138 Live Oaks Road Lot 6Davie County, NC Tax Parcel Report Thursday, October 20, 2016
Parcel Number:
NCPIN Number:
Account Number:
Listed Owner 1:
Mailing Address 1:
City:
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
WARM -NG: '1'H1S 1S NUT A SURVEY
Voluntary Ag. District:
Parcel Information
E715OA0006
Township:
5861876974
Municipality:
82525183
Census Tract:
BROWDER BENJAMIN T JR
Voting Precinct:
138 LIVE OAKS RD
Planning Jurisdiction:
ADVANCE
Zoning Class:
NC
Zoning Overlay:
Land Value:
Total Assessed Value:
27006-0000
Voluntary Ag. District:
LOT 6 BEACONS OAKS
Fire Response District:
0.69
Elementary School Zone:
9/2005
Middle School Zone:
006280005
Soil Types:
0008
Flood Zone:
193
Watershed Overlay:
318140.00
Outbuilding & Extra
Freatures Value:
42500.00
Total Market Value:
365740.00
Farmington
37059-803
SMITH GROVE
Davie County
DAVIE COUNTY R-20
DAVIE COUNTY QD
SMITH GROVE
SHADY GROVE
WILLIAM ELLIS
GnB2
DAVIE COUNTY
5100.00
365740.00
No
t v r
Davie Couniy,
All data is provided as Is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
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County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
or arising out of the use or inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #: 989900635
Tax PIN/EH #:
5861-87-7983.06
Billed To: Wayne Frye
Subdivision Info:
Gun Club Lot # 06
Reference Name:
Location/Address:
Gun Club Rd -27006
Proposed Facility Residence
Property Size:
see map
ATC Number: 4237
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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signature: Z LevelDate:-
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 139A, 4ecf .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WAY be taken as a guarantee that the s;rr will function satisfactorily for any
given period of time. e Q��,� 7 IG 7 iL 1
+3 0 .2
fq I
RAILS
2, T
@J p-41-4 stD-CAA,66R FQ o►.I t WWW'
LAYCSeptic System Installed By: � � t J
Environmental Health Specialist's Signatur te:
DCHD 05/99 (Revised)
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility: Residence
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Tax PIN/EH #: 5861-87-7983.06
Subdivision Info: Gun Club Lot # 06
Location/Address: Gun Club Rd -27006
Property Size: see map
**NOTE* This
is 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_ #People #Bedrooms #Baths
Dishwasher:;!( Garbage Disposal: Washing Machine: Y Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply _� Design Wastewater Flow (GPD) Q�?6 D Site: New C Repair ❑
System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width Rock Depth,!%1-Linear Ft.olV'�'
Other:
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PER IT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: ontact a representative of the Davie County Health Department for final in of this
system between 8:30 a.m. to 9:30 a.m. 01711
r 1:00 p.m. to 1:30 p.m. on the day of installation. �il�o a #rj is (336)751-8760.****
PA
`a/
ro', � O'a
Environmental Health Specialist's Signature: Date:
-�
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 989900635
Tax PIN/EH #:
5861-87-7983.06
Billed To: Wayne Frye
Subdivision Info:
Gun Club Lot # 06
Reference Name:
Location/Address:
Gun Club Rd -27006
Proposed Facility Residence
Property Size:
see map
ATC Number: 4237
**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 #People #Bedrooms �3 #Baths c2,—
Dishwasher Garbage Disposal: ❑ Washing MachinvEr Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water Supply Design Wastewater Flow (GPD)(�7a�� Site: New Repair ❑
System Specifications: Tank Size/,,(o GAL. Pump Tank GAL. Trench Width ZI�Z Rock Depth/1 -"`Linear Ft.?o(%
As stated in 15A NCAC 18A.1969(5)
Other: =ev"ted Systems arso uzieu
Required Site Modifications/Conditions:
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: 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.****
i
Environmental Health Specialist's Signature: Date:
DCHD 05/99 (Revised)
Mar 31 04 03:28a davie county envhealth 336 751 8786
ANYLCCAITION F011 SITE EVi1ll 71014/IhIPROVENEW i'eWIT & ATC
Davie County Fealth Department
Envlronmca:allYea/tb Sectfa� �.
