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157 Irish LnDavie County, NC Tax Parcel Report K (V Thursday, September 29, 2016 161 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 NC or arising out of the use or Inability to use the GIS data provided by this website. WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E70000000105 Township: Farmington NCPIN Number: 5861226850 Municipality: Account Number: 82515505 Census Tract: 37059-803 Listed Owner 1: FAYNE JACQUELINE A Voting Precinct: SMITH GROVE Mailing Address 1: 3190 MIDDLEBROOK DRIVE Planning Jurisdiction: Davie County City: CLEMMONS Zoning Class: DAVIE COUNTY R -A,1 -2-S State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27012-8753 Voluntary Ag. District: No Legal Description: 1.00 AC OFF HOWARDTOWN CR Fire Response District: SMITH GROVE Assessed Acreage: 0.87 Elementary School Zone: PINEBROOK Deed Date: 8/2000 Middle School Zone: NORTH DAVIE Deed Book / Page: 003430496 Soil Types: EnBAB Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra Freatures Value: 4500.00 Land Value: 18750.00 Total Market Value: 23250.00 Total Assessed Value: 23250.00 161 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 NC or arising out of the use or Inability to use the GIS data provided by this website. �t t' _ s}; t .i �. _:_.:. 'rte. • us '4r..;'l'kJ,`.r. t -e : ,-S ,_�. _ 1 - Pennittee's _ DAVIE COUNTY HEALTH DEPARTMENT NaMe:a �'-U� � K- Environmental Health Section PROPERTY INFORMATION ..�� P.O. Box 848 Directions to property: Mocksville, NC 27028 Subdivision Name: -o 1 L� Phone #: 336-751-8760 `- #'t� , 5. Section: Lot: { AUTHORIZATION FOR ' fj L J WASTEWATER Tax Office PIN:# - - T SYSTEM CONSTRUCTION r� AUTHORIZATION NO: 002810 A Road Name: 167 , ki 4.1 L�Zip: G )y2o **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance �with Article l I of G.S-GIarter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) - �-} ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION Ci / IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRO M l',t TH SP IAUIST) DATE IS UED RESIDENTIAL SPECIFICATION: BUILDING TYPE 1� # BEDROOMS J # BATHS 'Z # OCCUPANTS '� GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE ,, }�.� # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE I �'�-��-^'TYPE WATER SUPPLY �L) DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE I Lao GAL. PUMP TANK I OWGAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT P6 I�,C 1ST'1 (moi FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT!`, SYSTEM INSTALLED BY: t sr _ 1 Fe -&-J T Se-g—i C -t-,t�cj K (g -1Z) qj MP -Ftw K (7 -Z I) I t) o�l �15;Nc� f 2- AUTHORIZATION NO..kms OPERATION PERMIT BY; _W&F **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA El D C A WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREAT POSAL S GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 02/02 (Revised) fix - 40/v /VY• r✓ 3`�� DATE: 1 �C'7Q�r► 1 AS BEEN INSTALLED CO PLI22 CE , BUT SHALL IN NO WAY BE TAKEN AS A r n Pet yes _ ., DAVIE COUNTY HEALTH DEP�RT�M�1' sNa i-`►'�-'4 "- I Environmental Health Sectio''r� �` PROPERTY INFORMATION `.. P.O. Box 848 Dir c ions to property: "`�'-? Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: Lot: AUTHORIZATION FOR n -QA- Lt,J , (�"j , ,� � 12l�}� LJ WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION - AUTHORIZATION NO: 002818 A Road Name: Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 11 of G.S-Gbppter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) .r j***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION 1 j )c--7 IS VALID FOR A PERIOD OF FIVE YEARS. SPkeIAL1W DATE ISSbED RESIDENTIAL SPECIFICATION: BUILDING TYPE fV j # BEDROOMS # BATHS = # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE 'CTYPE WATER SUPPLY `V f DESIGN WASTEWATER FLOW (GPD) ��LOO NEW SITE REPAIR SITE 1 SYSTEM SPECIFICATIONS: TANK SIZE ! Lot- GAL. PUMP TANKI^ GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT f . iY1IAJ 0a, TV1 21 � �- �•� I tj jr FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760. OPERATION PERMIT � 15(� `� j (I�/�C.._� tJ' L� SYSTEM INSTALLED BY: /- ST ga S Soo- -nevi 000,,r AUTHORIZATION NO.1 OPERATION PERMIT BY: ' "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICA - Y� E D R E WITH ARTICLE I1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATM POSAL S TE GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD (Revised) fiN f. WI D A0, b 36D DATE 1 tic Tnwr ►o�AS BEEN INSTALLED I ZC�PLIA Cg BUT SHALL IN NO WAY BE TAKEN AS A e- _-� R SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P.O. Box 848/210 Hospital Street 'SEPB Mocksville, NC 27028 ( (336) 751-8760/ Fax (336)751-8786 .. ,cn1lii Ie-EtaTuation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both ❑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. APPLICANT INFORMATION Name to be Billed Billing Address City/State/ZIP L Name on Permit/ATC if Different than Mailing Address PROPERTY INFORMATION 7Qlt l Contact Person O /t 5 U t7 LJ 0 /, (, Home Phone 'O Business Phone -F 9 Ys/ S' NOTE: A survey plat or site plan must accompany this (Permit is valid for 60 mnyths site plan, no Owner's Name�7 n n� s -r Owner's Address Property Address Lot Size % C C- Mi- Tax PIN#S Subdivision Name(if applicable) Directions To Site: / Soo 4,-, Mw, *Date House/Facility Corners Flagged -/ f/-07 :ation. Included: ❑ Site Plan ❑Plat(to scale) ition with complete plat.) Phone Number )h. City/State/Zip /Po - t. City UWAWASU t 618h A If the answer to any of the following questions is "yes", supporting documentation mud be attached. Are there any existing wastewater systems on the site? Dyes CiI'1Qo Does the site contain jurisdictional wetlands? Dyes C�'1`i Are there any easements or right-of-ways on the site? Dyes Is the site subject to approval by another public agency? ❑Yes 20 Will wastewater other than domestic sewage be generated? ❑Yes C�No IF RESIDENCE FILL OUT THE BOX BELOW # People q # Bedrooms 3 # Bathrooms._ Garden Tub/Whirlpool Dyes ❑No Basement: Dyes UNo Basement Plumbing: El Yes fro 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;, eeonventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: Vtounty/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 54'0 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 Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging or staking the house/facility locat�representative on,proosed well location and the location of any other amenities. Site Revisit Charge Property owner's or owner's legal signature Date(s): Client Notification Date: Date EHS: Sign given 4es ❑No Account # TUI o ' Revised 11/06 Invoice # Reports *WARNING: THIS IS NOT A SURVEY!* This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this map. The County and mapping company assume no legal responsibility for the information contained on this map. Tuesday,9/16/200;' -VI 0 U N� Page 1 of 1 http://maps.co. davie.nc.us/GoMaps/reports/report.cfm?CFID=10237&CFTOKEN=584637... 9/18/2007 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION 1G INFORMATION Account: Tax PIN/EH #: 5 �2 3 Billed To: Donald Howard Subdivision Info: Reference Name: Location/Address: Glenn Allen Road -27028 Proposed Facility: Residence Property Size: 3 Acres Date Evaluated: Water Supply: On -Site Well Evaluation By: Auger Boring Community Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON H 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 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: EVALUATION BY: OTHER(S) 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 Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm yytl 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 NDIM 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 DC14D 05/05 (Revknd) It* . ., . APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT Davie C6unty Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Permit ❑ Authorization To Construct(ATC) &ATC Y�� joy isoul * *�7NT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed p _ nWPR, D Contact PersonDOrYj (- � Billing Address e en Home Phone 3 (e A' 3 7 City/State/ZIP S / D-ci Business Phone 310 a 9&Y Name on Permit/ATC if Different than Above. Mailing Address PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application. (Permit is validr 60 months with site plan, no expiration with complete plat.) t[ Street Address l �D Gem\ A 1� eN City iib[; ��' � < < f Tax PIN#578&- 2?