116 Canton Rd Lot 19, Sec 2 Davie County,NC Tax Parcel Report a A Friday, September 23, 201 E
QL---
121 133 r' '143
t— / tiX114:r �"TI ''�,f 147
AS�URNITURE k'VAY n � , CANTON RDS yr 1
I I i
I
144
10 6
116 4"124 136
w �
O
me
-- -- --- 945
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:- F706OA0019 Township: Farmington
NCPIN Number: 5860885156 Municipality:
Account Number: 45630000 Census Tract: 37059-803
Listed Owner 1: LILLEY MARY A'' Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 116 CANTON ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A,R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-7865 Voluntary Ag.District: No
Legal Description: LOT 19 QUAIL HOLLOW SECTION li Fire Response District: SMITH GROVE,ADVANCE
Assessed Acreage: 0.99 Elementary School Zone: SHADY GROVE
Deed Date: 9/1995 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001820789 Soil Types: EnB,IrB
Plat Book: 0006 Flood Zone:
Plat Page: 093 Watershed Overlay: DAVIE COUNTY
Building Value: 102710.00 Outbuilding&Extra 540.00
Freatures Value:
Land Value: 30000.00 Total Market Value: 133250.00
Total Assessed Value: 133250.00
Q�Y! All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�OUty� NC or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax# (336)753-1680
REPAIR OPERATION PERMIT
Account #: 990006174 Tax PIN/EH#: F7-060-AO-019
Billed To: Mary Lilley Subdivision Info: Quail Hollow Lot#19
Reference Name: Repair Permit Location/Address: 116 Canton Road-27006
Proposed Facility: Residential Repair Property Size: 1 Ac
ATC Number: 6064
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC has been installed
in compliance with Article I 1 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
L4
System Installed By:�u -o 1 n It er#: f' t'� �� Date: _W
GPS Coordinate:
'7 x /b OI/
�.54ce l r.ecl l� �p
,eLeP
r-�
S,3 ,
Environmental Health Specialist: Date:
DCHD 1 1/06(Revised)
f
DAVIE COUNTY ENVIRONMENTAL HEALTH
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
REPAIR IMPROVEMENT PERMIT '
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990006174 Tax PIN,EH#: F7-060-AO-019
Billed To: Mary Lilley Subdivision Info: Quail Hollow Lot#19
Reference Name: Repair Permit Location/Address: 116 Canton Road-27006
Proposed Facility: Residential Repair Property Size: 1 Ac
ATC Number 6064 Site Type: ❑New KRepair ❑Expansion
**NOTE**This IP/Authorization to Construct(ATC)MUST 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 IP/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 Specifications: #Bedrdoms #Bathrooms c)— #People Basement❑ Basement plumbing❑
Non-Residential Specifications: Facility Type #People #Seats:
Square Footage(or Dimensions of Facility)'
Lot Size ac C C_ Type of Water Supply: PCounty/City ❑Well ❑Commun}ty Well
System Specifications: Design Wastewater Flow(GPD)3(16 Tank Size ,5GAZ. OOYummpClTank GAL.
Trench Width Q_ Max.Trench Depth ) 5'
Rock Depth.-A4 Linear Ft.
Site Modifications/Conditions/Other: rA r C k U GLC b Q e.
Contact the Davie County Environmental Health Section for final inspection of this system between
8:30—9:30a.m.on the day of installation. Telephone#(336)753-6780.
et fr0:A1__J
� Na ivt5 E`0.i� 5 t3kl��
Gike;A a�� fs'{� ✓ r .