P.O. Doc 640/210 Eoapitil Street
3ocksvilla, NC 27028
(336)751-0760
P.3
**aYFSPORTAlr1•*** TJ1ZS .%PPLICATION CANNOT DE PROCSSSB7 MU SS ALL Tirl: REQUIlu:U
INFOFMATION IS PIIOVIV:Z. Re�fo%r Lc the INMRXATION DrtL:,;'PSFJ tor' irz(;ructioLao. ,
1. Naga to ba aluad i�fC i[/�Y Contact Parson a 191
laailinl Addrnaa/n/Glll.,�/lSJ t tW�a P:wna,.. S%,�•�✓�Jl/
City/Zteta/Z=V /l%%G/�7�C �I.� L)� bualna:a Vlwua 3✓�� � E,i " �StJK'
2. steno an Paril.t/ATC 1r Ditte:ant ehaa JU v* t7
xti11a9 Uuroaa `sly/s:atclsi _ ,.._... .... ._._..
i. Appii:aelon ser: Cd site Evaluatlom Improvcuz=t• Pemait/ATC Ll 1)u LII
�.
a. gvtom to service: 10%oac 0 Fiottile Home r-Duainets 0 ImdtaLry C OLI=
-
'
,-,/.
s: Type aystan recueatod, i,r G+arcatiotwl Convectional awdillcd Q ivamrativu
i. Ii ResidaacF: I People
I 23edrocalr I BatLroow:;
i.. f
Vhlahranher OCarbago DisLoaal �aa/ahlry KachLmo 133aaamant/P1w1a:tutt ❑aacorWa C/Nu Plu44)in3
7. 1! nuaiaaaa/Yaduatry /ethos: verify type
I Puoplo
8 Commodaa I SboNora
I ecinalo 119atcc Cocicru
IF TOODSERVICE: V Seat.a
Estimated Nater usage taailoot par day)
0. Typo of water supply, Connty/City
0 Wall 17 Couu:r4ni L-y�/'�
P. no you antlaiyate addition Or CSplGadus or the
racXty tills system is lnlCIlded to Su*Vk; 0 1 CS CI -,r,,
if
iT yes, ulmI type?
***lAIPORtT"T"* CLI.$.4'l5 A1U3TC0611'LLTt:T111: RL•:QUl1WD 1'ROl'LilT1' L\F•ORmA•11cm ltL'QUL 11•:17 .yl
BELOW. ElfcraP AT orS:TEPLAN hlUST6CSVDAri7TLDbylhodlewiv;lh•1•1ISAPPLICATION.
Prolwly Diusatuio:ts: ;r ��/, � y�/��/L/ 5YAf7LUIRLcrIons (rrum hlud S11ut) to 1•lu)1•l NTY:
•r:tx Om« PIN: a 49w-'"--z4a zff.
Property Address: RoadNalue 6,11- (GG'Ba �/%J1L1`
lrtll a Subriivisiolt provide Inrurnlalion, :s fullows:
Scclioa: Block: _ Lot: , Date, home curacrsC:ugged: J- 3 r
This Is to ecriiry that We lurormatiouprovideui` s correct W best ortuy lutowlcdge. I understand 11:A :u:)• perutil(s)
issued hcreartrx era subject to suspeus:en or revacatloa, liths site pleas or iulet:dud use ciumge, or i[lLe itliortualiuu
sabtuiticd in this appieation is fidsillml or dunged. 1, aGo, uadmimud d urf ea: rrap unsIblejur alf churbca lucurred.1apps
rheJ/rltlicur;uit J,l:c;cb)•,giv:co:ucato lbeAutl:urircdRcl:resc:at+since[tacD::ricCuuntyIlca[tl:llcpa�Gnc�tf
le cnlcr open above described p. upst. iucated in Davis County end utruci by
tc :III icslipg proeM:yrs tta ssnt7 to Jctcrtuine ilte site sulltubT
LWI'1 - a 'J� , .� SiGNATi.:lu
THIS AREA MAY BE USED FOR DR.10i tG YOUR 5ITw 1 [.Ah ;Iusludc 2u ur lLc fUoty:t:6:::xistut and prupunc
property Enos aed dimensions, st..ructu.•cs, salbaclz, anti septic los: tioasj.