`Z /37 Subdivision Name Section/Lot# Lot Sizes QC r eS Directions To Site: IS? E', +-a Llowapt)-TDc0t\ +G d - "o -C` p) j pti RJ. _ :° ,i hL i<, P —+rek,1,er fC be po-A %,eh• fj kao - -- Date House/Facility Corners Flagged If the answer to any of the following questions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? EPY6is ❑No Does the site contain jurisdictional wetlands? El Yes DWo Are there any easements or right-of-ways on the site? ❑Yes BNO Is the site subject to approval by another public agency? ❑Yes 9N6 Will wastewater other than domestic sewage be generated? ❑ Yes 44?4a- IF RESIDENCE FILL OUT THE BOX BELOW # People ( # Bedrooms 2 # Bathrooms — Garden Tub/Whirlpool ❑Yes MNO Basement: ❑Yes I No Basement Plumbing: (]Yes P!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: Zeonventional ❑Accepted f_ " Innovative ❑Alternative ❑Other Water Supply Type: V160unty/City Water ❑ New Well ElExisting Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ME 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 understand that I am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compli a with applicable laws and rules on the above described property located in Davie County and owned by 1)r, i) A r i 4? P 12 D &,", iJ-�- (�� _ Property owner's or owner's legal representative signature Aa --T5- �— Date Sign given ❑Yes /0 Revised 2/06 Site Revisit Charge Date(s): Client Notification Date: _ EHS: Account # Awl) Invoice # �— 4� 6, t � k �t tl 77 F . AT- ---- _ --_ /l._._�,. i � t a a. a r 4 44444 --4 4- 452 i 9549 1.4 71M 260 552 . ...... -B22 475' APPLICANT INFORMATION Account #: 990004010 Billed To: Donald Howard Reference Name: Proposed Facility: Residence Water Supply: . Evaluation By: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil /Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5861-22-2134 Subdivision Info: Location/Address: Glenn Allen Road -270 8 3 Acres Date Evaluated: -T 1 1-0 a4° Property Size: On -Site Well Community Auger Boring ✓ Pit Public Cut 0 VAN PLO) 43 -In Landscape position -HORIZON I DEPTH Texture •• • �IWW_60v, ® Consistence Structure Mineralogy 19 WT MORE "'TP, N&S. •*4 MINE 1011 M1 Texture group - ConsistenceStructure Mineralogy TexturegroupConsistence ®®�•�rta��® Mineraldgy HORIZON IV DEPTH: Texture group7 Consistence Mine ralogy SOIL WETNESS CLASSIFICATION SITE CLASSIFICATION: �EVALUATION BY:+�'t``�"`��' LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: x. `'•' 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 Moist VFR - Very friable FR Friable FI Firm VFI - Very firm EFI -. Extremely firm 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, gram M -Massive,. CR Crumb GR - Granular ' ABK - Angular blocky SBK = Subangular blocky PL - Platy `PR Prismatic Mineralogy':, 1:1, 2:1,�vfixed , Nates 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 DCHD 05105 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I■■■■■;ill■■■■■■■■!1■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■I.7■■■■■■■■■�■■■I■■■■■IVY■■■■■■■■■\■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■n■■■■■■■■■■■■■■■■1■■■■■I■■■■■■■■■■■■■mow■■■■■■■■ ■s■■■■■■■■■■■■■■■■■null■■■■■■■■■■■■■■■■I■■■■■1■■■■■■■■■■■■■�e■■■■■■■■■ ■■■■■■■ Eno ■■ NONE ■■■I'/J■■■■■■mom ■■■■■■■I■■■■■I■■ra7■■MEMO ■■/■■■■■■■■■■■ N■■■■■�,`ti■■■■■■M■G i■Yi■�■■■■■■■�■■�i■■r/.' ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■psi■■e■■■■■■■■��■■■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION P.O. Box 848/210 Hospital Street 'Mocksville, NC 27028 Phone: (336)751-8760 /Fax: (336)751-8786 July 11, 2006 Donald Howard 137 Glenn Allen Road Mocksville, NC 27028 Re: Site Evaluation 3 Acre Tract/Glenn Allen Road Tax PIN: 5861222134 Dear Client(s): As requested, Jeff Beauchamp, Environmental Health Specialist with this office on July 10, 2006 evaluated the above -referenced property at the site(s) designated on the plat/site plan that accompanied your improvement permit application(s). The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule .1900 and related rules. Based on the criteria set out in 15A, Subchapter 18A, of the North Carolina Administrative Code, Rules .