962 Howell RdOPERATION PERMIT
_ Davie County Health Department
i 210 Hospital Street
. P.O. Box 848
Mocksville NC 27028
Phone: 336-753-6780 Fax: 336-753-1680
Applicant: Odie Carolyn Billings
Address: PO BOX 374
City: Wilkesboro
State/Zip: NC 28697
Phone #: (336) 452-1358
P ro
Address/Road #:
Howell Road
Mocksville NC 27028
Structure: SINGLE FAMILY
# of Bedrooms: 3
# of People:
-Water Supply: PUBLIC
Property Owner. Timothy West
Address: 222 Brentwood Drive
City: Advancie
State/Zip: NC 27006
Phone #:
lerW Location & Site Information
Subdivision: Caroline Billings Phase: Lot: 1
*IP Issued by. 2140 - Nations, Robert
*CA issued by: 2140 - Nations, Robert
Design Flow: a 4 0
Soil Application Rate: 0 1 3 5
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
Directions
Us Hwy 601 N, turn Hwy 801 , to Howell Road
Property on left of 966
*System Classification/Description:
TYPE 11 A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS)
SaproliteSystem? eYes ONo
*Distribution Type: GRAVITY -SERIAL Pump Required?
OYes ONo
*Pre Treatment:
Drain field
1 3 7 1 Sq. ft.
4
3 4 3 ft -
9 Inches O.C.
e Feet O.C.
Oinche— Feet
inches s
inches
Minimum Trench Depth: a
4
Inches
Minimum Soil Cover. 1
a
Inches
Maximum Trench Depth: 3
6
Inches
Maximum Soil Cover. 2
4
Inches
*System Type: INFILTRATOR QUICK 4 STANDARD
Installer: Ronald Adams
Certification #: 2577
"EH S: 2140- Nations, Robert
Date: 0. 7_/ 1 6/ 2 0 1 5
CDP File Number 191384 - 1
Manufacturer. Shoaf
STB:
760
Gallons:
1000
Dosing Volume:
Date:
0 4/
0 7/.1
0 1 5
*Filter Brand:
POLYLOK PL -122 With Pipe Adapter
ST Marker.
❑ Yes
no
No
nforced Tank:
❑ Yes
®
No
1 Piece Tank:
❑ Yes
0
No
❑
NO
Date:
County ID Number:
nic TanK
Let.
Long:
Installer Ronald Adams
Certification #: 2577
THS: 2140 - Nations. Robert
Date: 0 7/ 1 6 / a 0 1 5
Pump Tank
Manufacturer. Installer.
PT:
Gallons:
Dosing Volume:
Date:
Gal Certification #:
RiserSealed ❑
Yes
❑
No
RiserHeight: ❑
Yes
❑
No (Min.6 in.)
Reinforced Tank: ❑
Yes
❑
No
�1 Piece Tank: ❑Yes
❑
NO
Date:
Valves Accessible
❑ Yes
r Pipe Size: inch diameter
Pipe Length: feet
"Schedule:
Pressure Rated ❑ Yes ❑ No
4pproved fittings ❑ Yes ❑ No
Certification #:
*EH S:
Date:
upply line
Installer.
Certification #:
*EH S:
Date: / /
/ Pump Type:
Installer
Dosing Volume:
—
Gal Certification #:
Draw Down:
Inches
THS:
*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
❑
No
CDP File Number 191384 -1
ectnc Equipment
County ID Number:
NEMA 4X Box or Equivalent
❑ Yes
❑
No
Installer.
Box 12 inches Above Grade
❑
Yes
❑
No
Certification #:
Box Adj. To Pump Tank
❑
Yes
❑
N o
Conduit Sealed
❑
Yes
❑
No
'ENS:
Pump Manually Operable
❑
Yes
❑
No
*Activation Method:
Date:
Alarm Audible
❑
Yes
❑
NO
Approval Status
❑Approved ❑ , Disapproved
Alarm Visible
❑
Yes
❑
No
2140 • Nations. Robert
*Operation Permit completed by.
Authorized State Agent;
Date of Issue: 0 7/ 1 6/ 2 0 1 5
Owner/Applicant Signature:
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 If A. sewage septic system.