ate i` e cl C-X be t am
rhos_JPic-/ 1b�
l
Pu Wel 5
I JAEnvironmental Health Specialist Date: a— V7
DCHD 11/06(Revised)
Appraisal Card Page 1 of 1
DAME COUNTY NC 2/20/2014 4:50:34 PM
LLEY MARY A Retum/Appeal Notes: Parcel:F7-060-AO-019
116 CANTON RD PLAT:0006/093 UNIQ ID 9483
5630000 - D201-P31 RP ID NO:5860885156 O
COUNTY TAX(100),FIRE TAX(100) CARD NO.I of 1
eval Year:2013 Tax Year:2014 LOT 19 QUAIL HOLLOW SECTION II 1.000 IT SRC-Inspection
Appraised by 19 on 10/16/2008 07202 BALTIMORE TW-07 Cl- FR-15 EX- AT- LAST ACTION 20110712 ;L
CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE
oundation-3 Standard 0.1800 m
ntinuous Footing5.0 Eff. BASE i
ub Floor System-4 US MO Area UA RATE RCN EYB AYB REDENCE TO MARKET 7Z
ood 8. 01101 11,5691112 78.40 12525 1995 199 %GOOD 1 82.0 EPR.BUILDING VALUE.CARD 102 71 {
xterior Walls-10 TYPE:Single Family Residential Single Family Residential EPR.OB/XF VALUE-CARD 540 ]
luminum/Vin 1 Siding 29.00 4ARKET LAND VALUE-CARD 30,00
oofing Structure-03 STYLE:1-1.0 Story OTAL MARKET VALUE-CARD 133,25
able 8.0
Doling Cover-03
ksphaft or Composition Shingle 3.(K TOTAL APPRAISED VALUE-CARD 133,25
nterlor Wall Construction-5 TOTAL APPRAISED VALUE-PARCEL 133,25
)rywall/Sheetrock 20.00
nterlor Floor Cover-12
ardwood 10.0c TOTAL PRESENT USE VALUE-PARCEL
nterior Floor Cover-14 TOTAL VALUE DEFERRED-PARCEL
:arpet 0.00 TOTAL TAXABLE VALUE-PARCEL 133,25
eating Fuel-04 I P T O I
PRIOR
lectric 1.0c I I
eating Type-10 1 1 UILDING VALUE 104,35
eat Pump 4,0 2 2 BXF VALUE 1,62
r Conditioning Type-03 1 I ND VALUE 30,00
ntral 4.0 +----16----+---14---+-----22------+ RESENT USE VALUE
I EFERRED VALUE
B
rooms/Bathrooms/Half-Bathrooms A S I
I I rOTAL VALUE 135,97C
/2 1 13.000 I I
[AS
oms I I
3FUS-0LL-Orooms I 2
2 FUS-0LL-O 2 5g I PERMIT
Bathrooms I I CODE DATE NOTE NUMBER AMOUNT1FUS-0 LL-0 I I I +--B--; II 4FOP 4 IOUT:WTRSHD:L POINT VALUE 105.00 I +--8--+------24------+ SALES DATAI +-8--+ IFGD I BUILDING ADJUSTMENTS +--1 2---+ I I FF' INDICATE
ECORD ATE DEED SALESi 3 AVG 1.000 I I Desi 4 FACTOR 4 1.050 OOK AGE R TYPE PRICE
3 Size 1.020 199 WD 1 105502 2
L ADJUSTMENT FACTOR 1.07C 2 2
TOTAL QUALITY INDEX 112 I I
I I
I I HEATED AREA 1,312
I I
;--'--'24------+ NOTES
SUBAREA UNIT I ORIG% ANN DEP % OB/XF DEPR
TYPE GS AREA % RPL CS ODE ESCRIPTIO DUN T N PRICE GOND LDG*AYB EYB RATE V CD VALUE
1,31A 100 102861 10 ON PAVING 1 1 71 181 1,35CI 4.00I loci 1199511991S51 1 101 54
GD S204 1865 TOTAL OB XF VALUE 54
OP
312 03 86
O 16810051 62
[REPLACE 3-1 Story2,25Stn leREA 2,04 125,25LS
DING DIMENSIONS BAS-W22PTO-N12W14S12E14 W3OS28E12N2E8N1FOP=E8N4W8S4 N4E8S4FGD-S22E24N22W24SE24N25 .
