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307 Howell Rd Davie County,NC , Tax Parcel Report `� g 13 Thursday, September 29, 2016 � � ; � �~�`"`�-_ sf �M1 _ __------� � 319f� ~�' � r� � � � /� � . � � o !� ��� � �� � � s�az � ' o�,/� { �--�-4 '� ,, �'�' I �-i � I �`�f � 318 . F•�„ �� _ l I � � . . ! _^____ i . / / ................_............._..............._........................................................._............_..................................__......._....................."_...._........ _. ...........L..................a:.......... _. WARNING: THIS IS NOT A SURVEY � � � ` � �Parcel Information �� � � � � " � Parcel Number: D30000004510 Township: Clarksville NCPIN Number: 5822651375 Municipality: Account Number: 8301350 Census Tract: 37059-801 Listed Owner 1: KISSINGER LILLIE B Voting Precinct: CLARKSVILLE Mailing Address 1: 307 HOWELL ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: Zip Code: 27028 Voluntary Ag.District: No Legal Description: 1.00 AC HOWELL RD Fire Response District: WILLIAM R.DAVIE Assessed Acreage: 0.86 Elementary School Zone: WILLIAM R DAVIE Deed Date: 9/2012 Middle School Zone: NORTH DAVIE Deed Book/Page: 009010343 Soil Types: EnB,MsB,MsD Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 106540.00 Outbuilding 8�Extra 0.00 Freatures Value: Land Value: 15870.00 Total Market Value: 122410.00 Total Assessed Value: 122410.00 9Au!�, All data Is provided as Is wlthout wartanty or guarantee af any klnd elther expressed or Implled Including but not ilmited to the Davie County� Impiled warrantles of inerchantability or fltness for a particular use.All uaen of Davie County's GIS website ahall hold harmless the County of�avie,North Carolina,Rs agents,consultants,contracton or employees from any and all claims or causes of ac[ion due to �pUN�'� N� or arising out of the use or Inability to use the GIS data provided by this webslte. � _. � , , _ � r ' Davie County Health Depariment , ��`,�f� Environmental Health Section . _ _ , . � : P.O.Box 848 :;�� . ' � ,� 210 Hospital Street � %p'U�� � Courier#:09-40-06 , ` t�;;; ��� � �ocksville,NC 27028 : Phone:(336�-753-6780 P Z � 101`t A Fax:(3367-753-1680 A �UGON-SITE W�TEWATER CERTIFICATION '� Q�Check One ement Remodeling Reconnection ��(�Z� ��,�`�-- ��;o� Name:�,.��\c. K�ss PN��r' Phone Number ` °�`�`! / (Home) Mailing Address:30'7 1�-u.��)� �� (Work) �LO taCs�.1\ � A1�c 7"7 U L Sr DetailedDirectionsToSite: ���� LU� Nai lFJ l��.0 �V) 5�� �� �tc�.,.,��1 Qli( �K) �. - `�k � h'l r� .•- _ - __- _:_, _ Pronertv Address: 3 0-7 .l l R M a ..� I� �, � ?'7d z Q . :; F__ . . �3 oUU��5la ov - --_ . __ . . , P1eas,g,Fill In The Following Informat�on About The.EXIST7NG Facility: :.:�... . _.. ,__._.. _. .. _ Name System Installed Under: 1 how c. �U�►cr" Type Of Facility: Date System Installed(Month/Date/Yeaz):L�' 7• Ql � Number Of Bedrooms2_ Number Of People:�_ Is The Facility Currently Vacant? Yes No If Yes,For How Long? Any Knowz}Problems? Yes No If Yes,Explain: Please Fill In The Following Informallon About The NEW Facility: Type Of Facility:32 X''�S3 Mor�.,.�r�� Number Of Bedrooms:�_Number of People? Pool Size: Garage Size: Other: Requested By: �) Date Requested: $' 23'�Z (Signature) For Environmental Health Office Use Only Approved ' Disapproved � ` � Comments: � ...�----� - Environmental Health Specialist Date: � a� / *The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee (extended or limited)that the on-site wastewater system will function properly for any given period of time. Payment: Cash heck' oney Order # Amount:$ Date: PaidBy: ��.zli'�1��lr� ReceivedBy: ����'�1 Account#: g�7�� Invoice#: aG,� Y�' - . -� _ ��� ���-�� � , ; , ---r____: _--- _._ '--- - _ _. ,- ---_ ._ _. ..:_.. . 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House Mobile Home �-'"� , � � ' �� ; � , � . _. usiness ` stry � � � No 8edrooms '� No Ba(hs_�_No. in Famil ' 8 � ° " Indu .,,,, - -- . , Y.