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113 Milo Lnf HEALTH DEPARTMENT RELEASE Davie County Health Department aid ro 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Jonathan Willard Address: 113 Milo Lane City: Mocksville State2ip: NC 27028 Phone #: (336) 9094461 % For Office Use Only —IN 'CDP File Number :121525 - 2 G4-000-00-031-03 County ID Number: Evaluated For: HDR/WWC PERMIT VALID 0 a/ a 3 a 0 1 6 UNTIL: Property Owner: Jonathan Willard Address: 113 Milo Lane City: Mocksville State2ip: NC 27028 Phone #: (336) 909-4461 Property Location & Site Information AddressMain Church Road Subdivision: Phase: Lot: Road # Mocksville NC 27028 SINGLE FAMILY Township: 'Structure: Directions # of Bedrooms:# of People: 653, back off road 2 Hwy 158 Left on Main Church Rd. cross 1-40 road left between 677 and 'water Supply: N/A Basement: M Yes ❑ No Type of Business: Total sq. Footage: No. Of Employees: 'Proposed Improvement: Sunroom and Bathroom 16x16 + Maintain 25 foot setback from the well and 5 foot from any portion of the septic. This release in no way expresses or implies that the existing subsurface sewage treatment and disposal system serving the site will continue to function for any period of time. Applicant/Legal Reps. Signature Required? Oyes ONO Applicant/Legal Reps. Signature; "Issued By: 2140 -Nations, Robert Authorized State Agent: 'Date: *Date of Issue: 0 a%.2 3/.2 0 1 6 **Site Plan/Drawing attached.** -' @ Hand Drawing Olmport Drawing Drawing Type: HEALTH DEPARTMENT RELEASE Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Health Department Release CDP File Number: 121525 - 2 County File Number: c4-000-00-031-02 Date: 0 a/ a 3 1 2 0 1 5 0Inch Scale: . Q Block Q N/A OPERATION PERMIT s•b. Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Jonathan Willard Address: 306 Rollingwood Dr. City: Mocksville State/Zip: NC 27028 Phone #: (336) 909-4461 Address/Road #: Subdivision: Main Church Road Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 2 *Water Supply: NEW WELL *IP Issued by: 2140 - Nations, Robert *CA issued by: 2140 - Nations, Robert Design Flow: a 4 0 Soil Application Rate: 0 a 5 *CDP File Number 121525 - 1 G4-000-00-031-03 County ID Number: Evaluated For: NEW Township: /11Property Owner: Edward Barnhardt Address: 677 Main Church Rd. City: Mocksville State/Zip: NC 27028 Phone #: Phase: Lot: Directions Hwy 158 Left on Main Church Rd. cross 1-40 road left between 677 and 653, back off road *System Classification/Description: TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Saprolite System? 0 Yes (9 No *Distribution Type: GRAVITY -SERIAL Pump Re wired? 0 Yes No *Pre -Treatment: Drain field Nitrification Field Sq. ft. No. Drain Lines Total Trench Length: a 4 0 ft. Trench Spacing: 9 _ 0FeetInches O.C. ®Feet 0. C. Trench Width: _ 3 6 Inches Feet Aggregate Depth: inches *System Type: INFILTRATOR QUICK 4 STANDARD Installer: Joe Stafford Certification #: *EHS: 2325 - Mitchell, Brittany Date: 0 7/ ) a/ x 0 1 4 Minimum Trench Depth: Inches Minimum Soil Cover: Inches Approval Status Maximum Trench Depth: 3 6 Inches ® Approved O Disapproved Maximum Soil Cover: Inches Page 1 of 4 CDP File Number 121525 - 1 Manufacturer: Shoaf STB: 760 Gallons: 1000 Date: 0 6/ 1 1/ a 0 1 4 *Filter Brand: Installer: Manufacturer: Pipe Length: 6 5 feet ST Marker: ❑ Yes ® No nforced Tank: ❑ Yes ® No 1 Piece Tank: ❑ Yes ® No ❑ No *EHS: Approval Status Date: ❑ • G4-000-00-031-03 Countv ID Number: Lat. Q Long: Installer: Joe Stafford Certification #: *EHS: 2325 - Mitchell, Brittany Date: 0 7/ a a/ a 0 1 4 Approval Status ® Approved ❑ Disapproved Pump Type: Installer: Joe Stafford Dosing Volume: - Gal Certification #: Draw Down: Inches *EHS: *Chain: Supply Line Pipe Size: 4 Pump Tank Installer: Manufacturer: Pipe Length: 6 5 feet Certification #: Yes Installer: Joe Stafford PT: 2325 - Mitchell, Brittany *Schedule: ao ❑ No Certification #: Pressure Rated ❑ Yes Gallons: Date: 0 7/ a a/ .1 0 1 4 Approved fittings ❑ Yes ❑ No *EHS: Approval Status Date: ❑ / Approved ❑ 'Disapproved / Date: ❑ Riser Sealed ❑ Yes ❑ No Riser Height: ❑ Yes ❑ No (Min. 6 in.) Approval Status nforced Tank: ❑ Yes ❑ No ❑ Approved ❑ Disapproved 1 Piece Tank: El Yes El No Pump Type: Installer: Joe Stafford Dosing Volume: - Gal Certification #: Draw Down: Inches *EHS: *Chain: Supply Line Pipe Size: 4 inch diameter Installer: Joe Stafford Pipe Length: 6 5 feet Certification #: Yes ❑ No *EHS: 2325 - Mitchell, Brittany *Schedule: ao ❑ No Pressure Rated ❑ Yes ❑ No Date: 0 7/ a a/ .1 0 1 4 Approved fittings ❑ Yes ❑ No ❑ Approved ❑ Disapproved Approval Status \ ❑ ® Approved ❑ 'Disapproved Pump Type: Installer: Joe Stafford Dosing Volume: - Gal Certification #: 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 ❑ Yes ❑ No Page 2 of 4 CDP File Number 121525 - 1 County ID Number: Ga -000-o0 031-03. NEMA 4X Box or Equivalent ❑ Yes ❑ N0 Installer: Joe Stafford Box 12 inches Above Grade ❑ Yes ❑ No Certification #: Box Adj. To Pump Tank ❑ Yes ❑ No Conduit Sealed ❑ Yes ❑ No *EHS: Pump Manually Operable ❑ Yes ❑ No *Activation Method: Date: Approval'Status Alarm Audible ElYes ElNo El Approved ElDisapproved Alarm Visible EJ Yes EJ No 2325 - Mitchell, Brittany *Operation Permit completed Authorized State Agent: Date of Issue: 0 7/ a a/ a 0 1 4 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 11 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: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A Rule .1961 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 .1961 requires that Type VI 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 Permit 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 121525 - 1 Davie County Health Department CDP File Number: 210 Hospital Street P.O. Box 848 County File Number: �a-000-oo-osl-os Mocksville rvc 2�o2s Date: 0 � l a a l a 0 1 4 �Inch Drawin� Drawing Type: Operation Permit Scale: , , O B�ock = ,ft. O N/A , _I _ . I _ ; _� _ _ _� __ _ I _ ; � � � � � � ; � : � ' !_--'— I � i ! i_ � - --._ --- ---- ----- - --- — I �I I i I 1I I � i '. .......... __ . � ;.... . I .......... � . I _1 � � I i i .. _ I � I � � � � � � � � ,__ � ......._. — . _ _ ___ ,_. _... - � i � _i i_ I ' ' I i i � � � i _ . , _ _. _. I , . I � ' � _C ' ' � � 'Ma�n Ch Rd � _ � � I ,ro ___ � , . � ' I � _ ' i I � ' ___i � I ' � .-- . . _ �___ __ _ . . __ _ ; � � , � i , I , I I � i , . ; _ _ .' ' _ ._ __ , _ ; � � � _� � i , � � � � _. � � � , , � __ � ' � ' i i ! � _ , . . _ _ . � . _- , � ; , : . ! � ' , . ; � , i i I � i ' ; I . __ _ _.. ..__ __ _._ I I _ ---- .. l �: __ _�— _.... _._..... � � --' ' i I I I , � � _ - __ . . � _ i........ '_ i_ . I � i...... ' ......... ._ � _ , i. _....... � --�—�--- ----I� _ ---._ : ---- -- -- - ---- —..__,' , , �. ; � � � � �I � ' , � � � � , _ � . _ : . � _ _ � E � I _ � � � i , , , � , /,�_ � .�---�. ----- : , __— - — -- - � _ � --; � � _ ,._ ' _ � _. / � � . . -- -- ' I �--�ro Ne��hbar,n� �'o,�.s�� ' � _ _ ;_ �-� _ �_ __ � .:� � . _ _ . , � _ _ ; ._ _- _ � _ — — ` .— � ; , � ; ; � i ' � I _.... �......... __ :...... � ! _ � ......._ � r .... I ( I ! I . _........... � j 1 { I � I i i i � i , I i I I I... I , ; � ; ......_. _. _ _ . _ . , . ; --- I ' ' � T,' � � i ��j � � � — , ; ; \o°� ' — ! � i_---__—. _,—� I— ; � � , � "��` \ ' _ � �'�_� t _ � . _. 3�� (12s,') _ I S�( __ (��j � t � � , ar, I I �05 � � � ' �P,R-i � i �---�-1 �----- r— .— i-- � ;--. _ �L � ....... : .......- -....- --. � �r i ---;_ i�� _I I I , � 14CN CI1 __ ( � _tol - __ ' --- - � ._ . _ _ � ► ! I � . I � � , '' i � � 1 _� , _ _ . , � � � . � i � i � I � !__ ; _ _. , .._ __ . : _ . _ _ � ' _ _- � � , � � .__ .__ . . _____. � __ ____- ! _ _ f . ' I i i 1-- I � ( _....._._, _,.... __ � - _ ...._. . ._ __ , , . I ' ' I I I ; I ' ' � i � I � � II � � � i � i � I . ' ,., ' :.---- • ...._..., ..:..._. .__.___ �- . ._._ ........ .. ;... _......_ , ... i--- -- � _..._.._.._ , . _- _._.. ..__i- ..._...... .__..-- ----- I � � ; I i ' ... i i i i � I I ! . .....�.._ . . .......... ...._.__i !.._..-- -.......---!.. ........... I._...... .. ......