Loading...
2021 Hwy 158DAVIE COUINTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT IMPRIIV@LtT FERMI **NOTE** This improyement 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) NATO: /VAP11_r Y/% 1r I PROPERTY ADDRESS�r, z- ^ * -- %r . i�� DATE LOCATION e^.7 !/"J ,i%.S / �i/, r`' .t ii%i: Jls ✓ ��%/t✓ , SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS ,' t BATHS 0 OCCUPANTS GARBAGE DISPOSAL: Yes COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT A SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)! FEW SITE L REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIIE,! i f GAL. WTANK ,GAL TRENCH WIDTH ROCK DEPTH /;%y LINEAR FT. �/ r I N OTHERS/a/r 4! REQUIRED SITE MODIFICATI�NS/CONDITIONS: ***THIS PERMIT IS AJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR FAST SEE THIS PERMIT -BEFORE INSTALLING THE SYSTEM. Ll Il •��/� L IMRRDUEMENT PERMIT BY **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 (704) 634-8760. SYSTEM INSTALLED BY �C''�mAr✓ '7/Dn T AUTHORIZATION NO. OPERATION PERMIT BY �i-�/�c!!e.[l/ DATE **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 10/95 - 'Y L'A(f Jve "�t'W •Ywfd 4"- '�� fkC `•.,- t. t w!` ..•, Y,t •'•y.Yh 4 . -"., . -.. , , . /� Davie County Health Department y ENVIRONMENTAL HEALTH SECTION t P.O. Box 665 Mocksville, N.G. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***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.*** J AUTHORIZATION NUMBER NAME 0'/ DATE N2 tl 127 NAME ON IM(PROVDENT PERMIT (If different than above) SITE LOCATION .+c'S`8' - dL✓4V/ /7/: 71, ,� `� %/ri S D,�/ COMMENTS/CONDITIONS OH AUNRIZATION TO CONSTRUCT WASTEWATER SYSTEM ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. A5 'lox ENVIRONMENTAL'HEALTH SPECIALIST ' DATE DCHD, .10/95 _ ,,.2,h. .. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By _ r �e-s Mailing Address. L �Q Z) t Q -n Home Pt KA r) e k .�12�` le Nc Business 2. Name on Permit if Different than Above 3. Application for: ❑ General Evaluation Septic Tank Installation Permit 4. System to Serve: ❑. House Ny obile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section - Lot # DEC i i iso No. of People No. of Bedrooms No. of Bathrooms o Dwelling Dimensions 6. If business, industry, place of public assembly, other: Specify type 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 supply: Q'Public ❑ Private 8. Property Dimensions 1� S Owe �5 Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? If yes, what type? ❑ Basement/Plumbing ❑Basement/No Plumbing 2✓Washing Machine ❑ Dishwasher ❑ Garbage Disposal Gd Yes ❑ No E(Community t '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. PROPERTY INFOR1i&TIO1T REQUIRED: Directions to Property: To-� 4",4 � 58 Rctvar\oc Take �e-F-�- Tax Office PIN if S7 V q 17-{10k Road Name �IUJu 4 i 5s Lox # (if available) IVIA City M r)c_ksy i e-, -r-i rs+ road.. 60 Q,�ecL. 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 fro this application. �5 DATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 19 2. 