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1022 Salisbury Rd ` n.,..r+ wa �. �s>ar . -v.... .;y,+ .` :.�„�_�. .s�rY. .;1 p�:� i 1i.. � � .t;. ��Yd .�;.� ..,k;,.!:�-.. �. .�:, .�o�.jr.-.:� ��,��a! � . . - . . 'YY:=:%.. �a� . P-�;�+ '�,..,'`��. . . . . _ -i .t i .. < e�'-f ri P Pc=mittee's DAVIE COUNTY HEALTH DEPARTMENT _�ame:•s her�� iNlofYi� Environmental Health Section PROPERTY INFORMATION � ' ' �± P.O. Box 848 � DirecUons to property: �'� f-� ��'�U r'�c �f��;��; l�qocksviile.NC 27028 Subdivision Name: Phone#:336-751-8760 �.:>-�,:� ��, l� f�i �.ir�tlwS... Section: Lot: AUTHORIZATION FOR !r� � � `;'tl l;`; �'�r,•-, �4� }`1 lz.-�l WASTEyv�TER . Tax Office PIN:# - - SYSTF,M CONSTRUCTION AUTHORIZATION NO: �� A Road Name: ,c��1�i;� �E� Zip: `�`�� } **NOT'E**This Authorization for Wastewater System Conswction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.This Forni/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (ln compliance with Artide I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) � � . ,� t,�r ***NOTICE***TH1S AUTHORI7.ATION FOR WASTEWATER CONSTRUCTION C,� � � � IS VALID FOR A PERIOD OF FIVE YEARS. EN ONMENTAL HEALTH SPECIALIST DATE 1SSUED RFSTDEIV'CIAL SPECIFICATION:BUILDING TYPE H #BEllROOMS 3 #BATHS � #OCCUPANTS � GARBAGE DISPOSAL:Yes o� + COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLF/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE �� E°U TYPE WATER SUPPLY� DESIGN WASTEWATER FLOW(GPD) 3 bU NEW SITE REPAIR SITE � SYSTEM SPECIFICATIONS: TANK SIZE UGv GAL. PUMP TANK�GAL. TRENCH WIDTH 3�" ROCK DEPTH �� LINEAR Ff. �Z 7� OTHER 1 1 � REQUIRED SITE MOD[F7CATIONS/CONDITIONS: N��e.O �To �P Iue.c_ E,�:.�tl h �a.� � S�a l �� Y ��( ��c�''r��t �,k'`'� IMPROVEMENT PERMIT LAYOUT `� �ryv C�T1,� f� � ', „ ._._ ' �UU � ��' c��. --��-`�--.�- .. , 24., � .. ..___�... � � � � � � .,- � � r �,, � �`__ o p � �� ' � � V� � i �� \� C �� \� � Jo � '_ r L.� � � � 4 FO�..FIN INSPECI'ION OF THIS SYSTEM PLEASE CALL BET'WEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: Ii�' Y� �a'P U N� , .�,�?�11 r�l ��l-t-G{-F�l1'PSIbP�� -- — — — �, — — — — �, — FE►�cE ��!L�t'2��OZ z. �2 uo' �'`s'' y QUlC1C��" 6 -��- 1�� 3,ua � O �C?� y,xo � "�J�� a � � LbpO C�c�.t l e� p C�� S�Pj llop l,b lS� — ti`� �o W UL,�1,�--t � �k � � � � `Ttz..�+�.��-'�"�.x3�ct oM (� � � � 6r�3b, ��p��► - `' AUTHORIZATION NO. OPE TION PERMIT BY: � DATE: 'i' 2 �� +*THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T THE SYSTEM DESCRIBED VE HAS BEEN INSTALLED IN COMPLIANCE WTfH ARTICLE 11 OF G.S.CHAP'fER 130A,SECTION.1900"SEWAGE TREATMENT AND DISPOSAL SYSTEMS",BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTTON SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. nc�n m�oz c��xa� �'�_,f�r �N�I p i� ��S�J fv: �a�^r"'«^�,., y�;s�+c,-.�;Ni-. _r'� 'Y ' . i�i.y ;� j,+;;..�w,y' .r:,Ft£,.f-� .;`,,.�,.n-r i i4 " .—.ti...7�`�l ��'""'y, s:�Y:1-`'fv'r�...,,�`r.�. .. K a��i`�.P{j�v`. "� _'i,. �..."�-,�' S '�, '. 