_.�.. ---I�-.. .... .........I ......__.1.._-. ..I. .......... . ..._..... .._.._._._ --�- ---_..... _ . . ...._ .I... ...... j ' ' I I I � � � � � 1 , , i � , , , � I. '---.. ...............� ..___�__ Page 4 of 4 P1 P2 P3 Davie County Health Department .A:) 6 Environmental Health Section P.O. Box 848 210 Hospital Street oil Courier #: 09-40-06 U Mocksville, NC 27028 r_ Phone: (336) - 753 - 6780 Fax: (336) - 753-1680 ON-SITE WASTEWATER CERTIFICATION (Check One) Replacement Remodeling Reconnection Name: VV Cf' 1 Phone Number (33b 4 - 4 0 (Home) Mailing Address: '1 16 im (/ SI Q�-�(i (Work) UI' l _7QZO Email Address: To Site: f h b G, () o tie SS Property Address: �� . do P � Please Fill In The Following Information About The EXISTING Facility: Name System Installed Under: JwDAih wi ��T� e Of Facility:y S Date System Installed (Month/Date/Year): Number Of Bedrooms: I Number Of People:_ Is The Facility Currently Vacant? Yes ( If Yes, For How Long? Any Known Problems? Yes 60) If Yes, Explain: Please Fill In The Following Informat' About The NEWS + a ci lit Type Of Facility: i rCdnV / umber Of Bedrooms: 0 Number of People 'Pool Size: `Garage ' e: Other: Requested By:Date quested: (Sidae) NNW For Environmental Health Office Use Only Approved Disapproved Comments: Environmental Health Specialist Date: *The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a guarantee (extended or limi t the on-site wastewater system will function properly for any given period of time. Payment: Cash Che ney Order # Amount:$ Date: /Q V Paid By: Received By: Account #: Invoice #: 0 f!b �' Ail data is provided is is Wilhol+t wvrrviity i>r Sera ii it x orv:ry h hid viilw vsrrvvavd or implied including but not IlinMurl 16Ils9 I npF,ed 11'�-+ �'. wz2rrauiia>t of iviorc rantaalllry ovlltnasstor a partl.ular usa A.I ur ers atDaa7o Gounty'x GIS wu�Ail»shrli huki trarmlcs- tho Gaunty or �lr k�`. Davie, North Carolina. its agents, consultants, omrtraatsmv or vnrploycve from any and all claims or causos of aetion dn.. It, or vnsing out of rr r� p�{ [� ('�Q 2013 � �} the vav or irfvt.ilily fr, regi Ih,n NS dJA pravldrd by lnk wGGalta. Pr (r rtplJrrY ay 08, 201 3 /6x1 APPLICATION FOR SITE EVAL. CIATTON/1MPRO V E.NENT PERMTT & ATC iia-v-ic Cottlaty Environmental Health PAM P.O. Box 848/21.0111(spital Stmet. MocMville, NC 27028 3 (336)753-6780/ Fax (336)753-1680 Rom ° t Application For: T, ite L•valuationlirnprovetnent Permit U Authorization 1'o Construct (ATC) Both Trac of Application: xl ew SYstf-rn IiRetnirto Existing Svstem _ExpausionlModitication ofF.xisting Systern crFacility ***I,W0RTAN7*** TITiS APPLICATION (.AN,%-*07'itL PROCESSED UNLFSS ALA, OF THE REQUIRED INFORMATION iS VROVIDED. Refer to the INFORMATION BUI.I..E'I'lN ror instructions. APPT -1('A N`I' TNFnR MA• l'l0W 'Nance � d n1 i�4-� �'iprij 60--li Address _3Q City/State/ZIP Email -pct Contract Person /2 Home Phone Business Phone Name on Permit/AiC. if Different than Above ..__ Mailing Address _ . _ City/State/Zip PROPERTY INFORMATION *Date llouse/Facility Corners Flaggod NCFI'I : .A survey Plat or site plan must accompany this application_ included: U Site Plan UPlat(to scale) (Permit is wnlid fc.>f1 muttllls cilli sits tau, no expiration with complete plat.) U►�ncr stiantc � r(Z Phone Number Owner's Address �bl'7 "',�4�i '11 City/State/Zip Property Address, _ ojoy Of R city--__ T.ot Size_._ ..._ Tax ,P.TN# S7`3 g6-01:7 17 o �- } - �, , - 0-3 Subdivision Namc(ifappl.icable)..... Directions To Site: If the 'ansu er to any of the fallowing questions is "Ycs",supporting documentation must be attached: Are there any existing mmewater -,)-,,terns on the site? Yes DLms the site contain jurisdictional wetluids? _Yes Are there any casements or right-of-ways on the site? _..ts No Ts tate site subject to approvali by an Public agency? tis - No W- ill wastewater other than domestic sewage be generated? _ Yes Ila RFSTI)FN( F, 1•'11.1.01ITTHE ROX RFI,.OW 3 People _at -- Basement: __ _ Basement: I"1 Yes # Bedrooms Basement Plumbing: # Bathrooms Garden TubfWhirlpool lyesFN Yes LNo TF NON-RT.STD NC.