Loading...
250 S Angell Rd Davie County,NC' Tax Parcel Report Tuesday, January 3, 2017 r J rr 121 - 262 110 ' -- ___/r` 126 247. ---� � 112 114 250 ' 235' 2259 r� t f/226 209 �- 2231 201 2227'•_, ' .� '~ ` 2234 - 195 2,06 ?2 .� 187y' .,f 192"- 18 1 '- 181 .f `2211 �~ 182 f , 2206 1. `. ,.176 ^ - 219^a 70 u WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: G50000000701 Township: Mocksville NCPIN Number: 5840209638 Municipality: -Account Number: _ 7,_8306437 Census Tract: 37059-806 Listed Owner.1: "'. ALLEY WILLIAM E Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 6704 COCKLEBURR TRAIL,' Planning Jurisdiction: Davie County .City: CLEMMONS -_ Zoning Class: DAVIE COUNTY R-A State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: _ 27012 Voluntary Ag.District: No Legal Description: 11.939 AC HWY 158 Fire Response District: MOCKSVILLE Assessed Acreage: 11.04 Elementary School Zone: MOCKSVILLE Deed Date: 2/2016 Middle School Zone: SOUTH DAVIE Deed Book/Page: 2016E0226 Soil Types: WeB,PcC2,RnD,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding&Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: DAl�, All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to �O f/!1•� NC , or arising out of the use or Inability to use the GIS data provided by this website. OPERATION PERMIT or ice Use Only Davie County Health Department `CDP File Number. 217,778-1 210 Hospital Street P.O:Boz 848 = County ID Number: ="'� :Mocksville - NC 27028 Evaluated For: NEW -Phone:s336-753-6780 Fax:336-753-1680 Township: x :;Applicant:` WilliamFE.:Alley Property Owner: Grady Whitaker :Address: 6704 Cockleburn Trail Address: ii City: Clemmons City: Mocksville II ��r---"State/Zip: ;-NC 27012 State/Zip: NC 27028 I ' 334 379-7158 -:� �=Phone#: � � Phone#: Pro ert Location & Site Information rAddress/Road#: 25Q:,:: Subdivision: \ Phase: Lot: .Angell Road ocksville NC 27028 Directions Hwy 601 N, left on Main Church Rd. right on South Structure SINGLEFAMILY Angell, property on right before Lowery Rd #of Bedrooms: 3'"_r I #of People: i *Water Supply: N/A J `-- - _ "System Classification/Description: "IP Issued by 2140-Nations Robert TYPE If A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *CA issued by: 2140-Nations,Robert J Saprolite System? O Yes 9 No Deslgn.Flow - .3 6 0 Pump O _ = ,"Distribution Type: GRAVITY-SERIAL Y2Se�'No? Soil Application Rate: 0 a 7 5 *Pre-Treatment: Drain field Ni7Drain d, - �`''1`" 3-_,0 9: sq.ft.',, *System Type: INFILTRATOR OUICK4 STANDARD N -= McDaniel Gradin &Hauling 3 ^ " Installer: s s T-otal Tren�ch Length: 3 a 8 ft. 11181 - - Certification#: O ,. Trench Spacing: Inches O.C.- ;- g ..___..:., ® * Feet O.C. EHS: 2325-Mitchell,Brittany Trench Width: _ 3 6 ®Inches Q Feet Date: 1 a / .) 8 / a 0 1 6 Aggregate Depth: inches Minimum Trench Depth: 3 6 Inches Minimum Soil Cover: a 4 Approval Status Inches Maximum Trench Depth:,3._.6- - - ® Approved El Disapproved Inches Maximum Soil Cover: 4 Inches Page 1 of 4 CDP File Number 217778-- 1 County ID Number: Septic Tank rma",.nufacturer: Shoaf Lat. B: iso Long: ST , 1000 Installer: Gallons: McDaniel Grading&Hauling i Date: Certification#: 11181 " - *EHS: 2325-Mitchell,Brittany *Filter Brand: ST-Marker_❑ YeS ®-N0 Date: 1 a l a 8 a 0 1 6 Reinforced Tank: ❑ Yes ® NO !� ;Approval Status 1 Piece Tar ❑ Yes - ®^No / ® Approved❑ Dlsapproved Pump Tank Manufacturer'.' " ' Installer: McDaniel Grading&Hauling PT:"I Certification#: 11181 .... :Gallons: *EHS: Date: Date: / Riser Sealed ❑ Yes ❑ No 'Riser Height: 0-,YeS ❑ NO (Min,s in.) approval Status Reinforced Tank: ❑ Yes ❑ .No i J ❑ Approved F1 Dlsapproved 11 Piece Tank_;'_E _Y_eS _❑_NO—._ -� Supply Line n:- `` McDaniel Grading&Hauling ,,,i•%Pipe S¢e: ' 3' `'incf�diameter Installer: Certification#: 11181 'F, Pipe Length: rj feet 1 *EHS: 2325-Mitchell,Brittany *Schedule: 40 I Pressure Rated-0 Yes- _0--No _ __... , Date: 1 a / a 8 / a 0 1 6 Approved fittings ❑-Yes ❑ NO ApproTe,vaL,Status` Approved ❑ Dlsapproved i Reauirem Pump Type "` Installer: McDaniel Grading&Hauling Dosing Volume:' - Gal Certification#: 11181 Draw Down: Inches *EHS: *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 El Yes ❑ NO Page 2 of.4 CDP File Number ?17778 ' County ID Number: ._ �. Electric Equipment NEMA 4X Box Or Equivalent=-Ell Yes 1:1 No McDaniel Grading&Hauling Installer: Box 12 inches Above Grade El Yes 1:1 No Certification#: 11181 Box Adj.To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ElNo EHS: Pump Manually Operable ❑ Yes ❑ NO .Activation-Method: , --- ---_------ ---- Date: / Approval Status --Alarm Audible--- ,Yes ❑ No j Alarm visible _❑ Yes ❑ No ❑ Approved ElDisapproved = v 2325-Mitchell,Brittany __.