Rule .1961 requires that a Type TYPE 11 A septic system meet the following criteria:
Minimum System Review By The Local Health Department: NIA
Management Entity: OWNER
Minimum System InspectionlMaintenance Frequency By Certified Operator:
NIA
Reporting Frequency By Certified Operator. NIA
Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract
with a public management entitywith a certified operatorora private certified operatorforthe 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 owner and a management entity prior to the
issuance of an Operation Permit fora system required to be maintained by public or private management entity, unless the
system owner and certified operator are the same. The contract shall require specific requirements for maintenance and
operation, responsibilities of the owner and systems operator, provisions that the contract shall be in effect for as tong 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.
UHand Drawing 01mport Drawing
**Site Plan/Drawing attached.** F
OPERATION PERMIT
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC
Drawing Drawing Type: Operation Permit
CDP File Number: 191384-1
County File Number:
27028 Date: /
O Inch
Scale: OBlock
d O NAA
�
I
�
7`6
s c fr
J
l �,rL
i
I
-L
-T
CONSTRUCTION For office use only
. - AUTHORIZATION *CDP Fife Number 191384 -1
Davie County Health Department
County ID Number:
2,110 Hospital Street Evaluated For: NEW
.� ,. P.O. Box 848 Township:
Mocksville NC 27028 PERMIT VALID UNTIL
Phone: 336-753-6780 Fax: 336-753-1680 0 5/ 1 5/ a 0 a 0
Applicant: Odie Carolyn Billings
Address: PO BOx
City: Wilkesboro
State/Zip: NC
Phone #: (336) 452-1358
/`
Address/Road M
Howell Road
Mocksville
Structure:
# of Bedrooms:
# of People:
"Water Supply:.
28697
Property Owner: Timothy West
Address:
City:
StatelL ip:
Phone #:
222 Brentwood Drive
Advancie
NC
27006
Subdivision: Caroline Billings Phase: Lot: 1
NC 27028 Directions
SINGLE FAMILY Us Hwy 601 N, turn Hwy 801 , to Howell Road Property
on left of 966
pap i; Ego AJ his ISd«d &1 10 tj
PUBLIC W. 6 06'4�
System Specifications
\II/Site Classification: Provisionally Suitable Minimum Trench Depth: a 4 Inches
Minimum Soil Cover.
1 a
Saprolite System? @Yes ONo Inches
Design Flow: 2 4 0 Maximum Trench Depth: 3 6 Inches
Soil Application Rate: 0 . 1 7 5 Maximum Soil Cover. a 4 Inches
*System Classification/Description: "Distribution Type:
TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank
*Proposed System: 25% REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
Trench Spacing:
Trench Width:
Aggregate Depth:
1 3 r 1 Sq. ft.
4
3 4 3 ft.
1 0 0 0 Gallons
1 -Piece: OYes @No
Pump Required: OYes @No 0May Be Required'.
Pump Tank: Gallons
1-Pie,ce:OYes ONo
GPM vs— ft. TDH
9 . @Inches O.C.
Feet O.C. Dosing Volume: _ Gallons
OInches -
} — 3 Feet Grease Trap: Gallons
inches Pro Treatment: ONSF OTS -1 OTS -11
Septic Tank Installer Grade, Level Required: 01 011 0111 OIV
Dann 9 of Q
CDP File Number 191384-1 County ID Number.
Repair System Required:@Yes ONo ONo, but has Available S,
❑ Open Pump System Street
*Site
Trench Spacing:
Inches 0.1
9
Classification: Provisionally Suitable
— Feet O.C.
Design Flow:
Trench Width:
Inches
3
2 4 0
_ @ Feet
Aggregate Depth:
Soil Application Rate: 0 1 7 5
inches
.__..
Minimum Trench Depth:
�
4
*System Classification/Description:
Inches
TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD.OR
LESS) Minimum Soil Cover.
1
a
Inches
Maximum Trench Depth:
3
6
*Proposed System: 25% REDUCTION
Inches
Maximum Soil Cover:
a
4
N krification Field 1 3 7 1
Inches
Sq. ft.
No. Drain Lines
"Distribution Type:
; GRAVITY - PARALLEL (eq. d -box)
4
Total Trench Length 3 4 3
Pump Required: OYes @No OMay Be Required
Pre -Treatment: ONSF OTS -1 OTS -11
*Site Modifications
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.