-.—�-L_.. .Public Assembly Other - L, � �r ' �`,Garbage D�sposal YES p NO ' F F ; ; ti �' _Specif�cations;:for System �� � .� -Auia Dish Washer YES ❑ NO p' ' < ' . , z Auto Wash Ma hine YES p�NO p �d�Q�,,�'1�;. � �Q�s,, � �� � ' r � �,. i .; . TYPe Water Supply ..;r �� �,. ; x �' — - — `� �� : This perm�t Void��sewage system descr�tied below is not insialled within 5 years from zia[e of issue � '�„x �; " ` This pe�m�t`issubject tq�evocation if site plans or the intended use cha�ge � � % �ATTENTION YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT�LAYOUT BEFORE INSTAW NG THIS ' �� SYSTEM ^ , ` / ' � r � `� ���� ��,, �����j� / � ,��. � ,, �. .. �/e� �1 �- �. ► �'J, �l : j l F�`j ��/��{ � �� �t �` ,�; ��',�/ , a �.,U� E"'r y � � ` r. ;!� d f �. *� �_��.�.. , �. x} s q „ , y: � � __---------�--_ ` � ^�,, ��� l � �ti t: '"'-�._:� j ' f - r ; � �;: �l�{ / r r : , • : � i + K y Y a ; , � ,:• Improvements permii`by L���- `� f . . ,; . , . . �..; ..,.. . < , ..�. .. . , . : : .. . �' . , .; T � t� �i . . , .. . . _: '.....:�- �� -,, 'Contad a representative of.the Davie County HeaRfi Department,tor tinal inspectiori of this system between 8 30 9:3D A M ! 1 00 1 30 P M,or 4 30-5;00 P M on day of compietion:Telephone Numbe�:704 634-b985���v � t r ` . . . ,.: � . , . , - . �,; : �, . , .,. , + " a . _ ,: ,. . :: . , :, �s Final insfallaUon piagram ` System Instalted by t ��/��-�.;.r �i(r��,���, � ° , e � „ � ---�—.--�--� �� , , � . . s ] ' v �dx r , ; . � , � � , , , � .. . ,: . . . „ . ; : . . ,�.;. .. . � : , , ._ . _ .. ; ., ,: , F :: .. . , , . . .. . _. . .. . , , ,: , : . ,, , . . . . . .._ _ „ . _�. ; :., , ; - F r' �" o � L �rt '� - '.:3 l ,'f N` ;, p. � �`: e � �� � j f -ati � � k. ; � S t � , - � ' N : - � � ; �� � � S. 1 Certiiicate of Completion ,r'r';�..r�� ' Date � ` i, r ; � l The sigqing ot thisace[tificate shal6indicate'.that the system descnbed above has`been�installed irr`=compliance w�th. i~ , � ' the standards set forth�n the above reguiation;but shall in NO way be taken as a guerantea that the system wiil,function'; ' ` � � �t .I ( .: y. 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D Ii�I �� �t t � � > ���� �w� �'�� ,�A� � .� �� .�,�: i . ��� 4 �� ` �� �. ��� uil�� +"�,�`�,s� '� ,�c l� ,��, u ��;�. � �'y ,-� ,�:�t. i ..�i �, OP�xfi+` . RV �E ''a. ��Ut1� S Printed:Jun 12, 2012 All data is provided as is without warcanty or guarantee of any kind either expressed or impiied including but not limited to the implied warranties of inerchantability or fitness for a particular use. Ail users of Davie County's GIS website shall hoid harmless the County of Davie, North Carolina,its agents,consultants,contrectors or emptoyees from any and all ciaims or causes of action due to or arising out of the use or inability to use the GIS data provlded by this website. ; ._.. z. . _ � , _ . _ , - - -- .. _ .. .,.. . _ ,.. _ _. _ � _ v. , . . : : �� "�� ~ , ` ��� !-s�l�/��°`�° �:.�;�'�"` � : _ � DAVIE COUNTY HEALTH DEPARTMENT � " IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'I ' � 'NOTE:Issued in Compliance With Article II of G.S.Chapter 130a Sanitary Sewa e systems ,. Permlt Number � - .�, Name_�� `,:, �, "— — Date v%:ii/�.,- . N� 7 8 9 3 ..��- ;,, ' Location �G� ���� � �` � � •,'' � ..:�%�/,};< < o' -'''7` �f��I �t1 LUP.I[ � 11� ��Cf � — ---- Subdivision Name Lot No. Sec. or Block No. Lot Size �L��-!G'-- House _ Mobile Home v—_ Business __ Industry No. Bedrooms —.�.._.No. Baths _1-- No. in Family '� _ PublicAssembly Other Garbage Disposal YES Q NO [�''" Specifications for System: Auto Dish Washer• YES p NO � ��jp��;.��;��"' /,' ����� ' Auto Wash Ma^hine YES ;Q" NO [] , �,,� � -��o�.�x��� � a � pti.� jYPe Water Supply --��1/ --------- 'This permit Void if sewage system described below is not installed withm 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT�LAYOUT BEFORE INSTALLING THIS ��� SYSTEM. /. � � � � � . _!._��:.s-�1� �..:�_^..