Loading...
118 Rockwell Ln . F...__ .'�.� ,r . . � '� DAVIE COUNTY ENVIRONMENTAL HEALTH P.O.Box 848/210 Hospital Street Mocksville,NC 27028 � � (336)753-6780/Fax#(336)753-1680 OPERATiON PERMIT Accaunt �: 990005699 '�ax PlN:EH#: E5-000-000-3313 Biil�;t�To: Yadkin Builders Sul��ivisior� I�fo: Rockwell Valley Lot# 1 Refer�r�ce Name: Loca#ianiAddress: Rockwell Lane-27028 Pro�c�s�c9 F��iEity: Residence Pro��r#y 8ize: 1.90 Ac r�TC Number: 6058 **NOTE**The issuance of this Operation Permit shall indicate the system described on.the ATC 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 guarantee that the system will function satisfactorily for any given period of time. • . • System Type;_ S.T.Manufacturer Tank Date Tank Size Pump Tank Size Bedrooms: System Installed By: Installer# Date: � . GPS Coordinate: Environmental Health Specialist Date: DCHD 11/06(Revised) . � � . •. ; •' DAVIE COUNTY ENVIRONMENTAL HEALTH . P.O.Box 848/210 Hospital Street Mocksville,NC 27028 (336)753-6780/Fax#(336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION . f�cc�ur�t #: 990005699 Tax Pl�f.%EH#: E5-000-000-3313 Bill�d Ta: Yadkin Builders Suf�divisiort I�fo: Rockwell Valley Lot# 1 Re:fer�E�ce t�a��e: LocatiortiAddress: Rockweil Lane-27028 Propc�sed Faci€ity: Residence P�o�er#y Size: 1.90 Ac �TC Numb�r: 6058 Site Type: CBNew ORepair OExpansion **NOTE**This Authorization to Construct(ATC)MiJST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat. or the intended use change. Residential Specitications: #Bedrooms � #Bathrooms a #People 3 Basement0 Basement plumbing❑ Non-Residential Specifications: Facility Type #People #Seats •.Square Footage(or Dimensions of Facility) Lot Size �•� Type of Water Supply: ClCounty/City ❑Well OCommunity Well � I� oDD System Specifications: Design Wastewater Flow(GPD) a�t� Tank Size I�0�GAL.Pump Tank�GAL. , Trench Width 3��� Max.Trench Depth 3 6 Rock De th� Linear Ft.. ` 0� (>� —x,;, stated in 16A h����8�1.1����5) _l Site Modifications/Conditions/Other: BCCepted System& rnay al�,o be used '���0'�,ea�G�1�v� Contact the Davie County Environmental Health Section for final inspection of this system between � 8:30=9:30a.m.on the da of installation. Tele hone# 336 751-8760. � � � �j t� �' �4 ' �g,�, b —� � Ho c�s.. � � �o.� � �,�'" ' ��r� � QQ0.r,� � 0 � � � o '�- -rt ,� �° L�-� - as��`"�.�; t,..o�,.� . �� � � � �m�1 , i � . te �1a. �° - - � � �i�'Q U��� �f/tf'C', l.�i/�f�fr/ �� yir � ' , 0` � � � ��� Environmental Health Specialist Date: � � � �� DCHD 11/06(Revised) ' � � . . . � � ' - �:,:��(�� �"��- U�(��v �i P, l � A.PPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT 8� ATC .:� - Davie County Environmental Health gECEIVED � P.O.Bog 848/210 Hospital Street Mocksville,NC 27028 �ate: �� V�� � (33�753-6780/Fax:(33�753-1680 Applicarion For: 0 Site Evaluation/Improvement Permit C�Authorization To Construct(ATC) ❑ Both Type of Application: ONew System ❑Repair to Existin�System ❑Expansion/Modification of Existin�System or Faciliiy ***IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF TI�REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BiJL�.ETIN for instructions. APP�,TC;ANT TNFf)RMAT`I(�N • Name . ��►'� ��«�'F2.� ' Contact Person D�'1D U y ��d�D b'l.� �ddress L � � Home Phone City/StatelZlP GKSU(U.�! � - 2Z6 Business Phone ?- �� / Email �Ct� kl Ed.Y t�t o0. GO!'» " Name on PermidATC ifDifferent than Above � Mailing Address �S�-Y�� . City/State/Zip s/a-►�Y,� PROPERTY INFORMATION *Date House/Facility Comers Fla�ged /' �2-`LO��f NOTE: A survey,plat or site plan must accompany this application. Included: ❑ Site Plan.OPlat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name' ' �D D� '�1{flK111�cdlet� Phone Number803'727'7.52.j Owner'sAddress?f1 A'G�iQCI.� LtNr(l?-O � ...City/State/ZipV�/ 2`7/DI Property Address �p(.1G l.L (• LD?r. _ City l�J�0 GKS�i l(�L� Lot.Size Tax PIN# Subdivision Name(if applicable) �g GL Section/Lot# � Directions To Site: � Inf o� !