1 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 Dave County He Its h Departent to enter upon above described property located in Davie County and owned by u 0�i►'� i to conduct all testing procedures as necessary to determine said ite's suitability for a ground absorption sewage treatment and disposal syst m. a DATE SIGNATURE DCHD (1/93) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME l �LS DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On -Site Well _ Community Public' 7/ Evaluation By: Auger Boring // Pit Cut FACTORS 2 1 4 Landscape position Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 2 Texture group Consistence Structure f 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: _ArQ e 2! to EVALUATED BY: A// LONG-TERM ACCEPTANCE RATE: REMARKS: e5��z2 ".J DCHD(01-901 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 :lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay. CONSISTENCE Moist VFR- V+ --.-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 Structure 3C --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/fu ■■.■■.■■■■■■■■■■.■..■■e■ee■■.e..■.ee.ee■e■e■■■■■■=■■■ee■■■ e■■�e■■ ■■■■.■eM■■■■■■■■■■■■e■■eeee■eee...eee■eeee.■e■■■e e■■■■■■ese■ese■■ ■....■.■e■■■■.■■ee■...■.■■■■E..■�.■■..■■e■eCeeee.eee.e.eeee.■eeM■ ■...■...■.■a...■■e■.■....■■■...■■■..■....ee■ ee...eee.eeaee.aee■e■ ■■e■■■■■■■■■■■■■■e■ecce■.■■■e■e■■■■■.e■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■...■■...■■■Mee.eee■■■e.■...■■■■eee■MeeeeeC.e■■eeeees■■■■■■.■■■e■ ■■ecce.■■■■■eeeee..■....e■eeM■■■eeM.eee■■■ ■■■■■■■■C■■e■■■■■■e■■■ ■■..■......■.eeeeee■ecce■....e■■eeee■■eee.ee■■■eM■■■ t■■■■■.Ma■e■■ ■■.■.■■e■■■■e.■e.eeeeee■■■..E■ee�■■■■■■■■e■■■■■■■s■■■■■■■■■■■■■■■ s■E...e■eeee..e.e...esee.e■.eee■ ■■M■■■■e■■■■■e■■■=■■■■■■■es■■■■■ ■e■■■■eee■■■■e■ecce■..■..■■=.eeee■■Me■e.ee■■■■■■■■■ _■■■■■■■■Mee■■ ■■■ecce.■.■eee....■■.■e.... .eM.eeee■MMMMMe■■■■■■■■■ ■■e■■■■e■e■■■ NOMMEEN ■■ccc■■cccc■■■■cccccccc.ccccc■■■■eee■■■■ ec=�■�■�■■■CC■■■■■■■ ii ■s ■e■■eee■■■ecce■■■.eeeee■■■■■eeee.e■■■■■■ ■■■ ■ ■■.■■■■ecce■■■■■■■■■■■■■■■■■■■■■�■■■■■■■.■■■■■■■■■■e■■■■.e.■■■■■■ ■■■■■■■eee■■■■■■cco■■■■■■■■■■■■c■■■■■cc■■c■■c■■C■C■■■■■cccac■■c.c■ ■.e■e.e■■■e■■■■ecce■/e:_�eeeM....ee■ ■H■■■ .■■■■■ ■■e■■ ■.ee.■■e ■■.■■■eee■■■■■■e■■■G■■.a►�e►�ee■eee■=■C■e■■■■C■■■N■■■■■■eC■e■■■■■CC CCCCCCi■CCCCCCCCCCiiiiiiiYriiCCCCCCCeiiiiiiiCCCeiiCesiaCCCCCCCCCC■CeC ■.■ee.MHe...■M■M.�I.e■e.l/eu...Me ■....■■H ■C■■■■H■■■e■e■■■eC■■■ ■■■eee■■■■eee■■■■■��ee■■■i�■■■e■■■�ee■■■.■■■C■■ ■■■■■e■■■e■eee■■■■ ■■■■ lil■.■■O■O■O■■■1/e■H■I■■■■■■■■■■■N■e■■OO■■■CC�■M■e ■■■■■■■e■■■� ■..er�a.ea■.eee ®..i■...Hi.■e■MeeMee■.....ee.■...e ee eeeC.....■� ■■.■■eae.e.e■■■ee■■■e��e■■■......MMMeMMee■eeee.■C ■■C■■■e■e■■■ CCCCCCCCCCCCCCCCCiiiiiiiiiiiiiasiCCsaiiiiCCCSCCCC■ ■CCCC■N mmonCCe■C ommommom ie■iCiCsCsCCCCCCCCCCCCCCCCS.�CCeCCiCCiCCiCCiCCiCCi��ii.iiCiiCii.•e�iiiiCi�CiCiCCiC■iiSiiCCCCCCCCCCCCCCCCC:C■i■i■i�CC.i■CHCC■CC■iCiCCC�C.C.Ces■iMC ■CCCLEM■CeC MI �eeMNE! C HeEeC=M ■■■■■■■■c■■■■e■■■ ■■■■ H■■e■■ClCCCCC CC C■■CCCCCC ■■■■■■cccc■■■c■eccccc■■■■■■■■■■■■■■ ■■ N■■ e■H=■ ■a■ NOMMEN mmCCCC ■ommom as MEN CH ■ ■ ■■Ce�CCCCCC uMMMMMM ■■e■■ee■■■Nee■■■.■■■■N�C■■■■.iii■■■■ ■CGCG C ■■■e■■■■■■� ■■eeeee■■■cccN■■■■■■■■cH■■■■■■►�■i�■■■ ■HC■■■ coe■■ccc ■s■■■e■■s■■■■.■■■■■ ■■■■■■■■■■■■��■ ■ ■■■■■e■■■e■HHee■eCe■ee■■■■CMEN ■■�CCC Ce siiiCCCC CCCCCCCCC�CCCCCC:�CCCCCCCC.CC.�•��C. ■CCCCCCCCCCCC ■■.e.......MM.M...M..MMMe■ee■e■M e C HMeHe■se■e ■■■■eeee■■■■H■H■HN■ CCCC■■■' ■ MEMO ■C■Ee■■■ ommomim ■e■■■■■■■ ■■■■N■H■■■� ■■■■■, .■ H■■■■■C ■■■■■■■■■OO■■■■■.■■■■■■ ■e■. .■■■I■c H CCCCCCCCCCCCCCCCCCCsii■CCCsiiONEME CC ■ MMENE■C ■■.M.MHe.MMee.N........■■...e. , �I■M ■ CEME■EMM ■eeeee■H■e■■ ■■■ ■■Oe■e■■■■■ ■ H■e■■■■eMom ■■■■tut ■■■■C■■■CN■■■■■■■■■C.p ■H■N■Ne■■ ••••••■ CCC■CCCCCCCCCC:CCCC:'O/ICC: EC ■.CC■■ mom ■NEEM.