127 Wyatt Drive Lot 56Davie Countv. NC
Tax Parcel Report Tuesday, December 20. 2016
Plat Book: 9 Flood Zone:
Plat Page: 388 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
WARNiNCT: '1'tll5 IS NUT A SURVEY
All data Is provided as Is without warranty or guarantee of any Idnd 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
E(51
Parcel Information
County of Davie, North Carolina, its agents, consultands, 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.
Parcel Number:
F8030A0056
Township:
Shady Grove
NCPIN Number:
5870645169
Municipality:
Account Number:
8301868
Census Tract:
37059-803
Listed Owner 1:
RS PARKER HOMES LLC
Voting Precinct:
EAST SHADY GROVE
Mailing Address 1:
502 HICKORY RIDGE DRIVE
Planning Jurisdiction:
Davie County
City: GREENSBORO
Zoning Class:
DAVIE COUNTY R -A
State:
NC
Zoning Overlay:
Zip Code:
27409
Voluntary Ag. District:
No
Legal Description:
LOT 56 ESSEX FARM PHASE 1B
Fire Response District:
ADVANCE
Assessed Acreage:
0.69
Elementary School Zone:
SHADY GROVE
Deed Date:
3/2016
Middle School Zone:
WILLIAM ELLIS
Deed Book / Page:
010121147
Soil Types:
GnB2,PcB2,EnC
Plat Book: 9 Flood Zone:
Plat Page: 388 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding & Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
Davie County,
All data Is provided as Is without warranty or guarantee of any Idnd 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
E(51
NC
County of Davie, North Carolina, its agents, consultands, 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.
CONSTRUCTION For Office Use Only
AUTHORIZATION *CDP File Number 191869 - 2
✓' Davie County Health Department
' tY P County ID Number:
210 Hospital Street Evaluated For: NEW
P.O. Box 848
'^.,.,..` Township:
Mocksville NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax: 336-753-1680 0 a/ a s a 0 a 1
Applicant: RS Parker Homes Property Owner: RS Parker Homes
Address: 502 hickory Ridge Dr Address: 502 hickory Ridge Dr
City: Greensboro City: Greensboro
State/Zip: NC 27409 State/Zip: NC 27409
Phone M (336) 362-8970 Phone #: (336) 362-8970
Address/Road #:
127 Wyatt Drive
Advance
Structure:
# of Bedrooms:
# of People:
`Water Supply:
NC 27006
SINGLE FAMILY
4
PUBLIC
Subdivision: Essex Farm
Phase: Lot: 56
Directions
Hwy 64 East, left on Cornatzer Rd, Essex Farm on left
past Beauchamp Rd
Classification: Ps LPP
Minimum Trench Depth: Inches
\Site
Minimum Soil Cover:
Saprolite System? O Yes
9
No
Inches
Design Flow: 4
8
0
Maximum Trench Depth: Inches
Soil Application Rate: 0
2
7
5
Maximum Soil Cover: Inches
`System Classification/Description:
`Distribution Type: LOW PRESSURE PIPE
TYPE IV A. ANY SYSTEM WITH LPP
DISTRIBUTION
Septic Tank: 1 5 0 0
Gallons
*Proposed System: 50% REDUCTION
1 -Piece: O Yes ® No
Pump Required: ® Yes O No O May Be Required
Nitrification Field
1
7
4
5 Sq. ft. Pump Tank: 1 5 0 0 Gallons
No. Drain Lines 7
1 -Piece: OYes ®No
Total Trench Length: a
9
1
GPM --vs-- ft. TDH
ft
Trench Spacing:
_
8
O Inches O.C. _
® Feet O.C. Dosing Volume: Gallons
Trench Width:
a
Inches
Feet
_
Grease Trap: Gallons
Aggregate Depth:
inches
Pre -Treatment: O NSF OTS -1 OTS -II
Septic Tank Installer Grade Level Required: 01011 O III 01V /
Page 1 of 3
CDP File Number 191869 r 2
m
*Site Classification: PS LPP
Design Flow: d R A
County ID Number:
❑ Open Pump System Sheet
:®Yes O No ONo, but has Available Space
Trench Spacing: — 8 O Inches O. .
® Feet O.C.
