162 Brookdale Drive Lot 15 & 16 Section 2I '- I7"y5
cc: Permits and Engineering
Technical Support Branch
County Health Department A
Central Files (/
WSRO
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Li, -
IAN - 6 1.995
DAVIE COUNTY iiEAl_?N DEPT)
SOC PRIORITY PROJECT: YES _ NO X
IF Yes, SOC No._ _
To: Permits and Engineering Unit
Water Quality Section
Attention: (Mack Wiggins)
AUTHORIZATION TO CONSTRUCT
1�
NPDES PERMIT REPORT AND RECOMMENDATIONS
Date: 12-20-94
County: Davie
Permit No. NC: G550451
PART I GENERAL INFORMATION
1. Facility Name and Current Address:
Mailing Address: Location:
Gisela Faak Greenwood Lakes
906 Howell Rd. mocksville, NC 27028
Mocksville, NC 27028
E��
[I!JA u, 9
2. Date of most recent NPDES Staff Report: (attach copy) 02-19-92
3. Changes since previous action on NPDES Permit: None.
4. Verify Discharge Point(s) on plans with current NPDES Permit. List for all
discharge points.
Latitude: 350 58' 39"
Longitude: 800 25' 25"
Attach a USGS map extract and indicate treatment facility site and discharge
point on map.
U.S.G.S. Quad No. D17NW U.S.G.S. Name Advance
5. Treatment plant classification: N/A
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Existing treatment facility:
a. What is the current permitted capacity of the facility? As specified in
the previous NPDES permit, the proposed facility was permitted for 500
gallons/day to serve a four (4) bedroom single family residence.
Currently, the proposed facility is permitted under a general permit.
9. Location of nearest dwelling: Several within 1000 feet.
10. Receiving stream or affected surface waters: .Carter Creek
a. Classification: Class C
b. River Basin and;.Subbasin No Yadkin 03-07-05
c. Describe receiving -stream features; and pertinent
downstream uses: Carter Creek flows into the Yadkin
River approximately 2 miles downstream. Residents in
the area have requested a stream reclassification to
-Class B waters. ,
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
% Industrial
a. Volume of Wastewater: 500 gpd MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in
pounds per day: N/A
a. Highest _month in the last 12 months: lbs/day,
b. highest year in last 5 years: lbs/day
3. Description of industrial process (for industries only)
and applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether, proposed or
existing): Proposed septic tank, subsurface sandfilter with
chlorination to serve a four (4) bedroom single family
residence.
5. Sludge handling and disposal scheme: Pumped when needed by
commercial pumper.
6. Treatment plant classification: (attach completed rating
sheet)
cc: Permits and!Engineering
Technical Support Branch
County Health Dept.
Central Files
Date February 19, 1992
NPDES STAFF REPORT AND RECOMMENDATIONS_
County Davie
NPDES Permit No. NCO071137
1
PART I - GENERAL' INFORMATION
1. Facility and Address:
Gisela Faak Residence, Corner of Hillcrest and Brookdale
Drive, Greenwood Lakes,Development, Mailing Address: Route
8, Box 267,r Mocksville, N.C.-
2. Date of Investigation: February,.19,,1992
3. Report Prepared by:. David'.Russell
4. Persons Contacted and Telephone Number:
Gisela Faak (919) 998-3907 Site visited 2-19-92, but no
residence was on property.'(Ms. Faak was not contacted)
5. Directions,to Site:
From Winston-Salem follow I-40 to the 801 exit in Davie
County. Travel 801 south toward Advance to SR 1656
(Underpass'Road) on the left. Follow SR 1656 to Hillcrest
Rd. (SR 1624) on the right. Follow Hillcrest to Brookdale
on the right. The property is located on the corner of
Brookdale,and.Hillcrest.
6. Discharge Point(s) --'List for all discharge points
Latitude: 350 58' 39" Longitude: 800 25' 25"
Attach a USGS Map Extract _and indicated treatment
plant site and discharge point. on map.
USGS Quad!No. D17NW or USGS Quad Name Advance
7. Size (land available for expansion and upgrading):
Ms. Faak owns lots 15 and 16 with a total of 2.5 acres;
however, part of this acreage is a lake.