-----_.___ - , ,�f ��� y%11'i�;;�� ' � ,��''� , .� ��..-�-{_��,_._---- / T� � � �����-r— � �' � Q � ��� � r , :�� �� - ,� � �, �� �- ^` ' � � � \\,\' �� � �, . ,� �V,j..� \ - h . ' �V �`` . _ . . . � � �. W`�� Improvements permit by 1���— •Contact a representative of the Davie Counry Health Department for final Inspection of this system between 8:30-9;30 A.M., 1:00-1:30 P.M. or 4:30-5:00 P.M. on day of completion.Telephone Number: 704-634-398�.�"�'(oC� Final InstaUation Diagram: System insialled by _�.�L��' � D � ---���-- � ° .� Certiticate of Completion Date _ 'The signing oi this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will tunction satisfactorily br any given period of time. . . � +1 p APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �. ��i � >� -+ � ( �, . Davie County Health Department �/� , � �1JC.� Environmental Health Section �i�'�����1,�� � � T P. O. Box 665 Mocksville, rvc 2�o2s FE8 2 01995 1. Application/Permit Requested By � � Mailing Address �7 � r�-����a��a" � Home Phone � 9���-3�7 OC�<Sy��/Z .�,�7°.2� Business Phone 2. Name on Permit if Different than Above 3. Applicatlon for: 0 General Evaluation l7 Septic Tank Installation Permit 4. System to Serve: � House L� nnobile Home ❑ Place of Public Assembly ❑ Business � Industry O Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # ❑ BasemenUPlumbing No. of People � O BasemenUNo Plumbing No. of Bedrooms � B-V1Tshing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposai 6. If business, industry, place of public assembly, other: Specify rype No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No.of Water Coolers No. of Showers Water Usage Figures 7. Type of water suppiy: O Public rivate ❑ Community 8. Property Dimensions ���z�'��� Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to seroe? ❑ Yes ❑ No If yes,what rype? 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: . ' ,��,`��s C/�ure-��- �d. -� �.�: o�� ��`�1� �. -. � �4/� � /��. 9r- � �l 0�0 O � 6�-r�- � / /�I u�-�-'���"`��' • v� �� �/� � . �f ��/ G�iY�� ��yJJ'//////� ���/h-� �`- ���7� • �ikS���k// f . 1 �� /'j . � . • �( �� I� � ♦ v� /%v�'''!'-t" w , � � � �i�'(/(!/ vJ � `� � This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. oZ `020 ' %.� � � rn _ ��.//��/t/ DATE �T � SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: �I WN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2,the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD�(1/93) ' DAVIE COUNTY HEALTH DEPARTMENT '�� � � ' Environmental Health Section . . � Soil/Site Evaluation NAME O G' DATE EVALUATED ��i�oZ/�� ADDRESS . PROPERTY SIZE //�� PROPOSED FACIILTY �U� LOCATION OF SITE !'4iv./1/ �� Water Supply: On-Site Well � _ Community Public Evaluation By: AugerBoring ✓ Pit Cut FACTORS 1 2 3 4 Landsca e osition L ,L Slo e 7. HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH .� � Texture rou Consistence � , Structure � /,i // Mineralo l•� HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON . SAPROLITE CLASS�FZCATION S LONG-TERM ACCEPTANCE RATE � SITE CLASSIFICATION: �� EVALUATED BY: LDNG-TERM ACCEPTANCE RATE: `� OTHER(S) PRESENT: REMARKS: LEGEND Landscane 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-Silt,y �;lay loam� SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Ve.-y friable FR-Friable FI-Firm VFI-Very firm EFI-Ext;emely 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 ,iC--Single grain M-Massive CR-Crumb GR-Granular ABK-MQular 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 watefi 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/f12 DCHD(01-901 ■■����■�■■�■■■��������0���■������������������■��■�������■■ ■��■�r■ ■■���■��������������■�/�������0����n��������������■����■���O�O■�■ ■■■������������������■■����������������r�������0�����■�����■���■■ ■■��������������e��������������■ ■������■�����■�������■���������■ ■�������■�����■�o��������a����■�����■������■ ■����������������■as■ ■��������■■�������������������������■�����������������■����������■ ■��������■■�������■����■�■�������������������������������������■�■ ■���■������■■�■�■■�■■����■�■■��■������■�■�� ■■�����■ ���■��������■ ..........................................C........