The URL can be used to link to this page

136 East Rolling Meadow Road Lot 26Davie County, NC Tax Parcel Report Wednesday, December 21, 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: Land Value: Total Assessed Value: ADVANCE WARNEN T: "1T11151S 1VUT A SURVEY Parcel Information H9080A0026 Township: Shady Grove 5789637077 Municipality: 82518016 Census Tract: 37059-804 TILLEY STEVEN W Voting Precinct: EAST SHADY GROVE PO BOX 2023 Planning Jurisdiction: Davie County me] 27006-0000 LOT 26 FALLINGCREEK FARM PHASE 1 0.78 8/2002 004340647 0007 096 Zoning Class: DAVIE COUNTY R -A Zoning Overlay: l dataIs provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to thDavie Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all!claims or causes of action duetoF-a or arising out of the use or Inability to use the GIS data provided by this website. Voluntary Ag. District: No Fire Response District: ADVANCE Elementary School Zone: SHADY GROVE Middle School Zone: WILLIAM ELLIS Soil Types: PcC2 Flood Zone: Watershed Overlay: DAVIE COUNTY Outbuilding S Extra Freatures Value: Total Market Value: County, NC l dataIs provided as Is without warranty or guarantee of any Idnd either expressed or implied Including but not limited to thDavie Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless theCounty of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all!claims or causes of action duetoF-a or arising out of the use or Inability to use the GIS data provided by this website. Account #: 990002371 Billed To: Steve Tilley Reference Name: Proposed Facility: Residence DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Tax PIN/EH #: 5789-63-7077 Subdivision Info: Falling Creek Lot # 26 Location/Address: Rollingmeadow Rd -27006 Property Size: see map ATC Number: 3235 **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 T #Bedrooms & #Baths 11, Dishwasher: e Garbage Disposal: ❑ Washing Machine: e Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #S Eleats Industrial Waste: / Lot Size Type Water Supply _ Design Wastewater Flow (GPD) � P Site: NewjZroo" Repair ❑ System Specifications: Tank Size,%I* GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width( Rock Depth_Z,Z_ Linear F93W IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Da i C ty Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the d:Jojin tallation. Telephone # is (336)751-8760.**** 5��Av feo 1 Health Specialist's Si `W-"r��187 Date: Environmenta ea Signature: DCHD 05/99 (Revised) Account #: 990002371 Billed To: Steve Tilley Reference Name: Facility: Resicience ATC Number: 3235 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5789-63-7077 Subdivision Info: Falling Creek Lot # 26 Location/Address: Rollingmeadow Rd -27006 size: see 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 WASTEWATPR30VSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: ` % 2� 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 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. I ✓ _ -47 I Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) 1e� Date: Ll , o L Jul 15 02 03:22p davie county envhealth 336 751 8786 D �p•2 APPLICATION FOR SITE EVALUATION/IMPROVEMNT PERAIII & ATC Davie County Health Department J(/� Erlviro,7menta/Heaitfi Section (/ f c P.O. Box 848/210 Hospital Street i V Mocksville, NC 27028 ? (336)751-8760 THE REQUIRE I ***MPORTANT* THIS APPLICATION CANNOT BE PROCESSED UN U- LESS AIS, W�/ I INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Nnmc to be Billed V///��_ //7r ��_ w Contact Person , it (� l de— Mailing Address �• ..L�OX jrr7� Home Phone O k city/State/ZIP V �a N d 1t.JU� Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application tor: WSito Evaluation a Improvement Permit/ATC n Both 4. System to Service: IIYHeuse D /Mobile Home D Business ❑ Industry CI Other S. If Residence: I People _'t I Bedrooms yf Bathrooms II Dishwasher II Garbage Disposal —t 11 Washing Machine II Basement/Plumbing II nasoment/]lo PlumLing 6. If Business/Industry/Other: Specify type A People I Sink - 1 Commodes I Showers I Urinals I Water, Coolers Ir FOODSERVICE: It Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City CI Well fl Community it. Do you anticipate additions or cxpnnsions 01`111C facilitythis system is intended to serve? ❑ Yes 161�N t Ifyes, 11'11aI type? I'141 'ORMN71" CLIGYIS A1VS•TC0AIPLLTrTIl E REQUIRED PROPERTY INFORMATION REQUESTED l 111!1.01V. Cither n PLAT or SITZ: PLAN AIU.ST RESUAVITTGD by the client witl, TI IIS APPLICATION. ti y Property Dimensions: rD<�7yXly/�3`/- �17,Qy//Xy o� 7j lY Th DIREC11OONS (train MocksvCille to PIZ011F.1 I'1% Tax O)licc PIN: fl �/ a�f�� / / 158 )CO : fl�iC.ti Properl`}?AJdress 'RbailW.a l,c � PQoDLt� ��• 't'G�4 ,$�1l lC�' �ii` li !'