`F'. FIT,L OUT TTIT I.;OX 13FLOW Type of Facility/Business_^ _ _ Told Square Footage of Building 4 People R Sinks # Commodes # Showers _ 9 Urinals Estimated Water Usage (gallons per day) (Attach documentation of simil tr facility yvater consumption) FOODSERVICE ONLY # Seats 'type system requested: I enlianal rAccepted Llttnovative 71Altermtive nother 'abater Supply Type: U County/City Water 96 e Well 7Fxisting Well 0 Community Well M you anticipate additions or expansions of the facility this,system is intended to serve? 1 Yes No Yves, what type'? jr Applicant: Jonathan Willard Address: 306 Rollingwood Dr. City: Mocksville State/Zip: NC 27028 Phone #: (336) 909-4461 'CDP Fite Number 121525-1 G4-000-00-031-03 County ID Number: Evaluated For: NEW � Township: Property owner: Edward Barnhardt Address: 677 Main Church Rd. City: Mocksville State2ip: NC 27028 11_Ph #: Property Location $ Site Information Address/Road #: Subdivision: Phase: I �3 Milo Lo -N e, Mocksville 27028 Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 2 *Water Supply: NEW WELL *IP Issued by. 2140 -Nations, Robert *CA issued by: 2140 - Nations, Robert Design Flow: a 4 0 Soil Application Rate: 0 - a 5 Nitrification Field No. Drain Lines Total Trench Length Trench Spacing: Trench Width: Aggregate Depth: a 4 0 ft. Lot: Directions Hwy 158 Left on Main Church Rd. cross 140 road left between 677 and 653, back off road *System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) SaproliteSystem? OYes QNo "Distribution Type: GRAVITY -SERIAL Pump Required? ()Yes ()No *Pre -Treatment: Drain field Sq. ft. 9 _ Qlnches O.C. Feet O.C. _ 3 6 8Inches Feet inches Minimum Trench Depth: OPERATION PERMIT ..--- r r Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Maximum Trench Depth: 3 6 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Jonathan Willard Address: 306 Rollingwood Dr. City: Mocksville State/Zip: NC 27028 Phone #: (336) 909-4461 'CDP Fite Number 121525-1 G4-000-00-031-03 County ID Number: Evaluated For: NEW � Township: Property owner: Edward Barnhardt Address: 677 Main Church Rd. City: Mocksville State2ip: NC 27028 11_Ph #: Property Location $ Site Information Address/Road #: Subdivision: Phase: I �3 Milo Lo -N e, Mocksville 27028 Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 2 *Water Supply: NEW WELL *IP Issued by. 2140 -Nations, Robert *CA issued by: 2140 - Nations, Robert Design Flow: a 4 0 Soil Application Rate: 0 - a 5 Nitrification Field No. Drain Lines Total Trench Length Trench Spacing: Trench Width: Aggregate Depth: a 4 0 ft. Lot: Directions Hwy 158 Left on Main Church Rd. cross 140 road left between 677 and 653, back off road *System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) SaproliteSystem? OYes QNo "Distribution Type: GRAVITY -SERIAL Pump Required? ()Yes ()No *Pre -Treatment: Drain field Sq. ft. 9 _ Qlnches O.C. Feet O.C. _ 3 6 8Inches Feet inches Minimum Trench Depth: Inches Minimum Soil Cover. Inches Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: 1�1_ Inches *System Type: INFILTRATOR QUICK 4 STANDARD Installer: Joe Stafford Certification #: *EH S: 2325 - Mitchell, Brittany Date: 0 7/ a a/ a 0 1 4 Approval Status O Approved D Disapproved CDP File Number 121525-1. A 1i Manufacturer. Shoaf STB: 760 Gallons: 1000 County ID Number: G4-000-00-031-03 septic Tante Lat. Long: Installer: Joe Stafford 0 Date: 06/ Supply Line 1 1/ 2 0 1 4 Certification #: ❑ No RiserHeght: ❑ Yes ❑ *EH S: 2325 - Mitchell, Brittany *Filter Brand: Yes ❑ No 1 Piece Tank: ❑ Yes ST Marker: El Yes O No Date: 0 7/ a a /.2 0 1 4 einforced Tank: ❑ Yes ❑ NO Approval Status ❑ Yes ❑ 1 ❑ Approved ❑ Disapproved Check -valve ❑ Yes 0 Approved ❑ Disapproved \Piece Tank: ❑ Yes ❑ No No Pump Tank Manufacturer. PT: Gallons: Date: / Supply Line / Riser Sealed ❑ Yes ❑ No RiserHeght: ❑ Yes ❑ NO (Min.6 in.) Reinforced Tank: ❑ Yes ❑ No 1 Piece Tank: ❑ Yes ❑ No Installer: Joe Stafford Certification #: *EH S: Date: Approval Status ❑ Approved ❑ Disapproved (Pump Type: Supply Line Pipe Site: 4 inch diameter Installer: Joe Stafford Pipe Length: 6 5 feet Certification #: Inches *EH S: 2325 - Mitchell, Brittany *Schedule: ao Pressure Rated ❑ Yes ❑ No Date: 0 7/ a a / a 0 1 4 4pproved fittings ❑ Yes ❑ No ❑ Yes ❑ Approval Status Flow Adjustment Valve ❑ Yes ❑ 1 ❑ Approved ❑ Disapproved Check -valve (Pump Type: Installer: Joe Stafford Dosing Volume: — Gal Certification #: 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 Anti -siphon Hole ❑ Yes ❑ Yes ❑ ❑ No NO CDP File Number 121525 -1. County ID Number: G4-000-00-031-03 Alarm Audible ❑ Yes Alarm Visible ❑ Yes *Operation Permit completed by; Authorized State Age ❑ No Approval Status E3 No ElApproved ❑ Disapproved 2325 - Mitchell, Brittany Date of Issue: 0 7/ a a /) 0 1 4 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 11 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: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A 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 operatoror a private certified operator forthe 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 priorto the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements formaintenance 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. GHand Drawing Olmport Drawing **Site Plan/Drawing attached.** CICGu1V =gU11.1mum NEMA 4X Box or Equivalent ❑ Yes ❑ No Installer: Joe Stafford Box 12 inches Above Grade ❑ Yes ❑ NO Certification 4: Box Adj. To Pump Tank ❑ Yes ❑ No Conduit Seated ❑ Yes ❑ No 'EH S: Pump Manually Operable ❑ Yes ❑ NO *Activation Method: Date: Alarm Audible ❑ Yes Alarm Visible ❑ Yes *Operation Permit completed by; Authorized State Age ❑ No Approval Status E3 No ElApproved ❑ Disapproved 2325 - Mitchell, Brittany Date of Issue: 0 7/ a a /) 0 1 4 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 11 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: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A 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 operatoror a private certified operator forthe 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 priorto the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system ownerand certified operator are the same. The contract shall require specific requirements formaintenance 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. GHand Drawing Olmport Drawing **Site Plan/Drawing attached.** OPERATION PERMIT . Davie County Health Department CDP File Number: 121525 -1 210 Hospital Street G4-000-00-031-0: P.O. Box 848 County File Number: Mocksville NC 27028 Date: 0 7/ 2 a/;2 0 1 4 Q Inch y CONSTRUCTION 4' ' AUTHORIZATION Davie County Health Department 210 Hospital Street F P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 / For Office Use Only *CDP File Number 121525-1 County ID Number: G4.000-00.031.03 Evaluated For: NEW �, Township: PERMIT VALID UNTIL: 0 1/ 0 1/ 0 0 0 6 Applicant: Jonathan Willard Property Owner: Edward Barnhardt Address: 306 Rollingwood Dr. Address: 677 Main Church Rd. City: Mocksville City: Mocksville State2ip: NC 27028 State2ip: NC 27028 Phone 4: (336) 909-4461 Phone n: Address/Road #: Main Church Road Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 2 *Water Supply: NEW WELL Subdivision: ,`Site Classification: PS Saprolite System? OYes ONo Design Flow: 2 4 0 Phase: Lot: Directions Hwy 158 Left on Main Church Rd. cross 140 road left between 677 and 653, back off road Minimum Trench Depth: 2 4 W Inches Minimum Soil Cover. Inches Maximum Trench Depth: 3 6 Inches Sod Applx:atlon Rate. 2 5 Maximum Soil Cover: Inches *System Classification/Description: *Distribution Type: GRAVITY -SERIAL TYPE 11 A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank: 1 0 0 0 Gallons *Proposed System: 25% REDUCTION 1 -Piece: OYes ONo Pump Required: OYes ONo (i May Be Required Nitrification Field Sq. ft. Pump Tank: 1 0 0 0 Gallons No. Drain Lines 1 -Piece: OYes ONo Total Trench Length: 2 4 0 n GPIYI—vs-- ft. TDH Trench Spacing:9 QInches O.C. Dosin Volume: _ Gallons _ O Feet