-'Operation_Perm_it completed by: 4 _ TAuthorized State Agent_ - - Date Issue: 1 a / a 8 l a 0 1 6 - e o Owner/Applicant Signature: Z: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 IIA. sewage septic system. . . _ . _ TYPE II A. Rule .1961 requires that a Type septic system meet the following criteria: i " .Minimum System Review By The Local Health Department: N/A Manage_ment.Entity: OWNER _ :Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A r Rule-.-1 961:requires that a:Type-IV:and.V-septic systems.designed for a home/business owner must maintain a valid contract------ -- _,. -with a.public.management_entity_with a.certified,operator or a private certified operator for the life of the septic system. Rule A961-requires that 7ype.Vl septic systems designed for a 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 P_ermit:for a system required to be maintained by a 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 long 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. (&Hand Drawing O Import Drawing **Site Plan/Drawing attached.** Page 3 of 4 OPERATION PERMIT -= - Davie County-Health Departmerit CDP File Number: 217773 - 210 Hospital Street P- .'O.Box _.--848 County File Number: ' - � , _;.Mocksviue' NC; 27028 Date: 1 a / .28 % .2016 _ _ _ 0Inch _ _ Scale: O Block = ft Drawing Drawiii Type: Operation Permit- Q N/A _ ......................._........__ ._.. _..--......_......_.................................._ _ ........ �rI I s�ui� d I t�aa .._..... ..................�............. ............... j I ...... I ... ........ ..................... ....�................ ..... ...........+_ ......_ .....,......t... ............... Y................... .... ............... ..... _...... ......... I .... ...... ......... ..... .. ....�.. .I... ...i ..- .. I.... ... ...'....... 1�..Y..... -. I ................. ................s� � � I I ........ _........ a i..............._:................,....................... .............................................. ......... ......... ......... l 3' 4 .. f. f................. ................ ................_+,......_1....-.....'.........._.............................................................................................................. t............ ..... . _ 1 I , I I C i fI 1 9 1 I _ ' -� 1 -— ... ......:. �. :..:..�.._ .. ._:_f..;..�. 3. ....... r .t - I ° rl.. ous I� . _. .._ ..... Ff E fit, r.. I...............: ...... ................................ ................. ._..... .. ....... too, — -- ( a 1 I I � .._ ' '. ... ..........._........ . _. i ....... . ... ..._i ..................... .. . ...j.............I ......... I... .... .... ,�. i I .............. f ................... . . . . ............_I ...._......1.................1 ..t......... ................. .. ...... ....... ........ ...... .... ....... ..... L.............f. .._....... .... .... ......... ............. ..........,............... .... .:.. ............... ....................... . ...... .L ... ... ......... _ . ........... t. .xI , , F............}............. ............I II II..... .... .� ......_..1........ _...... j ..... . ....... ........ .......... L ... L... ....I.......... ... ......_......... ............... ................i ............. ..... ....... .............. i L......_.......i.................1....._........:.................. ..............................I..................................................i.........._.:. I. J.................1.................................I................................... .............a ( t ..........1...... .. ,.._..........I........._ ..................I . ..... t. I I i I i I ... I � I I � !......