■ Mom C■■■■■■e■■He■■■■■■L1■■� .. . ■N.C■ ■■E. HECC�MMee ■■■■■O■■■■■■■■■■■■■■■■■■■■■■■eO■c■■'■N r■■ ■ace.MM■Me■eMMee■■Mee■eeeMH■■eei�=■■■ eH■■■H■ ■EM ■...N■Me....eee.N....Me■■■.e.M .► ■ ■ ■ ■ ■■■.■.NH.■■■ ■■■.eM.e..MM■Mee■eM■.....e...M. ��e��ieC ■■■■e■■■.e ■■ ■eeeee■He e.e■M■.ee■■■.e■■�■■.lee ■■■c■■c■ec■e CC=CCCC'�CC:.■C::CCCCCC':CCCCC:C�' ■ CCCeCCCCNC■■ ■ME No ■Ce■eCCCCCCCeiiiCCCCCCCCCii INC ■■C CC CCCCCCCCCCCCCC■eC ee■■. ■■CCC.e■■cc.C■..■EMEM■■e eCIN■ M■e■e■ ee■■e■H■■■■M..■■ ■eeeeee■Mee■■eeeee■■■■..■■.■e.■■■\■■/■N■■■■■■■■■■■H■■■■e■■■■■■■■ ■eeeee■.M■..■■c...ccE.■■■■■C...■■s�\■...cc.MMcccc■■■.cM■..ccM.e■e■■ sooCCCCCCCCNCCCCCCCCCCCCCC■CCCC % CCCCCCCCCCCCCCCCCCCCCCCCCCCCCC ■......■......■.....■.■eE..... /u■ENEM ■ccc.■C...s.M..■..e■■e..■...■ �wm------------ -- +�,r.; r �. I 1^ ,•,n., ' y� jai t%• ` Y ��,� ` ` Y S• l r ' f , �••. �+ M' ... '� T `114{{ ... : y... .h w e \ ' �if 1:; •, t• • iY. ' x3iSt ;�': r ,..:.i � i�,, .�• S�. ry� ' Z(�'b 17 x}���. •Q.� � ': \ 1�,. .� + ��`.; ' ;f"+�y,�yigy YY, t '�s ay, "'�, r y'lV. ,Y�'.y �)}����'�..i�l 3 ' �I `1•1..:'�+��r .r I ._ f, Aar •r,, y)y�, I tfr • � • •i�'" `y} . ♦ �9'*.'Y� 2".'1�j ��r :i'°�. ti � : "i' ':�4 ,' . � Q i I #.''�'' .�.1, yijI�` 97 61 oOozi, � .� I b 02 K L�b rt UI UI ^ o`ti•.�•`rV'$�,�, I I .i��;lh�;�,. ����r�",��� �ICi� ' ZQI •Ic 8 ►, y.. L�9y1l 8911�• ,.�.,�r;', i, £0'002 OVIs ZL ;,+""";�' '*": Ry1 ''c• ' CV cd 14 9 AY914 0012 YO � � ,•+::t .t Ye7 C�'`1� Ai R `t �ti. ri. 6 1. .�: .•.' tv co � n .�. #��• ria. �- �•6.6'�;I � :'� , � •1 • y , L`o's '�, — b c ''�44 ,. '`� ,c zi 4� +1�j+.t t`/ � t �`.;t�r?<l i1 f 4 4 ,'.. � w. , � ^1 •�'' ' „ � ' ` �! ry`y r•. V{y A' `',. 1�., ,aye' } 4 1l4 +� rjy V N fib' I) '�M,.r' ,r:r+ � � ,t+ i't�/. '/,: � 1 � 4,!Q ; IZ t� � � •''rf '.�,� � -v�. � .A t r, r `' •��; �� �'' `W;af/'Sti b ''`;-�- •"CiC j1 l��Y �• 't'R �, `� V� .��,�y�- ,� ,yv✓,r�'A u •1 �t�1�`�is. r_.—� �•6� u�Vj i Yj +•' ', ,ti�A _�,#' 010 /r<: ���"44�t7� 4 A4. .,4 yr ,✓ 1 } 'I ^` � .� '�4•�' 4f ��hy��y�nl .�, Q i ) ,fVr. r( t' k� t�+�a ' [yj' ,�� `1 ,1,+){,' t � v�yl �5 +1 5 1 )•1`,�,� rr •K �')/J �. �I• A: f � J� . .� S :, •,�},° Lb 7 � � f/ +''G� �.i ee ./ yJ Aft.. ., .c . !; S.�a�' �,1,/4`t`4ha�'+��`�:'�., ,.^ 5r/�• / ''...,t�r��X •:^I:'�fYtf �,;yti� •1• ,�,+moi'{Y� 4, APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Q� Davie County Health Department Environmental Health Section U ' C P. O. Box 665 „ 7 Mocksville, NC 27028 U 1. Application/Permit Requested By. v Mailing Address 2� ' Home Phone✓°� B 2. Name on Permit if Different than Above 3. Application/Permit for: 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People No. of Bedrooms No. of Bathrooms ss Phone %� (°� e General Evaluation ❑ Mobile Home ❑ Other Dwelling Dimensions If business, industry, place of public assembly, other: Specify type No. of People Served l20 t. No. of Sinks ❑ Septic Tank Installation Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ Basement/No Plumbing ❑ Washing Machine ❑ Dishwasher ❑ Garbage Disposal No. of Commodes No. of Urinals Z No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: 5 'PubIic ❑ Private ❑ Community 8. Property Dimensions Z -1//a' almca�, Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No If yes, what type? '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: 74 o CatI a� 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 is appli tion. ATE SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. I