Loading...
979 Pudding Ridge RdDAVIE COUNTY HEALTH DEPARTMENT//- 7 Environmental Health Section /✓ / • ,� P. O. Boz 848/210 Hospital Street { Mocksville, NC 27028 ` (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account M 990001790 Tax PIN/EH M 5831-46-9687 Billed To: Edward Leagans Subdivision Info: Reference Name: Location/Address: Pudding Ridge Road -27028 Proposed Facility: Residence Property Size: 90+ acres ATC Number: 2979 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type H Nr�5r— #People 2— #Bedrooms �—�; #Baths —2— Dishwasher: Dishwasher: 0" Garbage Disposal: M"'— Washing Machine: 0� Basement w/Plumbing: 13"— Basement/No Plumbing: 13 Commercial Specification: Facility Type #People #People/Shift #Seats Industriall Waste: 13 Lot Size 4-53 A4—L"5 Type Water Supply Est— Design Wastewater Flow (GPD) 436`0 Site: New E' Repair El System Specifications: Tank SizeLULOGAL. Pump Tank GAL. Trench Width Rock Depth Z Linear Ft. Other: q '01SrO (&)TI0r-3 0 ) Nnir&I-L. L.t►-9�S g� O .0 . r,., Ia . Required Site Modifications/Conditions: -ALL a �1 co t" -o p - LA 0 IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)7 1-8760.*A** 13 PQM. ��►�� � AP�x too' % Fco7 Lt► -w --:n- tO oe� NoxZ Q' 0-1) n 2 .1 n. Q�A P.a(-_ vs, J Environmental Health Specialist's DCHD 05/99 (Revised) Date: 10 DAVIE COUNTY HEALTH DEPARTMENT • Environmental Health Section P. O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990001790 Tax PIN/EH #: 5831-46-9687 Billed To: Edward Leagans Subdivision Info: Reference Name: Location/Address: Pudding Ridge Road -27028 Facility: Residence ATC Number: 2979 a¢e- aut acres AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTE STR IO VAL D FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature ate: v Of CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guar lee he system will function satisfactorily for any given period of time. II l 0 to'. to,._ J� 1 G a 6 _K^ Septic System Installed By:. Environmental Health Specialist's Signature: DCHD 05/99 (Revised) O f VV V Soi APPLICATION FOR SITE EVALUATION/IMPROVEMENT PE6MIT & ATC • Davie County Health Department Fnci En virwmetdaiHeai i Secdw P.O. Box 848/210 Hospital Street Mocksville, NC 27028 JUN } 3 2U01 (336) 751-8760 i i !rc ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS AI -T THE UIRFII)I;Y _ INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for "irictpi/o�n—sem. M 1. Name to be Billed C/C2'( & T (( 44 Contact Person g-lOp'- gr&c- - Mailing Address % (�ucdc�•i�t�i �Lf ii ���./ Home Phone ��� City/state/ZIP '�(pG�l.?(/liBusiness Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For:�'>./Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. System to Service: House ❑ Mobile,Home ❑ Business ❑ Industry ❑ Other s. Iff Residence: - / # People 2 #Bedrooms ---�� �13athrooms '�. IST Dishwasher F/ Garbage Disposal L Washing Machine /Basement/Plumbing fl Basement/No Plumbing 6. If Business/Industry/Other:-.Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ElCounty/City W Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes VNO If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: y�b 'rum • /p WRITE DIRECTIONS from Mocksville) to PROPERTY: Tax Office PIN: "c # "�O 3 r —�t/b `7 �,O L NO//;A- Property Address: Road Name �� ��C!�h' f �/��c/ 2T• �Q- �T �"� City/zip �illc . IUB' �7oZ.P' �udd,yL.t 64e_ az�- If in a Subdivision provide information, as follows: Name: Section: Block: Lot: Date Property Flagged: _ �3 D / This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by j ��d H. lmw&: &;Ae'X t Ona#aza Jae, to conduct all testing procedures as necessary to determine the site su ility. P Cezy je- /eit14A-c.' DATE Z/ �� ( SIGNATURE � �ti �f THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). C,' Revised DCHD (07/99) (1-7 0) Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. / b Invoice No. `� �. -PUDDING RIDGE ROAD, (1274) I Oh 1065 (1081) (995) 808 IL�AI j"j ('p((il1 %1AVSv U +ribc��lacGd w,�'n j.JVinc� �tu4�'�• E400000041 (91.62 A) 9687 N 277 , ?77 (1206) SR 1435 9 cn N to o' (667) (6.27 A) 5735 (30.34A) 13.39A 9725 3637 V V DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990001790 Billed To: Edward Leagans Reference Name: Proposed Facility: Residence Water Supply: Evaluation By: PROPERTY INFORMATION Tax PIN/EH #: 6831-46-9687 Subdivision Info: Location/Address: Pudding Ridge Road 02 Property Size: 90+ acres