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a ground absorption sewage system. Therefore, your request for an improvement permit is DENIED. The site is unsuitable based on the following: Rule .1940 Topography and Landscape Position, Rule .1941 Soil Characteristics, and Rule .1943 Soil Depth. These severe soil or site limitations could cause premature system failure, leading to the discharge of untreated sewage on the ground surface, in surface waters, directly into ground water or inside your structure. The site evaluation included consideration of possible site modifications, and modified, innovative or alternative systems. However, this office has determined that none of the above options will overcome the severe conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off-site to additional property. For the reasons set out above, the property is currently classified UNSUITABLE, and an improvement permit shall not be issued for this site in accordance with Rule .1948(c). However, the site classified as UNSUITABLE may be reclassified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the environmental health supervisor with this office. You may also request an informal review by the N.C. Department of Environmental and Natural Resources regional soil specialist. A request for informal review must be made in writing to the Davie County Health Department, Environmental Health Section: e9 You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 733-0926 or from the OAH website at www.oah.state.nc.us/forms.btml . The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150-B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER. The date of this letter is July 11, 2006. Meeting the 30 day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 15013-23) to send a copy of your petition to the North Carolina Department of Environment and Natural Resources. Send the copy to: Office of General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of the petition to Davie County Health Department. Sending a copy of your petition to Davie County Health Department will NOT satisfy the legal requirements in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDENR. Please call or write this office if you have any questions or need any additional assistance, as follows: Telephone number: (336) 751-8760 Davie County Health Department Environmental Health Section P.O. Box 848 Mocksville, NC 27028 Enclosure(s): Rule .1948 Invoice Environmental Health Specialist LAWS AND RULES FOR SEWAGE TREATMENT AND DISPOSAL SYSTEMS 15A NCAC 18A.1900 Rule .1948 .1948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation of a ground absorption sewage treatment and disposal system or have slight limitations that are readily overcome by proper design and installation. (b) Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules but have moderate limitations. Sites classified Provisionally Suitable require some modifications and careful planning, design, and installation in order for a ground absorption sewage treatment and disposal system to function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However, where a site is UNSUITABLE, it may be reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules .1956 or .1957 or this Section. (d) A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal system specifically identified in Rules .1955, .1956 or .1957 of this Section or a system approved under Rule .1969 if written documentation, including engineering, hydrogeologic, geologic or soil studies, indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines that the substantiating data indicate that: (1) a ground absorption system can be installed so that the effluent will be non-pathogenic, non-infectious, non-toxic, and non -hazardous; (2) the effluent will not contaminate groundwater or surface water; and (3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it could come in contact with people, animals, or vectors. The State shall review the substantiating data if requested by the local health department. HistoryNote: Authority G.S. 130A -335(e); Eff. July 1 1982 Amended Eff. April 1, 1993; January 1, 1990. 'I'M 310(l I'DITt", 444 CD ,52 9549