1*. �•i �. . .. . -hn �y,l• + \. �- �„ ,ccee' . ` �P�'± DAVIE COUNTY HEALTH DEPARTMENT ' " tNai'iie. �er�� 1'�Yl°fi''�� Environmental Health Section PROPERTY INFORMATION � . " ; • . P.O. Box 848 Directions to property: �"�;' �=' ' ' ��'�'� f'r },, �� Mocksville,NC 27028 Subdivision Name: — .y1 y � l�N� ��` Phone#:336-751-8760 -•; + �..(� � `'f � Y G �, Section: Lot: AUTHORIZATION FOR � • 7 �, `";,� �,.� 1�;,:..�� )�;� M� t�.I l VVASTEWATER Tax Office PIN:# _ _ � SYSTF,M CONSTRUCTION ' Q02�� .��;;, " AUTHORIZATION NO: A Road Name: -� � �� Zip: ` �" " � : , , **NOTE**This Authoriz�tion for Wastewater System Con'struction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits.This Fomi/Authorization Numt�er should be presented to the Davie County Building Inspections Office when applyino for Building Permits. (ln compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) } (� , , � J�.-� ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION . � �' ��1,.�.KJ :.�' � IS VALID FOR A PERIOD OF FIVE YEARS. � ENV�RONMENTAL HEALTH SPECIALIST DATE ISSUED � : W 3 ' /1 RESIDEIV'fIAL SPECIFICATION:BUILDING TYPE #BEDROOMS #BATHS #OCCUPANTS � GARBAGE DISPOSAL:Yes or�N4..' COMMERCIAL SPECIF[CA170N: FACILITY TYPE #PEOPLE #PEOPLFJSHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE ��'S �'�-�VTYPE WATER SUPPLY �'� DESIGN WASTEWATER FLOW(GPD) 3�'U NEW SITE REPAIR SITE V SYSTEM SPECIFICATIONS: TANK SIZE UUv GAL. PUMP TANK ��GAL. TRENCH WIDTH ''�' ROCK DEPTH �� LINEAR FT. �L 7, OTHER' r � i t ��. / a h—t �il ' ' ,• } ��I! � ..� I� ��, ~ 1j r /.r�t � �L {, REQUIREDSITEMODIFICATIONS/CONDITIONS: N � � � P �-c- �f�-1tl��-.�LT ��-'�,�`t � �'(y ! ( �r "(� r� I 1 � --� ... ,. - y, �� IMPROVEMENT PERMIT LAYOUT � '��`��7 l�� ;'��^ j ;�,:��Ff� . � LvU . �• ,��.. . ,'.� , :;, ,.�.,, , �..-- , ..;t. . "•?1�1-r�. \ � � . ... �� .L/�`L �►'� �G, �� I _ � � �' ••f' ' � . �\ .�.)✓ ��. � � � , �� 4',1 ±� _�_ ., � . ��1 � ' {� �I:� 1 \%;� �' \ �: \ 1 1:" ! � �� % C— . '"' \� � `� .�L 11 F . � / �� !� � ti/ /';�` "� , ._ . cr.> }i� � , .� r '� y l � ' , p . _. .. _ ._ . , . �d < � . � FOR�INSPECfION OF TF{IS SYSTEM PLEASE CALL BE1'WEEN 8:30-9:30 A.M.ON THE DAY OF INSTALLATION.TELEPHONE k IS(336)751-8760. OPERATION PERMIT — - SYSTEM INSTALLED BY: V S- ►/\ ; I _�_`'�O_ `?��y�,t�� , �_ - - .__.-°'�r�,,.►�.= ��-rc}-+(�ro�pP�� , � _.. . . _..�_ �-- - _��.-_-._ _ --_ --- � , ;s, — — ._ � . �E►�� _- --- -�T1�1 L�r��CoZ , , , � � g F� / --- �--__._:2- j��Ll 40 �'�8 �y la'U�� ---- -- � 8 6 ` � U-� ��, ;�jx,�'� �uo � �-- � -�'� O �� G' I �,,a' "'�"-- y' � I `` �l� ! _ � !¢'! - lbpcO ��;�t o� P � ; ' � s�Pj:1l�C� 10 jts- : � ��, I . �. tivti �� 0�1�..�;�-i _J � � �'� ; � �, T��1Gi-�-`�'�x�z[oM � l � . � � 6vQ�.3 � .: � ��,"+`'�' ' AUTHORIZATION N0. � OPERATION PERMTT BY: . DATE:' 'i' �L �p ' ,:. - ; i ' •'THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE T THE SYSTEM DESCRIBED VE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S.CHAP'TER 130A;SECTION.1900"SEWAGE TREAT'MENT AND,DISPOSAL SYSTEMS",BUT SI-IALL IN NO WAY BE TAKEN AS A;� ,- - , _ _.,.. ��, GUARANTEE THAT THE SYSTEM WILC FUNGTION SATISFACTORILY FOR ANY GIVEN PERIOD OF.TIME. ; " ; % '. � ,. : _ � D 02V2(Revise� `..