144 Hosch LnPermit t: --,-Zs _ } AVIE COUNTY HEALTH DEPARTMENT
NameY_k _' s °� 1,5�` G' el Environmental Health Section PROPERTY INFORMATION �IA
P.O. Box 848
Directions to property: t t" - l Mocksville, NC 27028 Subdivision Name:
((f Phone #: 336-751-8760
`` I/ 1 t� fit �� t� �lj 'S E �t Section: Lot:
) AUTHORIZATION FOR
6�. f if fi` ri i T f G ki-e Gf / rte WASTEWATER Tax Office PIN:# 3- 71-11 - e� �!' (o3
SYSTEM CONSTRUCTION
14
002931 AUTHORIZATION NO: A Road Name: Zip:
**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)
J
�--� ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
7 IS VALID FOR A PERIOD OF FIVE YEARS.
.ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFC # SEATS INDUSTRIAL WASTE: Yes or No
OG 10 fI -', " /
LOT SIZE TYPE WATER SUPPLY 'DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE C---
�� � �]�
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK _AOL. TRENCH WIDTH ROCK DEPTH -AZ LINEAR FT. D
OTHER ct %L JIC-1 A
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT n , ` Gt t
-ko 6 -e' v : 6 -p "'I k (.-> u.� `} c) ' (A e w
-t- w �i ,-- 5 y -t-
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-.11 FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. 1
OPERATION PERMIT 5�epl I e �}a 5 r • S aM INSTALLED BY: Cky-14 h
/c�M 'taN t.vcl•5 Seth 19 aA�e(
rx tk! Ly 81 3-1 was rtP14P«d4A;A / 1
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ti
AUTHORIZATION N0. -2bLAPERATION PERMIT BY: DATE: l9
"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 02/02 (Revised) �V V t V e— &97-&
AVIE COUNTY HEALTH DEPARTMENT U o P �1
Ponnitt?
Names '' tt.� Environmental Health Section PROPERTY INFORMATIONS
P.O. Box 848
- DrirecUons to property:.�lr �` h4ocksville, NC 27028" Subdivision Name:
Phone #: 336-751-8760
Section: Lot:
f 1,
AUTHORIZATION FOR
.�`1� s tr+t >t I j(, Pt,r� t': ," i;>j( WASTEWATER Tax Office PIN:# 7 � j _ t J
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002931 A Road Name: `r Zip:
**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)
r'7 A i
-»..- ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
.,���. ��•� �,.r IS VALID FOR A PERIOD OF FIVE YEARS.
AL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS a # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
0 ft, -.f
LOT SIZE �' G G TYPE WATER SUPPLY /DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZEj GGGAL. PUMP TANK _AOAL. TRENCH WIDTH ROCK DEPTH J LINEAR FT. L
OTHER �L �(i -Ctu c.�licol
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
I 'l,
of IC, jr,51C:
N
r5
c
>y
Itow X__
j�7G'vck y -r
FOR FINAL INSPECTION OF THIS SYSTEM,PLEASE CALL BETWEEN x:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT 57�< + ' •.`I JC G� 5 �G y
SYSTEM INSTALLED BYJ c
�r(Gr I Pic kA es
�t� 0
>� u
-'7N;; G �,r
v1 j
✓�1
61
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e
V
AUTHORIZATION NO. OPERATION PERMIT BY: . -;�. 4 /� DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT YHE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED INCOMPLIANCE
r WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A
r GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02/02 (Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT (REPAIR) nq qq 13
ONE NUMBER i
BDIVISION NAME
DIRECTIONS TO SITE [YU1 C.,./ -
LOT #
DATE SYSTEM INSTALLED NAME SYSTEM INSTALLED UNDER
TYPE FACILITY�� f /� ]NUMBER BEDROOMS NUMBER PEOPLE SERVED
TYPE WATER SUPPLY ��/a SPECIFY PROB14EM OCCURRING
Wa
In n r r D�D
DATE REQUESTED K- INFORMATION TAKEN B
This is to certify that the information provided is correct to the best of my knowledge, and that unders nd 1 am a ponsible for all charges I urred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev. 1/93/
n /-- ^ G r) _ 'Y— - n
c.cJlti�
DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section �� �° •3 - D
- +r P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001124 Tax PIN/EH #: 5754-27-3163
Billed To: Phyllis Hosch Subdivision Info:
Reference Name: Williams Development Location/Address: 3838 Hwy 601 S.-27028
Proposed Facility: Residence Property Size: 2 Acres
**NO"I1E*13iiib
s Improvement/Operation Permit DOES NOT authorize the construction of aseptic 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 #People #Bedrooms #Baths_
Dishwasher: Garbage Disposal: ❑ Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial) 13Waste:
Lot Size Type Water Supply ? Design Wastewater Flow (GPD) � Site: New;2 Repair ❑
System Specifications: Tank Sizeg"GAL. Pump Tank GAL. Trench Width,? Depth AQ ILLinearF
*4a
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
C,410/y
SSS
y �Q
,F
r/
Environmental Health Specialists Signature. Date: 2rZ2
A-
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 #: 990001124 Tax PIN/EH #: 5754-27-3163
Billed To: Phyllis Hosch Subdivision Info:
Reference Name: Williams Development Location/Address: 3838 Hwy 601 S.-27028
Proposed Facility: Residence Property Size: 2 Acres
ATC Number: 2533
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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF F VE YEARS.