INFORMATION
EST THERADJUSTMENTS LAND TOTALBEST USE LOCAL fRON DEPTH/ LND COND ND NOTES OA UNIT LAND UNT TOTAL ADJUSTED LAND OVERRIDE LAND
CODE ZONING TAGE EPT SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE VALUE NOTES
ES 0100 0 0 1.0000 0 1.0000 30000.0 1.00 LT 1.00 30000.0 3000L MARKET LAND DATA 30,00L PRESENT USE DATA
http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=F706OA0019 2/20/2014
ttee's
DAVIE COUNTY HEALTH DEPARTMENT
C"to, Environmental Health Section PROPERTY INFORMATION
,%f� / .� P.O.Box 94$ ,,✓�`� `^ /
Directions to property: �'��� !�n Mocksville,NC 27028 :' Subdivision Name:
Phone#:336-75f-8760.,
Section: Lot: /
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION - -
AUTHORIZATION NO: 2244 A Road Name: Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior,
to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS..
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE_ #BEDROOMS #BATHS 4-"-••' #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATSINDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) ~p v NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE- GAL. PUMP TANK GIL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
t
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT ' 4
c
"CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM
BETWEEN 8:30-9:30 A:M.OR.I:00-1:30 P.M. ON THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760. '
OPERATION PERMIT
SY.S�'•EM-I D BY: � �/�,i�r✓ ��U/� i'1
4 .
AUTHORIZATION NO. & OPERATION PERMIT BY: ..F / DATE: �'C/
*"THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD MW(Revised)
�t.
6AVIE COUNTY HEALTH aDEPARTMENT
`"` f r/t C Environmental Healthection PROPERTY INFORMATION
r i; P.O. Box 848;il i/
�' : ire: I .� �,.
�.- DirectigpsIo property '' Mocksville,NC 7028 Subdivision Name: f''
Phone#: 336-751-8760
Section: Lot: +'`
AUTHORIZATION FOR -
WASTEWATER Tax Office PIN:#
4 SYSTEM CONSTRUCTION
2244
-AUTHORIZATION NO: A Road Name: Zip:
**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
r to issuance of any Building Permits.This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article I 1 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
,t•` +" �') !'' r�T'Y��r': �` .� �,'`�j . IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS """ #BATHS C1- J #OCCUPANTS• � GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLEISHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY r DESIGN WASTEWATER FLOW(GPD) NEW SITE REPAIR SITE `
1 ,
SYSTEM SPECIFICATIONS:'TANK SIZE GAL. PUMP TANK GjL. TRENCH WIDTH ROCK DEPTH LINEAR FT.
OTHER "
REQUIRED SITE MODIFICATIONS/CONDITIONS:
;IMPROVEMENT PERMIT LAYOUT - -
/<!
**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 THE DAY OF INSTALLATION.TELEPHONE#IS (336)751-8760.
OPERATION PERMIT ,/�,+r'r'i
SBY:
IS r
�-�-
AUTHORIZATION NO. - OPERATION PERMIT BY: DATE: -�
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I I 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 F(JNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME.
DCHD 02102(Revised) 7
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION`
•NOTE:Issued in Compliance With Article II of G.S.Chapter 130a
Sanitary Sewage,Systems > F f/i. rn1
Pe it
Num
Name' Gni i :"//i. s` ..,/ f 7— _JL G� — Date /�/�J} NB it0 3 7f3ber
.Location
Subdivision Named t ;%' / Y,f %x Lot No. Sec. or Block No.
J 1,
Lot Size '_-- — House Mobile Home ____ Business _— Industry___.._
No. Bedrooms -T—.No. Baths No. in Family _ Public Assembly Other
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Ma^hine YES ❑ NO ❑ �` '`7�/' 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
ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS
SYSTEM.
3 /,i;.
t013 y
t
Improvements permit by _ Lv�
*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: �r— sTb Tnsta ted by
F
r�
of
Certificate of Completion ���-G� Date S� _
'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.
-1
to-0X"�67 APPLICATION FOR SITE EVALUATIOWIMPROVEMENTS P RMIT. ._. . _.....::......--. \�V1
Davie County Health Department
- Environmental Health Section MAR 1 51993 ` `a
P.O. Box 665 I ( Y
Mocksvllle, NC 27028 l
1. Application/Permit Requested By D(Ge 4111,1-2,15,0-�IOAJ a,05"-- -ZZC.
Mailing Address dC/L SV/t.EE_ _ /i`.C.