� o ln1Gf KODK l� 1 i�� o I rZ R.D. . -- ' RacKw�i,� � vr✓ G� -� �sr.LO?` orJ Gc�fT . 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 ✓rro ��UOo -D00-v3 l3 _ Are there any easements or right-of-ways on the site? Yes �No �/' , Is the��ite:subject to approval by another public agency? Yes ✓No �r"W�� Will wastewater other than domestic sewage be generated? Yes✓No TF.RF,SXDF.NC:F,FTT T,nITT'TNF RnX RRT,nW #FPeople _� #Bedrooms 2. #Bathrooms 2. Garden Tub/Whirlpool ❑Yes o B;asement: ❑Yes o Basement Plumbing: OYes B�o �F.N�N RT�,STDFNC,F,FTid:,CJIJT TH.F.,I3QX.BEI�OW � , Type of Facility/Business Tota1 Squaze Footage of Buildin� #People # Sinks #Commodes # Showers � � #Urinals Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: Q'Conventional ❑Accepted �Tnnovative OAltemati�e ❑Other Water Supply Type: YJ County/City.Water ❑New Well OExisting Well ❑ Community We�l . 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 Irnowledge. 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�f entry to the Authqrized Representative of the Davie County Health Deparmnent 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 comers and locating and flagging or s the house/ cility location,proposed well loca�ion and the location of any other amenities. Property owner's or owner's legal representative signature Site Revisit Charge , Date(s); �'��� ��� � . Client Notification Date: Date EHS: Sign given ❑Yes ❑No Account# � ���� Revised l 1/06 Invoice# ( ract 1 Revised '� ; r� '� 1.288 Acres +/- �� / rding. Tax Lot 33.oi ROCKWELL.VALLEY - 5 `'` _` . Tax Lot E-5 Phase I `� �RS L-20 Total �RS n/f Ellsn C: Furches Reference: PB 11 m PG � N IRS 281.12' WB 2008-E-2Q � �` DB 63 Q�A PG 38 � �O'o, Ploced D863 � PG40 �t in Line DB 63 � PG 41 C/L 50' Easement = P/L � 1 LOT 2 � DEPAf2TMENT" �o � 1� ^ / 1.196 Acres +/- � � n I '� IRS L 19 Total IRS `a o 266.21' j; � 86��.� . ,, � _.__. �, � sn-s SE-1 i � , . Septic Area � . }�! Easement {�3 l��. ' —C/L 30' � � �, -a f SQ �2 Septic System Easemant � � ,��. ---. � — — � `j� (15' cach side of C/L) �� �' j� N Sq_3 1� Saptfc Area � y J�Q����� f- Easement #2 1r 1l �,r,� r �� ____ �„Sq_jt "�' +I � IRS � �'`����� �; . _ s��f;t-��-,--�,��,� � L �- - r -- - - - � 24 f f�� / WASf:! R W �., .._ � . '�W�C`��� SE-3-► • ry y �rl�� EP T-7--3 .-Sq-10 �� �'-"�.-~�.� v � ... .....-..�... .... 7-Bar w/Cap Fl EP P�C-Nail Fnd :. . R/W^�-�-.,� .., r. 7-8 ... .,. • "" "' =� T-9 T-1 T�5 T-4 } � �'zne bro�ok .l�riv e _ _ -- � ,.__r.r1-. - - (� j� N N � � ��6 4 N Gil� . 1437 � � Z N N � � N , �J .1 6 . z o n> �n � � o �.� fD ;; 5 :+c7 �/1 "r � �� ��r cu�b 60� R /W �,'n � � m rt � �o �n �� IJ Public � ��F.��f Gurb / � o � � -• n � n� rni I'aln � N a � � � '" m�� \ \o . . \° I �� I���r� 2 0 -�'/- Pavement Width ��c' � � z �m t� r' r - r'c� i Il���r a'�� � �. � �f �' �' o � \� 20,^{' q�l ��I:�l�nit:� �"i 7 W O � \ . wt' o o, � 1 . • 3 � � No� Pznebrook �, � � N � � ,,, ,. , „� ���>t��; v x n ' � e�= `n � � � I U��nVc o tn � ����� �+o�>k Tax Lot 33.10 ' ) `D -' � � ;i� i���::�„ : Tax Map E-5 �;� �C�D�L � '�� � � � „ �;,,,, n/f Ellen C. Furches �; ,� -•�,3 �,�� �+�.���- . PB i 0 Ct�; PG 255 � °y � R O CY.� " � �' �,� vu�vo . � . WH.2008--E-20 � `i N ,. n li M�uk '' . D ��,,.,,����Y u�����i� Mark ' � DB 63 �-PG 38 ' �.11+ . ,l��c�� NOTES: ��' i:,,���i ::r,ilcr. ' � . . � .DB 63 (� PG 40 1. Zonin R-20 • �b� I.�Invir.iun ('ndaclul . • 91 iil� liu�riformni Unx � , •, ��;6:3 !cD nG �1. � ' 2. Minimum Suilding Se ������ �.����„� c��•���� „��i . . . . � � Tract 5 Front• 30', Rear. 30 � FIJRCH�S FARM AT PINEBROOK 3. Watershed Classifica ,.� ' : . . • D�..:.. T.u.. .d 7...� A ►�_ i ie�ne� __ ..n.... .. • � , ;,_ _ ,� ;. , , �APPLICATION FOR SITE EVALUATION/IMPROVE�NT PERMIT & ATC � � Davie County Environmental H�t ��r� " P.O.Bog 848/210 Hospital Strec� �f, ^ , � Mocksville,NC 27028 ,� � r � -w ?