for site c, copies of which are attached, indicate that the site was unsuitable for the installation of an on—site sewage aysten on site c for the following reasons: .041 (2) Soil Characteristic — Expansive ciqy .1945 (a) Soil Wetness Conditions .1943 (b) Soil Depth Due to the limitations on site c, this office is not aware of any modifications or a'lter'native measures that can oe implemented at the present tine to upgrade the classification from "unsuitable" to "provisionally suitable." Your application for Improvement Permits for site S 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 ty the regional staff K the Department of Environment, Health, and Natural Resources. You shoold contact this office to arrange for this rurther review. s Page 2 May 21, 1998 Robert A. Lege 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, including engineering, hydrogeologic, geologic or soil studies, indicates to this office 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 effluent (wastewater) will P. The effluent (wastewater) will or surface water; and C. The effluent (wastewater) will be discharged to surface waters people, animals or vectors. receive adequate treatment; not contaminate any ground water not be exposed on the ground surface or where it could come into contact with Finally, you have the right to a formal appeal of this decision if you file a petition for a contested case hearing with the Office of Administrative Hearings, P. 0. Drawer 27447, Raleigh, N.C. 27611-7447. A copy of a petition form can be provided to you upon request. The petition must be received by the Office of Administrative Hearings within thirty (30) days of the date of this notice. The hearing may be held in Davie County. If you file a petition for a hearing, you must send a copy of the petition to Mr. Richard Whisnant, DEHNR, Office of General Council, P. 0. Box 27687, Raleigh, N.C. 27611-7687. Please call or write this office if additional assistance. Telephone number: Address: RH/wd You have any questions or need any 336/751-8760 Davie County Health Department Environmental Health Section P. 0. Box, 848 Mock sv i 1 i e, N.C. 27028 Sincerely, Robert B. Hall, Jr., Environmental Health Enclosures: Soil -Site Evaluations Billing Statement R. S. Section This easement prepared by Tammy A. Fleming, Attorney at Law, Ten Court Square, Mocksville, NC 27028. Return to: Robert A. Legg, STATE OF NORTH CAROLINA EASEMENT DAVIE COUNTY THIS EASEMENT granted this 3 (s 4' day of August, 1999, by and between Robert A. Legg and wife, Frances D. Legg, hereinafter referred to as GRANTORS, to Robert Christopher Legg, hereinafter referred to as GRANTEE; WITNESSETH: WHEREAS, the GRANTORS are the owners of a tract of land more particularly described in Deed Book 203, Page 807, Davie County Registry; and WHEREAS, the GRANTEE is the owner of a 2.367 acre tract of land more particularly described in Deed Book 311, Page 302, Davie County Registry. The GRANTEE is in need of and desires a sewer easement across GRANTORS' property. IN CONSIDERATION of TEN AND N0/100 ($10.00) DOLLARS and other valuable consideration, the GRANTORS hereby grant and convey to the GRANTEE, his heirs, successors, and assigns, an easement for the purpose of extending septic tank lines from the GRANTEE'S property across the GRANTORS' property with the sewer easement being thirty feet in width and the western boundaryline of the easement extending from the northwest corner of the GRANTEE'S property as described in Deed Book 311, Page 302, Davie County Registry, and along the GRANTORS' western boundaryline as described in Deed Book 203, Page 807, Davie County Registry. This easement shall include the reasonable right of ingress and egress across the GRANTORS' property for the purpose of maintaining, repairing, or replacing, the GRANTEE'S septic tank lines. Provided, however, the GRANTEE shall be responsible for any damage to the GRANTORS' property caused by the maintenance, repair, or replacement of the septic tank lines. This easement shall be appurtenant to the GRANTEE'S lands and run with his lands forever. IN WITNESS, WHEREOF, the GRANTORS have hereunto set their hands and seals the day and year first above written. FILED FOR REGI TRATION 3 DATE TIME ' AND RECORDED IN B00 ) Q- PAGE HENRY I. SHORE, REGISTER OF DEEDS r ,� DAVIE,COUN BY — g(SEAL) ROBERT A. LEGG . 