Home Phone Business Phone !9k - 7.-� 7,2
2. Name on Permit if Different than Above
3. Application/Permit for: General Evaluation ❑ Septic Tank Installation
4. System to Serve: W-1 ouse ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home:Subdivision (VeJA IL JI- OLLdg-) Section - Lot #_
❑ Basement/Plumbing
No.of People ❑ Basement/No Plumbing
No. of Bedrooms C!rWashing Machine
No.of Bathrooms 7-0 -P (Dishwasher
Dwelling Dimensions CY'Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No.of People Served No. of Sinks _ r
No. of Commodes- A O/z -3 No. of Urinals
No.of Lavatories No.of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: a/P/UbIic ❑ Private ❑ Community
8. Property Dimensions 1 4 C.0-1 r-- LO T: Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem Is intended to serve? ❑ Yes M'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.
Directions to Property:
This is to certify that the Information provided is correct to the best SLmy knowledge, and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT EQB SITE EVALUATION TO BE DONE QN ABOVE DESCRIBED PROPERTY
Fand
ECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County Health Department to enter upon above described
cated in Davie County and owned by
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system.
ELATE VC-NATURE
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation _
NAME � �-�� Q.'� O��i� �� � _ DATE EVALUATED
ADDRESS SA 2S R>� 3 62 '6bs-N- _ PROPERTY SIZE
PROPOSED FACULTY A_\ u s LOCATION OF SITE
Water Supply: On-Site Well Community Public
Evaluation By:C f L Auger Boring Pit ✓ Cut
FACTORS 1 1 2 3 4
Landscape position S
Slope x O ^mss° o -Frp
HORIZON I DEPTH $" C61
Texture group L C L
Consistence 71
Structure
Mineralogy Ilk I ',
HORIZON II DEPTH 1A 0'
'Texture group C
Consistence
Structure
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON — ^
SAPROLITE —
,� CLASSIFICATION S P S
LONG-TERM ACCEPTANCE RATE ,y
SITE CLASSIFICATION: Q s EVALUATED BY: .ctir�p � -
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS: VA � , A
L GEND
Landscape Position
l 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
I 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
I
11-901
■■■■■■e■■■■■■ee■■■■■■■■■e■■■■■■■■■■■■■■■ie■eeees■■■■Eeeee■ M■Meeeo
■■e■■■Mee■Meese■■■■■Mee■eee■■■■■■■eNe■■ee■seeeeeeeeM■■■ee■®■■■Ce■
■s■■■■e■■■■■■■■■■■■■■■■■■■■■■e■■ ■■■■■■■■■■■■e■■■■Mei■■■■■■em■ ■■
■■■■■■■ee■■■e■■■e■■■e■■■■ee■■■■■e■ecce■■■■Meeseeeeee■■■■■■■■■e■■■■
■e■eee■■■■■e■//■eee■■■■■■e■■■■■■■■■■ee■eee■eee■■eee■eee■■■aeee■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eee■eeee■ee■■■■ee■e■■ee■eeee■e■e■