��' ��T�� -Nvp�� 6�5'! � ... -��r-r��=t;r _ - --- -- _ __ —__ - � . 'O Ps�I�' T��: � R Address: - � � Installer: s �� Date: Operation Perniit Inspection Checklist ��'� �- Location and Separation Distances 1. Distance from septic tank/pump tank to foundafion/basement /:S. feet 2. Distance from system to well if applicable /�l/A� feet 3. Any other setback(.1950)requirements _. . Supply line 1. Material supply line is constructed of � �d'�neter inches 2. Length of supply line(2'min.) i,�r G h 3. Amount of fall in supply line(1/8"per foot min)_ f � " �� 4. Distance from ST/PT to the nitrification field/dist.device) o feet ,j_l��,c �f-S b Septic TanWPump Tank ` � 1. Visually inspect top of tanks(s),interior&exterior walls,baffie w d bottom 2. Any honeycombing or e�osed rebar present7 Circle: YES or � 3. Vi s u a lly i n s p e c t sani t a ry tee,li an d air ve n t for proper i n s t a ll a rion an d s e a l a n t � 4. Tank Serial Numbers: STB PT �)//k 5. ST w/in 6'finished grade?Circl YES ' r NO W l�rl �2` 6. Date of manufacture: ST 1 O I� � PT N► /� 7. Liquid capacity of ST O PT h� 8: E8luent filter type �. 9. Pipe penetration seal presen 7 Circle: YES r NO 10. Riser(s)present7 Circle: YES or o 'ser Type 11. Pump Tank riser 6"above fuush de?Circle: YES or NO f.!/G� � 12. Riser apprwed7 Circle: YES or NO �J/� Nitrification Field ,, 1. Septic Tank ouflet elevation L��,l� 2. Trench Depth Readings(in es) 3. Number of Trenches istance between trenches 4. Trench Width (� 5. Aggregate material type and size ' e) 6. Aggreg�te Depth(inches) • � � , /_J�Q ' „ . 7. Nitrification lines installed n ur7 Circle• YE or NO , (�C�t� Wh� 8. Innovative system type � rtified for installati ?C' . , �Q 9. 2'earthen dam between ST(o d-box)and beginning of nitrification lineT Circl : S NO 10. Stepdowns _ a. 2'��cu��n�a��s� cu : �s or No b. Proper rise over stepdowns?Cir e: YES or NO c. Solid pipe used7 Solid,Corr� ated or other? d. Elevadon of each stepdog�n e. Are all stepdowns low�ftlnn the ST outlet elevations? Circle: YES or NO / Distribution Devices �/K ��J� (� v' `G�.W�-�-eil�'`�Q.,�C� C-�S , 1. Type Is the device watertight? Is it level7 2. Distance from Dist,device to trenches feet 3. Record elevations:Inlets Outlets . . ., .,�t�'�'�' N � Q n i S � ,�'a��a��,�� • NW�� o� AVIE COUNTY ENVIRONMENTAL HEALTH SECTION 0� APPLICATION FOR IMPROVEMENT PERMIT(REPAIR�� ' � (r' NAME � C� OZ/ZIS � � ' � � PHONE NUMBER �7"Z"l�9Z � � ADDRESS Qr �U /IfT3YJ �UBDIVISION NAME� ` � � . . . � LOT.# DIRECTIONS TO SITE �' / : /S � DATE SYSTEM INSTALLED(/�A/�Ndc�A� NAME SYSTEM INSTALLED UNDER � /U�� -s .� TYPE FACILITY �� NUMBER BEDROOMS 3 NUMBER PEOPLE SERVED � TYPE WATER SUPPLY SPECIFY PROBLEM OCCURRING d�aQ'� � 5��Al- � � DATE REQUESTED� D b INFORMATION TAKEN BY �� This ia to certify that ths information provided is correct to the best of my knowledge,and that I understand i am responsible for ali charpes ineurrsd from thia application. SIGNATURE OF OWNER OR AUTHORIZED AGENT . �.,ro3 �..