O.C. g Trench Width: — 3 6 Q Inches Feet Grease Trap: Gallons Aggregate Depth: - - inches Pre -Treatment: ONSF OTS -1 OTS -II Septic Tank Installer Grade Level Required: 01011 0111 01V / Page 1 of 3 i;DP Fi a Number 121525-1, County ID Number: G4.000-00-031.03 ❑ Open Pump System Sheet Repair System Required:UTeS vivo vivo, Dui naS AvallaDle apace /Repair System Trench Spacing: QInches 0.1 *Site Classification: Ps — 9 V Feet O.C. Trench Width:- Inches Design Flow: 2 4 0 — 3 6 Feet Soil Application Rate: 0 - 2 5 Aggregate Depth: inches *System Classification/Description: Minimum Trench Depth :2 4 Inches TYPE II A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover. Inches *Proposed System: Maximum Trench Depth: 3 6 P Y 25;a REDUCTION Inches Nitrification Field Maximum Soil Cover: _ Inches Sq. ft. No. Drain Lines 'Distribution Type: GRAVITY -SERIAL Total Trench Length: 2 4 0 ft 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 wayguarantees 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 be valid for a person equal to the period of validity of the Improvement Permit not to exceed five years, and maybe Issued at the same time the Improvement 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(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: 2244 - Daywall, Andrew Date of Issue:. 0 6 / 0 4 / 2 0 1 3 Authorized State Agent 'Ad Malfunction Log OYes (DHand Drawing Olmport Drawing Total Tirne:(HH:ta1.1) **Site Plan/Drawing attached.** Page 2 of 3 1 Hours t.t mutes S-8 - C/A ISSUED - NEW '3 y CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization CDP File Number: 121525 -1 County File Number: G4-000-00-031-03 Date: 06/04/2013 O inch Scale: Oock N/A IMPROVEMENT PERMIT �-'`"'`• Davie County Health Department ► g - 210 Hospital Street w..,. P.O. Box 848 Mocksville NC 27028 For Office Use Only `CDP File Number 121525-1 County ID Number: G4-000-00-031-03 Evaluated For: NEW �ownship: Phone: 336-753-6780 Fax: 336-753-1680 PERI.IIT VALID UNTIL: 6/4/2018 'NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: Jonathan Willard Address: 306 Rollingwood Dr. CRY: Mocksville State2ip: NC 27028 Phone #: (336) 909-4461 Property Loca Address/Road #: Subdivision: Main Church Road Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 2 # of People: 2 'Water Supply: NEW WELL PS Saprolite System? OYes ONo Design Flow: 2 4 0 Soil Application Rate: 0 _ 2 5 'System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) 'Proposed System: 25% REDUCTION Property owner: Edward Barnhardt Address: 677 Main Church Rd. city: Mocksville State/Zip: NC 27028 Phone #: I Phase: Lot: Directions Hwy 158 Left on Main Church Rd. cross 1-40 road left between 677 and 653, back off road Minimum Trench Depth: 2 4 Inches Maximum Trench Depth: 3 6 Inches Septic Tank: 1 0 0 0 Gallons 1 -Piece: OYes ONo Pump Required: OYes (D No OIAay Be Required Pump Tank: Gallons 1 -Piece: OYes ONo Repair System Required: aYes ONo ONo, but has Available Space Repair System .Site Classification: PS Soil Application Rate: 0 2 5 'System Classification/Description: TYPE II A. CONY SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) 'Proposed System: 25%RED UCTION Minimum Trench Depth: 2 4 Inches Maximum Trench Depth: 3 6 Inches Pump Required: OYes QNo O Maybe Required Page 1 of 3 CDP File Number 121525 - 1 County ID Number: G4-000-00-031-03 *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 the facility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit Shap be valid without expiration with plat (means a property surveyed prepared by a registered land O surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility and appurtenances, the site for theproposed 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 pan, plat, or Intended use changes (NCGS 13OA-335(q). 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: 2244 - Daywalt, Andrew Date of Issue: 0 6 / 0 4 / 2 0 1 3 Authorized State Agent:aM&L&1VJQ4W(AAA OValid without Expiration? 0Create CA. 01 -land Drawing Olmport Drawing **Site Plan/Drawing attached.