Trench Width: a Inches
Feet
Soil Application Rate: 0 7 5
*System Classification/Description:
TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION
*Proposed System: 50% REDUCTION
Nitrification Field
No. Drain Lines
Total Trench Length:
1745 Sq. ft.
3
a
9
1 ft.
Aggregate Depth:
inches
Minimum Trench Depth:
a
Inches
Minimum Soil Cover:
1
a
Inches
Maximum Trench Depth:
3
5
Inches
Maximum Soil Cover:
1
9
Inches
*Distribution Type:
LOW PRESSURE PIPE
Pump Required: ®Yes O No O May Be Required
Pre -Treatment: O NSF OTS -I OTS -II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. R -mw
750
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. Rm�ng
This permit is not valid unless it accompanies the spec sheets from S and EC. 1923
This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not
to exceed five years, and may be issued at the same time the Improvement Permit issued (NCGS 130A -336(b)). If the installation has not been
completed during the period of validity of the Construction Permit, the information submitted in the application for a permit or Construction
Authorization is found to have been incorrect, falsified or changed, or the site Is altered, the permit or Construction Authorization shall become
Invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? O Yes O No
Applicant/Legal Reps. Signature- Date:
*Issued By: 2140 - Nations, R Date of Issue: 0 a / a 9 a 0 1 6
Authorized State A Malfunction Log OYeS
O Hand Drawing ® Import Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
CONSTRUCTION AUTHORIZATION 191869 - 2
Davie County Health Department CDP File Number:
210 Hospital Street
P.O.Box 848 County File Number:
Mocksville NC 27028 Date: 02 / 29 / .2016
0 Inch
Drawing Drawing Type: Construction Authorization Scale: . , 0 Block
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Page 3 of 3
P1 P2
1500 G TANKS
P/T
7
RMANI
DESIGN LAYOUT
.,CONI[ m FMAWW HAERIO m OM 0" ALL tm OLL IEEEE
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1"=50'
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CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number: 191869 - 2
P.O. Box 848
Mocksville NC 27028 County File Number:
Date:. O. a. / -19 / a0 16
Click below to import an image from an external location: Drawing Type: Construction Authorization
10/T
A/
T¢
1500 G TANKS
P/T
7
DESIGN LAYOUT
GRAPHIC SCALE
1"=50'
50 0 50 100
T
auwo Yoll 8 En
* _�rwa- Sovlronnental.Consultants, PA & 1
Page 3 of 3
P1 P2
IMPROVEMENT PERMIT
r Davie County Health Department
210 Hospital Street
4
P.O. Box 848
Mocksville NC 27028
For Office Use Only
"CDP File Number 191869-1
County ID Number.
Evaluated For. NEW
Township:
Phone. 336-753-6780 Fax. 336-753-1680 PERMIT VALID UNTIL: 4/15/2020
*NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit.
Applicant:
PSC Development Cor, LLC/
Address:
PO Box 340
CRY:
Mocksville
State2ip:
NC 27028
Phone #:
(336) 751-7300
&dress/Road #:
Essex Farm
Advance
structure:
# of Bedrooms:
# of People:
*Water Supply:
NC 27006
SINGLE FAMILY
4
PUBLIC
PS Drip
/"Property Owner: PSC Development Cor, LLC/
T A i.
Address: PO Box 340
CRY: Mocksville
State2ip: NC 27028
`Phone #: (336) 751-7300
Subdivision: Essex Farm
SaproliteSystem? OYes @No
Design Flow: 4 8 0
Soil Application Rate: 0 2 7 5
u
*System Classification/Description:
TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION
*Proposed System: 501/6 REDUCTION
Phase: Lot: 56
Directions
Hwy 64 East, left on Cornatzer Rd, Essex Farm on
left past Beauchamp Rd
Minimum Trench Depth: a 8 Inches
Maximum Trench Depth: a 8 Inches
Septic Tank:
1 5 0 0 Gallons
1 -Piece: (Yes (F)No
Pump Required: OYes ONo OMay Be Required
Pump Tank: 1 S 01 A Gallons
1 -Piece:
Repair System Required: *Yes ONo ONo, but has Available Space
Repair System
.Site Classification: PS LPP
Soil Application Rate: 0 2 7 5
*System Classification/Description:
TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION
*Proposed System: 50% REDUCTION
@Yes ONo
Minimum Trench Depth: a 8 Inches
Maximum Trench Depth: a 8 Inches
Pump Required: QYes ONo O Maybe Required
Pagel of 3
CDP File Number 191869 -1
*Site Modifications
County ID Number:
❑ Open Fill Sheet
No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department.