6 jz, G� rzC�(/J `I eC-,, (SEAL) FRANCES D.LE ICT 6V STATE OF NORTH CAROLINA COUNTY OF DAVIE I, a Notary Public of the County and State aforesaid, certify that ROBERT A. LEGG and FRANCES D. LEGG personally appeared before me this day and acknowledged the execution of the foregoing instrument. Witness my hand and official stamp or seal, this 31S -day of August, 1999. PUBLIC My Commission Expires: t OFFICIAL SEAL �• NOTARY PUSUC•NORTHCAROUNA l COUNTY OF DAVIE z- Z v c y TAMMYA.FLEMING My Commission Expires **************************************************** The foregoing certificates of are certified to be correct. This instrument and this certificate are duly registered at the date and time and in the Book and page shown on the first page hereof. Register of Deeds for Davie County. Deputy/Assistant-Register of Deeds x\mf\taf\real est\legg, robert a., sewer easement, file no. 393.8 iV` .. _...::., .: .. wn.•�.'n... ,. r.�. - :_..,`'^... : i..r.'N' c.;,�i-^n.,xy. «s.rek, -'a-'i .' ..y..., � , . .. ,. .. - � ..-r , ff . ...-, AUTHORIZATION NO: 1958 DAVIE COUNTY HEALTH DEPARTMENT ` `Environmental Health Section PROPERTY INFORMATION -Permittee`~ P.O. Box 848 Name: ,z Mocksville, NC 2702E Subdivision Name: 1/7 Phone # 336-751-8760 Directions to property: %"�'I r ,f S �: i �/ Section: Lot: AUTHORIZATION FOR WASTEWATERTax Office PIN:#.� •�`'�, _ �r t SYSTEM CONSTRUCTION Road Namel: :� f ;Z1ptrdrG **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) f r ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEA H SPECIALIST DATE ISSUED a5 k 14 DAVIE COUNTY HEALTH DEPARTMENT rl' TMPROEM ENT AND OPERATION PERMITS PROPERTY INFORMATION _Permllt e`s` Name: ", 4112�0 elSubdivision Name: Directions to property: Section: Lot: ~ IMPROVEMENT PERMIT Tax Office PIN:#`„}" OV7- e Road Name: i , " 7 r_7 / 71) **NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE i f , ., " PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST :' DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE / ##BEDROOMS # BATHS_ # OCCUPANTS _ GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE/I # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE f A TYPE WATER SUPPLY t. lI DESIGN WASTEWATER FLOW (GPD) 6 NEW SITE f'' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE D 3 GAL. PUMP TANK GAL. TRENCH WIDTHFy ROCK DEPTH LINEAR FT. OTHER1 4 .. / .Ai Zn r t 11Q REQUIRED SITE MODIFICATIONS/CONDITIONS: 4424 IMPROVEMENT PERMIT LAYOUT "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT II SYSTEM INSTALLED BY:,jr' AR S h 0t4, -,x S. T con!p! {� 16° l �o AUTHORIZATION NO. OPERATION PERMIT BY: ( DATE:. / v// "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 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. DCHD 051% (Revised) Of I ¢ 10iwi 1 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERM(� r' Davie County Health Department D U U Environmental Health Section P. O. Box 848 WIR 2 7 1M j Mocksville, NC 27028 • � - � it � +� �`- (336)751-8760 E14VIRONMENTAL HEALTH ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESS VIE COUNTY /� ALL THE REQUIRED INFORMATION IS PROVIDED�j. 1. Name to be Billed 1. t'��GPT A f �G-� Contact Person Mailing Address �O u �e. ���/1 k',S /'� �7 Home Phone3 3l -5919 '51, 3� City/State/Zip M OC./6 l01 (..C.lv /v - Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: Site Evaluation ❑ Improvement Permit & ATC 4. System to Serve: 2 --House ❑ Mobile Home ❑ Business ❑ Industry 5. If Residence: Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: # People 52�— ❑ Garbage Disposal Specify type _ # Showers # Seats # Bedrooms 3 a -'V rashing Machine 9-Vasement/Plumbing 7. Type of water supply: ounty/City # Urinals ❑ Both ❑ Other # Bathrooms ❑ Basement/No Plumbing # People # Sinks Estimated Water Usage (gallons per day) ❑ Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ElYes 2-�No E Z THER Al PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AkkA5bW THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions`: `� !7 ��� l� I / 9WRITE DIRECTIONS (from ocksville) TO PROPERTY: Tax Office PIN: # .J � � 3 - � - � �g �o��/- N c 1 l�0 / Property Address: Road Name /f D f' `i+� �� G fC %� 1 J 1 - .3 1L'S City/Zip 1 o Ai T If in Subdivision provide information, as follows: 1 1 Name: 1 Section:#" 1 1 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 as necessary to determine the site suitability. DATE 3- a `%� ^ he/ O SIG Revised DCHD (06-96) conduct all testing procedures 1,f0U MAY USE THE BACK Of THIS FORM FOR bRfIWZNG YOUR SITE PLAN. lrl�' •�/7�• JltA/ - 'i' 1 33.6 9 A c ** CJv M .^ �'f"rra-" h" '��. fir^^. �s r � • • i�w ^�„'�_ jS / p )t, --z--00.'�^ (1.14Ac) " * a 0 �} 165 &i w 5.79 '2.65 Ac) fir77.02 . f 9 78 {tet • : 9e .............'� 87 #� f `"�,�.�• 10.62 Ac '`° 6.5Ac-2 19 4Ac°WA C `4 �. Ic 4416 -.. 4 "c a T�-77 A$..f,•+iN-"tea °°s''' =.. i� r^ 12 AC 150, 59 r• 79 31Aa- . 7701 2.17Qc—o. *, .92Ac— M r �5� 151 2 ,. 6 9 7. 197.1 i..,. 91;40 - H W Y '. ' 8 °x'2O j . r�• -. 