OWN the property. C�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 If disposal systeM. DATE SIGNATURE DCHD (12-90) 1 ."sem-I'V- 91 •` APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section ' R O. Box 665KS 0-)1- - Mocksville, N.C. 27028 ���'q #-/v _ 9/ _ r19 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. Home Phone 1. Permit Requesyd By U Business Phone 2. Address A v G. a7L14 3. Property Owner if Different than Above Address 4. Permit To: a) Install_A!f�Alter Repair-� b) Privy Conventional —Other Type Ground Absorption c) Sub -Division Sec. Lot No. 5. System used to serve what type facility: House Mobile Home Business IndustryOther b) Number of people 6. aT If house or mobile home, tate size y home and number of rooms. House Dimensions Bed Rooms -3 Bath Roomsy Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures commodes lavatory urinals showers 21- dishwasher / dishwasher sinks 8. a) Type water supply: Public Private Community b) Has the water supply system beenppproved? Yes '1-1 No 9. a) Property Dimensions b) Land area designated to building site M c) Sewage Disposal Contractor 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? garbage disposal washing machine What type? I This is to certify that the inforJnation is correct to the best of my knowledge. Date'` �/ Owner Signature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: NO DCHD (6-82) DAVIE COUNTY HEALTH DEPARTMENT { Environmental Health Section Soil/Site Evaluation NAME • P6 DATE EVALUATED ADDRESS PROPERTY SIZE 19 t.07C, PROPOSED FACULTY LOCATION OF SITE IST" Water Supply: On -Site Well Community Public t - Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position 4r2 Sloe Z 02 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 7.0 g a1( Texture group / G Consistence ' (� Structure Mineralogy.-! HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: Alf" -<� 70 /Yc LONG-TERM ACCEPTANCE RATE: REMARKS: `vr r/ So, / — DCHD(OL-901 EVALUATED BY: l OTHER(S) PRESENT: O `/f 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 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 Mi neralozy 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 ■■■mmo■ ■mmomm■ ■ommos■ ■mommo■ SOMEONE ■■ T Davie County AWK 7ye,7 artin' . _ and dome NealtFrcy 210 HOSPITAL STREET / P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634.5985 March 19, 1991 Roy Potts P. 0. Box 11 Advance, NC 27006 Re: Site Evaluation Highway 158 East Dear Realtor: As requested, a representative from this office visited,the aforementioned site on March 18, 1991. The site was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure. Dame County Nealtfi 7ye,artment and .dome AealtFr eY 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 Wade Leonard 34 Town Square Mocksville, NC 27028 April 5, 1991 Re: Site Evaluation/19.5 acre tract U.S: 158E. across from Oak Grove Church Dear Mr. Leonard: On March 18, 1991, this office evaluated a 19.5 acre tract on U.S. 158 East of Mocksville across from Oak Grove Church. The soil conditions on said tract range from provisionally suitable to unsuitable. Two sites were evaluated that were determined to be provisionally suitable; however, due to the soil limitations the proposed systems will be modified and oversized. The proposed systems will be designed at 0.2 gallons per square foot per day, thus a 3 bedroom house would require 600 linear feet of line (or 200 linear feet per bedroom. If you have any questions, feel free to call. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd ' . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED /— V*` W PROPERTY SIZE 14�e LOCATION OF SITE X15-7 Water Supply: On -Site Well Community Public rl Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position & I .L Sloe % %a HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure MineralogyL 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: REMARKS: DCHD(01-901 EVALUATED BY:�'�% 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 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 ■■■■■■■■■■■■■■■■■■■■■e■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ Davie County Nealt� Department and .Mame Aealtlf Oyency 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE, N.C. 27028 PHONE: (704) 634-5985 April 10, 1991 Joe Ferguson C/o Roy Potts P. 0. Box 11 Advance, KC 27006 Re: Site Evaluation/.19.5 acre.tract U.S.•158E. across from Oak Grove Church Dear Mr. Ferguson: On March 18 and April 8, 1991, this office evaluated a 19.5 acre tract on U.S. 158 East of Mocksville across from Oak Grove Church. The soil conditions on said tract range from provisionally suitable to unsuitable. To date three sites have been evaluated that are determined to be provisionally suitable; however, due to the soil limitations the proposed systems will be modified and oversized. The proposed systems Will be designed at 0.2 gallons per square foot per day, thus a 3 bedroom house would require 600 linear'feet.of line (or 200 linear feet per bedroom. If you have any questions, feel free to call. Sincerely, Robert B.. Hall, Jr., R. S. Environmental Health Section RH/wd Parcel #: H50000002404 Davie County.. NC - Basic Estate Search Basic Search Real Estate Search Tax Bill Search Sales Search A View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: H50000002404 Account #:82528096 Owner Information Building: Tax Codes BXF• [TES CHARLES ERIC Land: ADVLTAX - COUNTY T Market: 021 US HWY 158 ssessed: FIREADVLTAX - FIRE TAX Deferred: OCKSVILLE NC 27028 0 00713 Property Information 05 Township nd (Units/Type): 19.490 AC Improved MOCKSVILLE ddress: 2021 US HWY 158 0494 04 Deed Information Unqualified Local Zoning Date: 04/2013 Book: 00923 Page: 0817 00923 0817 Plat Book: Page: 2013 CD Unqualified Legal Description 0 PIN 19.49 AC HWY 158 05 5749174108 Property Values Building: Month BXF• 23,36 Land: 142,88 Market: 166 24 ssessed: 166,24 Deferred: Vacant Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00184 0900 01 1996 WD Unqualified Vacant 0 00713 0248 05 2007 WD Unqualified Improved 0 00922 0494 04 2013 CD Unqualified Vacant 0 00923 0817 04 2013 CD Unqualified Vacant 0 00154 0061 05 1990 WD Qualified Vacant 60,000 00161 0468 11 1991 WD Qualified Vacant 50,000 00184 0902 01 1996 WD Qualified Vacant 55,000 00897 0834 07 2012 WD Qualified Vacant 130,000 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Page 1 of 1 ONYlr 0001rik-'s Davie County Web Site All information on this site is prepared for the inventory of real property found within Davie County. All data Is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's Internal use. Davie County, Its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or implied, in fact or in law, Including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnetfView.aspx?prid=949393 6/8/2016