*Permit Conditions
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. ,
The layout of the septic system has been designed by Soil & Environmental Consultants, PA. See page 3 for the design. All design criteria can be
picked up at Davie Environmental Health. The house size and exact location on the site must not exceed the design dimensions as specified in the
design layout.
Site Plan The Improvement Permit shall be valid for 5 years from date of Issue with a site plan (means a drawing not necessarily drawn to
scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the
Oe
site forthe proposed Wastewater system, and the location of water supplies and surface waters).
Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land
surveyor, drawn to a scale of one Inch equals no morethan 60 feet `that includes: the specific location of the proposed facility
O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters.. Plat
also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy
of the recorded subdivisions plat that is accompanied by a site plan that Is drawn to scale).
The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of
the system to satlsty the conditions, the rules, or this article. This permit is subject to revocation if the site pian, plat, or Intended
use changes (NCGS 130A-3350). The person owning orcontrolling the system shall be responsible for assuring compliance
with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance, monitoring,
reporting, and repair (.1939(b)).
Applicant/Legal Reps. Signature Required? OYes ONo
Applicant/Legal Reps. Signature: Date: /
*Issued By: 2140 - Nations, Robert Date of Issue: 0 4 / 1 5 / a 0 1 5
Authorized State Agent: --� �-� OValid without Expiration?
0Create CA?
01 -land Drawing *Import Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
IJ
I - f
Essex Farm Lot 56
Project No. 4-1773
layout for a 4 bedroom home Dec -07
FLAG FLAGGED
LINE # COLOR BS HI ITS ELEVATION LINE LENGTH
TB 0.7 100.0
INSTR.1 100.7
1
Pink
2.30
98.4
62
2
Red
3.20
97.5
60
3
Orange
4.10
96.6
57
4
Yellow
5.00
95.7
58
5
Blue
5.90
94.8
56
6
Pink
6.50
94.2
55
7
Red
7.00
93.7
.40
8
Red
6.30
94.4
25
9
Yellow
6.60
94.1
50
10
Blue
7.00
93.7
52
11
Pink
7.30
93.4
52
12
Red
8.00
92.7
22
13
Blue
8.70
92.0
25
14
Yellow
9.10
91.6
34
15
Red
9.40
91.3
22
Notes:
** TBM located top of water meter
**TBM is assumed to be 100'
**All measures in feet
**Nitrification lines are demonstrated on contour via
colored pin flags
**BS and FS indicate rod readings
layout for a 4 bedroom home
Essex Farm Lot 56
` Design Specifications
Dec -07
FLAGGED
HI FS ELEVATION :INE LENGTH
100.0
100.7
2.30
3.20
4.10
5.00
5.90
6 Pink
FLAG
LINE #
COLOR BS
TBM
0.7
INSTR. I
6.60
1
Pink
2
Red
3
Orange
4
Yellow
5
Blue
Essex Farm Lot 56
` Design Specifications
Dec -07
FLAGGED
HI FS ELEVATION :INE LENGTH
100.0
100.7
2.30
3.20
4.10
5.00
5.90
6 Pink
6.50
7 Red
7.00
8 Red
6.30
9 Yellow
6.60
10 Blue
7.00
11 Pink
7.30
12 Red
8.00
98.4
97.5
96.6
95.7
94.8
Total
94.2
93.7
94.4
94.1
93.7
93.4
92.7
LINE LTAR SYSTEM qNOVATIVE
LENGTH GPD/FT2 TYPE TYPE DISTRIBUTION
* System 293 0.275 Innov chamber P. Manifold
Repair 296 0.275 PANEL N/A UP
Notes:
**TBM is assumed to be 100'
**All measures in feet
**Nitrification lines are demonstrated on contour via colored pin flags
**BS and FS indicate rod readings
62
60
57
58
56
293
55
40
25
50
52
52
22
296
Tap Sheet
SYSTEM
Line # Color Elevation Length Hole Size Flow/Tap gg_d Trench Area Line LTAR
1 PINK
98.4
62
SCH 80 1/2
5.48
96.00
186
0.52
2 RED
97.5
60
SCH 801/2
5.48
96.00
180
0.53
3 ORNG
96.6
57
SCH 801/2
5.48
96.00
171
0.56
4 YELO
95.7
58
SCH 80 1/2
5.48
96.00
174
0.55
5 BLUE
94.8
56
SCH 801/2
5.48
96.00
168
0.57
total
feet =
293
gal/min =
27.4
Des. Flow
480
Pump Run=
17.52
soil LTAR
0.275
PPBPS LTAR
0.55
PPBPS LTAR +5%
0.5775
Line #
6
7
8
9
10
11
12
REPAIR-PPBPS DESIGN SPECIFICATIONS
#Holes
Line
Line
Line
Color
#Panels
Panel
Length
Hole Size
Head
Flow
Pink
13
1
55
5/32"
2.0
5.33
Red
9
1
40
5/32"
2.0
3.69
Red
6
1
25
5/32"
2.0
2.46
Yelo
11
1
50
5/32"
2.0
4.51
Blue
12
1
52
5/32"
2.0
4.92
Pink
12
1
52
5/32"
2.0
4.92
Red
5
1
22
5/32"
2.0
2.05
Total
68
296
27.88
DEPARTMEN? Oi' ENVIRONMENT AND -NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL HEALTH
ON-SYMI WASTEWATER SECTION
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYST-Ek
Sheet —of
PROPERTY ID #: _ T
COUNTY: Devic
OWNER:. Michael Hauser Construction _ APPLICKWN
DATE_] 1/13107
ADDRESS: DATEEVALUATED:
PROPOSED PACI2 ITT: 4 bedroom I•Iome PROPOSED DESIGN FLOW (.1949):480 gpd— PROPERTY SIZE:
LOCATION OF SIIE:—Lot. 56. PROPERTY RECORDED:
WATER SUPPLY: Private Public EWcll Spring Other
EVALUATION METHOD: Augcr goring E Pit Cut TYPE OP WASTEWATER: ..Sewage Inclustrial Process Mixed
r
rt.
r.x960
L
#
LANDSCAP&
POSMON/
SLOPE %
_ HQP4ZQN
DEPTH
(IN.)
SOIL MORPHOLOGY
0941)
-
OTHL, R
PROFILE -FACTORS
PROFILE
CLASS
& LTAR
.1941
STRUCTURFJ
T1rXTURE
-----
.1941
CONSLSTENCrJ
AUNO ALOGY
1942
501E
SOI
WrTNr-W
COLOR
.1943
SOIL
DLNTH
.1956
SXPRQ
CLASS
.1444
RESTR
HORIL
qq
1
L
0.5
WF Qu Q4
NS. NF.Fi3 t EW _
a4r
Mr �
14A
P5
>=S
.5,30r
W Fsak'tcL
ss; sr,FR/S6XP'
3048
W F SEK I CL
SS, P.R/ SEXP
�}
Lr
4
7.900
0.5
W FGR /CL
NS, NP,.FR I NEXP
>47"
>47"
NA
P$
P$
3-30
WFSBKICL
ss. SP,FR/SEXP
3047
W FSBK I EL
SS, P" SEEP
3
L•
79%
0-8
w F GRIEL
NS: NP;FW NE II
>48
>48"
NA
PS
PS
'848'
wo saxiC
SS. SPTIISMP
:5%
0.3
FILL
FILL
>54"
>54"
NA
PS
PS
'441,
WF GR / CL
NS, NP,FR I SEXP
11.34
W F SBK/ C
SS SP FU SEXP
34.34
INMSBKIC
SSSPFISEXP
DESCRIPTION MIAL SYSTFM REPAM SYSTEM QTTIER FACTORS (, IQ4b):
Avuilublc Spncc (:1945)' . SrM CLASSWAMN (1448)= _PS— _
System-Type(s) EVALUATED BY: OVERBY
O'THF-R(S) PRESE-NT'
Shc LTAR
COMMENTS:
APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC
Davie County Environmental Health
P.O. Bos 848/210 Hospital Street
iVlocksville, NC 27028
ATD, (336)753-6780/ Fax (336) 753-1680
�� ✓ Application For:,Site Eva IUation;'lmprovement Permit JYAuthorization To Construct(ATC) G Both
of Application: kew System Repair to Existing System Expansion/Modification of Existing System or Facility
***LLIPORTANP** THIS APPLICATION C,4M OT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name to be Billed ?04 NOYYI 25 Contact Person Mf ,
Billing AddressD L& Home Phone,
City/State/ZIP C Business Phone
Name on Permit/ATC if Df
erent than Above
Mailing Address
corners t iaggea
e Plan ❑Plat(to scale)
Phone Number 33�,''341,
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?