■■e■■■■e■■■■■■■■ee■eee■eee■■e■■■e■■■■■■■■/ecce■■eee■■■■■■■■■■■■■■■
■■■■■e■■■■eeeeeeeee■■■■■■■■■■■■■■■■■■■■■ee■e■■■■■■/Eeeeew■eee■eee■
■■■eee■■■■■■■■ee■e■■eeeeM■■e■■e■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■eeeMee■■■■■■■■■■■■■e■■■■■■■■■■ ■■■■■■■■Eeeeeeeeeeeeeeeee■■■eee■
■■■■■■■■■■e/■Me■■■■■■eeeeeeeeee■■■■■■e/eeeeeeee/eee■M■e■■M■■Eee■■■
■■■■■■eeeeee■■■■■■■■■E■/M■■■Meei■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
CCCCCCCCCCCCCC:'■CCCCCCCCCCCCCCCCCCCCCuCCCC�eCC:C■CCCCCCCCCCCCCCC
■■■■■■■/■■■■■■■■■eeeeee■ecce■■ecce■■■■eE■/ecce/ECeC■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■eee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■eeeeeeeeeeeee■■■■■eeeeeeeeeee■ ■see■■■■■■■■■■■■■■■eee■■■■■■■■■■
■■■■■■■■eeeeeie■■■■■■■■■■■e■Mee■�■■■■■■■■■Mee■/eeeee■■■■■■eieeee■
■■eee■■■■■■■■■■■■■■Mee■■■■■ecce/■■■Oce■■eeeee■eee■e■■■■■■■■■■■■■■■
CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC■CCCCCCCCCCCCCCCCCCCCC�
CCCCCCCCCC�■CCCCCCCCCCCCC�eCCCCCCCCC�.'■CCC■CCCCCCC�■CCCCCCC�eMENEM
■■■■eeeee■■■ee■■■eee■ee■■■e■■e■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■_■■■
■eeee■EN■■■■■■e■eeei■eee■■■/■ee�eeeee■e■■■■■eeeie■eeee■e■M■e ■■■
■■e■e■e■eeeeeeeee■■ee■■■e■■ecce■ ■■■eeeeeeee■■eee■eeeeee■eeee■■e■
■ii/E■Me■■e■■ee■M■ee■■■■■eeeeee■■■■eeeeeeeee■e■Neeeeeeeeiee■eee■■
■■■■■eee■■■eeeeeeeeeeeeeeee■■■eeeee■■ee■e■■■■■eeeeeeee■eeieeeee■ ■
■■■■■■■■■ice■■■M■■■eee■■■e■■■■■■■eee■■■■■■■■■■//■■■N■■■■■■■■■■■ ■
■■■■■■■■■■■■■■■■■■■■■■e■■■■eee■e■M■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Mee■■■■■■■■■■/■■
■eeeee■■■eeM■■/ee■■/■//eN■■eeee ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■Mee■�■■■■■■■■■■■■Mee■eeeee■/■//ee■//■
MeeMee■■■■■e■eee■■/iiiee■■■■■■■■■■■■/■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■e■e■eM■e■e■■■e■■■■■Me■eeeee■e ■■■eeeeee■■■■■■■■■eeeee/■
■e■■ee■eie■■■eee■eco■■■ee■ee■e■■■eel■■■■/■■■■■■e■■■■■■■■■■■■■■■■/■
�CCCCCCC�lMEMEMECCCCCCCCCCCCCC CCCCCCCMMMMMMMrMMMMMM SCCNCC
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■
......................................■.. ■■..■■ ■■■■E■■■C■■■■M■MC
■■■eeeee■■■■Meeeeeeeeeee/■■■■ecce■/■■/■■■ eeeee■ ■N■■Mee ■■MEMO■
CCCCCCCCCCCCCCCCCCCCCC�i�```ii/1CCCCCCCCCCC CCCCCCCCC iCM CMCC■CCCC:■C
■Mee■■■■■■eeeeee■eM■■■■M■Mee■■■■ ■■■�■eM■■M■ewCC■■CMC■■C■■e■■■■C
■ecce■■e■ee■■■■ee■e■eeeeM■■■eeee�■■e�eeeEeeO■e Meeieee■eMee eee■
■■■eeeeeeee■M■■e■■■eeei� •_�■■■■■eee■■■■MMM=■eeM■■CMee■eeee■■■■Ceee■
■eee■cell■Meeeeeeeeee■■ :;�eeeeee■e■e■ ME ■ ■■ ■■■■■■■ ■■■■■■
!�■■e■e■■eee■e■■■■Mee■eee■E■■M■■■� ==`/Mr■■■■■■■ ■■■■■■■■■■■■■■■■■.,
ii■■e■e■■■■■eeeeeeeee■■■■■■eeeee■ Iei�1G���\■■■Mieeeeee■e■eeeeeeee■
■■■■■■■ ■■.C.■.0 ■■■■■■■..�.■■■■■.�■■■■,� CC ■e�■OMMEMOMMC NNE ■ ■■