8. Topography (relationship to flood plain included):
Lots slope gently from Brookdale Drive to the lake. The
creek is located on the opposite side of the lake.
JV I
7 . SIC Code (s )g57---
Wastewater Code(s) Primary`04 Secondary
Main Treatment Unit Code: 44 0 _ 7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grants Funds (municipals only)?
2. Special monitoring requests: N/A
3. Additional effluent limits requests: Fecal Coliform Limit
because of reclassification request.
4. Other: Receiving stream information - USGS #02.1164 93750,
Carter Creek 0.2 miles above NC Hwy. 801 D.A. 8.1 mi ,
Avg. Flow = 7.7 cfs, 7Q10 = 0.6 cfs
PART IV - EVALUATION AND RECOMMENDATIONS
This property (Lots 15 and 16) was denied for standard
subsurface disposal by the Davie County Health Department.
Carter Creek has a positive dry weather flow at the proposed
discharge point. There is a lake that crosses both lots and the
discharge must be piped along the edge of the lake to discharge
to the creek. The lots do go all the way to the creek.
It is recommended that the permit be reissued provided
access to the creek is possible. It is also recommended that
chlorination be required. On February 19, 1992, no residence had
been built on the property.
Signature of report preparer
Water Quality Regional Supervisor
Date
Date.
Face 1 i ty Name: GISELA 'AAI[ t1ESCDENK Permit: NCOO-411'6-+
Receiving Stream: CARTER C?.EEK Class: C Sub-693rn:-0'S-0-1-OS
County: 1�)AVIE Regional Office.: y�+IfJS'TDIV SJ�L�IVI
Reference USGS Ouac: bI-'NJ w - ADVANC.Existing: Proposeo:
r
Elevation: Drainage Area: i
Hvoro:ogic Grouo: C Design Te-i:•era;ure: 2So
Slope: Comments:
C AR.TM C-QXVC Z m lus aBoJb
N Q. IAIc0WAY g0► us�s*� oz. 1164 q�so
Avc. FL.ow = 4.4- _.
-4Q Lo
E-UmMV-"D C41Loe-11yPMDfJ
r RECOMMENDED EFFLUENT L1M!TS
Westeflow (gpd): 500
BODS (mg/1): 30
NH3-N i:ng/ 1 ;
D.O. (mg/1).
pH ( S11 i
Fecal Coli (/100ml): 1000
TSS (mg/1): z a
RECOMMENDED BY: Q . U&IZTJ Date:
APPROVED BY:
r
Regional Engineer: / Date: _
flegironal Supervisor:rf
/ Date:
ROUTE to Technical Support Group and'Permits & Engineering Unit
(Enclose copy of USGS topographical map showing location of doscharger)
State of North Uarolina
—i—Vbpartment of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
GISELA FAAK
FAAK RESIDENCE (GISELA)
ROUTE 8, BOX 267
MOCKSVILLE NC 2702°
i
Dear Permittee:
L ( is &icr
AUG I
DAME COUNTY HEALTH DEIN:
& A 1W
J WFA
Ad
RECEIVED
1993 N.C. Dept. of EHNR
SEP 2 S 1993
egionco U111Ce
FAAK RESIDENCE (GISEW
Certificate of Coverage NCG550451
General Permit NCG550000
Formerly NPDES Permit NCO071137
Davie County
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0071137. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US. Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part 11, EA. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.60. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested, however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535, Raleigh, North Carolina 27626-0535 Telephone (919) 733-5083 FAX (919) 733-9919
An Equal Opportunity Affirmative Action Employer 50°10 recycled -10% post -consumer paper
Page 2
GISELA FAAK
FAAK RESIDENCE (GISELA)
Certificate of Coverage No. NCG550451
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore, no fees are due at this time. In accordance with current rules, there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31, 1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time, you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage, you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or' need additional information regarding this matter, please contact either the
Winston-Salem Regional Office, Water Quality Section at telephone number 919/ 896-7007, or a review engineer
in the NPDES Group in the Central Office at telephone number 919/733-5083.