�17 q. (33�753-6780/Fax(33�753-1� j '�` � Application For. Site Evaluation/Improvement Pemut ❑ Authorization To Construct(AT Both Type of Application: ONew System ❑Repair to Existin�System ❑Expansion/Modification of Existin�Svstem or Facilitv ***IMPORTAN7***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF TI�REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BiJL�.ETIN for instructions. APPT.iCANT TNF�RMATT(�N Name � Contact Person E��� Address Home Phone 3�jo- 3�'Z2,���Z City/State/ZIP �- Business Phone v�(v-q4-8'- 3�7 J Emai1.5�'�h-!/Q�Q�c� �l.20¢�,.�' � � � . �� Name on rmit/ATC if Different an Above Mailing Address ' City/State/Zip PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE:. A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale) (Permit is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name' '�/�j /=LG��es Phone Number Owner's Address City/State/Zip jxb(�6�3Q Property Address , _ City � �''� � Lot Size � �. Tax PIN# �'g�/ �'l�4G� z� �: �(,p. SubdivisionName(ifapplicable) � Section/Lot# � � ` � Directions To Site: .�`�L ^ 1'-� If the answer to any of the following questions is"Yes",supporting documentation must be attached: (� Are there any existing wastewater systems on the site7 _Yes �o �� j)'f� Does the site contain jurisdictional wetlands? Yes V1Qo �� ��}�� Are there any easements or right-of-ways on the site? Yes �/1Q � Is the site subject to approval by another public agency? Yes �o Will wastewater other than domestic sewage be generated7 Yes� TF RF,S�DF,N('.F FTT,T,nT TT THF.RnX RRT #People .? #Bedrooms �o _ #Bathrooms Garden Tub/Whirlpool ❑Yes o Basement: ❑Yes o Basement Plumbing: ❑Yes C�1,Pdo .�F�I�TnN-RF.STDF,NCF.,FTT T_,niJT THE I3n��iEIai)W Type of FacilityBusiness Total Square Footage of Building #People # Sinks #Commodes /#�Showers #Urinals , Estimated Water Usage(gallons per day) ! (Attach documenta.tion of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: R�C;onventional ❑Accepted ❑Innovative �Altemative ❑Other . ; — Water Supply Type:�ounty/City.Water ❑New Well OExisting Well ❑ Community V�e�l Do you anticipate addit'ions or expansions of the facility this system is intended to serve7 ❑ 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 tliat any permit(s)or ATC(s)issued hereafter aze 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 entr.y to the Authorized Representative of the Davie County Health Deparlment to conduct necessary inspections to determine compliance with applicable laws and rules. I unders d that I am responsible for the proper identification and labeling of property lines and comers and locating and flagging or stak' the house/facility lo tion,prop sed well locarion and the locarion of any other amenities. � Prop owne or leg representative signature Site R�Yisit Chazge Date(s): �� / � Client Notification Date: Date • EHS: ,.,e.tF����r�.:��� �. Sign given ❑Yes ❑No , Account# �5� '� Revised 11/06 Invoice# ���� ' • � . • - - � � , -/':'� ►' LE�`: � APPLICATION FOR SITE EVALUATION/IMPROVEMENT z ' Davie County Environmental Health P.O.Box 848/210 Hospital Street Mocksville,NC 27028 A�G j l (336)751-8760/Fax(336)751-8786 ,�`_ 20Q8 � .,� ElVV(F~ Application For: �Site Evaluation/Improvement Permit � ❑ Authorization To Construc �,�6't�iq11y�q��,/ ` Type of Application: �1ew System ORepair to ExiSting System ❑Expansion/1Vlodification of Existing �Fa�ility ***IMPORTAN7***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION / i ���.s-E Br�c�e. �c s :� Name to be Billed �.,��t� 7/ '' �'-. " ` Contact Person :� Y'��� � Billing Address � .