■■■MM■w■■■MO■M/E■■eel,%\■rI\■M■■!e■/■■■■■MM■/e■eMM■Me■■■ ■■■■MC■■■
■eee,�e'ee■ee`�eeee■■eee■.■e■■■e■e�►■■e■e■eeeeeeiee■eeeee■■■■■ ee■■
■■■■�;e■■■■■■e'■■■■■e■■■■■■■■■■■��a ■e_eeae■eeeee■■Mee■■■■■e■■■■■■e■
■�■■■■e�cieeeeee■ee■■eeeeeeee■a�■��■eeeeeiee■M■■■■eeeeeee■■Meeeeee
■■■■e■■►lii■■/JEe■■■■■■e■■e■■■■■■�a�>■e■■■■ ■■■■■Mee■■Mee■eee■■■■e■
■eee."�:er-�■■■I■■■■■M■Mees■■■■■eewe■eeeeee■ MM■■■■■■■■■Ecce ee■Mee■
■E►\e■ee '1■E/e■e■O■■■■■e■■ ■E■eee■■Ee■■M■■ ■N■M■MMMMMMMMMCO■E■■EM
■■11■■fii■wI■■M■■■■■■MO■■■Ceee■■e■■■■■e■■■■■M■■■■■■■Oe■■■■N■eeeeMC
■■ee•■Ee.■■eeeeeeee■ ■eee■ecce■■■■ee■e■■eeeee■eeeMM■eeeeeieeeee■
. ■eeeeeeei■eee■eeeeeeCeeee■e■■eee ■eeeMeeMMeeeeME■M■eeee■■eeeMM■ ■
■Eeeeee■e■ecce■ecce■■■■■■■■e■■■eC;ee■e■■e■■e■■■eeeee■■eee■■e■■■■ee
.............................■ ....■■■ee/eeeeeeeeeee■eeeeeee■...■.
..................................................................
CCCCCCCCCCCC�. CCCCCCC'�CCCCCCCC�CCCCCCCCCCCCMMMMMCCCCCCCCCCWON
CCCCC
■■eeeee■eeeeeeeeeeeee■■■eee■■■eu■eee■eee■■eeeeeM■M■e■■Mee■e■■■M■■
<,
Y
i
DAVIE COUNTY 'HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME //1 �h1; DATE EVALUATED _ �A5
ADDRESS
PROPERTY SIZE
PROPOSED FACIILTY �XT�.Ci LOCATION OF SITE 5Wl�`ih�rl (
Water Supply: On-Site Well Community Public ./
Evaluation By: Auger Boring Pit ��' Cut
FACTORS 1 2 3 4
Landscape position .�
Sloe z
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
v
Texture group
Consistence
Structure A2A /
Mineralogy / /� e
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralo
HORIZON IV DEPTH
Texture group -
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE /
SITE CLASSIFICATION: �/)/��L�/ //L�YIJ- EVALUATED BY: �!/
�
LANG-TERM ACC TA� E RATE: 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 <;lay loam, SIL-Silty loam , CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Vary 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
3C-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(01-901
■..■....■...l.nM..■■M■■■e■■.MN.t■.E■■■■MO.■■MMM■M.Nt■■.■.N..■M.M....M.M..■t■■......■
■.■■E■...e.■■t...■E■■■MM..■Me■■MM.MlMEM■■■M■■M■MM■t■e■■ME.t.■■.tM...■■.■............■
■.H.tN.Ee.■■...■ ■/..■■■■.■MMM■■Nt■■■■.■..■.■.Het■■■■Mt.E.MN.E■■.■.■■■..........■.■
■■■■■.■.■' M■MEMS■i1MEi�■C■■Mloom"MEM.eM.eMMMM■E.M.M.M.■ ■s.M...NE.M■■.■■.■.■■.■..■
■Ni1■t■E■Nt.■ ....... ............... ........... .■■�SOMEONE...■■■■■■■.■■■■■■■■
■■11MEM■NMS..MESMMNEMEMHMNMMM■HMEMtEM■M■ ■■■■■■MEMEMEEMtEMEM■EM■MEMMEM.■MENNEEMEME■
■ERIMEMN.O■ ■.� ■..MMNMMeee■■■■■■■ ■■■■■■■■■■■.■.■■■.■■MMM.M■MM.t■..MM■■...■........■
ME11MMENNIM .. CMN■N■■MMe■Me■■■■■MC. ...................................■............