Does the site contain jurisdictional
❑Yes *-
❑Yes
wetlands?
A
Are there any easements or right-of-ways on the site?
❑ Yes '0
Is the site subject to approval by another public agency?
D. Yes '
Will wastewater other than domestic sewage be generated?
❑Yes I o
IF RESIDENCE FILL OUT THE BOX BELOW
# People # Bedrooms # Bathrooms 13 Garden Tub/Whirlpool �'es 7No
Basement: ❑Yes o Basement Plum ire: i7Yesxo
IF NON -RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business 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
Type system requested: /\1 onventional ❑Accepted CInnovative CAltemative COther
Water Supply Type:xcounty/City Water ❑ New Well =Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? a 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
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 of entry to the Authorized
Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable
laws and rules. I understand that I am responsi a for the proper identification and labeling of property lines and comers and
106+• - rt „ Ir c' c� i location, proposed well location and the location of any other amenities.
Poe own r owner leg 1 representative signature Site Revisit Charge
Date(s):
Client Notification Date:
Date EHS:
Sign given .--Yes --No Account #
Revised 11/06 Invoice #
layout for a 4 bedroom home
Notes:
Essex Farm Lot 56
Project No. 4-1773
Dec -07
FLAGGED
HI FS ELEVATION LINE LENGTH
100.0
100.7
2.30
FLAG
LINE #
COLOR BS
TBM
0.7
INSTR.1
96.6
1
Pink
2
Red
3
Orange
4
Yellow
5
Blue
6
Pink
7
Red
8
Red
9
Yellow
10
Blue
11
Pink
12
Red
13
Blue
14
Yellow
15
Red
Notes:
Essex Farm Lot 56
Project No. 4-1773
Dec -07
FLAGGED
HI FS ELEVATION LINE LENGTH
100.0
100.7
2.30
98.4
62
3.20
97.5
60
4.10
96.6
57
5.00
95.7
58
5.90
94.8
56
6.50
94.2
55
7.00
93.7
40
6.30
94.4
25
6.60
94.1
50
7.00
93.7
52
7.30
93.4
52
8.00
92.7
22
8.70
92.0
25
9.10
91.6
34
9.40
91.3
22
** TBM located top of water meter
**TBM is assumed to be 100'
**All measures in feet
**Nitrification lines are demonstrated on contour via colored pin flags
**BS and FS indicate rod readings
Essex Farm Lot 56
` Design
Specifications
layout for a 4 bedroom home
Dec-07
FLAG
FLAGGED
LINE #
COLOR BS HI
FS
ELEVATION :INE LENGTH
TBM
0.7
100.0
INSTR. 1
100.7
1
Pink
2.30
98.4
62
2
Red
3.20
97.5
60
3
Orange
4.10
96.6
57
4
Yellow
5.00
95.7
58
5
Blue
5.90
94.8
56
Total
293
6
Pink
6.50
94.2
55
7
Red
7.00
93.7
40
8
Red
6.30
94.4
25
9
Yellow
6.60
94.1
50
10
Blue
7.00
93.7
52
11
Pink
7.30
93.4
52
12
Red
8.00
92.7
22
296
LINE LTAR SYSTEM �NOVATIVE
LENGTH GPD/FT2 TYPE
TYPE
DISTRIBUTION
* System
293 0.275 Innov
chamber
P. Manifold
Repair
296 0.275 PANEL
N/A
UP
Notes:
**TBM is assumed to be 100'
**All measures in feet
**Nitrification lines are demonstrated on contour
via colored pin flags
**BS and FS indicate rod readings
Tap Sheet
SYSTEM
Line # Color Elevation Length Hole Size Flow/Tap g2dd Trench Area Line LTAR
1 PINK
98.4
62
SCH 80 1/2
2 RED
97.5
60