� � i'vi/ Home Phone ���/�- Y'�O i �ity/State/ZIP � c'�'-' ,` �� f` Business Phone f���-/�3� Name on PermidATC if 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: 0 Site Plan OPlat(to scale) (Pemut is valid for 60 months with site plan,no expiration with complete plat.) Owner's Name �',(/`;i� � ri,'N�' �u�:�_ Phone Number Owner's Address r�Vl��- City/State/Zip Property Address G,,�Lj•,,r _� City Lot Size r Tax PIN# ,�j S z/ /r•7`�3Z.2 Subdivision Name(if applicable) , - H ��S �]. � Section/Lot# O � . Direct�ons To ite: S� - �- -r v- ,�.. %y� r lJ� �'� ��' �':1ti � r� ���s� �`; " , ly :�,vz ✓'�s ' � If the answer to any of the following questions is"yes",supporting documentation must be attached. Are there any eaisting wastewater systems on the site? ❑Yes�No Does the site contain jurisdictional wetlands? ❑Yes 81No Are there any easements or right-of-ways on the site? ❑Yes�INo � Is the site subject to approval by another public agency? ❑Yes �No Will wastewater other than domestic sewage be generated? ❑Yes�No IF RESIDENCE FILL OUT THE BOX BELOW #People #Bedrooms #Bathrooms Garden Tub/Whirlpool ❑Yes ❑No Basement: ❑Yes ONo Basement Plumbing: ❑Yes No S,.` { , .L� ' _ ! IF NON-RESIDENCE FILL OUT THE BOX BELOW Type of FacilityBusiness 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 Typesystemrequested:. C�Conventional d,YAccepted OInnovative ❑Alternative ❑Other • Water Supply Type: �d'County/City Water � New Well DExisting Well 0 Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes,�vhat type? This is to certify that the infonnation provided on this application is true and correct to the best of my laiowledge. I understand that . any pern�it(s)or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered,the intended use changes,or if the inforniation submitted in this application is falsified or cl�anged. I hereby grant riglit of enhy to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to deternune compliance with applicable laws and niles. 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 location,proposed well location and the location of any other amenities. /� ' `�� N f � -, �"��'���r�� Site Revisit Charge Property ot�mer's oi bwner's legal representative signature Date(s): �.--/' - �;J�_ Client Notification Date: Date • EHS:_ , '�--1�� Si�n given ❑Ycs ❑No Account# "; nevised 11/06 Invoice# . . , � � � *� •. . ,, ' � DAVIE COUNTY HEALTH DEPARTMENT - � , ' Environmental Health Section � 1. � � Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990005156� Tax PIN/EH#:",5841-97-7322.10 � Billed To: Ellen Furches _ . Subdiyision Info: Furches Farms.Cot# 10 _ y Referenee Name r� �:. ._ . ' . Location/Address: Pinebrook Schooi Rd.-27208 . s_Proposed,Fac�lity;,Residence • -;- >Property.,Size:4-"7.14 Acres Date Evaluated: �� �',�C�—��� - '-� . - � - . � . . � ,`."'; M.. ;. , .. . . , , ,_ , ., ... _ . � � -�s,�i ,.$;\ - , � ~=r. '�Water Supply: � On-Site Well Community Public �� ��.Evaluation By: • cAuger Boring Pit � � Cut FACTORS j 6 ! C Landsca e sition �. L� ` . Slope% -. . 2 ']_ HORIZON I DEPTH ;,� d• Q � � -/ ! - �- � �., � � Texture grou � C G C G 'G � � ' C .. 'G �S C�trSQ Consistence � U r� �1 � j� V � V � _/`►�' 7 �7�' �1��t . Structure d a. �• Gti� >� � y�? �' , " f � . Mineralo ^..�d p .�.�( .� , k=- -� r yc� , . p✓ HORIZON II DEPTH�}' ` v � Y ' �-��i - - � - - �, � - - 7 Texture rou . L L C C Y'��� GL L Consistence � fy �; � � r Structure U U- S • y C' $K"/C� Mineralo � �.- ^ _ . HORIZON III DEPTH G`'. SGt� � Texture rou � Consistence ' ,� • ,µ Structure o- Q f Mineralo � 5 � HORIZON IV DEI''TH Texture rou � , i ,� Consistence � � - - Structure- J Mineralo - SOIL WETNESS " � / / / RESTRICTIVE HO Z N �• �.N" `� '�O '` / � SAPROLITE /�r 1E�' ��"� '!� :,�- CL"'ASSIFICATION � LONG-TERM ACCEPTANC E d� . S ? `/ 7 SITE CLASSIFICATION: ' EVALUATION BY: ��G�'i`"" � LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: �� S ' . . REIvIARKS: LEGEND � T,�ndscape Posifion . � . R-Ridge S -Shoulder L-Linear slope FS-Eoot slope N-Nose slope .�" CC-Concave�slope� CV-Convex slope T-Terrace .FP-Flood plain H-Head slope Te�cturg . _ S -Sand LS-Loamy sand ` 'yS�L�-Sandy loam L-Loam SI-Silt SICL-Silty clay loam SIL-.Si'It}�loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay ^ ONSIST ,N�'� �'IQis1� , VFR-Very friable FR-Friatile FI-Firm VFT-Very firm EFT-Extremely firm � , . � '� . � NS-Non sticky SS,Slightly sticky S-Sticky VS-Very Sticky , ' NP-Non plastic SP-Slightly�plastic P-Plastic VP-Very plastic . �ructure S�`-Single grain M-Massive CR-Crumb GR-Granulaz ABK-Angular blocky SBK';=.