■■ iMEM■■ ■■ ■■ ■■.■■MnM.■MM.Me■ ■ . ■ ■MMEMMEMEMMEME■■e./t■M.NE...M■MtMN.■■.........
■EnM■E.■■■■■■M ■■■■■nM ■■■MEeC.IN =eM..MEM.MM■MMS■..........................■....
■.11M.ME.NM.nM ■■Me.MMe�on ■t■ ■■■ lM■■■■e■■■■ ■■■M� M■MEM■MMMM.MN■M.M.M.E.S..■.SNN.■
■■11N■■..■ ■eMM/■■■E..MeeMM SEEM ■■fie.■■■■MMM■M■�MENU.■■!M■t■tM■tN..tM■■...■.E.■■t■t■
■t■IMNM.■ ■■MMM..■ ■■NMM■HNM■ ■■ ■MNMM■�i■n.■ ■MMM■■■.EE.■■..E..■■■■■■■■■■■■■■■■■■
■N■■■E■No■■Nee■■ MEME■■ ■eMOM ■�■■■■■■.■..■..�....■■■SSE■MSM■ENEE.M■SNS..E.Et..Nt■
........................�■■■■. ■C....................................................
■t.MN..NM■HNM■EMSMe■One■eM■M�i■ ■t■e.■■e!t■■eMM■MMMM■■■EMENEMMM MEN
■tN..■■.tt..■■.M.t.S....■■■.■
■■.■.....■■■./■E..SM.eMM■■eM.■■■�.■...■.■..■tet.■■ ■Met■ ■■ENEM■■■..■■!■.■.■......■■■
.....................C=....... _.. ....C./.�5........._........................■■■■!
■E.!■■N■.EE■M■.E■■MM■■ MMMMMee ■..�--.le ■ etM■■■MM■■MEE■EENN......M.M.t.S■...■■.S■
■■■;■■....■EEHM■M.eeSenMM/Mee■■�■. MM■M11■umM ■■■ME■■■t■MEENt■■E.M■■..M.t.N...■■.■t■■■
■■.�■.■.N■.SME■ ■.■ Meee■eMeee■ ME MOM ■�■■■■ ■.Ste■e■t.■t.tt.t■t..tt■.■t...ttt..t...■
■■■I■E■■NM■t■■. MEN ■lZIMMSM■M■M�■N■ ■MUMMER■■M■M■■■■■M.M.M.■MSMtMEME.■EH.E.E.■■ENMEN
■t.1�.E..EM./■tee■E!e■.111.■■■t e.SM�H.■■E.■t■■■■t■■■ME■■.E.■■EMS■■EM■■EttS..t.■■■■■.■
■.■I1■■■■tM�EMt■■ttf~�t■1/►r■■.MM=e■■.e■ ■■■I1•E■■M..■MM■■MMNet■■NS■■.t.Mtt■■M.t.S..N..EN.■
■.N11■MEt��6n ■■/E..i�/.� ► ■/Me No mom■■■ MMM■■■■■e.■eM.■E.■■t■■■M..M■■.M.....M■■.■..■
�.N11■■■►:/.[ir.'...�...... ■0e.SEMEN M■IINNM■MIMMMMMEM■MMMMMMMMMM .■■■■■■■■■■■■■■■■■■
��..... ■11■■ .... tl MHM■11 _ ■H MM ■MMNM■ MMM■M■ mom.M■ . ■NS..■ N■
OM EN■..�t■■ ■SEEMMH ■MM■Mi O■M■M■i�i■MENEM�iME■EE.�E.MM.■ ■■M.M.�■E■NO■�i.■
■EMAIMM■■■ ■M■■=NO■SEMMe ■ ■ eMMe.�MMM.M ■MMMM■MMM■Mt.nM■l.MMM■■■MEMEME■■E■.N■