�............. .................................................... ............. ............................�...�................. .............. ................................ ................. .............. ...........................�..................._...__............. ........................... ................... .... ............. ■�����������e��������������������■�������■��■■ ������H'��������■■ ■���■■���■■����■��■�������■��������■����v ■�■ ■ ■ ■■■ ■����■ ■■ ■����������■�����■�����������������■��������_ ���������������i��■ ■����■■���������■��������������������■���e�����■� �■a■������■■��■■ ■■���������s�������■����������■�����o���■�����������v���u����■■ ■���■■�������������■������■���■ ■�■����N��������������■����e��■ ■���■■�■������a�■������■������■��■���■o■�����������������������e■■ ■������������������■�������■■�����■����������■■ ■ _ �����������■�� ■��■�����■■������������■�����■��������H���������■ ����i���������� ■���■����������■�����������������■ ■ ■��������■�������� ■ ����■ ■e���■�������������■����■��������■ ����■�����n������■■v��=■■_��_■ ■����������■���■��■���������■�■������������■�������� �■�����■ ��■ ■���������■■���������������■■���������■u=����u�■�■��■�oe=■�■ ■■��������������■������■�������� ■�■������ �� ��������������a��� ■■�������������������N��������■���N���������� ���� ������■���� ........................................■.■■...■ ■■..Z..■�....■.�� ■�����■��a�����■����■����■������������������N��= ���� ■����e � ■■���v�������t�����������■����������■���������■ ■ ������t�� �����H�����������������������������������������■ ���������������� ■������■�������������■/��������������u���Nu�u��■■�������■��■ ■������■��������0��������������■ ■������������ e�N���■�■���e��� ■���������������������������������������������������� ������� ■�■��■�����■�■���■�����������■�u �� ��■��� ■ ■■��������� ■�e��■����������o���■�=��n■�������� _� `��ii�i �ii��=ii�i� iiiiii�iiii�iiiiiiiiii■����iiiii��i �■ �� �� ��i'�■�a■�= �iiiiii�s=iiii�iiiiii�i��������■�� �� ����i����°� ��■�� ���� ■ ■ ���■ ■��■■■ ■��■������a���������■U��=�����■����� ■ �a����■e■■ ■�■���������■������■■■��n����������� �N��� �■��o�■■ ■o■■■�����������■������■����������.. �� ��■�s.�� ■e������■�■■�n�■■� �����e===�:: ■ �� ■ �� ����� ■■ �����������■��n�����i���■�����=u==��iu= � �� �■■�s��■ :::::C:C:::::::::::::C��::::.::.' . � 'C:CC=::C::�� ........................�■....... ...... . ... ::::::::'::�::::.::='C:C:=::: ■■ ":: :.'�'.:: ■�����■0���������Hu���■�����Y■ �■ ��� S��■���� ■��■�■�������■���u���■ ■���������_ N ��� ���oi� ■■��������� �����������t!�C�C�i i i� H���■■� ■����■■�������■������\���■��■■�����_ �\�=�v�A�� ■�����v�������H��������������� ■ ■ v��U� ■�■��������� ��� �■����������■ u�■!�/����� ■����u� ��������������■�■■��� � N��a�\��� ....... 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N Location J/�' %."'_!r� �%'' r � /; /' ��f F: .r� ',f ,�'' _ r, (� �/ �✓ '/ fi/�//: '/- . r._��/,�r'/% �� O/� 5��� � � � � We�� � Subdivision Name Lot No. Sec. or Block No. Lot Size �L��L _ House _ Mobile Home _�,_ Business _- Industry No. Bedrooms �—.No, Baths _�-- No. in.Family 4��_ PublicAssembly Other Garbage Disposal YES ❑ NO � Specifications for System: Auto Dish Washer YES p NO p'' �� ��:����`'"����'�� � Auto Wash Ma^hine YES p''�NO p � '� , ���X�,��-�`� � �,►�4�`'s .��,r�.��.�� Type Water Supply ,— '��'`�'�l ----- 'This permit Void if sewage system described below is not installed w�thin 5 years from date of issue. This permit is subject to revocation if site pians or the intended use change ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTAW NG THIS SYSTEM. , 1 ��'����'C 1oS� �� �l , � �� -io� � ��s / f r-�„_ �,%/' ,�``�,-J�f' �'� �,� � �j ��j n,✓,`�� � �' �`�✓ �� �� I� � !