� city/zip J66hu1f7Pe 7Do6 DD at red" If in a Subdivision provide information, as follows: T� St or) Name: r oA t ^ Fay rq _ •am section: Block: R Lot: A Date Properly Flagged: 7—/6- 0 Z '1•bis is to certify that the information provided is correct to the best army knowledge. 1 understand that any pertuit(s) issued hereafter are subject to suspension or revocation, iflhe site plans or intended use change, or it 111c information sub]nil(ed in Misapplication is falsified or changed. I, also, understand drat I ant responsiblefor all charges incurredjront this application. I, hereby, give consent to the Authorized Representative of the Davie Countv Health Dep(�{me�at to enter upon above described property located in Davie County and owned by TAN -In /7 1e IFi�✓ 8 / �� CJ to conduct all testing procedures as necessary la determine the site es fr t' d " SIGNATUI2 _. TI IIS AREA MAY 13E USED 171 OR DRAWING YOUR SITE PLAN (Include all of the fo0owing: Rxisting anti I opo nl property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Datc(s): Client Notification Dale: EIIS: r Account No. ` Revisal DCIID (07/99) Invoice No. ,o / 7 s J � J.L) oL �� 0 z e�/-7fidL� ter: r..:.. V. T 7YM r a_vAr —10— —9— .i tY4N- 430.W 261.2' .0 — COMM -IMM MUM �— .tery z _ 91190 _CMM S. _•�►�. rta -, .swr+ aa1 cc S1TE K sc+trr t of r<. a J.oa Parent 41, Tax Nap H-9 / \ \ s, Hard6 E. C!raa + 0.&162.Pg600 \ ` LOajr.. Arty -P cc \ \ \ \ e.! ? R/M TAKE Q / c -la 1 47mw i I MQ2.Tt C-20 1 3&W 1 2341F- / Pored 40.01, \\♦ _ i /1 'dam Tax NaP M-9 \ ` m O - 4&37t 1 3 WMliom S. Gawa \\ •v y qt'j - 4 S&Oor 33= { 1.026 X-,< (l� t 117. �7J taM9'6i —3— - MOT 3 / � :-27 - 4 .774 Ae.! 237,06' 50526'36''N — Paraal 40. Tax Nap H-9\ —Z— •.rti .. sr w r. aw�.1r w...., c J hAlby .y.' 0.3.76,Pq.371 ar 7 r 0.707 Ac.! nI \\\ 1 Sot'%Y3S'* S02306r — z 5gt19'05'w—••,6;:2f 99,11 124.90 12' \ - t26.00' 126.00' 24.71Y V '" 247 fOd.ia' 1s.i6' O.d9t Ae.t N D.TOS AG! 1d' -p° + a$ C w 0699 AG•! N 0.694 Ae! 0.607 Act •fin 9I Q� !: 0.622 AG! z Davie County, North Carolina Spatial Data Explorer o Pie3s !� SPalial Dala [MKV@rer *t4orth Carolina Click on the Map to: Zoomin r Zoomout r' Recenter Map �' Identify ParoelS Zoom Factor . r7- r Radius Search (feet) 1 NE SW Parcel Data Find Adjoining; Parcels • Parcel ID., H9080A0026 • Account Number.72401000 • PIN. 5789637077 • Legal 1:.774 AC FALLINGCREEK FARM • Owner Name: TATTINGER DEVELOPMENT CORP • OwnerlAddress 1: TATTINGER DEVELOPMENT CORP • OwnerlAdct'ess 2: 2631 REYNOLDA ROAD • Owner/Address 3. • City, State Zip., WINSTON SALEM ,NC 27106 - 0000 • Land Value: $25,300.00 http://66.208.132,254/scripts... /NC+Highways=Mu • Asses3WAcres:I • Deed Book/Page: 197 / 0151 • Deed Date: 1997/08/29 • Sales Price: $0.00 • Property Address: • County Zoning-* • Census Code: • City Code. • FLe District: • Flood Zone: ZONE X • Flood Cornmunity.- lti+Symbo1&d1ayer=21 &dlayer=9&d Pagel of 3 layer --2 Map Drav Draw sele 3oundary (] Census 7 City Bour i County Z Multi S r i E911 Fire (flood Pal rJ Flood Zoi Parcels School D Multis Sons r❑ Town Zoi rj Townshil Multi S r i Voting Pr Infrastruc- j Driveway r' Rail Lines II street Ce F US/NC Hi Multi S j j Aerial Ph, Physical Creeks ai rJ E911 Add r Fire Deps Schools Draw MAP ( 7/15/02 APPLICANT INFORMATION Account #: 990002371 Billed To: Steve Tilley Reference Name: Proposed Facility: Residence DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5789-63-7077 Subdivision Info: Falling Creek Lot # 26 Location/Address: Rollingmeadow Rd -27006 Property Size: see map Date Evaluated: —./ K Water Supply: On -Site Well Community Public _I Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH i Texture group Consistence Structure Mineralogy HORIZON II DEPTH ' Texture group Consistence Structure S' Mineralogy/ HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE , �- SITE CLASSIFICATION: V J /3 • ty�° LONG-TERM ACCEPTANCE RATE: < REMARKS: LEGEND EVALUATION BY: del—4Z 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 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) ■ ■ ■ NEE ■ ME No M■ ■■ ■■■■M■ ■■MONS ■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■ ■ONM■■N■■■OMM■■ ■■■■■M■■M!