Date Evaluated: �i 01 On -Site Well Community Auger Boring ' Pit Public Cut SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE- OTHER(S) PRESENT: �4 AA f# ncZr�G REMARKS: 4� �>vd✓ [c�4�%�Z- S 1 FDL11Fa +^' gZ ,, &-fe, LEGEND Landscape Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC —Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS (provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/99 (Revised) rM groupHORIZON Texture r�•�s����•a��r �:sM10MViEWE=_ M _Consistence HORIZON 11 DEPTH Consistence ineralogy MMineralogy Texture group 1001, OF E WA WIM Consistence Mineralogy HORIZON IV DEPTH Texture group Consistence SOIL WETNESS SAPROLITE SITE CLASSIFICATION: EVALUATION BY: LONG-TERM ACCEPTANCE RATE- OTHER(S) PRESENT: �4 AA f# ncZr�G REMARKS: 4� �>vd✓ [c�4�%�Z- S 1 FDL11Fa +^' gZ ,, &-fe, LEGEND Landscape Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC —Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS (provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/99 (Revised) i ■ ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■u■■M■■■■■Oil■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■!iiE�EMMM %11_1■I■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■O■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■OMEN ■■■■■■ mM■M■ MOWN ■\\■■■ ■■MNO■ MEMO\`\ MESO■\ ■E■■E■ ■E■■■■ ■E■■E■ I■\'1■■ ■■■■\'.q ■■■■■■ ■■■■■■ ■■M■■■ MEN SEE ■■■■■■■■■■■■■■■■Ee■■■■■■e■■■■■■■■■■■■■■■ ■■■1•■■■■■■■■■■■■■■■■■Ori■■■■■■■■■■■■■■■■■■■ Davie County Wealth Department Environmental Nealth Section PO Box 848 / 210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 June 21, 2001 Mr. Edward Leagans 979 Pudding Ridge Road Mocksville, NC 27028 Re: Site Evaluation - 90 Acre Tract/Pudding Ridge Road Tax PIN #: 5831-46-9687 Dear Mr. Leagans: As requested, a representative from this office visited the above site on June 20, 2001. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. Based on the evaluation, a three-bedroom residence would require approximately 500 linear feet of septic drain line. This is subject to change as actual dimensions of the septic drain field will be determined at the time an improvement permit is issued. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct the appropriate application must be completed in full and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at (336)751-8760. Sincerely, CJ eeauchamp, R.S. Environmental Health Section enc(s) � . � . . .. . . . . ' .�3y � „- »tr . a . . . . , . .. � I , � , Q , O �IY W � .� ' �I ' �I � I � . � Q � � �� r_ I � i �� ' a ____i_—-- � U � ------ � � PI�DD�NG RiDGE ROaD ED WARD H. LEAGANS , ET AL i \' D.B. 198 , PG. 864 � �. D.B. 97 , PG. 474 � s'T� � PINEVIEW ACRES � r�oT TO SCALE � P.B. 6 , PG. >23 � '��'' C i ��'�� ��TY M, 1 ` � LOT # 1 ; �� �_ S.R. 1435 � � V V PUDDING RIDGE RDAD � � „ r�CrkeC porn; �,,nmarkeC aoint � 'C:]r: I t -� �f` � f(:C]G� �. ," S 89'37'S0' E 1289.96 I ° �^, 231.9S cA f N 88'40'30' M 149,65 o Q' ; ��R sp�ke e N 89'25'15' M - - - - - - M �p �' �i �,� ; ,od , exist�ng �ron rew M Condr�te � in � �opd . ., ^�.Or��m3^t : �,c���= � �- z r 1 �� � � �IP�(� �, rLo.�C, � �•�Z'r1�� Z Y�".., ; a � ' � 1� s �� 6 ~ ��/ � �� � � � %� ��—_�� % / � --�_�r__--� '% . C �� �..� � R r � r i O � �� W � , N i � +- � n I � r � ��—L • I � o / � �,�j N n � � 7 p O — `� O n _ N r 6 EDWARD H. LEAGANS , ET AL � ° o � Z � D. B. 198 , PG. 864 . � n „ ED WARD H. LEA GANS , ET AL AREA = 4.581 ACRES D.B. � 98 , PG. 864 AREA INCLUDES S.R.1435 R/lY �' / . , � i % TU'I"I'EROW SURVEYING COMPANY � /' 124 S�UTH SALISBURY ST, � ;' M❑CKSV I LLE, N, C. 27028 �eW ' (336) 751-5616 �y 300.34 � ��ro� � �,e�, ��--S g4•29'31' �on 100 50 0 100 200 300 SCALE IN FEET �������� ,����N CA�O�,,�� • PLAT OF SURVEY FpR+ ;�o�`•oFEss;oti�!ti9 B ED WARD H. LEA GANS . � -�;QQ -��• < . = SEAL I, GRADY L. TUTTEROY, CERTIFY THAT UNDER REVISIONS , 1" = 100� �ppRpym yy, Y, RHO = ' MY DIRECTIDd AND SUPERVISION, THIS MAP GRADY L. TUTTEROW FILE tW[� � : L-Zr'J`L7 � ` MAS DRAMN F AN CTUAL FIELD SURVEY 06�28�01 LEAG—ELL %�";� Q'�: MADE TUT ROY S EY I OMPANT. BEING 4.5813 ACRES TAKEN FROM :�,9-�tio suR�E`:'Q,O: ,�� °•.,, �`� THE C. ELLIS LEAGANS , ET AL PROPERTY (D.B. 198 , PG. 864) � YC TU��•`� LYING IN THE FARMINGTON TOWNSHIP , DAVIE COUNTY , NORTH CAROLINA � � �''�,�A:,.,�,��`` - — -- --=( ---------- : PROFE SIDNAL L sua EroR �-2s2� TAX MAP REF: E -4 , P/0 PARCELS 40&41 �I"� �'�pi_3 