_........ i........... . .......�......... .. I,_....... I ... ;..............1. I i i I � I - .............�...... . I !.......... .! ...._I I j . I ...............r .. ........_.....1 I...... 1 . ..... ......... I ....... .................................. L...... ............................ _ .._........ ......._........... f............... ... . (I . .............. I ..f........ i .�...... ........ i . .. j......... ............... ............. i.......... . .......... .. ......................... { I.... .�............. I................. 1 . ..... .... ........ ............ ...... ..... �. ..................... ................ ........ ............... i i i � I I � I ...................................................I................. ......... I I : f .............L ..� .... L..... L ........ ................... .................. I ............. I I I I ( I I I .................L .,_ , L .... � I i � I �..... ............ i ........ .... _...i . .... .. .. T ................ j l � S I I I I I I ( ' : I .................i .......... ... ........ .. Page 4 of 4 P1 P2 P3 CONSTRUCTION Foroffice Use only ` • AUTHORIZATION 'CDP File Number 217778-1 °= Davie County Health Department County ID Number. 210 Hospital Street Evaluated For. NEW 848 Box P.O.`�.w.. Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753.6780 Fax:336-75 -168, 0 8 / 1 a / a 0 a 1 Applicant: William E.Alley �b Property Owner: Grady Whitaker Address: 6704 Cockleburn Trail (� � ddress: City: Clemmons � City: Mocksville State/Zip: NC 27012 State/Zip: NC 27028 Phone (334)379-7158 �haK6P�B Phone#: roperty Location 8< Site Information FAddress/Road#: Subdivision: Phase: Lot: Road e NC 27028 Directions Structure: SINGLE FAMILY Hwy 601 N, left on Main Church Rd. right on South Angell, property on right before Lowery Rd #of Bedrooms: 3 #of People: 'Water Supply: NIA System Specifications Minimum Trench Depth: a � rDesign sification: Provisionally Suitable Inches System? QYes (j)No Minimum Soil Cover. 1 a Inches ow: 3 6 0 Maximum Trench Depth: 3 6 Inches Soil Application Rate: 0 • a 7 6 Maximum Soil Cover: a 4 Inches "System Classification/Description: 'Distribution Type: GRAVITY-SERIAL TYPE 11 A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 1 0 0 0 _ Gallons 'Proposed System: 25%REDUCTION 1-Piece: Q Yes Q No Pump Required: QYes QNo QMay Be Required Nitrification Field 1 3 0 9 Sq. ft. Pump Tank: Gallons No. Drain Lines 3 1-Piece: QYes QNo Total Trench Length: 3 a 7 ft GPM—vs— ft. TDH Trench Spacing: 9 Weet O.C.ches O.C.— Dosing Volume: Gallons Trench Width: Inches Aggregate Depth: p 3 - @Feet Grease Trap: Gallons - inches Pre Treatment: ONSF 'OTS-1 OTS-II Septic Tank Installer Grade Level Required: QI Oil 0111 OIV Donn 1 of Z CDP File Number 217778 - 1 County ID Number. - f ❑ Open Pump System Sheet Repair System Required:@Yes ONo ONO, but has Available Space rDesign System Trench Spacing: 9 Q Inches O.C. ification: Provisionally Suitable — Feet O.C. Trench Width: 3 Inches w: 3 6 _ 3 Feet SoilAggregate Depth: Applicatan Rate: 0 a 7 5 inches Minimum Trench Depth: a 4 Inches *System Classification/Description: TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover. 1 a Inches *Proposed System: 25%REDUCTION Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: a 4 Nitrification Field 1 3 0 9 Sq. Inches ft. No. Drain Lines 3 *Distribution Type: GRAVITY-SERIAL Total Trench Length: 3 a 7 - Pump Required: Oyes ONo OMay Be Required - - Pre Treatment: ONSF OTS-1 OTS-II - *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 bythe 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 forwastewater System Construction shall bevalld far a person equal to the period of validity of the Improvement Permit,not to exceed five years,and may be issued at the sametime the Improvement Permit issued(NCGS 130A-336(b)).If the installation has not been completed during the period of validity of the Construction Perml%the information submitted in the application for a permit or Constriction 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(g)).The person owning or controlling the system shall be responsible for assuring 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 Date of Issue: . 