$ubangulaz blocky PL-Platy PR-Prismatic , Mineralo�v % _ . _ . 1:1,2:1,Mixed � , L� _ Horizon depth-In inches � ; � Depth of fi11-In inches � Restrictive horizon-Thickness and inches from land surface • � �a� 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) . TTAD T.,.,.. �o.... o.��o..��.��o.��o .�..1l.7....IF�7 ' ' Tf�TTT AClAG m--a--�� ■■�■�■■��■■���■■����■�v�e�o����■■������■���■���s■���■���■��������■ ■����������������������������������������.����������������������■ ■������������■���������■■���■�■■ ■�������■���■�■��■■��■��v■�e���■ ■�■���e■����������■��■�����■����■�s�■■�e���■�����������■�■�������■ ■�■����������■���■���■■�■����������■��■���������■�������■�■�■���■■ ■���������������������������■����sa�������e����v������s������o���■ ■�■■■�■■������������■�■��■�■���■■��■■���e��■■����������■■��■��■�■■ ■���■�■�����■■���■■■��■■■���■���■�■���■�������■����o���■���������■ ■�■■����������■■�����■���■���e���s■�■�■����■��o���■■��■�■���■■�■e■ ■����■��������■���■�■�■��s�o��s■ ■����■��■���■■���■���■��������■■ ■■�����a����������������������o��o����������������������������o�■ ■■�■����■�■���������■�v■������■�����������■���■■�■��������■������■ ■����■■����■����■�■������������■��■��s�■��■��■��■�■■���■���������■ ■��������■����■■■�������������■����o��■���o��������t��■����■�����■ ■t�■�■�■�■�■�■s���■��■���eo�■������■���■��■■���o��o■■��■s��������■ ■��������������������e����w��e�����������������������������������■ ■�■������■■�■����■■■��■�����■■��■�������■�■�■��■■��■■���■��������■ ■�■���■�■�■■■������■■���■��������������■�■�■�����■�����■������■■e ■■�����■�■��■�■�����■���■s■��o■■ ■���s�■s����■�s�■s��■������e���■ ■�����������■�■■����■������■��■■������������■�■�■��■�����o■������■ ■■■■������■������■o�■�■■��■■�����■■���■�����■�■���■■���■������■�■■ ■s����■�■�■■■��■�■��■■��■■■■��■��■■■��■�������■�■���■■����■��a■��■ ■■■�����■�■��■�■��■�■■�■�o��■���■������■���o������v�■���■���■�■��■ ■�����������■■■�����■���■■��■���■���������■���■�����������■������■ ■������������������������������v�������■����■��t�����������������■ ■��■���■��■■����■�■■�■����■���������������■���■■�o�■��■���������■ ■����■�■���■����������■����■��\■ ■��������i■���■�������■�������■■ ■��■�■�����������■����■���■��/■������■����e����■■����■�����■����■■ ■■���■��������■�����■��■���■�������■����������■���■���■����OS����■ ■����������������������������/����■���■����e����������������e0��0■ ■■��v���■�■����■�����■���■�����■�■����������■�������■����������■�■ ■���■�■����■�■��■��■��������■■����������■�����■���■���■����������■ ■����■�■�■�■�■�����■�■�������i■������������■����■�■����■��■v��■��■ ■��■O��■�■�■��■����■■������■���■�■■����������■��5�■�����0■■�0��■■ ■�����■�\������0�������������l�■ ■��e��������el�Ov���i��������\�■ ■\�����■■��O■�■�����■������■0�����S�i�■���■�sio■��S■��■����5�����■ ■�■���■��S■�■��■����������■��5��■�������■�■iO0■0���������i■�����r■ ■■����■�■��s���■�■��������■��������■���n��■�so■���■�������■■��■��■ ■����������sa���������■����������������:������������■���■■���■�o��■ ■���■s��o����■ee�■�■����n���■����•::a����■v.ao���■����������������■ ■■����■����■■��o��■■����.�.:c::����■■��■���■�������■■�������■���■�■ �i�::ii�iiiiii�iiiiiii'�iii���i�iiiiisi�ieiiiis�iiiiii�isiiiii� ■��■�������������������������rn�r!�se��■�����s■a����ae���������������■ ■■t�������■■�����������a■�■����►�ne�o�■�.�■��e����a���■��■���■�■����■ ■�■����■�■■������■��■���■�■■����■�������■►��������.���s��■���■���■■ ■����■���■■�����■■��������■�■������■���■�n������s��■����■�����s��■ ■■■■���■��■���■����■�������e►�■��n�n���■����i■���■���■������■�■�����■ ■���.���������������������i�`����:3��+����������������ose������������■ ■���i��■�■���■�■��������■�nn�c�.