** Total Time:(HN:1.11.1) 0 1 Hours 0 0 minutes Page 2 of 3 Activitv Code: S4 - [PIS issued: new, valid for 60 mos. IMPROVEMENT PERMIT 121525-1 ` Davie County Health Department CDP File Number: 210 Hospital Street G4-000-00-031-03 P.O. Box 848 County File Number: Mocksville NC 27028 Date: Q Inch C nn�e�• i1 QIr.n4 s )" APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health PA►m P.O. Box 848/210 Hospital Street Date:, 3 Mocksville, NC 27028 (336)753-6780/ Fax (336)753-1680 Received b Application For: U, /iteEvaluation/improvement Permit VAuthorization To Construct (ATC) ❑ Both Type of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility ***IMPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION �( f Name tl a N RC1 - Jl Contact Person Address 30& lye ' /L. Home Phone City/State/ZIP C, ;Z -M Business Phone Email Name on Permit/ATC if Different than Above, Address PKUPEKI Y 1NFUKMA11UN *Date House/Facility Corners NOTE: A survey, plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit is vali f°�0 months with sit Ian, no expiration with complete plat.) Owner's Name 0/4&0 1 Phone Number Owner's Address & 7 7 11A / City/State/Zip 69 70 �A Property Address MAI 1 City Lot Size Tax PIN#79z0-��U_ fid_ �3 �- 03 Subdivision Name(if applicable) Section/Lot# Directions To Site: 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? _Yes Does the site contain jurisdictional wetlands? _Yes 140 Are there any easements or right-of-ways on the site?ms _s No Is the site.subject to approval by another public agency? _mss _N Will Will wastewater other than domestic sewage be generated? _ Yes ✓No IF RF,STDF,NCF FIT J, 01 JT THF BOX BFLOW # People —a # Bedrooms - X # Bathrooms Garden Tub/Whirlpool lfes ❑No Basement: ❑Yes C3filo Basement Plumbing: ❑Yes ONO IF .NON-RES1DF.NCE FIT J., 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 -OILY: # Seats Type system requested: Le'onventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: ❑ County/City Water ❑hew 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 changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the"Aukorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I Wderstand that I am responsible for the proper identification and labeling of property lines and corners and locating and flagging r s king the hoa/faci ity location, proposed well location and the location of any other amenities. JN_1L - t ") ()S, (::) Pro rty owner's or owner's legal representative signature Site Revisit Charge Date(s): a — — Client Notification Date:' Date EHS: Sign given ❑Yes ❑No/ j Z� Account # Revised 11/06 /� l� I Invoice# APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (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 ***IMPORTAN7*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPT.IC ANT YWORMATION Nameal Address 1 Email ,o)(-r%e-- C nkin8 O 6'L (lt Name on Permrt/ATC if Different than Mailing Address YKUYJ✓K 1 Y IN r UK MA I Iv1N a 0cp ` Cntact Person Phone ss Phone kk-%- 'Eluate House/.Facility Comers NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan (Permit ' alid for 6 onths with site Ian, no expiration with complete plat.) Owner's Name ` hor 10494 Owner's Address ? 6 7o Ka l tv tate/Zit,@ Property Address 571,§ q'S`l 1 `1 &X -.-)City Lot Size PIN# Subdivision Name(if applicable) Section/Lot# Directions To Site: scale) 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? _Yes No . Does the site contain jurisdictional wetlands? _Yes X�4o Are there any easements or right-of-ways on the site? es No Is the site subject to approval by another public agency? es _No Will wastewater other than domestic sewage be generated? ` Yes)'No IF RESTI)VNCE FIT J, OT TT THF, BOX RFLOW # People _ a # Bedrooms Q # Bathrooms �_ Garden Tub/Whirlpool (VYes ONO Basement: ❑Yes 060 Basement Plumbing: ❑Yes ONO IF NON-RESIDFINCE FIT I, OUT THF, BOX BELOW Type of Facility/Business Total Square Footage of Building I':Lg (o • # People # Sinks !