0 8 1 a / a 0 1 6 Authorized State Agent: Malfunction Log Oyes QHand Drawing Oimport Drawing **Site Plan/Drawing attached.** Page 2 of 3 CONSTRUCTION AUTHORIZATION Davie County Health Department CDP File Number: 217778 - 1 210 Hospital Street P.O.Box 848 County File Number: Mocksville NC 27028 Date: 0 8 / 1 a / � 0 1 6 0Inch Drawing ON/A Drawing Type: Construction Authorization Scale: , = ft. QN/ LL- I L I L 1 I � I I ( CONSTRUCTION AUTHORIZATION Davie County Health Department ' 210 Hospital Street CDP File Number: 217778 - 1 P.O.Box 848 Mocksville NC 27028 County File Number: Date: .0 .8 / 1 2 / 2 0 1 6 Click below to Import an image from an external location: Drawing Type:Construction Authorization • , ' IMPRCIVEMENT PERMIT For office useonly •. *CDP File Number 217778=1 ,.. Davie County Health Department Aff County ID Number: 210 Hospital Street /?�ZU� 4 P.O. Box 848 ! Evaluated For NEW Mocksville NC 27028' Township: Phone:336453-6780 Fax:336-753-1680 PERMIT VALID UNTIL 5/25/2021 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. rAdd pplicant: William E.Alley Property Owner. Grady Whitaker ress: 6704 Cocklebum Trail Address:ity: Clemmons Cky: Mocksville State/ZIP: NC 27012 State2ip: NC 27028 Phone#: (334)379-7158 Phone#: Property Location & Site Information Address/Road#: Subdivision: Phase: Lot: S.Angell Road Mocksville NC 27028 Directions Structure: . SINGLE FAMILY Hwy.601 N, left on Main Church Rd. right on South 9 of Bedrooms 3 Angell, property on right before Lowery Rd #of People: *W\�7ater Supply: NIA System Specifications nitlal S�(steemm *Site classitication: PS Shallow Placement Minimum Trench Depth: 2 4 Inches Seprolite System? QYes QNo Maximum Trench Depth: 3 6 Inches Design Flow: 3 6 0 Septic Tank: 1 0 0 0 Gallons Soil Application Rate: 0 a 3 5 1-Piece: QYes QNo Pump Required: QYes @No OMay Be Required *System Classification/Description: TYPE II A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR Pump Tank: Gallons LESS) . *Proposed System: CONVENTIONAL 1-Piece: QYes QNo Repair System Required:QYes ONo ONO, but has Available Space Repair System *Site Classification: Provisionally Suitable Minimum Trench Depth: 2 4 Inches Soil Application Rate: 0 2 7 5 Maximum Trench Depth: 3 6 Inches *System Classification/Description: Pump Required: QYes Q No Q Maybe Required TYPE II A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) *Proposed System: CONVENTIONAL Pagel of 3 CDP File Number 217778 - 1 County ID Number: ' *Site Modifications ❑ Open Fill Sheet 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. Site Plan The Improvement Permit shall be valid for 5 years from date of issue with a site plan(means a drawing not necessarily drawn to © scale that shows the existing and proposed property lines with dimensions,the location of thefacility and appurtenances,the site for the proposed Wastewater system,and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat(means a property surveyed prepared by a registered land O surveyor,drawn to a scale of are inch equals no morethan 60 feet,that Includes:the specific location of the proposed facility and appurtenances,the site for the proposed Wastewater system,and the location of water supplies and surface waters. Plat also means,for subdivision lots approved by the local planning authority and recorded with the county register of deeds,a copy of the recorded subdivisions plat that Is accompanied by a site plan that Is drawn to scale). The Department and local Health Department may Impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions,the rules,or this article.This permit is subject to revocation if the site plan,plat,or intended use changes(NCG5130A.336(f)).The person owning or controlling the system shall be responsible for assuring 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 Date of Issue: 0 5 / a 5 / a 0 1 6 Authorized state Agent: OValid without Expiration? O Create CA? (&Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT 217778 - 1 • ' Davie County Health Department CDP File Number: 210 Hospital Street P.O.Box 848 County File Number: Mocksville NC 27028 Date: 1 Q Inch ock Drawing ovement Permit Scale: A ON/ QNi = .ft. r � I l I IMPROVEMENT PERMIT Davie County Health Department 210 Hospital Street CDP-File Number: 217778 -'1 P.O.Box 848 Mocksville NC 27028 County File Number: Date: 05 / 25 / 2016 Click below to import an image from an external location:Drawing Type: Improvement Permit hok S, APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT&ATC `T Davie County Environmental Health Ci r � P.O.Bos 848/210 IIospital Street blocksvillc,NC 27028 yA )/ (336)753-6780/Fax(336)753-16 0•yt . ��t�ta p ]kation For: R.Site Evaluation/Improvement Permit Au iza io ons ruc Both Type of Application: ❑New System ❑Repair to Existing System :]Expansion/Modification of Exiting System or Facility ***IMPORTANT***THIS APPLICATION CANNOTBEPROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION ` Name \6"/9-/K � LGL Contact Person ���/ Address 47 U y Cock&Au c4 7-1,L Home Phone 1 City/State/ZIP S',p !A4,5 Z C �70/Z Business Phon 33 / Email Q��c Email: Name on Pe RIATC t Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facility Corners Flagged NOTE: A survey plat or site plan must accompany this application. Included:u Site Plan UPlat(to scale) / y� (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name Phone Number Owner's Address City/State/Zip EN Property Address .� / City No fes, Lot Size / Ta Na IN# Subdivision Name(if a plicable) Section/Lot# Di ctions To Site: D i' �' If th nswer to any of the following questionsfis"Yes",sitipporeg documeniTtion must be attached: Are there any existing wastewater systems on the site? _Yes }Ido Does the site contain jurisdictional wetlands? _Yes XNo Are there any easements or right-of-ways on the site? YYes No Is the site subject to approval by another public agency? _Yes�lo Will wastewater other than domestic sewage be generated? Yes No IF RESIDENCE FILL OUT THE BOX BELOW #People _ #Bedrooms :_ #Bathrooms _ Garden Tub/Whirlpool I IYes¢7No 13asement:9 Yes ❑No Basement Plumbing: &+Yes :]No 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: %Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type:C County/City Water ❑New Well ❑Existing Well 7 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve?C Yes Q-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 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 D vie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I unde Land that I am respons'ble for the proper identification and labeling of property lines and comers and locating and flagging or ehouse/ 'ty tion,proposed well location and the location of any other amenities. i P operty ownser's or owner' al representative signature Site Revisit Charge 1 , Date(s): ! Client Notification Date: Date I EHS: Sign given I Yes 0N Account# (91 `7x-7/V Revised 11/06 Invoice# 1 47 2� .. 247J M. 5741 €a,;�y f <- ' = 3C27 ! '•-.... "`•'tet ��, r - r � ; �� � Z/ X225 43' zz2 344 '�'' J• i y 4221g9; c 117/, .4 y 6 2•.`-\ 4168 �_ ` 01tb. s% 5143 ; •tq /�'o y 7130 4V /•� ���'"�. •\�`�'�. ~�\; �_ -.. ' �•;'..\ fry�"�2;� ��. C�T gPeNtE. All data is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Implied r� r E warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of U N Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to or arising out of tho use or inability to use the GIS data provided by this website. Pri nted.Apr 04, 2016 UJ j"k,"�Q OF)Nb Il(AlIva 39 ,20 � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION 12 � Cd Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position 1, L Slope% 3Z HORIZON I DEPTH D '(Pj Texture group C_ Consistence f 4,r Structure A Mineralogy �5 r S s HORIZON II DEPTH Texture group 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 S LONG-TERM ACCEPTANCE RATE 22 ACL O 1 i SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE: D OTHERS)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 a Moist VFR-Very friable FR-Friable FI-Firm. VFI-Very firm EFI-Extremely firm 33�' 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 Notgy 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) LTA-IF,-Long-term acceptance rate- eal/dav/ft2 nr,wn ncinc/ne.,:.._AN