�_.., � . :�,�,�'�(/,.. -.a��"-.�... ��/:� h�� .,,1 L r/ w� �---. �vv� �k,�rW"`� �.l,\,i .CoMAPS -Davie County NC Public Access Page 1 of 1 Davie County, NC - GIS/Mapping System 4P� �t�, u� Click Here To S#art Ouer Quicl�Se�arth:�CoUnty ID c � } ( �r � � \ f � � tTu1 Active Layer. ❑�' ffse MaF TPS GIS ��K� � � �' � � _ � PARCELS Ma Ti s Available v' (�a�� }. { p p } �,� Map Layers � R��ulk� � n°i rr � � / r`� 0 A�4 � �0 d �a� ,°°� ,. � � � o� °� � �a� �� ,Q�� . �� , l'ro 1U30�, �,,� 1084� / � �3`'9� , / �s 1Q40� � • �G � 'Pt,• � '��d '`'Pc �i oss,� \ �os� MO�CKSVI LL E r � ti�a ��_, r Q,v`�� -��, _ ,tp '�' �osa,� �°� �o64ft , � � t0�fl,s � .` � � , � - 1�� . � � � � , �f z � � � z � Z�- ,►�� 7� �� http://maps.co.davie.nc.us/GoMaps/map/Index.cfm?mainmapservice=gomaps&CFID=412... 3/25/2008 - GoMAPS - Davie Coimty NC Public Access Pagc 1 of 1 Davie County, NC - GIS/Mapping System �P��"�F ,�?� Click HereTo Start Over Qw�k Search:(County ID c � —_ � -'{ ' �� il!1 Active Layer. � Use^fap Tfps GIS �U N� �. � ,yti .:: ❑ '`� F',�.R�-�EL�� r,J�:1apTID_:Pa;alladle) — Map Layers � Results � � t ,��. � �, � . .i 1 .... � i , � � � .�. � �� •.�A� � � I.. � l � .�� F '� � � � r ��\ � ! f_ �� 1��`J�� ,•�. � � • - � . • �. �./�'�� .,t_�:<. r� � r� �i J" 1 �\� h � \ y` a�"�l, r� , .• � �`ip. �'1/�: Y•��J�ti s r�' ,�� '�`�`� � ��:r�:��'.-}r. � ' !• I •:� ` ` �, F � ,. , ��R+� ,"� � � a . �y,�� . ..-�� , � ��'�-�E. ' � ..,. . � .� .�� ,, � �. �,'rr�� '�� \ . .� y r � ''�^'� \ .. ... � \ �� .�. �� `�- ' �� /� . � i•!-` � - . � � S/✓�. � '�..� �� \`. \ � Y�,;, � / � . �.� r. �` ' /J+ •, I. ��.�. � , 'i , `� ''�` J� � T � � '` � ' � � } , �`.� _' � f •�'! ' ^�" Iiw" l �R�." iC : �f .��: �� `� �.� C'i• Y '�� `4. :. " t '�� ', }. '� ,�s � �" � �� .. � i� \. . 4z'. � •� !�►�, . �<�rP� � ,�1,1 '��:Y •C M r �. . \ �,, t�. `'�� r. �.-F'Y y� r t",s � �� `�.('`� \ �: . �� '�'v��- . �� 1 �" � � � ��'� � '` '.�� a� \ - ��`��vt�: ,� y a+. '� e �Il� �� MOCKSVILLE "Y ��}�`�'i�. '' '� � � �� . -'�� ` �' \ t `� nrirr ., �, �y . a : , � \� ' �.rr�'f!'� n1 '1t `qC . w .* � �.\ � t +� ^f�, ;4 iT�`� � �'' ��s�? ` ,. � �' �' � �r. -�- 1 �u 2 � '�-�� '► f : `.. `$.i p�p 4� �� .� �` �. �i. /J�� 1�, . � . .�iff. ��u.11�`.\\ �ii�i- Y :�,�� ' .��"' http://maps.co.davie.nc.ttsiGoVlaps/map/Indcx.cfm?mainmapservice=gomaps&CFID=4129... 3/6/?003 ' ,p/ DEED B00lt�Q�,.,_PAG6�q ``� ��%'�V •� . . 01 '_ti:) '�� M�il alkr rccortling W Andtew Whits,PO F3ox 1I9I,Mocksville,NC 2702b-1191 ,F./ This insdument prcparcd by Mdrew White,Atromey at Law.Mabvilk.NC r � . . �WARRANTY DEED : � This Warrant Deed is made tlus 12�'da of Febru 1999 b and between Bobbie S. Y Y azY � Y • Andrews and husband,Victor I..Andrews,Coleaa S.Foster[singleJ,and Marietta S. � Seats (singleJ (hereinalter "Grantors") of Davie County. North Carolina, and James Jerry Daniel and Walter A. Beauchamp (hereinafter "Grantees'� of Davie County, . North