+ Site Rcrisit CI1::rI;C
IL`altsj:
Clings NotirIcalia:'.!);I
Sip slrcn Accoc:It P o. [ (SI— t C 60
Raised MID (OS173 tn—;- N.. y 3 '51
A. �v��
= DAVIE COUNTY HEALTH DEPARTMENT
' Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
Account #: 989900635
Billed To: Wayne Frye
Reference Name:
Proposed Facility: Residence
Property Size:
PROPERTY INFORMATION
Tax PIN/EH #: 5861-87-7983.07
Subdivision Info: Gun Club Lot # *
Location/Address: Gun Club Rd -27006
see map Date Evaluated:
Water Supply: On -Site Well Community/
Evaluation By: Auger Boring Pit v
Public
Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
Slope % L
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
to/'
Mineralogy t
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY:
OTHER(S) PRESENT:
Landscape Position
R - Ridge S - Shoulder L - Lmear 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)
Mar 31 04 08:288 davie county envhealth 336 751 6786 P.3
A!'1'LZILTION FOU SITE EV/ UA710N/Ih1PliOVPh1L•iJr VW)LIT & ATC
Davie County Hoalth Departmont � /¢ lois
EgYlrmilzra7:a/f esi0 sdaw
P.O. Dox 840/210 Uoapital Stroct 1✓�/� �f� h�
L(ockavillo, NC 27020 Q tY X1/1
(336)751-0760
aa►y1.tpORTAIm— Ti1I5 .--PPLICAiION CA1&OT XV PROCESSZD M;LESS ALL TIM REQUI1:L13
IN:OR'NF.TION IS PnOVID::M. Retar Lo the IN1r0.'{MdTION BULL!.;M for inats:uct-iou.:1.
1. raga to ha '3311 Cd �/li=� `(i'KY� kC ���� Contnae Pcrion u���/J.�_ • F Y�
i
h4Lliag Addreea Mae luwna 9-4, - S% ,'•�✓ ( .
cl ty/9te taJZSP �1 Ct 1.� !n'`.L�1,� uull.low puvua 33� _yE_1•-_ s,�_,�
7. Rano on Parmlt/ATO If Dilto:mt
KallSnp Addream City/Scale/11p
1. Application For: Q Sitc Evaluation O ilcprovemant TeimiL•/ATC LJ 1!o L•!i
i. Syctan to Servlae, i0 $aasr, 0 molzilc cmo 0 mminetn 0 Iadaztry Cl OLitcr -_
V
S. Type arstea rcruaatada Q} omrcatlonal ❑ Conventional s,oditicd Q Lctauvatire
c. It Residanca: 1 People 8 Bodrocuiz 3_ tl Sathroum:; •___
oLhwuhar Liaarbage Diapoaal FSM Alny Kaetti,so Dnaaamant/Plu::l,iug ❑sacaawntima riumoing
7. Il 1letiaeas/Iulnatrr /other: verily type tl Puople tl aiukr
1 Coamedea 1 showers 1 ticinalo a watt.: Cocicra
IF FOODSERVICE: tc Seal:p Eatimated Water 11aago IgalloaD par day) _
s. Type of water
supply: S. D Wall 17 CowuattiLy T_..-.