����e���������,�■����e�■s�������������■ ■���n■�����■�■��■��■��■���e:f��■■■ ■■���■��i�■�■�■���a■ms�■�■■���■�■ ■��■����������■��■���■�����i��o�■■���■���■�eu���������v�oa�������■�■ s�����■�����■��■�t�■����■���■���������������►�■���■��■��■���■������■ ■�■�������■����■������������������■�������������������������������■ ■������■���■����■■�����■�■��������������■������■����■��������■���■�■ ■��■■���■���■������■■�t■■��i�����■������������■�������■��■��■������■ ■��■��i��■■■■��■�������■���n■���■■����������io��e�o�������■���■����■ ■�■���i■����■�����������o��u���������������i�����s����������������■ ■�������■������■������■����i�.��■ ■���■����n■�����■■���■���■����o■ ■■�■�■����������■��■�e��������■��������■����i���■����■���������■��■ ■�����.��■����������■��■�������������■�������i■�■�������������■��t�■ ■■o■��i�■■��������■��■����������■����������������e■�■�������������■■ ■������������������s��������i��������������������■�����������������■ ■�■���n��■��■������■������■i���■■��■���o��������■��e�■�■���■���■■�■ ■����■��■����■�������������■n���������■■v�■���e.■�■■��■����������■ e■�������■■�����■������■����i���■ ■�����■�������■��■������■■���■�■ ■■�■����������■�����■■��■���i��������a�■w�■�����■�v��■���■t����■o�■ ■���������������������t������i���������i���»������������������������■ ■■����■ne�■���������������������■���■+���a■�����■��■■������������■s■ ■�������1��■�����■���■�������■�������vJ��O■��I����������■����■���\�■ ■�����■�I���■��■����■���■��■������■■����■����I���■■����������������■ ■���■��\'■���■�■■��■���■���■����l1�������■��■�I��■�����■����������■�■ ■������n�����������■�������■i���:��������■���i�'��■�■■��e�������e��■ ■�a►�r:�,i����■���■�■��■■���a��■�n�r�n ■�����a���,�����■���������■������■ ■�r����■n�������■����c�ree���■n��u����■��■��s�ir.���■��s���t■�■�■�����■ ■�■����sn���■��������ti������������■�■���r:�■�������■�o■��������■���■�■ ■�������ai���������as�����n���n����������e��a���n��������c�::i�������■ ■�■����������■�����■���Ri��i���n�������■r��:�o��������t►.��������������■ ■�t��������■��■���■�Roc�►����■�i�������������■�u�■�.���������������e���■ ■s���nc�����■��■�■�■.cu,a■■■��■�i���■�■�■��■��■�■.��►'����������������■ ■��s��■��n����n����■��o������i��■��■..�==::������;�■������■����■��■ ■���������►��a�r:u��.►.���■�����'��..:r�ws�r������������������t���������■ ■���■�������:�����■��■���■����^.n.��::cer�:���p■_,.:�������■■���■��������■ ■���■���■�������■�������■������a���.•��.:��i■�■�■���■��������������■ • . . � � � '�. , , ,, ' � DAVIE COUNTY HEALTH DEPARTMENT � � � Environmentai Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION . � �5�;Z��.--�-� _ . . �"u �� . . ; �� �' /� � ;-�� Water Supply: On-Site Well Community Public Evaluation By: Auger Boring Pit � Cut FACTORS Q 4 5 6 7 ' =Landsca e sition [, - .. Slo e% _ � HORIZON I DEPTH — I— a ---� L� Texture rou � G Consistence �i �` i � r- Structure �; > _ . Mineralo � �� c _ r ,:.:::HORIZON II DEPTH , a _ v_ L� �;`Texture rou � �'G L Consistence ' ` �V' `;.:. .. Structure .f : , , �4 : '' Mineralo 1• . . �',:HORIZON III DEPTH � � ` Texture mu ' ' Consistence � � � Structure 6 �� Mineralo -� HORIZON IV DEPTH. Texture rou Consistence � . - - � Structure " Mineralo - SOIL WETNESS' " '�-5" � '� RESTRICTIVE HORIZON " ^ �� � '' SAPROLITE `��{ CLASSIFICATION (� LONG-TERM ACCEPTANCE RATE � ^ r SITE CLASSIFICATION: EVALUATION BY: ' � � . . .. . _ .. ' ' -... -'h ' � . . � , � . � . LONG-TERM ACCEPTANCE RATE: ' OTHER(S)PRESENT: � REMARKS• . • ' LEGEND ' T, n s pe Position R-Ridge S -Shoulder L-Lineaz slope , FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Ts�turg � S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Sih SICL-Silty clay loam SIL-Silty loam � CL-Clay loam SCL-Sandy clay loam SC-Sandy clay ; SIC-Silty clay C-Clay 11�1S� � . ' , .ON4I4T�.N . . VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm .�'Qt _ � NS-Non sticky r, SS-Slightly sticky S-Sticky VS -Very Sticky NP-Non plastic." SP-Slightly plastic P-Plastic VP-Very plastic S r' ,r SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralo¢v 1:1,2:1,Mixed , �, �� , � Horizon depth-In inches � , Depth of fill-In inches Restrictive horizon-Thickness and inches from land surface - SaprolitF-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-gaUday/ft2 DCHD OS/OS(Revised) y: . •. .. . i'f' ' . � }.t � � � .. ?r � - �' .. ' . � . �;; '�, �b'��, v DAVIE COUNTY�ALfiH L?EPARTMENT ' � � Environmental:Health"Secti.Qn\ ' -- Soil/Site Evaluation �='� . . `� _ - � APPLICANT INFORMATION �`+�""' � PROPERTY INFORMATION ,,�: ;��,`. � Account #: 990005528 °�, . �Tax PIN/EH#: E50000003301-#1 Bilied To: Sugar Valley Airport �"��`Subdivision Info:', Sugar Valley Airport Lot#1 ' Reference Name: 'Location/Address: Gilbert Road-27028 : Proposed Facility: Residential P�operty Size: 1.74�Ac ; � Date Evaluated: �C7���� . � . . �--- ; t, . . ._ Water Supply: On-Site Well Community Public Evaluation By: , Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 - . Landsca e sition Slo % dt � :HORIZON I DEP'TH �_ « Texture rou � Consistence - ' Structure . - _ - ,. , '�'� Mineralo " ;� �( ' HORIZON II DEPTH -i '" Texture rou . �`" ` Consistence � � ': Structure • ` ��' Mineralo :� ' HORIZON III DEPTH - ' Texture rou ' ' Consistence ' Structure '- Mineralo `(, : HORIZON IV DEPTH Texture rou _ �;�.. � ,��, _� . , Consistence � , �` - �� Structure _ . . Mineralo - � SOIL WETNESS � ' � ' RESTRIGTIVE HORIZON� ' - � � SAPROLITE • CLASSIFICATION LONG-TERM ACCEPTANCE RATE ' . � SITE CLASSIFICATION: �S EVALUATION BY: LONG-TERM ACCEPTANCE RATE: � �� OTHER(S)PRESENT: �,� ��',,� �� '�`'' � . � ; REMARKS: ' LEGEND . T, n s ane 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 T�xtut� � 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 CON4I4T�,N . . . : MQ1SL . - 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 S > >r . SC-Single grain M-Massive CR-Crumb GR-Granulaz ABK-Angulaz blocky SBK-Subangulaz blocky PL-Platy PR-Prismatic Mineralogv 1:1,2:1,Mixed � LY4t�S ': . Horizon depth-In inches . . Depth of fill-In inches Restrictive horizon-Thiclrness and inches from land surface � ' Saprolite-S(suitable),U(unsuitable) " - Soil wemess-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-gaUday/ft2 . DCHD OS/OS(Revised) ■■■�■�e�■�■�■����■■■■■■■■��■■�■��■■�����■■�■■�■■��■����■�■■■�■�■■■ ■■■�■■�■o■■�������■■■■�■■■■■■■■■ ■��■�■�■����■��■����■■�■����■�■■ ■■����■■�■■■■■�■■■�e�■�■■�■■s�������■��e■�����■���■■��■��������■■ ■■�����■�■�����■�■e����■■�■■�■�■�����■��■��■��■�■��■■■■■■�������■■ ■■������■■�■�■�■�■�■�■�■■■■��■�■�����■��■�■���■��■��■■■■■�■����■�■ ■■■e�������■�������■■�■��■■��■�■���■�■■�■�■�■■■��■��■■������■����■ ■■��■�■�■��■���■�������������■�■��e�����■�������■■�■■�■����■�����■ ■■�■�����������■��■�■�■■■�■■■■■���■�����■■e�����■��■��■���■■�■���■ ■��■�■■������■����■��■��■��■��■�■■��■��■■�■��■�■��■■��■���■��■���■ ■■■■�■■�■■��■���■���■�■��■■■��■��■�■�■■����s■■■��■■■■�■■�■�����■■ ■����■■��■■�■■■■■���■�■■■■■■���■ ■��o���■��■■�■������■■��■�■�■�■■ ■�■�������■■��■■■■■���■■■■�■■�■e■�■■■■■■■■■■■����■������■��■■����■ ■�e■■■��■�■�■�■e■�■�■�■■�■�■■��■■■���■�■�■■■��■o���■��■�■■�■��■s�■ ■�����e■■�■�■�■�■���■��■■■��■��■■�■■�■�■�■■■�■■■■��■�s■��■�■s��■�■ ■�■��■�■■�■�■���■��■■■�■�■���■�■�■�■�■���■■■■��■��■■��■■�����■s��■ ■■■■�■��■�■�oo����■■■■�■�■■�■■■■�■�■�■■■■■■■■����■■�■■�■��■�■����■ ■■�����■��■�■���■�■■■■■■e�■�s■�■■■�■�■�s■■■■■■■�■����■������■��o�■ ■�■�■��■��■������■���■��■������■��■e�■�■�■■�■�■����■■���■���■�■�■ ■■■■■�■■��■�■�■■�������n��■����■ ■��■s������■��■��■■■■�■■■■�o■■�■ ■■�■■��■����■��■s■■■���u■■■�::=_�::========��■��■■�■■��■��■�■■■���■ ■■■■■��■��■■��■�■■�■�■���■�■u��■■��■■■���■��i■■�■■�■■■���������s��e■ ■s■��■�■�■�■�■�■■�����■u■��u■�■■�e■���������i�■�■■■■■■■■�■■�■���■■■■ ■�■�■■���o■����■��■s■■■��■��i■�■�■�■■�����`�i��i�■�■�■■�■■■�■■�■�■�■o■■ ■■■����■�■■■■■■���■�■��u���i�■■s�����s■■i::i��■��s�■■�■■■����■�o���■■ ■�■�■�s�■��■���■��■■■�■�i�■�u■■����■■■■�■�■�i■�■■�■�■■■e■��■■���■■■■ ■�■�■�■��s■�■���■�■■■�■e���■���■�a ■■■■■�■��i�■■��■��■■■���■�■■����■ ■�■a����es■�■a��■■s�■■��i■���,��e�■ ■�■�■�■�n■���■■��■■��■■■■��■��■■ ■�■■��s�����■���■���■�■vi■■■u��■■���■■�■■■�n�����s�■■���■■�■���■�■■ ■■�■■�■■■�■����������■■ne■����oao■�■�����■�n■��■��■���■■■■■�■�■���■ ■�■■�■�o■�■���■��o�v��■�i�n�i��■a��■■�■��■■�u■�����■o����■�■���■�■�■ ■����■�■■■■■�■��������■oi���r�■�o■■����■���■r�■����■��■������■���■��■ ■���■��■�������■���■■����r:�ic�■��.