Environmental Health Specialist's Signature: Z�/—/ Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any
given period of time.
htfo Ie7
l%G ► `� cn Ord
IIIA .
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date: A `.2 2-0Z C
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Health Department
Environmental Health Section
P.O. Box 848/210 Hospital.Street
Mocksville, NC 27028
(336) 751-8760
o R 2 R 6 W
AW 1 6 2000
ENVIRONMENTAL HEALTH
DAVIE COUNTY
***nWORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions 9^
1. Name to be BilledL,Li t7i/t Contact Pors4ri A /y; 0 / r
Mailing Address Q1 0- io/U n -Fr ` 1 L A 1) P_BEL
� E i �- � N 8cme Phone 33 6 - 7SI - 5tD (C)'�
City/state/SIP i�X�Ui l �t/ N, (_. 1Q� ag Business Phone 334-
2.
.34~
2. Name on Permit/ATC if Different than Above
Mailing Address ty/stats/Sip
3. Application For: ate Evaluation Improvement. Permit/ATC 0 Both
4. system to service: House 0 Mobile Home ❑ Business ❑ Industry 0 Other
S. If Residence: /# People �_ # Bedrooms ,�^ # Bathrooms
0 D shrashor 0-"9. Disposal {a'xashing Machine ❑ Baseasnt/Plumbing ❑ Basement/No Plumbing
6. If Business/industry/Other: specify type # People # sinks
# Commodes # showers # Urinals # Mater Coolers
IF FOODSERVICE: # Seats Estimated Nater Usage (gallons per day)
7. Type of water supply: ❑ County/City . 0 well 0 Coununity
a. Do you anticipate additions or expansions of the facility this system is Intended to serve? 0 Yes P -No
If yes, what type?
***IMPORTANT*** CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: —�)— CL- C -e— -e
Tax Office PIN: # � ?-5v— --)- —7 —
Property Address: Road Name %') t S 0 "'4- k,
City/Zip
If In a Subdivision provide Information, as follows:
Name:
Section: Block: Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Date Property Flagged: YL10 a
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 by
to conduct all testing procedures as necessary to determine the site suitability.
DATE / Y SIGNATURE
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
{ Date(s):
Client Notification Date:
I EBS:
Revised DCHD (07/99)
Account No. ` 1
Invoce No. 1-70 Jt0-��
Granite Monument
w/Bross Disc Found
T
b'p. 4P
pO�p F
�s
Tax Lot 55
Tax Map N-6
n/f Katherine F. Tatum,
Kathy Anne Tatum Crews and
Ezra Carl Tatum HI
DB 317 O PG 705
IRS
60'00
RIR Spike Found in
Al
Jam ory
°p
Base of 15" Sycamore Free
6
Tax Lot 11
Tax Map 0-6
IRS
n/f Roy Housr:h
r�7'
and wife
Vera Mae L Hausch
cQj
¢��
T,e CO
DB 86 O PG 03
4,
6'0 G' a
'Op, �B
08480 PG 388
0
Part of/N
Tax Lot 1 1
00
T—bar w/cap
C)
2 1.007 Acres
CO
Found
T—bar w/cap
Found
h
n'
N
IRS
�6
N
s'9.
s"sr6
30' Proposed
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900063
Billed To: Larry McDaniel
Reference Name: Larry McDaniel
Proposed Facility: Residence
J
Tax PIN/EH M 575427-3163
Subdivision Info:
Location/Address: 3838 Hwy 601 S.-27028
Property Size: 2 Acres
ATC Number: 2521
**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 #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 Rock Depth Linear Ft.