S' erely,
A. Preston Howar P.E.
cc: Winston-Salem Regional Office
Central Files
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550451
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards. and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
FAAK RESIDENCE (GISELA)
is hereby authorized to discharge treated domestic wastewater from a facility located at
FAAK RESIDENCE (GISELA)
Davie County
to receiving waters designated as the CARTER CREEK/YADKIN-PEE DEE RVR BASN
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III and N of General Permit No. NCG55M as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30, 1993.
PA.eston Howar , Jr., P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission
cc: Permits and Engineering
"�o�"rit�szHea�'tYi�%5 Dept
Central Files
WSRO
June 16, 1987
REDEIV,ED J08 2 3
Wl
NPDES STAFF REPORT AND RECOMMENDATIONS
Davie County
NPDES Permit No. NC0071137
PART I - GENERAL INFORMATION
1. Facility and Address: Gisela Faak Residence, Corner of
Hillcrest and Brookdale Drive, Greenwood Lakes Development,
Mailing Address: Route 8, Box 267, Mocksville, N.C.
27028
2. Date of Investigation: June 11, 1987
3. Report Prepared By: Sherri Vaden
4. Persons Contacted and Telephone Number: Gisela Faak,
(919)998-3907
5. Directions to Site: From Winston-Salem follow I-40 to the
801 exit in Davie County. Travel 801 South toward Advance
to SR1656 (Underpass Road) on the left. Follow SR1656 to
Hillcrest Rd. (SR1624) on the right. Follow Hillcrest to
Brookdale on the right. The property if located on the
corner of Brookdale and Hillcrest.
6. Discharge Point - Latitude: 35°58'39"
Longitude: 80°25'25"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. D17NW or USGS Quad Name: Advance
7. Size: Ms. Faak owns lots 15 and 16 with a total of 2.5
acres; however, part of this acreage is a lake.
8. topography: Lots slope gently from Brookdale Drive to the
lake. The creek is located on the opposite side of the
lake.
9. Location of Nearest Dwelling: Several within 1000 feet.
Page Two
10. Receiving Stream or Affected Surface Waters: Carter Creek
a. Classification: Class C
b. River Basin and Subbasin No.: Yadkin 03-07-05
C. Describe Receiving Stream Features and Pertinent
Downstream Uses: Carter Creek flows into the Yadkin
River approx. 2 miles downstream. Residents in the
area have requested a stream reclassification to Class
B waters.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of,IWastewater: 100% Domestic
a. Volume of Wastewater: 500 gpd
b. 'Types and Quantities of Industrial Wastewater: N/A
C. Prevalent Toxic Constituents in Wastewater: N/A
d. Pretreatment Program: N/A
2. Production Rates: N/A
3. Description of Industrial Process: N/A
4. Type of Treatment: Proposed septic tank, subsurface
sandfilter with chlorination to serve a four (4) bedroom
single family residence.
5. Sludge Handling and Disposal Scheme: Pumped when needed
by commercial pumper
6. Treatment Plant Classification:
7. SIC Code:
Wastewater Code: 04
PART III - OTHER PERTINENT INFORMATION
1. Construction Grants Funds: N/A
2. Special I Monitoring Requests: N/A
3. Additional Effluent Limits Requests:
because of reclassification request
A, " A
Fecal Coliform Limit
Page Three
4. Other: Receiving Stream Information -
USGS #02.1164 9750, Carter Creek 0.2 miles above NC Hwy. 801
D.A. = 8.1 mit, Avg. Flow = 7.7 cfs, 7Q10 = 0.6 cfs
PART IV - EVALUATION AND RECOMMENDATIONS
This property (Lots 15 and 16) was denied for standard subsurface
disposal by the Davie County Health Department. Carter Creek has
a positive dry weather flow at the proposed discharge point.
There is a lake that crosses both lots and the discharge must be
piped along the edge of the lake to discharge to the creek. The
lots do go all the way to the creek.
It is recommended that the permit be issued provided access to
the creek is possible. It is also recommended that chlorination
be required due to creek usage and the request for
reclassification.
Signature of Report Preparer
Water Quality RegionaY Supervisor
NPDES SFR WASTELOAD ALLOCATION
Date.