5 105 1 r 125,, ,� ��i�74 5 9 83, 0 N,4i2.87Ac1 F06.44 M N24c vJs 40 41 155, This 3..... �j { 7L� 1 rs .. "b t 166.9 ..1 AC•INos.22 part at ? %283 M 4.75A60 - {� - 2t.7AcQ � ti A N t'aa B5' "��. N ». a xI f !t) 3.39A� a a.. `85LO M ,; ` .o `—t ' +••`'`''`i, k a ;1,27�46 AC. co c'v + M F. s „ 93.26 29� UI tiy: ' Ac Zt "75.02 , c N Lo alsa.t .. kf 5.51 -, ISO* f., 1'r•� �' a� t _ ,. 46 s N �. ss.334.32 703.39 75 4753 AC. � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT Soil/Site Evaluation APPLICANT'S NAME ��� DATE EVALUATED, - PROPOSED FACILITY PROPERTY SIZE SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring G✓ Pit ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % 14Zl HORIZON I DEPTH Texture group ,e Consistence Structure Mineralogy HORIZON II DEPTH'n p Texture group Consistence Structure Mineralogyj 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: Zfz/'Ve /.7 A EVALUATION BY: A4 4 LONG-TERM ACCEPTANCE RATE: it 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 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 (01-90) ■ ■E■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ NONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ME■■r MEMO■■■■■■■ ■■E■E■■E■■■ ■■■■■■ME■■■ ■E■■E■■MOM■ ■■MMEMM■■■■ ■■■■■■ME■■■ ■E■■M■EM■■■ ■EMME■■■■■■ ■MMEME■■■E■ ■■■■■EM■■■■ ■■■■■■■■MM■ ■■■ME■■■ME■ ■■■EME■■■■■ ■■■EME■■■■■ ■■■■■■■MEM■ ■OMMEM■■■■■ ■■■■■■■■■E■ ■ 14 `�Asss No.�P�E MPR31 02, �FF� yj 75 Davie County Health Department and.tome Heafth Agency Environmental.fliatth Section P.O. BOX 848 / 210 HOSPITAL STREET COURIER #09-40-06 MOCKSVILLE, N.C. 27028 PHONE: (704) 694-8760 May E11 1998 Rouert A. Lege 07 =our Conners Rd. Mocksvi1 ie, NC 27028 Re: S Site Evaluations Site 1 - 17.4 Acres Site 2 - 2 Acre=_ Harv. 801 R Essic Rd. Tax PIN: 4ES23-75-1457 Dear Mr. Sege: As requested through your application(s), Robert B. Hail, Jr., R.S., Environmental Health Specialist(s) with this office, visited the aforementioned sites on May 15, 1998. The purpose of said evaluations was to determine the sail/site suitability for the installation of an on-site sewage system on each lot. Rased upon the information provided on the application(s) for site evaluation(s) and after an evaluation was completed on each site, site 1 was found to be provisionally suitable for the installation of a modified, oversized on-site sewage disposal system. Before a permit, can be issued for site 1 the house/mobile ;tone iocavion must be established and that immediate area evaluated. The results of the evaluation for site c, copies of which are attached, indicate that the site was unsuitable for the installation of an on-site sewage system on site E for the following reasons: .041 (D) Soil Characteristic - Expansive Play .1942 (a) Soil Wetness Conditions .1943 (b) Soil Depth Due to the limitations on site E, this office is not aware of any modification: or alternative measures that can oe implemented at the present time t0 upgrade the classification from "unsuitable" to "provisionally suitable." Your application for Improvement Permits for site E must, therefore, be denied. You have the night to an informal review of this decision by the Envir'onne'nial Health Di'r'ector Of this Office and also my the 'regional 'staff 0- he Department of Environment, Health, and Nat _!mai Resources. You '=ihooid contact this office to arrange for this further review. Frage 2 May 21, 1998 Robert A. Lege 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, including engineering, hydrogeologic, geologic or soil studies, indicates to this office 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 effluent (wastewater) will B. The effluent (wastewater) will or surface water; and C. The effluent (wastewater) will be discharged to surface waters people, animals or vectors. receive adequate treatment; not contaminate any ground water not be exposed on the ground surface or where it could come into contact with Finally, you have the right to a formal appeal of this decision if you file a petition for a contested case hearing with the Office of Administrative Hearings, P. 0. Drawer 27447, Raleigh, N.C. 27811-7447. A copy of a petition form can be provided to you upon request. The petition must be received by the Office of Administrative Hearings within thirty (30) days of the date of this notice. The hearing may be held in Davie County. If you file a petition for a hearing, you must send a copy of the petition to Mr. Richard Whisnant, DEHNR, Office of General Council, P. 0. Box 27887, Raleigh, N.C. 7811-7687. Please call or write this office if additional assistance. Telephone number: Address: RH/wd you have any questions or need any 338/751-8780 Davie County Health Department Environmental Health Section P. 0. Box, 848 Mock s v i l l e, N.C. 2702_8 Sincerely, /,.I� �� Robert B. Hall, Jr., Environmental Health Enclosures: Soil—Site Evaluations Billing Statement R. S. Section