�;- _ # Commodes Q # Showers _Q # Urinals _n 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: ❑ County/City Water '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 changes, or if the information su muted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie Co un Health Department to conduct necessary inspections to determine compliance with. applicable laws and rules. I u derstand t I responsible for the prope identification -and labeling of property lines and comers and locating and flagging ors ' g the o e cili locat p osed el ca ' and the tion of any other amenities. opero er swner's egg repres tive signature Site Revisit Charge J— Date(s): Client Notification Date: Date EHS: Sign given ❑Yes ONO Account # Revised 11/06 Invoice # fr` A 7 y - 017 / III -� - .• �: -_ l y �--- I�i ,fie f t� o711 All data is provided as Is without warranty or guarantee of any kind either expressed or implied including but not limited to the implied "' warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of (/ 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 Pri nted: May 08 2013 y the use or inability to use the GIS data provided by this website. + DAVIE COUNTY HEALTH DEPARTMENT' ' • + Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990006073 Tax PIN/EH #: G40000003103 Billed To: Jonathan Willard Subdivision Info: Reference Name: Location/Address: Main Church Road -27028 Proposed Facility: Residence Property Size: 2.790 Ac Date Evaluated: D I - Water Supply: Evaluation By: On -Site Well is Community Auger Boring X Pit Public Cut SITE CLASSIFICATION: J LONG-TERM ACCEPTANCE RATE: J REMARKS: EVALUATION BY: OTHER(S)PRESENT: WmlQt� 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 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) TTAR - T-nnv_ti-rm grrP.ntanri- rate - aat/rlau/ft7 r-%nrm nc1nc m__..__j% Landscape position HORIZON I DEPTH Texture group Consistence Mineralogy F; Texture group_ ��=11111114 Consistence NORM Mineralogy HORIZON III DEPTH Texture group Consistence Mineralogy_HORIZON IV DEPTH Texture group Consistence SOIL WETNESS SAPROLITE CLASSIFICATION SITE CLASSIFICATION: J LONG-TERM ACCEPTANCE RATE: J REMARKS: EVALUATION BY: OTHER(S)PRESENT: WmlQt� 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 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) TTAR - T-nnv_ti-rm grrP.ntanri- rate - aat/rlau/ft7 r-%nrm nc1nc m__..__j% ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■UMME■EM■■ ■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■E■■■■■■■■■s■■�■■■■■■■■■■■■■■■■■■■■■■ria■■■■■■■ ■■■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■■■O■■■■■■■■■■■■■■eee►/�:;�;ie■e■■e■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee■■■■/I1��'■■■■■■■■■ ■■■■■■■■■■lOiiJ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ILIO■■■■■■■■■■■■ ■/ !■■■■■■■■■■■■■EE■■■■■E■E■ ►NONNI1■■■Y■■■■►lt/■■■e'/■See■■■e■■■e■■■ ■■■■■■■■eee■■■■■■■■■■■■■■■EV■■■ M■■■i!■■■■■■■[iT�■■■■■■■■■■■■■■■■ ■■■ecce■■■■■■■■■■■■■■■■■■■E■■■■■■■n■■�Y■■■■'7l:�If!�'��1/■■■■■■■■N■■■N■■■ ■■■■■■■■■M■eee■!■■!■■■■■■■■■■R■■■E■■■ERI■■■■■■■■!■■■■■■■■■■■■■■■■ SSSS■■ ■■M■O■ ■■MME■ SOMME■ ■W"%1■■ SOONER ■■MN■■ ■ENNE■ ■■N■■N■■■N■■■■■■■■■■■■■■N■■■■■■■ ■SSSS■■a■■■r�■■N■■■■■■■NN■■■N■■■ p■ppppp�l�■■�■�■��1=======■�CC�C��l�i�iii�■iiSS■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■rig■i!%■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Ciiiii�i�iiiiiiioiiiiiii■iioi■■■ iW■fir■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■N■■■■■■N■■■■■■■■■■■■■■Iii■■■■N■■■■■■■■■■■■■■■■■NON■■■■■■ ■■■■■■■■■■■■■■■■■■E■■■■■■■■■■■■■1�■■■■■N■■N■■E■■■■■■■■■NON■■■NON■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■■■■■■N■■■■■■■NON■■■■■■NON■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■Ea■■■■■■■■■SSSS■■N■■■■■■■■■■■■■■■■■■■e■■■■ ■ ■ OMENS ■ESE■ ■E■■■ ■E■E■ i ■ ■ i ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ i ■ Davie County, NC - GoMaps Advanced Davie County, NC - GoMaps Advanced - --- ;' i 30 ft http://maps2.roktech.net/davie_gomaps/index.html Latitude, 351 56' 18,97" Longitude, -800 34 9.21" Page 1 of 1 6/4/2013