SCH 80 1/2
3 ORNG
96.6
57
SCH 80 1/2
4 YELO
95.7
58
SCH 801/2
5 BLUE
94.8
56
SCH 80 1/2
total
feet =
293
gal/min =
Des. Flow
480
Pump Run=
17.52
soil LTAR
0.275
PPBPS LTAR
0.55
PPBPS LTAR +5%
0.5775
5.48
96.00
186
0.52
5.48
96.00
180
0.53
5.48
96.00
171
0.56
5.48
96.00
174
0.55
5.48
96.00
168
0.57
27.4
Line #
6
7
8
9
10
11
12
REPAIR-PPBPS DESIGN SPECIFICATIONS
#Holes
Line
Line
Line
Color
#Panels
Panel
Length
Hole Size
Head
Flow
Pink
13
1
55
5/32"
2.0
5.33
Red
9
1
40
5/32"
2.0
3.69
Red
6
1
25
5/32"
2.0
2.46
Yelo
11
1
50
5/32"
2.0
4.51
Blue
12
1
52
5/32"
2.0
4.92
Pink
12
1
52
5/32"
2.0
4.92
Red
5
1
22
5/32"
2.0
2.05
Total
68
296
27.88
DEPARTMENT OP ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL HEALTH
ON-SITE WASTEWATER SECTION
SOIL/SITE EVALUATION
,dor ON-SITE WASTEWATER SYSTEM
Sheet _ of—
PROPERTY
f—PROPERTY ID 6:
COUNTY: Devic
OWNER: Michael Hauser Construction _ APPLICATION
DATE_i 1/13/07
ADDRESS: DATEEVALUATED:
PROPOSED PACILM: 4 bedroom Home PROPOSED DESIGN FLOW (.1949): 480 gpd_ PROPERTY SIZE:
LOCATION OF STIL-:—Lot56 PROPERTY RECORDED:
WATER SUPPLY: Private Public Ewell Spring Other
EVALUATION METHOD: Auger Boring , E Pit Cut TYPE OF WASTEWATER: ESewage Industrial Process Mixed
P
R
s
t
L
se
.1940
LANDSCAPE
POSTPION/
SLOPE %
HORIZON
DEPTH
(IN.)
SOH MORPHOLOGY
(.1941}
OTHER
PROFILE FACTORS
PROFILE
CLASS
& LTAR
_.
.1941
STRUCTUREI
TEXTURE
.1941
CONSLSTENCf1
MMgrRALOGY
.1942
SOIL
WE1NMS/
COLOR
.1943
SOIL
DEPTH
.1956
SAPRO
CLASS
.1944
RESTR
HORYL
L
7.9%
w F OR 4x
NS.. W.FR I iv M
?4r
>4r
NA
PS
PS
-9--5
5-30
w P sBK ICL
SS. SP,FR/SEXP'
30.48
W P SEK / CL
SS, P.R1 SEXP
2
L
7.9%
0.5
WFGR/CL
NS, NP, FR/NEXP
>47"
>47"
NA
PS
PS
5-30
WFSBKICL
SS.SP,FR/SEXP
30-47
W F SDK I CL
SS, P.I:I/ SEXP
3
L
7_9%
0-8
W P GR/ CL
NS, NP.FPJ NEXF1
>431.
>48"
NA
PS
Ps
8-48
wr saG/C
SS. SP.FIISEXP
4
2-5%
0.3
FILL
FILL
>54"
>54"
NA
PS
PS
4-11
WF GR I CL
NS, NP,FR I SEXP
11.34
WFSBK/C
SS SP FU SEXP
34.54
NMSBKIC
SS SP FI SEXP
DESCRIPTION
tNIT AL SYSTEM
REPAM SYMM
OTHER FACTORS (.1946):
SITE, CLASSZF CAMON (.1948): �S
EVALUATED BY: OVERBY
OTHER(S) PRESENT:
Available Spec (:19x5)
System Type(s)
Site LTAR
COMMENTS:
Davie County Environmental Health
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760/ Fax (336)751-8786
Account #: 990004425 IMPROVEMENT PE%V ,IN/EH #: 5870-64-2265.56
Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 56
Address: PO Box 340 Location/Address: Cornatzer Rd -27006
City: Mocksville Property Size: See Map
Reference Name: Brad Coe
Proposed Facility: Residence
**NOTE* *This Improvement Permit DOES NOT authorize the construction of a wastewater system. An
Authorization To Construct a was system must be obtained from this office prior to the
construction/installation of a wastewater system or the issuance of a building permit(in compliance with
Article 11 of G. S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to
revocation if site plans, plat or the intended use change.