Cazolina. � . ' • In consideration of ccrtain valuable considcradon paid to them by Grantees,the receipt and sufliciency of which is hereby acknowledged,Grantors have and by theso presents do , grant, bazgain, sell, and convey to Grantees in fee simple all right, dtle, claim, and � ' , intcrest of Grantors to that certain lot or parcel of land, and improvements thereon, • situated in Davie County,North Cazolina,described as follows: . Beginning et a point in the southwestwardly margin of U.S. Highway 601 (Southl; baing the same polnt as the notthemmost point of the property described in Deed Book 150, page. B64 (said Deed Book 150, page 854 � baing a Deed to Mickle H. Bamette and being a part of Parcel 9, Blxk A, Tax Map J-6-18);and running thence elong 9amette'a line South 37 dep.48 - • min. 25 sec. West 168.69 feet to an iron;thence co�tinuing on Bamette's . line South 35 deg. 19 min. 35 sec. West 116.13 feat to an iron; thence continuing along the line of property acquired by James J. Daniel by Deed � Book 197,page 471,South 36 deg.34�min.40 sac.Wast 619.86 faet to a point in the eastwardly margin of the Southem Railway right-of-way;thence ' with the eastwardly marpin of the Southern Railway right•of•way North 05 deg. 08 min. 00 sec. East 7b3.40 teet to en iron stake; thence North 63 " deg. 18 min.00 sec.East 368.42 feet atong the line of Servica Distributing Company propeny (see Dead Book 98, page 176) to an iron in tha • � southwestwardly margin of U.S. Highway 807 (South); thence with the southwestwardly margin of U.S. Highway 601 (South) South 34 deg. 23 min. 55 sec. East 231.31 feet to.the point of Beginning; being 4.88 acres and baing the southem portion of Dead Book 170, page 288,Tract Xi,and also being known as Parcel 14, Biock A, Davie County Tax Map 5-9. The above property was surveyed by C.Ray Cates,and is shown on his records as Map Na.3449,Job No.3448 Grantors heceby waaant and covenant with Grantees that Grantors aze seized of the above-described property in fee simple, have thc right to convey the above-described • property in fee simple,that title to the abovo-described property is marketable and free and clear of all encumbrances,that Grantors.have done nothing to impair such title as � Grantors received to the abov�described properiy, and that Grantors will wazrant and defend the title to the above-described property against the claims of all persons. DAVIE COUHTY � 02-12-33 � .� �O�,pb StAORTM �v�4_ El� DEED TqANSFER CHECKED 1'�sRqUNA ,`�� Re81 Estete o�re -?-�r-� er_�5�� y� � EXCISB TAX TAX$UPE VtSG�: • . . f �. • BKA I �FPGb36• . , . � SCHEDULE OFPROPERTY . OF , SHERRILL MORRIS and wife PEGGY T.MORRIS , MOCKSVILLE TOWNSHIP,DAVIE COUNTY,NORTH CAROLINA . ; BEGINNING at an iron pin which is the Westemmost comer of CMH Homes,Inc.(Deed Book . 