This Authorization for Wastewater System Construction shall bevalld for a person equal to the period of validity of the Improvement Perml% not
to exceed five years, and may be issued atthe sametime the lmpmvwnent Permit Issued (NCGS 130A-336(b)� If the Installation has not been
completed during the period of validity of the Construction Permit, the Information submitted In the application for a permit or Construction
Authorization Is found to have been Incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become
invalid, and may be suspended or revoked (.1937(8)). The person owning or controlling the system shall be nrsponsibieforassurirg 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 ONo
Applicant/Legal Reps. Signature: Date: _ / /
*Issued By: 2140 -Nations, Robert
Authorized State Agent:
Date of Issue: 0 5/ 1 5/.2 0 1 5
nction Log Oyes
@Hand Drawing 0lmport Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street
P.O. Box 848
Mocksville NC 27028
Drawing Drawing Type: Construction Authorization
CDP File Number:
County File Number:
Date: 0 5/ 15 2 0 1 5
Qlnch
Scale: OBlock
()N/A
CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number.
P.O. Box 848
Mocksville NC 27028 County File Number:
Date_ 05/ 15 /«7015
Click below to Import an image from an external location: Drawing Type: Construction Authorization
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE IT & ATC
Davie County Environmental Health
�'VEp P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
0�, �� (336)753-6780/ Fax (336)753-1680
- /
Application For: Site Evaluation/Improvement Permit ❑ Authorization To Construct (ATC) ❑ Both
Type of Application: ❑New System ❑Repair to Existing System ❑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:
TION
Name O (tel \,e— C aNf o ei,\Vkn S Contact Person 3
Address • 0 Home Phone
City/State/ZIP _\AU�sboio Business Phone
Email
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flaeaed 2 - 1 4; ?
NOTE:. A survey plat or site plan must accompany this application. Included: [''Site Plan OPlat(to scale)
(Permit is valid for 60 months with site plan, no expiration with complete plat.)
Owner's Name --TI = S 7 Phone Number
Owner's Address 2XK�Z J9 City/State/Zip_,q
Property Address '1616, City
Lot Size l j L4Q q G Tax PIN# SS ff 3 30 Z8 t_
Subdivision Name(if applicable) ZAzi% bt4,5 61 V Section/Lot#
Directions To Site: > > _"� M <A, tNi 4,O 1 MT) j2 -Ti.? -)3(!�. 1.1tZJ1 ? i6fl t /Ca y 1
=fl t T2 & /1
Specify Pro
-
IF RESIDENCE FILL OUT THE BOX BELOW
# People # Bedrooms _ 2 # Bathrooms 21 Garden Tub/Whirlpool es ❑No
Basement: ❑Yes PTO Basement Plumbing: ❑Yes 540
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: D/onventional ❑Accepted ❑Innovative ❑Alternative ❑Other.
Water Supply Type: County/City Water O New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No
If yes, what type?
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand
that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use a
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 determine compliance with applicable
laws afid rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and
loca g and fla or staking the h us a ' ' location, proposed well location and the location of any other amenities.
roperty owner's wner's legal representative signature Site Revisit Charge
Datc(s):
--Client Notification Date:
Date EHS:
Sign given OYes ❑No
Revised 11/06
Account #
Invoice #
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION PROPERTY IN ORMATION
*vAUoek�I I - lq0 �
I�er4 .S oy],e_ H -z we- Pd. L401
I/ 733 %4� Al
V �
Water Supply: On -Site Well Community Public
Evaluation By: ' Auger Boring Pit Cut
FACTORS
1
2
3 4 5 6 7
Landscape position
1.
Slope %
HORIZON I DEPTH
0—
— 2—
Texture grow
Texture
Lt..
