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335 Parker Rd Fi ^` ,' ;,;• '> '< `` tai '� f �� DAV'IE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND .CERTIFICATE OF COMPLETION �',,3�,. E0.6 *NOYE:.Issued in Compliance With Article 11 of G.S.Chapter 130a Sanitary Sewage Systems . Permit Number Name Manuel Ramon Date ' j N2 � 349 Location Rt. 1, Box 344-2, Mocksvj.11e, NC 27028 C) Subdivision Name Lot No. Sec. or Block No, Lot Size House Mobile Homey Business Speculation No. Bedrooms No. Baths No. in Family— Garbage Disposal - YES, p NO Q' Specifications for S st Auto Dish Washer YES O NO [P., f 600 Auto Wash Ma.hine YES p' NO p HO U` Type Water Supply *This permit Void if sewage system described below is not installed within 5 years from date of issue. This.permit is subject to revocation if site plans or the intended use'change. I f t 4 F; .� r Y i t - _IM groY-e@ents permit by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30- 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985. Final Installation Diagram: System Installed by r Certificate f m letion ��� Date P , *The signing of this certificate shall indicate the S tem described above has been installed in compliance with the standards set forth in the above regulation, but§hall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMfiT ,meq Davie County Health Department Environmental Health Section Al P. 0. Box 665 Mockaville, NC 27028 1 . Application/Permit Reques ed By Q)7 Mailing Address �Lz- , G�-lsN Home Phone 3� A4 Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: 0 General Evaluation I/S/Tank Installation S. System to Serve: House 'Mobile Home 0 Business LL Industry u Other �J 7 0 Unknown 6. If house, mobile home: Subdivision &dopZtw-)- Sec. Lotit No. of People Dwelling Dimensions No. of Bedrooms 5 Basement/Plumbing lashinq of Bathrooms ` Basement/No Plumbing Machine 0 Dishwasher 0 Garbage Disposai 7. If business, industry, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers 8. Type of water supply: 5/public ` 0 Private 0 Community 9. Property Dimensions 10. Sewage Disposal Contractor 11 . Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes a'No If yes, what type? *NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. Date Signature Directions to Property : ou 6ZI ZJ-0,0� - A�- X&VS DCHD (10-89) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P. 0. Box 665 9 Mocksville, NC 27028 RECEIVED ,JUN 1 . Application/Permit Requested By e a Mailing Addr�essssj L )FO >C Home Phone / —T_y :7 Business Phone 2. Name on Permit if Different than Above 3. Property Owner if Different than Above 4. Application/Permit For: General Evaluation 0 S/Tank Installation 5. System to Serve: House U Mobile Home 0 Business Industry u Other 0 Unknown 6. If house, mobile home: Subdivision Sec. Lot# No. of People Dwelling Dimensions No. of Bedrooms Basement/Plumbing No. of Bathrooms Basement/No Plumbing 0 Washing Machine 0 Dishwasher 0 Garbage Disposai 7. If business, industry, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers S. Type of water supply: 0 Public 0 Private 0 Community 9. Property Dimensions . 10. Sewage Disposal Contractor 11 . Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes 0 No If yes, what type? *NOTES Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change . Effective October 1, 1989. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. woe lay .v.12o�. Date Signature Directions to Property : �s © Mr �2 F'l ' ( V �a c T p d ©ti JAI 01ai 9tT 0,) a e)AY I11 c�. L0 A) )C r�St- 4I Y`eCf C-7 C' asx ro J 0,F rdA DCHD (10-89 Existinq i ron Existing i rpn — INEZ CHAFFIN — DB. 35 P6. 479 42 36 �' C U t, r'7,�.�:Y [ T�+`T::RGJJ. CEk'iF�: il�a` !,'NDEK ia+.Y �? rr•-' ,, 1}''j�Ff 2� ��'.t W F�'> lviAP lYA.._ L! :r n i. V. �'�� /� ';^, r:'.�' S:. R"J E� !'. :._ E' �..! FFC>w S r✓s�'.�`:G tir'. _- y-J ` -'��� _. _....__ . F� '��� ...:u�,.:�* . �.:, xte.a,+►+E� .,� ,..._.,.,, Bent Existinq iron — WM. CALVI N IJAMES — ae. �i PG. 272 86 23l � r0ad — RU TH E. JOHNSON — LiB . 83 PG . 429 83 /86 > C� rood 20� PAVED ftrrr�Raw s�.+�v�rn� cr�. ROUTF k !4X i �9 r 1�At3C�CSVli1�, N. �C. 491-561 A Y — NORMAN L. JOHNSON — DIB. 142 P6. /96 � • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site.Evaluation NAME \`���T ��cn c� �J DATE EVALUATED `b ADDRESS J `P PROPERTY SIZE �''2' PROPOSED FACIILTY ZJD 0 'l LOCATION OF SITE Water Supply: On-Site Well v Community Public Evaluation By:t�_L-AugerBoring Pit Cut FACTORSF5' r__ 2 3 4 Landscape osition .S S' Slope %HORIZON I DEPTHTexture rou S C Consistence Structure Mineralogy 1 iAl ) HORIZON II DEPTH t4 2 tA=11 ` _t' Texture group Consistence Structure S IS S Mineralogy \ 71 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS 5 -5 RESTRICTIVE HORIZON SAPROLITE -- --� CLASSIFICATION S S LONG-TERM ACCEPTANCE RATE .b ng- SITE CLASSIFICATION: �� EVALUATED BY: � LONG-TERM ACCEPTANCE RATE: -�0 OTHER(S) PRESENT: REMARKS: C-i._; e ,a LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm Wet NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic Structure SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralolty 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 - Dame County NealtI Department N NaltFi .y"ye and vme e n cy 210 HOSPITAL STREET I P.O.BOX 665 MOCKSVILLE,N.C. 27028 PHONE:(704)634-5985 June 29, 1990 Manuel Ramon Rt. 1, Box 344-2 Mocksville, NC 27028 Re: Site Evaluation Parker Road Dear Mr. Ramon: On June 28, 1990, as you requested a representative from this office visited the above mentioned site. The soil was found provisionally suitable for the installation of a ground absorption sewage system. If you have any questions, please feel free to contact this office. Sincerely, Charles E. Little, R.S. Environmental Health Section CL/wd Enclosure