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) IF 6 - BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to f:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
U
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date:
Account #: 989900063
Billed To: Larry McDaniel
Reference Name: Lary McDaniel
Proposed Facility: Residence
ATC Number: 2521
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH #: 5754-27-3163
Subdivision Info:
Location/Address: 3838 Hwy 601 S.-27028
Property Size: 2 Acres
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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature:
CERTIFICATE OF COMPLETION
Date:
**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)
Date:
. `'..: APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AlD V
Davie County Health Department
Environmental Health Section JUN 3 0 1999
1 V P.;:�. Box 848/210 Hospital Street
1 Mocksville, NC 27028
(336)751-87 6 6 ����,�� ENVIRONMENTAL VITY��TN
***1MPORTJ1NT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed Y' (�. i G Contact person (� l
Mailing Address . xn / Some Phone 11�
City/state/ZIP �� AA (easiness Phone ) �— gU�d-
2. Name on Permit/ATC if Different than Above ;�J4 M '{-
Mailing Address City/state/Zip
3. Application For: H'Site Evaluation ❑ Improvement Permit/ATC ❑ Both
4. system to Service: R4ouse ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
S. If Residence: # People_ # Bedrooms # Bathrooms_
®'Diahwaaher ❑ Garbage Disposal Washing Machine ❑ Basement/Plumbing�*Sink.
/Nlumbiag
6. If Business/Industry/Other: Specify type # People
# Commodes # Showers # urinals # Water Coolers
IF FOODSERVICE: # Seats ' Estimated Water Usage (gallons per day)
7. Type of Water supply: 0/ounty/City ❑ Well ❑ Community
S. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes B?qlo**
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. EitF.er a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION.
Property Dimensions: WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Tax Office PIN: #� � jw -soJ), X� , Vi j
Property Address: Road Name 60 ,`�ou-"1'� 'MM "'Crl i ey Q. 4
City/Zip
If in a Subdivision provide information, as follows:
Name:
Section: Block: Lot: Date Property Flagged: V u
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 by
to conduct all testing procedures as necessary to determine the site suitability.
DATE 6 m. J��_ / SIGNATURE t- �
THIS AREA MAYBE USED FOR DRAWING YOUR SITE PLAN (In de all of the following: Existing and proposed
Dronerty lines and dimensidns, structures, setbacks, and septic locations).
Revised DCHD (07/99)
Site Revisit Charge
Date(s):
I Client Notification Date:
I EHS•
Account No. V ��
Invoice No. ���
r s r �
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DAVIE COUNTY HEALTH DEPARTMENT
lrV Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900063 Tax PIN/EH #: 5754-27-3163
Billed To: Larry McDaniel Subdivision Info:
Reference Name: Larry McDaniel Location/Address: 3838 Hwy 601 S.-27028
Proposed Facility: Residence Property Size: 2 Acres Date Evaluated: ? X_
Water Supply: On -Site Well L"� Community,
Public
Evaluation By: Auger Boring Pit Cut �
20 77
FACTORS
1 2 3 4 5 6 7
Landsca22 position
L L
Slope %
HORIZON I DEPTH
D
Texture group
Su.,
Consistence
k ISSISP
Structure
611 Q
Mineralogy,
f
HORIZON II DEPTH•
-
Texture groupS
Consistence
Structure�-
Mineralogy
Mi Yom,
HORIZON III DEPTH
2p- 30
Texture group
SG4
Consistence
`s
Structure
4
Mineralogy
t
HORIZON IV DEPTH
t
Texture group
Consistence
'
Structure
Mineralogy
SOIL WETNESS
J
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
jjt
LONG-TERM ACCEPTANCE RATE
JU
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY:
T
OTHER(S) PRESENT:
/ LEGEND
Landscape Position
R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Texture
S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
CONSISTENCE
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
Mineralav
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/112
bCHD (Revised 05/99)
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r�
July 19, 1999
Mr. Larry McDaniel
P.O. Box 577
Mocksville, NC 27028
Re: Site Evaluation/3838 Hwy. 601, S.
Tax Office PIN: #5754-27-3163
Dear Mr. McDaniel:
As requested, a representative from this office visited the aforementioned site on
July 19, 1999. Based upon the information provided on the Application for Site
Evaluation and after an evaluation was completed on the site, the site was found to be
provisionally suitable for the installation of an on-site sewage system
Before an Improvement Permit/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
X04444&, ji�A.
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/mp
Enclosure(s)
July 19, 1999
Mr. Larry McDaniel
P.O. Box 577
Mocksville, NC 27028
Re: Site Evaluation/3838 Hwy. 601, S.
Tax Office PIN: #5754-27-3163
Dear Mr. McDaniel:
As requested, a representative from this office visited the aforementioned site on
July 19, 1999. Based upon the information provided on the Application for Site
Evaluation and after an evaluation was completed on the site, the site was found to be
provisionally suitable for the installation of an on-site sewage system
Before an Improvement Permit/Authorization to Construct can be issued the appropriate
application must be filled out and the house/mobile home location staked off.
If you have any questions, please feel free to contact this office.
Sincerely,
X04444&, ji�A.
Robert B. Hall, Jr., R.S.
Environmental Health Specialist
RH/mp
Enclosure(s)