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158 Rocky Hill Trail f t'+ t u..t •,-v � o¢;..yt;�. ,v 7-i.<iv. �,.v'4.,� .. /�M\ �»Y Tyr, ."b a � '�.. .v'l j, h c,.',i,,*�. vr-r"•� .YY° .�_ y - .. : l_ ... ... _ Ad • DAVIE COUNTY HEALTH DEPARTMENT C( IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION *NOTE jtssued_in Compliance With Article 11 of G.S.Chapter 130a anitary Sewage Systems Permit Number Name ;��l?��`��1 d-4 �` �f'h�fc�� ate �,!C= - N2 7388 Location Subdivision Name Lot No. Sec. or Block No. Lot Size `� 1 House Mobile Home —.::— Business _— Industry No. Bedrooms �t2 No. Baths No. in Family_ Public Assembly Other - Garbage Disposal YES ❑ NO Er Specifications for System: r �,� '4 Auto Dish Washer YES NO [:] % •�� l Auto Wash Ma;hine YES W NO ❑ /�li1�l?Q t r 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. y Improvements permit by *Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number:704-634-5985. Final Installation Diagram: Sy tem nstalled by _ lit K J f , Certificate of Completion � Date 149 `'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function ,'satisfactorily for any given period of time. • Y PPS, CATION FOR SITE EVALUATION/IMPROVEMENTS PER Davie County Health Department EOVED J :w 77vironmental Health Section P. 0. Box 665Q Mockavill", NC ,27028 . Appli at on prmit R queried Sy. d foK r73 q ` Mails p ddp fila Home �o e ' Business Phone �.! Name n er<<3 if! Different than Above Prope ty Ow jr if Different thanA, Above l h- f�� c. m Appli ationo, ormit For: 0 General Evaluation Tank Ipstallation 5. .Syste, t S ve: 0 House abile Home 0 Busipess 11poustry u Other 0 Unknown i , I . (�. If ho sei mi ile home, S,ubdivis�on Sec._T Lot% No. o P9opl? < Dwelling Uimension � No. o Bldrpms -.3 Basement%Plumbing Na. o B�th ,Roms 7PIT: ` Basement/No Plumbing (� Was in� M hine rj Dishwasher 0 Garbage Dxsposai If bu in' sail: industry, other: Specify ;type I I' No. oPopp Served No. of Sinks No. o C�mmojes No. of Urinals No. o ;' L' vatQries NO. of Water Cool rs No. o S owTa $ £ . Type lat' supply ublic 0 Irivate Q Communir.y 9. Props ty Di ►a nsions �_7 H�6^F. 0. Sewag D spot al Contractor X__ i tI . Do yo a tib pate additions/expan:sionsl of the facility this system is ' inten ad to;; erve? Yes 0 No f if ye hail type? I Ttpprovements Permits shall be valid for a period o� 5 year$ from date issued. Improvements Permits are pubject 1t9 revocation, if site plans or the intended use cl�lange. effective October 1, 1989. l This itQ: certify tndt the information provided is correctj to tn(- bas o mfy knowledge, and Y understa am rE:spo sibl- arj all chs gel ip urred from this applicat o j � j IU' 11lte " ; i nature i, i 4 Direction t' Pparty . Co r PC Aff . n a 1z.05)71" I j i Ins i i DCH $��D (10- I � � I - • 'SEE MAP 3 0 oL 71 1 ! 1 n r. CL SEE d 0S I — . a.os d s i .M,• V �� v co � I � M _ �! "" '' .- • ' , : , SEE M1#P—M'. 16 • i, i : - III � ~ � l I Ilk -Ae ,1 - r t I .Il •"6 • ti r A L•r t � I�I If � 't" ,�I• i a o e e Y n e, • - DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME �i IIIwA 2-", DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIELTY —,l l LOCATION OF SITE .moi r f 7Y Sr Water Supply: On-Site Well Community Public r/ Evaluation By: Auger Boring t/ Pit Cut FACTORS 1 2 3 4 Landscape osition Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 5� ! Texture groupG Consistence i Structure C Mineralogy , ' i !. HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralog SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE !� / / SITE CLASSIFICATION: d'� EVALUATED BY: /`l ZY LONG-TERM ACCEPTANCE RATE: Y OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope Texture S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt SICL-Silty clay loam- SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Very friable FR-Friable FI-Finn 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 iiiiiiiiiiiiiiiiiiiiiiieiiiiiiii�■iiiiiii■iiii�i iiiiii�iiiiiiM■ii iiiiiiiii■iiiiiiM■iiiiiiiiiiiii�■iiiiii■iiiiiiii�■i�iiiiiiiiiiiiiii ■.■■■■■■■■..■■■■■■■■■■■■■.■■■■■■■■_■..■■■*.■■.■■■■■■■■■■■■M■■■■■_� ■■■■■■..■■■■...■■■■■■■.■■■.■■.■■MEMO■■■E■r■..■■■■■.■■■■■■..■■■ ■■■ SEEN ■■.■■■.■■■./.■..■■■....■Me.S■■■■■lSHM.M..M■■■MHS■■.=■■■■■.■.■.■■ .................................................................. ....■....■....■.................■■■■■■■S■■■S■■ESM■■M■S■.■■.■■■S■■■ ...................................■E■■■e■■■EMOMME■■M■■■■�■■■■NONE ......................................................... ....SENS .e■■.■■..E■M■M■M■M■■■■MMOMMOM ==--- -.■S■■N■■■E■■■■e■■S■■■■■■ ■.■■■■■■■■■■■■■■■.■■■■■.1...■S■■�■■■■■■.�■■..■■■■■■■■■..■■■■■■MEMO ■■■■■■■■■■■■■■■■■■■■■■■.I■■■■■■■■■■■MEMO■■■■■■■■■■■■■■■■�■■■■■■MEN ■ ■■■■■■M■■■■■■�■■■■■■l�MEN■■■ ■■■■■■n■■,■■■■ ■■■■■ ■■■■■■ ■■■■■■ ■■■■■■ ■■■■■■l ■■■■■■ ■■■■■■ ■■�■■■■ MEMO■■ ■■■■■■ ■■■■■■■■■■■■■■■■■■■SS■■■�■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ME■■E ■■■■■■■■■■■■■■■■ ...■■...................I■M■■■■■SM■■■E■ME■.■11■.■W ■�S■■■■..■■■■e■■ ...............■........�...........0..�■■..��... 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