� y� �N� w� d��>� /� � _ _._-�° -___-.----�-_.�� i �l �.-. G+�t �/ �. � _. 1 ,�,�" � L-�-.��' Improvemenis permit by — 1`�" — •Contact a representative oi the Oavie Counry Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-b985.D76U � Final Installation Diagram: System Installed by �� + , 1 . ��X � 1/ �..,._ `� , ��_ � a Certificate of Completion __ Date --`�=–,�--��..�– 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will tunction satisfactorily tor any given period of time. � � S APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT _�__�` t __...�_.._- ,, 1'. �_�. `� '` ' /� Davie County Health Department ��.;.�.��-aj' `.�:, � 7 r' Environmental Health SeCtion �' ''� u��� , P. O. Box 665 � �.� �(p'�� Mocksville, NC 27028 �``'' 1. Application/Permit Requested By � ""� Mailing Address � 7 � ��-��/�ah,�1� �4 Home Phone � ������? }'�'►OCkSY��/� /1/:��7�.� � Business Phone � 2. Name on Permit if Different than Above , 3. Application for: 0 General Evaluation l�Septic Tank Installation Permit 4. System to Serve: O House C�Mobile Home O Piace of Public Assembly . D Business O Industry O Other O Unkndwn 5. If house, mobile home: Subdivision Section Lot # � O BasemenVPlumtiing No. of People "� O BasemenUNo Plumbing No. of Bedrooms ,� �shing Machine ' No. of Bathrooms � Dishwasher Dwelling Dimensions O Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. ot Sinks No. of Commodes No. of�Urinais No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: O Public rivate O Communiry 8. Property Dimensions ��a����� Sewage Disposal Contractor 9. Do you anticipate additionsiexpansion oi the facility this sytem is intended to seroe? � Yes O No If yes, what type? 'NOTE: Improvements Permits shatl be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Efiective October 1, 1989. � �� Directions to Property: � ' �. ,��.`�� G�ure.�;- �d. .�,C..�: c�- �v��1� � -. � �4�iV. � /�"�. B °�%�o� � �.- f -�- �'Yf wLe�..��s�--��1. • ��� � . � a��� � ��.,� � `��1� '� ���'�' � , f� . ,�S� �G�// ^ /.]J , �ofl�x� `2 _ °� ,, �,� � C������l�iy--- ��1�' �, ` i� . . This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this appiication. 02 -�0 � 95 DATE SIGNATURE CONSENT� S�ITE EVALUATION TQ BE DONE QI�ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1d'�. I OWN the property. ❑ 2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MU T be completed by the owner or a person authorized by the owner: t 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE pCHO p/93) ,; :--` ,� , DAVIE COUNTY HEALTH DEPARTMENT �'� �� • Environmental Health Section . Soil/Site Evaluation NAME !� DATE EVALUATED ��.�o2/�S ADDRESS . PROPERTY SIZE /l/�G PROPOSED FACIILTY —L11 � LOCATION OF SITE ,�✓�u/G�� Water Supply: On-Site Well _ Community Public Evaluation By: AugerBoring � Pit Cut FACTORS 1 2 3 4 Landsca e osition L L S10 e R � —' HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH � � Texture rou Consistence i Structure Mineralo ,'/ �"/ HORIZON III DEPTH Texture rou Consistence Structure Mineralo HORIZON IV DEPTH Texture rou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLaSSIFICATION L0�1G-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: ��y ��'���d EVALUATED BY: � `� LANG-TERM ACCEPTANCE RATE: - � OTHER(S) PRESENT: REMAR KS• 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-Silt,y r:lay loam• SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vc.�y 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 Structuro ,iC--Sin�le grain M-Massive CR-Crumb GR-Granular ABK-Mgular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralagy 1:1, 2:1, Mixed Notes fiori2on depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil w etness - Inches from land surface to free watefi 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 - gaUdayl ft2 DCHD(01-901 N�������■ ��������■�■����■�■�����������■ ■■��■ ■�����■�����������������■�■ ■■■����■ 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