Fact I i ty Name: GtSELA t-AA1c TESi'DENXG P e r m i t : NC004113-+
Receiving Stream:—CARTER CREEK Class: C Sub -Basin: 03 -0 -1 -US
County: Regional Off ice vv1�15TpfU- s/�L�M
Reference USGS Ouad:AAV/><N« Existing. Proposed: ✓
r
Elevation: (..5 Drainage Area: i —M*1
Hydrologic Grouo: C Design Temc•erature: zG
Slope: Comments:
C A. R-WrL Q RX -Ey. 0.2. m ► u. -s A80J b
NQ- 1,A►Ga+WA,1 sot USGS*4 02. W-4 a}So
Avc. PLOW =
• -4Q to - 0- Cc
' R1zcpmm6-"D C4LDe-Imamot J
RECOMMENDED EFFLUENT LIMITS
Wasteflow
(gpd):
500
8005
(mg/1):
3 U
NH3-N
(mg/1):
D.O.
(mg/I).
off
(S(.I):
.b-9-9
Fecal Coli
(/t00mt):
100
TSS
(mg/1):
3r7
RECOMMENDED BY: �Q - VG Date: TI9
APPROVED BY:
Regional Engineer: '�� Date:
Regional Supervisor: Date: &7
ROUTE to Technical Support Group and Permits & Engineering Unit
(Enclose copy of USGS topographical map showing location of discharger)
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State of North Carolina
Department of Environment,
Health and Natural Resources
Regional Health Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Leesha L. Fuller, Regional Manager
October 25, 1994
A&41
C)EHNR
TO: Joe Mando, Environmental Health Supervisor
Davie County Health Department
FROM: Joel W. Cawthorn, Soil Specialist
On -Site Wastewater Section
OC731 94
DAVIE COUNTY HEALTH DEPT
SUBJECT: Second Site/Soil Evaluation of Lots #15 and #16, Block
Four in Greenwood Lakes Subdivision. Present owner is
Mr. Rudi Faak
On October 10, 1994 Buck Hall and I returned to the above anmed
property because the property is five (5) feet wider than what
was evaluated on February 18, 1983.
Three (3) backhoe pits were evaluated on the part of the lots
which is now available for use because of the additional size of
lots. One had 16 inches of a mixture of clay and clayloam which
is compact and hard. This unsuitable fill material is in direct
contact with saprolite. Another pit had 24 inches of a mixture
of clay, clayloam and coarse fragments which is compact and hard.
This unsuitable fill is in direct contact with saprolite. The
other pit had six (6) inches of clayloam surface layer over 30
inches of clay subsoil which has slightly expansive clay mineral-
ogy and is underlain by saprolite.
This additional area is unsuitable for the installation of any
ground absorption system because of the.ur_suitable fill material
(.1957) shallow depth to saprolite (.1943) and insufficient space
(.1945) .
When I can assist you in the future, please contact me.
JWC/kd
cc: Steve Steinbeck
310 East Third Street, Suite 200, Winston -Salem, North Carolina 27101-4131
Telephone 919-761-2390 FAX 919-761-2313
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
o L. _ A-
�/''
+ ��y' APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT /Q
�pl� (�1� Davie County Health Department
Environmental Health Section %D
P. O. Box 665
Mocksville, NC 27028
1. Application/Per Requested By 1 / 421 EJ' tom, (y Q p
Mailing Address 9 0 � 'A `A�t''/_(0 Li p/1 X �� Home Phone 7 7 d
NW4J4 At teuzf Business Phone 4 0-4n c,
2. Name on Permit if Different than Above
3. Application for:
0 General Evaluation Septic Tank Installation Permit
4. System to Serve: 71 House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
S. If house, mobile home: Subdivision,2,Section _1_ 'Lot #
No. of People L/
No. of Bedrooms ' "7
No. of Bathrooms -Y&
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes _
No. of Lavatories _
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: ;? Public ❑ Private
8. Property Dimensions AD,0 Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve?
If yes, what type?
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
❑ Yes ❑ No
❑ Community
'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 of my knowledge -and I understand I am responsible for all charges
Incurred from this application. C
'— '? __— I? 7
A� - - !��
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO aE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by.