����■����■�i�■��■■���■��■�■■�������■ ■�■�������������■■�����■�w�r��r�e��r�i■�o�����■�i������t■■��■■��■��■�■�■■ ■■■����e��ee�■e�■�■ae■■�c•�■i�■��� ■�■���o�i�������■■■■■■■�■�■�■���■ ■■��■�■■■■����■��■���■���c�i��■���i■�■�■■��u■�����■�■■�■��■�■�■�■�■ ■■��■■■�■■■■■�■����������c�i����������■■■�■��■■■���■��■���■■■�■■■■■■ ■■�■�0��■�■■■O�i��������i�il���■���■�■■�■■■�1■■■�■■�������■�■���■��■ ■�������■■■■■����■■■■���c�ai�■�■��■■�es��■�u�e■��■��■■■��■������■�■ ■■���o�■��■�■��■�■■■■�■■■�•���■o���■�■o���■�����■��■�■e�������������■ ■����■�■■��■■��■■■■�■s■■��aa�■■■��■e�■o■�■��i�■��■■■■���■�■��■�����■ ■�■��e�e���.���■�■■����o►��m�������a��■■�■��i■■■�■��������■��■��■■�■ �iiiu�i�iiiiii�iisiiii�iic::ii��'iiiiiii�iiiiiii�iiiaii�iisiiii� ■■■■■■n■�::==_=•���■■�■�i�■�i■����■��■■�■�■■■�■��■��■t���■�■■�■��■�■ ■�■���m��■■■�■■�w��n:�������■i��������������■■�■�■��■�����■��������■■ ■�■�■��t�r►ur.nr..riu�s�r:�,i�Rr��z�iei■����■■�■�■■�■�■■�■■■�����■��■■■■■�■�����■■ ■■���Y�r�'��iiir�GL'Yiilrr`:.{��1���1�����■�■�■■■■�■�■������■��■■�■��■■����■ ■■����������ii:��=====:C�l■O■!I�■■��■���■■■■■�■�■�����■■■■�■�■■�■���■ ■■��������■�����■��■�i■�1�■�C��■���■�■■■■■��■e�������■■����■�������■ ■■�■��■���■�■�■��■��■�■/I���[�■��■ ■■�■■�■�■��������■��■■■■���Oe��■ ■■�����■■�■■■■■■�■■■■■■�i�■■e����■�i■���■�■�■�e���������■■■■■�■e■��■ ■������■���■■���■■��■�����■�u■��■��������■■■����■�■���■■�■�■■��■�■■ ■���■������■��■��■■��■�������■■�■�■��■■�■�■■■���■■■■�■���s����■o■o■ ■■��■�■■�■��■■�■■■�■■■�����■■������■�■■���■■■��■��■�■■e�����■�����■ ■■�■■�■o■�■�■■■■�■�■�■■u■■■■������■��■�■������■■■�e��■����■■■■��■■ ■■�■���■��■���■■�■■■■■■��■�■��■��■�■�■■�■�■��■�■��■�■���■���■�■�■■ ■��■���■�■�■�■�■■■■�■��■■������■�v�■■■■�����■�■���s��e■�■���s��■■■ ■�■�■■�����■�■�■��■����■�■■��■�■ ■�■���■■■■��■���■■���■���■�■��■■ ■�■�■������■��■����■�■�■■��■�����i■����■���■�■■����■■�■■����■■■�■■ ■���■�■���■����������■■�■■■■������■���■■�■�■�■��■���■���■�������■■ ■■��������■���■�■��■��■�■■�■��■�■��■����■�■��■��■�■����■■■���■���■ ■���������■�����■■����■��■����■��■�■�����■��■��■��■���■■���■�■��■■ ■���■��■�����■�■����■�■■�■��o���■�■�■■������■���■■�■■�����■�����■■ ■�■■■■�■■■■■�■■�■���������■■�s��■�■��■�■�■�■����■���������■������■ ■���■�■��■■■■�■�■���������■■�■■��v■�■■■■�e�■■����■■���■���■�■s■s■ ■■����■■■���■�■■■■����������■■�■ ■��■■�■���■������■■����■■�����■■ ■■������■�■����■�■����■■�■�����■■�■�■���■■����■■����■■■���■■■����■ ■■■■���■�����■����■■■■�■�■■��v■�■■�����■■■���■■����■�■■��■�■e����■ ■����■■■�■■■■■��■�������■�■■■■■���■■�■��■�■����■■��■���■����■��■e■ ■���■����■����s■■��■���■���■■���■��■■�■�������■��■���■��■���■��■�■ ■���■�■■■�■�■�■■■�����■��■�■■���■■■�■���■■■�■■�����■■■����■■���■■■ ■■�■������■�■■■������■■��■■■■■�■�■���■�■�■�■■���■��■���■��������■■ ■��■�■�■■■■�■■■■��■�■���■■■������■■���������■������■���■�■�■�■��■ ■�■��■��■�■��■��■�■����■��■���■■ ■■����■�■����■�■���■■��■�■���■�■ ■����■�■��■■�■��■■■����■��■■■���■�■■��■�■�����■�■��■■�■■���������■ ■������■■■■■�■■����■�■■■■�■■��■■������■����■���■■���■■��■�■�■■■��■ ■�■�■�■■�■��■■■■�■����■�■■�■�■�■�■��■��■�����■�■������■■���■�����■ ■�■■■�■���■�■�■�����■�■■�■���■���■■■�■�■■����■������������■��■���■ ■■��■�■■■�■�■■����■�■�■■■�■�■�■�s■■■��■�■■��■■��������������■■���■ ■������■�■■��■�■■��■�■■�■■�■��■■�■�■■■���■���■��������■■��������■■ ■����■�■�e�■■■■�■��■��■��■��■■�■�■��■��■■����������■■��es��■��s�■ ■■■������■■�■��■�■■■�■�������■■■ ■�o�■■������■�■�■■���■�����■���■ ■���■■■�■■■�■�■■■■��■■■■■�■■�■■���■■■��.�■�����■■■■■��■��■��■�o�■■ ■■■■■�e�■�■�■��■���■■�■��e■■■■����o■����■o■s��e■■����������■■��■�■