Permit Type: ❑New ❑Repair ❑Expansion Permit Valid for: 05 Years ❑No Expiration
Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑
Non -Residential Specifications: Facility Type # People # Seats
Square Footage(or Dimensions of Facility)
Design Flow(GPD): Type of Water Supply: ❑County/City ❑Well ❑Community Well
Site Modifications/Permit Conditions.:
System Type LTAR
Initial
Repair
Site Plan
Environmental Health Specialist_
Date
4 BR
45' HOUSE
Aja, 2 Ah � gyp.
ow
e Red ep.
l^ Pink e2•
ti
1
1
N GRAPHIC SCALE
11f=501
CQ 1MOM. Ai sOKMO
s m SYSTEM LAY= _ ESM FM01 _ Soil & Environmental Consultants, P
SKUM MAP s 1.11.► ft Lm C .....a 1.�w c+.r. ti • �� gQs100 ■ fit am 1fMr
...e CO T MRM MOM
IOIOIICt i 1007
FIELD
LAYOUT
&u�_
A'T
3
6
MIM[ /O. MMOOM. MM.K .11!007 ML7. ILL IOf MLL wK
.5
/IMIO.L M W COMIR MM /0MM0. a L 101 N IC1 OOL M6 ON
MG1.0 K N®K A M111.L MMG 00,.011.M.0 ML t 10>K11. M 111[
'
1100 w D IOL U= V NO MR"M 00 106
110 111/ OLLr OICO D0010 ML fli�1► ILII CI►OR !FlC 1111 MC100.
011101101 C7wMC im ww w Mw07 MR "LU R WM
0 100M'IM. COYI MB
Ii II f101L1 11101 "Wpm IK
OIR 1p1 f0011I, rem m 1NK
4 BR
45' HOUSE
Aja, 2 Ah � gyp.
ow
e Red ep.
l^ Pink e2•
ti
1
1
N GRAPHIC SCALE
11f=501
CQ 1MOM. Ai sOKMO
s m SYSTEM LAY= _ ESM FM01 _ Soil & Environmental Consultants, P
SKUM MAP s 1.11.► ft Lm C .....a 1.�w c+.r. ti • �� gQs100 ■ fit am 1fMr
...e CO T MRM MOM
IOIOIICt i 1007
A
Name to be Billed ASC o0cFV64o,p11rN7' mat, /^x-- Contact Person 75WAy ,&f7t c,C
Billing Address A.0 -Qox 3f0 Home Phone
City/State/ZIP &12Ms� rJG Z 702 8 Business Phone 7S/ - 7300
Name on Permit/ATC if Different than Above
Mailine Address Citv/State/Zip
PKUPEKI'Y 1NFUKMAIIUN *Date House/Facility Comers Flagged
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan lat(to scale)
(Permit is valid for 60 months with site plan, no expiration with complete plat.)
Owner's Name /, �-yBeoPri�i�i cif iaG Phone Number 7S/ - 73-0
Owner's Address 40 doX City/State/Zip 17oZ9
Property Ad 7 - city
Lot Size Tax PIN#
Subdivision ame(i applicable) _A*'Aet Sectiop/Lot#_ Rp n
Are there any existing wastewater systems on the site?
Does the site contain jurisdictional wetlands?
Are there any easements or right-of-ways on the site?
Is the site subject to approval by another public agency?
Will wastewater other than domestic sewage be generated'
Dyes 0<p
❑Yes C11�10
Bles ❑ o
❑Yes t�
Dyes Cd No
IF RESIDENCE FILL OUT THE BOX BELOW
# People # Bedrooms _-YC # Bathrooms Garden Tub/Whirlpool ❑Yes ❑No
Basement: ❑Yes ❑No Basement Plumbing: ❑Yes ❑No
IF NON -RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business 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
Type system requested: KC6.1entional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type: Ci'County/City Water ❑ New Well ❑Existing Well ❑ Community Well
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 knowledge. 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 of entry to the Authorized
Representative of the Davie County Health Department 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 an ging or staking the house/facility location, proposed well location and the location of any other amenities.
Site Revisit Charge
Propel r s or o er's legal representa re
Date(s):
7 Client Notification Date:
Date EHS:
Sign given ❑Yes ❑No
Revised 11/06
Account# tT I W6 1
Invoice #
-�� 73
DAVIE COUNTY HEALTH DEPARTMENT
` Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION
Account #: 990004425
Billed To: PSC Development Corp. Inc.