SCL
cL
Consistence
'
Structure
('
Mineralogy
HORIZON II DEPTH
Texture group
ZL
CA 54 A
CC, 15
Consistence
/
Structure
MineralogyS
HORIZON III DEPTH
_10
— k
;W -1W
Texture groupL
Consistence
h�
Structure
t C
C l
Mineralogy
HORIZON IV DEPTH
Ro •-
Texture group
(—
Consistence
Ali
Structure
Mineralogy
r(
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE'
1T
D- / -7
SITE CLASSIFICATION: i EVALUATION BY:
LONG-TERM ACCEPTANCE RATE: l ? OTHER(S) PRESENT: 11AC I U
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
NIQist
VFR - Very friable FR - Friable FI - Firm VFI Very firm EFI - Extremely firth
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
NOW
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unstiitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less
caassirtcation - s(suitaote), rakprowsionany suiusoie), ukunsuitaoie)
LTAR - Long-term, acceptance rate - gal/day/ft2 DCHD 05105 (Revised)
1 Filed ?or registration of � o'clock TM Bonkin Lake Rd
1. Zoning: R/A {a1� MAY I �� �0�� eo
111 one recorded ��
2. Minimum Building Setback Lines: Howell Road 1 �t �� �� �
Front: 40', R(sor: 30', Side: 15' in Plot Book _, vase
r
3. Watershed: None S.R. 1419 M• Brent Snoaf, Register ter of Deeds
4. No USGS or NCGS Monuments � l.�
Filing Fee old
- Found within 2000' of Site 60' Public R/W �
19'+/— Pavement Width
* SITE
Tax Lot 137 °
-lax Map C-3 DEPUTY-A T
U.) n/f Floyd F. Barney, Jr.
W ney
Ia- 3 DB 156 g 56 O Pageelissa S._ \
' W v a: I I Howell Rd
SR 1419
S 79. 51 '00"E 261.07'
S 79°15'00"E 215.09'
Vicinity Map (Not to Scale)
IRS Control Corner Tie Line
ti ----0
- _ 1/2" EIP Fnd
N 79°24'38"W 3/4" EIR Fnd
230.64' (not to scale)
i I 9'+/- Gravel
-31 ' Wide Non-Exclusive Pe - -
I Dirt Drive of Ingress, Egress r�Petuol Easement - -
-_ -- __ Reference gess do Utilities
- RB 914 ® PG 123 � 30' Wide Non-Exclusive Perpetual Easement
_ I
���_ of Ingress. Egress k Utilities
- _ - - {- - _ - -- ----.��----- ---- -, =-1 - -- - Reference RB 914 O PG 123
WMa - - -- - -_- -- - �-
� P;cp1)
en< �y
__c Eosem d
sen`6nx Fou- C
0' Ut t;ty f-0 ! �o�
P�
FN♦ PP � N° Recap
1 Existing Grovel/Dirt Drive is
o; I Carport Located Beyond the Referenced O�yP
Tax Lot 135 I N 30' Recorded Easement \
Tax Map C-3 `
n/f Harold Dean Brewer
do Sandra H. Brewer
I,
DB 113 O PG 482 :� I -- -----_-- Tax Lot 136.01
Tax Ma C-3 3 P
LP n/f Nicholas Boger
Existing Shed o b- c_`w do Cassandra McClannon
o o RB 914 O PG 123
.. � Existing Single-Wide
{ Mobile Home N
I r
I I � a
w
�
� ' LOT 1 ----- D o
I 40.8' :.
A
o = (�
1.938 Acres +/- L V T 2 A O �
(Inclusive of Area in S.R. 1419 R/W) u
m "
1.319 Acres +/-
A
s m I• A
I (we) htxeby certify that 1 am (we ore) the owner(s) I 3
of the property described hereon, which is located in
the subdivision jurisdiction of Davie County and that -"-0 'i f
I hereby adopt this subdivision plan with my free n o
consent, established minimum building setback lines I I
and dedicate all atreets. ateys, walks. parks and
other sites and easements public or private
as noted. -
J
- -- PP 276.49'
Dab (°) NMP `' - IRS Control Corner
3/4" EIP Fnd Tie dine 5/8" EIR Fnd
30.12 306.61' N 79.54'43"W rr
' 3/4" EIP Fnd 174.79' N 79°54'43"W --�
Dab Total N 79'54'27"W
Osetw(e) I �--- -----1
I 287.84' (not to scale)
Owner. I
Timothy A. West, I I Tax Lot 128
I I Tax Map C-3
222 Brentwood Drive n/f David A Graham
Advance, N.C. 27006 I & Carol S. Graham
1 W W IIa, 3t
Of RB 969 O PG 966
I Survey for:
m
0
C N ° Caroline BillingsI. George Robert Stone, comity 'hill this plat was drawn under
R/W - Right-of-Way �'�� FC - Face of Curb c a supervision from an actual survey made underdescription
George Robert St',Prdwelpgl Land Surveyor, L-3102,csrtiy,to ore
EIP - Existing Mon Pipe BOC - Sack of Curb -) °D orf supervision 1 s 1 on (deed dost'i pt i ort as indicated STATE OF NORTH CAROL)NA LOT 1
EIR - Existing Iron Retwr PP - Power Pole c0 recorded in Book -.�_, Rap• �-., etc. ) (other): that the boundaries not
°f b1°fOsO°w'g aw°' ® or cY: C�NTY �.