■..■i.■■..=.Hte.neeeee=�i■e�ne =■eS■Ste.e�te■e■ltetommom=..tttt.t■tt.t.t■■ ■■.■■■■■ E
MEMEMENEEMEii iinM=i= �e _� ie ■■ Miiiiioti MEMEMEMME
iiir■iiiiiiiU�iiiiiiiieiiiiiiiiiiMii
EM�!5.Moons- . :M - �--- �� Noun■1�150tae■■!■■■_■■■■■t■■H■■■■■■■■■■■e
■.MMM..■i�iet�e�iM= HM■Me11uN..e■EMMMMMM■■.MMII�■EMt.E■M■.■tE..■
■NMMMEt.■EM ■■-aeaM -
■ate■■ ■■ ■■t.M■■MN.E■..■
■M.■■eM■MElME ..=■�0Me 0■iE0MeMAIMMEMEMEMMEMMMM■MNE■■MM■MM■
M■■MNM��0e■ _ ■Ml'iNMoi-m.■■n■MHMM■MMMMEEM■MMM■.■M..■
■M.■ii...:.: ■ ■M■■■�7i3■■MEMO/MeMM■M■MMMENEMMEMEM■MMMMMMMMn./t
■.■MN■ENEMM■ _ ■■OM■eM=Mi_OeM■H�MMMMM■Monosson M■.M■NM.■■
■■SM■!N■■e ■ _ M US■Me=MEM■■ 0 ON O■ENMMMMMH■■■■n■t■■E■
m�mmosommsommoom
MOONS no n eH■M ■■ ■nM■■e■■n■■M■■■ME■■■■
■■������� ME - 1 ■ MEMO HMHM0 M■MMHMMnMMM.MMM■MMMlENM
EMMONS:::::[ �� ■ M ■ o =M=■MMM■Se=ntHMM■■Ht■MM■■MtMMt...■
■■.p■■M MMMMMM■MMMMMMM■M■■MMltN■■
■t.■OC■■■■■■ri ■ =H■■■�■■=MWERE■■OMENEM m■■■■■n.NMNe■■■■OON
OMEN.■NE■■■■MMS= ■ C . ■.e■■e. ..■.■.H■.■.■■■■■..■. ■■..t■■■■■t■■■
■t.MEM■N■■tNONE■ .=�itMM �=■■e1 i ■_.�■ I�i■i■eMH■■=■M■e�l...■■■■MEMEM■En=eMEM■MMEM■■..0
ME���■iiiii=MRSIME�0 M INM0 NONEEiSOMEONEE OMEN�i�i�E�N■ M��Cii�%CCCCii����C�C�C�C�C�N1
■..MMME.�M.M�HNM ■■■ ■■=■ ■NMS=■mNMNM MEMMEMEous...MMMM1a ■t.MM■■■MM■■■EMMEMEMMEME.MtE■■.MM.....
■E■■MMM■ ■■. ■■ .�_■■ ■ ■.■ =eeM ne■■t■■OEM ■ NtSOMEONE ■■!N■tHN■■t■■■■N■MEtNN■N!E■.■
on ■.e..■■■.e ■ ■ ■ MeM ■■■■■ ■E■■MMHMMOM■NON!■MM■■■M.M■M■■■MM■M■MEMMMNtt..■
■ECM■■N■■eUnione�i.=E= ■Me■eMM■M=t.MEMM■M■M■■■e■■■■■....■MHENO■E■■�MMMMM■M■NM■MEMMM
■■E■■.■EM■ ■■EMM■■ . .. . ...■■. ■■.■.■■....■■■e■■MME■MlMHMEMME■E■�NEM■S■SMt.EE■■.
■■■■■mom EMMONS■e■■ONE■■eN■■OME� =MEM■MM■■■a■H■■■M.s■■MMM■MMNM.MMMM■MMM■■MMN ■■M■■.N■.M..■.I
NEMESES.■■■■■nM■ ■.N■M■.E■■NHM■MM■■EMMMtM■■■■MM.tNM■■EHEM■■■■.MEMEM■■EMEM■■E■