9. Do youaatialpateaddittcza-5;CSpar.Siawof[befatill[yWssptemhhiteadedtosu•va13Yu la :JNe
if yes, 1012 t type? .-.
aaaldlPt?1tTit/Y1"°•'t.LIl3.Y•I'S fltUSTCOdfYGA7G'•rti1: 1(1•;[)/illlCU 1'!?OI'L:k'I'Y li\F'Ol{hIA'1'IUIV !{t;QlJliSl l•:IJ �••~I
UCLOW. Elo era P 19' orS:TE PLkfi d1USTAESFIJIA1/7TL•D Ly the dlcftt lrilll VIIIS APPLIC,1TION. I
ProlrcrlyUimensions: )VIRIT'U11=11U,YS;r:vtnMudsriltc)to!•1{Ut'tiNT :
Tax orrcc f'tiv: rl
ProperiyAddress: Roadl`ianlc 6"." 66'0?0-0"eb /�► /J?yCIFL
City2)p,%. C �%LY" c Z)id
1101 a SubLi iislon provide Infurnwlliou,, :s follow.
�u C'LttB 11'atnc _/_V�/' ��/3I�
Sectlon: �G T3IocI{: / _ Lot:, J� Date 1to:necarucisCluggeJ: -� `" t 1/ �'r�`fV y
This Is m certify ilia[ the luformatlou pt ovidcd is correct to the best oruty lulolrlcdgc i Lutderstand tAat :uty partltii(s)
Issued hereafter Are sullject to suspcusiea or revocation, Iftllc sltephns or intended use Ccuge, or If ilia )nior:nation
sublalttcd in this nppAcatiut is L•dsi:Fcd or chacgcd. 1, also, unrlrrunurd r1tarl en: rrafianxIGle fur till charred invur•redfi-am
Uruu/ryllicwJula. f,hereby,givocousea: WIi:cAutl:uriccdRcllresell[a[ircort;tclYtricCuwdy]Ic:t[:1�1)cptirlutc:a
to cntcr apes aDorc des;ribcd p: uperl located Iu Devic Ccuaty rid -true? by
to conl3ct all ieslin; pr000L:pr:s:S uet slaty to dC(Ct•tuiuc dic site suituLir,'I,.
DATL
r
TRIS ARSAMAY BlUSED FORDU'Lw:NGYOUR SITZ .LA11"I'lCludcaliurLite fuijom' :L�risiinedue?)u-poste
property lines and dimeasio:ls, st:uctu:•cs, rztbac!ts, and scrtle Jazzttoasj.
' S116 los isa Ca:a•ge
C1i=L Notilicalh;i Lint=
_
Sip girca AC:oi:at No.
Rc}:scdDCHD(05133 Y 3 S O
Mar 31 04 08:28a
davie county envhealth 336 751 8786
A!'1'L:G1710N FOli5iJ: EVilLlifiTlON/IM1lnli0YEA1GYt t'l:li11JT &ATC
Davie County Health Departmont
S7Y1ranmr✓7,t21 Ca/ih 5CCti97
F.O. J3= 8411/410 hospital Street
3cockavillo, NC 27038
(33 0 751476 0
p.3
1
o.s¢� Pd
9
e*eIlSpOA:,.U4T*** THIS ..PPLICATICI; C1MO:r DL PR0C8SStD M;L1S5 ALL TNN: VXQUIltLD
INFORMATION IS PAOVID;m. Refor Lc the 111ro:t ATION BULLBT'IN for inDLructioi:r.
1. NASA to be 9111td %�•J1!- IFL: G•y.4'(.%I<< AZW- Cantact poryon
lLiling Addrasa s%n/�l�L-�y1S�/ r 9 Ila= Pniao ��... f Q.."�✓ u(
cit:/�men/zxv /lDGffli�CL� i(,I.� ,fes%��F uusl„c u Utwua 3✓�/c iE_i ' �5�
7. Rene on PoimLt/AxC it Dilc—c t u%.n Ahwo .J/ T �._ _. •. .. .. .. •
ut111aq Addaeea
a. Application Tor+ Cd Sitc Evaluatioa y CI Iccprovemoril; Pe=ait;/ATC U tluctl
4. pyctom to parrLC01 SI/wase ❑ uozilc Homo ❑ Duaiaeau ❑ rmduDtry ❑ Ol:llcl _
w
�/
5. Type aystam requeatod+ 0/01aveational conventional swdifAcd )] iascvucivu
s
f. Ii Residoaca: I People 8 Badroemr. �_ I DaLbroouc;
�aLsltxaaber Cl:ubegn Diapoaal �waaIlSrp Xcchitso ❑Daaamant/Plwubl:+g ❑DacaownC/NJ t•Suud,Li�
7. Zf Iluainene/Induatty /oahoc+ v..LLT type p puoplo p Dlak*
I Commodes 1 show=. p p.cinsln p IYat:or CocicrJ
IF i00DAVICEs t= SeaI.B Ei<timeted Water UDagc Igsilonc par day)
p. Typo or water ouppip+ County/City M Well ❑ Couummi Ly
I. Do you antiaipato addition* :; expar.siow of Elle racii:ty this systcill is lllteuded to st:l'yd7 ❑ Yes L'l No
:f yCS, 11'ila l typt7 _..