P - Pest N Z as surveyed are clearly iratio of as drawn from information I tonna In Book LLJJ DAVIE Part Of Tax Lot 136, Tax Map C-3
LP - light Pok i- u.i Page � rhar the ratio to of � c. That this plot b d a survey that ereetw a subdivision of land within CM - Concrete Monument M H _ Mon Hole precision os ee l eu l a lea I s V 10.000: rhar this ��of a eowrty or mw kill0a q,that has en ordinance that Part of PIN 5823830281
IRS - iron Rebar Set CH - Chord Distance yr N plat was prepared in accordance With G.S. 47-30 as amended. witness my original
PA - Property tine signature, registration number and seoi reWtbboDerceisdbttd
C/A - Controlled Access P/o - Part of i, Andrew Meodwell, Review Officer of Davie County Record Book 923 O Page 489
CP - Concrete Pi 08 - Deed Book this 29th day of April A.D. 2015 * RB 923 O PG 489 b. That this pat M oro mor I.k1°abd in W h c that the map or plot to which this cerViicatkxt LOT 1 Acreage: 1.938 Acres +/-
rM PB - Plat Book county or munioipogty that le,ewegwated as m an��° M vTin1ed meets a# statutory nequiroments for recording. (Inclusive of area in S.R. 1419 R/W)
CPP - co ed Meta P' tkot requlatse poiesis d woes:
CPP_C gated Plastic Pipe PC - Page Book Seat o r Stomp Review Officer �w 1
-F- 100 Year Flood Boundary CB - Catch Basin George R. Stone � � � \ � c. Tket thb pat b d a survey d an evethtq pwosl Cr parcels -�i�� -� !�l
L.
-O- Overtleod Utilities 3/4" EIP Bent/FndLOT 2
-S- Sewer tine L� Surveyor `� �(f Part of Tax Lot 136, Tax Map C-3
-x- Fence WM - Water Meter — kindtT7 e
Fnd - Found WV - water Verve L 3162 a d. Pot the pot w or a survey or onaidw ceb gory,end,ole ue Part of PIN 5823830281
"M - Now Or Formerly TB _ Bench om Mraie O��N C,4ROC t000"*kWdm of per,a Court-ordered ourver or oftew Record Book 923 O Page 489
NMP - Nonrnanurnertted Point TBM - Temporary Bench Matic Reg .'lotion Number COUNTY PLANNING DEPARTMENT"
CL - Center Late RRS - Rail Rood Spike S exeeption m the Mhdtlon d aubdrWor� "NO APPRO1/
EP - Edge of Pavement CIV - Cable Television Pedestal 2 :'OFE 5�0�:�'y e. T,,at ►d«weebn a.o�+. a�. b that i am LOT 2 Acreage: 1.319 Acres +/-
TP - Telephone Pedesis ETB - Electric TratWortmosr Box such
•Q ee6b to maw.a determination to the best of,ry p oftesknal Area Computations by Coordinate Geometry
-W- Water Line CO - Sanitary Sorter Clean Out SEAL. �-to pevisione Contained in(o) (d)oboes. Plant, Director
Jl .� �"E TOWNSHIP COUNTY STATE DATE
1-fl I I F :� L-3162 �; W t" = 40' Clarksville Davie
40 0 40 80 120 001, �o�p George R. Stone, PLS \ North Carolina 4-29-2015
:P—i L- 162 Stone -Land Surveying Company
RQBERN SURVEYED: 8ueirt..s Firm Certificate Number C-170.4 ,ole NO.
GRAPHIC SCALE — FEET * Exempt Minor Subdivision PH,RS,SP2115
MAPPED: George Robert Stone, PTS L-3162 MAP NO.
GR$ 113 Drum lane X336) 998--4733 2115
Moci,sville, N-, -1028