326,pagc 454)and the Northemmost comer of Jerty D.IIoger(Deed Book 191,page 471 and Dced Book 210,page 233,Davie County Registry),and running thence from the POINT AND PLACE • OF BEGINMNG with the Western boundary of Boger South 29 de�.19 min.47 sec.West 150.63 : feet to an iron pin lying in the Northern margin of Unifi Drive,Southemmost corner of the within described uaet,thence with Unifi Drive North 39 deg.53 sec.15 sec.West 102.93 feet to an iron . . pin,North 84 deg.49 min.53 sec.West 53.90 feet to an iron pin,Wesurnmost comer of the within , described tract,thcnce with Jerry paniel(Deed Book 209,page 589)North 35 deg.34 min.40 sec. . East 538.33 feet to an iron pin,Northernmost comer of the within described tract and the Western comer of Mickle H.Barnette(Decd Book 150,page 854),thence with Bamette South 32 de�.51 min.13 sec.East 103.72 fe4t to an iron pin,Bametre's Southemmost comer and the Westernmost t comer of L S Bowden,Jr.(Deed Book 311,page 33),thence with Bowden South 37 deg.09 min. . 47 sec.Fast 161.90 feet to an iron pin,thence with Bowden North 60 deg.l l min.09 sec.Es�st 15.53 �. feet to an iron pin,thence with Bowden South 28 deg.21 min.OS sec.East 26.6A fect to an iron pin, Northemmost corner of CMH Homes,thence with CMH Homes South 62 deg.09 min:10 sec.West 339.26 feet to the POINTAND PLACE OF BEGINNTNG,contaiaing 2.0871 acres as per plat and survey of C.Ray Cates,PLS dated March 13,2002. The above described tract is a portion of the • James Jerry Daniel tract described in Deed Book 191,page 474 and is also known as a portion of Par�e19.01,Davie County Tax Map J-5-16(Block A)dated March 28,1976. (Morris.das/deed/man) . • I . . . i ' '.. ,�� .,�i� .��. . �_ . . ,�<.,:`�.• j.y .� • t��.q • '��eA� t:,T'lafF",t '.a�. ' . �^:� :�`�, n^f. ./�•t•,'"''':{ �1-C`� �'`�M�y'�,,,. ;..• � w i. . .. � ��f:° ..Ai'�� . �,�i7 �.' '•��:2>i'"�'. .r : ,�k�'%t f; �'R��:w.•'•ri°4.:� . . . . • . � ..1k i�1.-+.��.� .' ,�' • ��r�'`�'.' .�i�..�� .4.. "•:v��l'r. •' . ., . ' . ,�i• ,.tTr�.(,��• .. •�.}i +�•:'�,,•,'r.ci•`. Ai� �i,: • A)�y.. .; , t" . . . . . N•.�, ♦. •�'i- f!r "4� ,. �� .. . �, .• . . ,. . Cfl.�. . ' � . wr't=�':1��..a�:� �Y�>�• 'J �,�1'�v,•�ii� �.•1� . .. , . �. �.\, DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION ��e!'r. � ��r ` � �� r � �` ��t �� `� � 6�,. �� Q �� Sd �,s / �� C�w� �� G , �,c��sd�Zl� .cl�— . / � Water Supply: • On-Site Well Community Public l�� ' Evaluation By: Auger Boring ✓� Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca e position L. • Slope% � �, HORIZON I DEPTH � — Texture grou . C Consistence ' S tructure Mineralo 1 (� HORIZON II DEPTH � � Texture rou • - Consistence Structure Mineral o 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 •Z SITE CLASSIFICATION: v� EVALUATION BY: GC c�h�l�/�G� S / � � �D'� LONG-TERM ACCEPTANCE RATE: �` �� > OTHER(S)PRESENT: O'e, �Q REMARKS: LEGEND T,an ccape 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 TC�turs � 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 CONSIST .N . . �413� VFR-Very friable FR-Friable FI-Firm VFT-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 Mineralo�v , ' 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 DCHn OS/hS (Revicec�l