re*1d1P0RTA1YJv11 CLI."VVM AIUSTCOAiPLATf T11C 1 L•'QWACD I ROPLICPY h`FOLUVIA'17014 RLQUES1'1?I7 .,.�
BELOW. Elq crit P1,AT orS:TE Pts%N 61U5'TBCSV,7A1 T Z.D by the dlou w1(11'I'UIS APPLICA'MON.
ProixrlyDimensions: ����/,Sl�it�/4•11kUatL'Ct�ons;rroluAludsrillc)luI'll OV JCi'1':
n
Tax office VIN: a
Property A ddress: Road Name
��C11741" (GGeloeD
Clty2iP.1LlL1%/`�`�
Mit a SubbLi vision provide Inriernladolll'.-is fultlolys:
Nagle: Y +1G / `•'/"��CwGG.� ,' //
/O c
Section: /G s Bloch: __ — Lot: Date home corners flagged: i1 t I
Thu Is to certify Iliac the lurormailotlprovideu is correct to the best of my lutotrledga I wlderstaud ilial :u:y perudl(s)
Issued hereafter aro subject to suspcusioa ar rcvocatioo, If the sttc pians or iuiclulLd use clumge, or if ilio iillurmalfun
labluiticd In tills appucati*u Is L•dsilliml or clsaaged. Jr, also, andasru nl ri,arl cru rrrpon iblefor of/churbcs lucurred f -vin
(A'kdpPUCuriuA I,1iC:cb}•,giveco:13e:n toil:eAuil:uru.dRd:rose:llalivcof[ilei}:rricCuwl(plIcuhllllcpurGnrnt
ea calor apen abure described p: uperl; lue:tled iu Davie Ccuaty rad utrucd by _
W gun dact:III IicslipC procCCures :s tree as=ry to &Wrwiae the site suitabX
DA.'1'li%.�� f •� SIGIYATUItE C G-LLiI 'lC/`Lt
TH15 AREA MAY BE USED FOR DR-LWLNG YOUR SITE 1 LAN (I:icludc all of the fuila:yit:g: -VxWue iwd Ilrupusuc
property Uncs and dimeasfaas, struuu-cs, setbac.lu, and scpt;c lo:: ttoasj.
I Site 1;zvisil C"wi-ge
CliaciL Nutifica li o is Da 1 _:
jEIw
sill given f A=auut No.
RcY;tcd DCHD (05103 ------ 1—.4, T -J..
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 989900635 Tax PIN/EH #: 5861-87-7983.06
Billed To: Wayne Frye Subdivision Info: Gun Club Lot # 06
Reference Name: Location/Address: Gun Club Rd -27006
Proposed Facility: Residence Property Size: see map Date Evaluated: :;�—I_:�Aq
Water Supply: On -Site Well Community Public L/
Evaluation By: Auger Boring Pit l Cut
FACTORS 1 2 3 4 5 6 7
Landscape position
Sloe % 61G
HORIZON I DEPTH it i
Texture groupL
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure Ajdl/
MineralogyL J
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE: ,
REMARKS: �O)?e / `�_fz—
EVALUATION BY: ,2 L/) � L_ )/
OTHER(S) PRESENT:
_�J ` / 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)