■■M■I ■■■M■ ■M■N■ ■■M■■ ■■NM■ MOUSE ■N■O■ ■MON■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ��■■■N■■MMMM■■■■■■■■■■■ONE ■■ONE ■■■■M■■■■■MMS■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ SOMME MEMENEEMNON NOMMEMMENN■N ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■ ■■■■■■■M■ ■M■M■NN■■ ■M■M■■M■■ �■■MMM■ ■M■■MMM■■ ■■MMOM■■O■ ■■M■■M■M■■ ■■■■■■MSM■ ■■■■NM■■■■ ■■■■■■■■■■ ■■M■M■M■■■ ■■MMM■■■■■ ■■■■■M■■■■■M■ ■■■■■■■■■■■N■ ■■■M■■M■M■■■■ ■M■M■■■■■■■■■ ■■■■■M■M■M■■■ ■O■M■MOMM■M■■ ■M■■M■■■M■M■■ ■M■■NM■■■■■■■ U PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST- BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: q9, Z 74 %kre—S 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY. Tax Office PIN: # :`� 7 9! - 63 - - - 7 o 3 Property Address: Road NameC- . L G �j I City/Zip AJy;4lVG'e, / D -pe n Lem If in Subdivision provide information, as follows: 1 Name: Z = 1 1 Section: ,/ Lot #: .24 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is . falsif::d or changed. 1, also, understand that I am responsible for all charges incurred from this application. I, hereby, give c -isent to. the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and o ,-ned by—IL Bit s a Z to conduct all testing.,procedures as necessary to determine the site suitability. i DATE SIGNATURE j Revised DCHD (06-96) ^L APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMITFE n j7 LS U V �.� Davie County Health Department D Environmental Health Section P O. Box 848AUG — 61997 Mocksville, NC 27028 (704)634-8760 ` ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE - ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed VA5� // /e W' qbdv'k sx a-, 2,y, Contact Person G V i9 ?'.ailing Address _ d S 5",VU sth b�, G, �C/ Home Phone 49�' City/State/Zip / �� ,vs � 1 g al S14 �.n� /�� Q71,23 Business Phone 9 99' ` 2. Name on Permit/ATC if Different than Above 5 4 me— Mailing Address City/State/Zip 3. Application For: Q' Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House O Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms # Bathrooms ❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine O Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers:' I? :Foodservice: # Seats Estimated Water Usage (gallons per day) 7. 7 pe of water supply: ❑ County/City ❑ Well ❑ t::,M' munity 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes . ,❑ No It ves, what type? U PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST- BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: q9, Z 74 %kre—S 1 WRITE DIRECTIONS (from Mocksville) TO PROPERTY. Tax Office PIN: # :`� 7 9! - 63 - - - 7 o 3 Property Address: Road NameC- . L G �j I City/Zip AJy;4lVG'e, / D -pe n Lem If in Subdivision provide information, as follows: 1 Name: Z = 1 1 Section: ,/ Lot #: .24 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is . falsif::d or changed. 1, also, understand that I am responsible for all charges incurred from this application. I, hereby, give c -isent to. the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County and o ,-ned by—IL Bit s a Z to conduct all testing.,procedures as necessary to determine the site suitability. i DATE SIGNATURE j Revised DCHD (06-96) ^L t APPLICANT'S NAME DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation PROPOSED FACILITY SUBDIVISION Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit SECTION l LOTc � DATE EVALUATED PROPERTY SIZE ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position .L Sloe % 4✓ HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence r Structure /r / Mineralogy 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 i SITE CLASSIFICATION: �v / !a A -e1 LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (O1-90) Landscape Position EVALUATION BY: ,9/9_& OTHER(S) PRESENT: N 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 i ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 ... Phone # :(336)751-8760 . July 19, 2002 Steve Tilley P.O. Box 2023 Advance, NC 27006 Re: Site Evaluation/ Falling Creek Farm Lot #26 Tax # 5789-63-7077 Dear Client(s): As requested, a representative from this office visited the aforementioned site on July 18, 2002. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of an on-site sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Aect4o &' OA104VA . Robert B. Hall, Jr., R.S. Environmental Health Specialist RH/df