Reference Name: Brad Coe
Proposed Facility: Residence Property Size:
PROPERTY INFORMATION
Tax PIN/EH #: 5870-64-2265.56
Subdivision Info: Essex Farm Lot # 56
Location/Address: Cornatzer Rd -27006
0.689 Acre Date Evaluated: _q "_/ I — 6 —7
Water Supply: On -Site Well Community Public t/
Evaluation By: Auger Boring Pity Cut
FACTORS
I qtj
7.03 3 4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
Q .,7ST—
q
Texture groupC
Consistence
r r
Structure
Mineralogy5
HORIZON 11 DEPTH
- q
3� —
Texture groupG
Consistence
I i
F frr
Structure
') AN
Mineralogy
L•YtP
HORIZON III DEPTH
Texture group
Consistence
Structure
%. o
Mineralogy
(,
HORIZON IV DEPTH
h
Texture group
0 -
Consistence
a
Structure
MineralogyD�
SOIL WETNESS
RESTRICTIVE HORIZON
_yam
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
(�
SITE CLASSIFICATION: U1_V11'31,,'_ t
LONG-TERM ACCEPTANCE RATE:
REMARKS:
W
EVALUATION BY- 0,4 , 4� d_LC
OTHER(S) PRESENT:
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
Moist
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
3Y91
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
6av'
fLater
Mineral=
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 DCHI) 05/05 (Revised)
■c■■■n■c■■■■
■■■■E■■■■■■■
■■■■Of!■■■■■■
■■■■■M■■■■■■
■■■■■n■■■■■■
SEEM
■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■
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■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■
M■
■
■
■
■
■
■
■
■
■
■
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■■■■■■■■■■■■■■■■■■■■■■■■■■
on
■■
MEMMMEMME
MEMEMMOM
EMMAIMMEM
MMUMMEME
R—A SETBACKS:
FRONT: 45'
SIDE: 15'
SIDE: 25'(STREET)
REAR: 30'
55
S 82028'00" E
PROPOSED I
RESIDENCE
I
18.50' 38.10'
SETBAC K
t
k
10' UTILITY EASEMENT
S82.28' 00"E 113.12'
WYATT DRIVE 50' R/W (PUBLIC)
GRAPHIC SCALE
40 0 20 40 80
1 inch = 40 ft ( IN FEET )
NOME DIMENSIONS
NTS
PRELIMINARY
PLOT PLAN FOR:
RSP BUILDERS
LOT 56 OF ESSEX FARMS, PHASE 1—B
P.B. 9 PG. 388
FIFAM0119 Fag-1011111rollqt Inc.
8518 Triad Drive Colfax, NC 27235
Phone: 336.852.9797 * Fax: 336.852.9766
DATE: 05-21-2015
NCBELS C-0950 REVISED: 02-08-2016
REF: PROJ\1831-01\dwg\ESSD(FARM.dwg
»
0
tl
1
SETBACK
ZIMMERMAN FAMILY, LLC
ID.B.
520 PG. 668
�
I
5 6I
,3.83'
6.00' $L
n n
a
o
En
PROPOSE
I
oo
RESIDEN(
�N�
0. 5'
I
I
4.50'
�
13.50' 8 8 12.50'
8
g' 19.17' 8 ui
PROPOSED I
RESIDENCE
I
18.50' 38.10'
SETBAC K
t
k
10' UTILITY EASEMENT
S82.28' 00"E 113.12'
WYATT DRIVE 50' R/W (PUBLIC)
GRAPHIC SCALE
40 0 20 40 80
1 inch = 40 ft ( IN FEET )
NOME DIMENSIONS
NTS
PRELIMINARY
PLOT PLAN FOR:
RSP BUILDERS
LOT 56 OF ESSEX FARMS, PHASE 1—B
P.B. 9 PG. 388
FIFAM0119 Fag-1011111rollqt Inc.
8518 Triad Drive Colfax, NC 27235
Phone: 336.852.9797 * Fax: 336.852.9766
DATE: 05-21-2015
NCBELS C-0950 REVISED: 02-08-2016
REF: PROJ\1831-01\dwg\ESSD(FARM.dwg