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE
DCHD (1/93)
SIGNATURE
T,
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME AA/ DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACULTY C, •C LOCATION OF SITE
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit / Cut
FACTORS
1
2
3 4
Landscape position
.e— ,L
L' 4
Sloe %
t,
t2
HORIZON I DEPTH
Texture group
el L
Consistence
Structure
/
Mineralogy
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy
X-101
HORIZON III DEPTH
Texture group
t///
lie
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
S
y S
LONG-TERM ACCEPTANCE RATE
,.sem
SITE CLASSIFICATION: l_ EVALUATED BY:�C--
LONG-TERM ACCEPTANCE 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 rAay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR-•Vcry 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--Sinble 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)
9 LTAR - Long-term acceptance rate - gal/day/f(2
DCHD (01-901
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••t certify that on ....... APG?,!,L-.7j... �28.7........... we surveyed the property shown on this plat; that
the property lines and location of all structures are accurately, shown—hereon, that no structure
located on thla property encroaches on any adjacent street& property;, "art ,d,t i,�
t no structure or
adjacent property encroaches on the premises
surveyed. ; �,,• .���� • �� . ,
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Davie County NealtI 7ye
artment
and Aome Nealt�ncy
210 HOSPITAL STREET/ P.O. BOX 665
MOCKavILLE. N.C. 27028
PHONEI (704) 634.5985
August 9, 1994
Mr. Rudi Faak
906 Howell Road
Mocksville, N.C. 27028
Re: Site Evaluation
Greenwood Lakes Block 4/Lot 15&16
Dear Mr. Faak:
As per your request, the aforementioned site was evaluated by this office
on August 8, 1994. The purpose of said evaluation was to determine the
suitability of the site for the installation of an on-site sewage disposal
system that would serve a single family dwelling.
It should be noted that this site was evaluated two times before with the
same findings being determined. On January 11, 1983 this site was evaluated by
this office and on February 18, 1983, Mr. Joel Cawthorn, Regional Soil
Scientist, evaluated the site in order to confirm our findings of January 83.
Please note below the findings of the August 8, 1994 evaluation.
Most of the soil on the lot is fill material. This fill material varies in
depths from 0 to 48 inches. The fill material is underlain by heavy clay
floodplain soils. In the upper right hand corner of the lot there is some
provisionally suitable soil, however there is insufficient space to install a
on-site sewage disposal system.
Due to the presence of fill material, underlain by heavy clay floodplain
soil and insufficient available space in the provisionally suitable soil area
this site must be classified as unsuitable for the installation of a on-site
sewage disposal system.
We sincerely regret this classification and are more than willing to
discuss this matter further upon your request.
Sincerely,
'&&
Robert B. Hall, Jr., R.S.
Environmental Health Section
cc: Mr. Joel Cawthorn
Enclosure
... •• ' Q�Gp �11D
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section k
P. O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name �noYh r{S �a ��� Date �?3
Address �� S3 �rar.K c�a�.� ��� Lot Size Z 14ArG La?S
�JuanCt, n c— 'Z7oolo
CAP -Moe APPA i AREA 9 ARFA A ARFA A
Topography/ Landscape Position
S
S
S
�S�j
U
U
U
!) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
<��)
A:)
<��
<fffp ,
U
U
U
U
1) Soil Structure (12-36 in.)
Clayey Soils
S
�
S
�
S
S
U
U
U
U
i) Soil Depth (inches)
S
PS
S
PS
S
S
U
U
i) Soil Drainage: Internal
S
PS
S
PS
S
Am>
S
42Z�
U
U
External
S
S
PS
S
<fn�
S
P
U
U
i) Restrictive Horizons
92,03b��
Nz�
y
�,�
���
') Available Space
S
�j
S
S 7
PS
S ?
PS
U
U
U
U
3) Other (Specify)
S
PS
S
PS
S
PS
S
PS
U
U
U
U
a) Site Classification
Ij—
U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable
Recommendations/ Comments: TackruN2aZ�b�� ^A��E� 14-L- t}QE
Soy _ Ah!! �icct S Q\un �4WIt ,�. Ca�A cA `otL w ,1`(L�+�.h•t
Described by n--��� Title C -40-k kkL `""sr4-i-A"- Date
SITE DIAGRAM I
I \3
DCHD (6-82)
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U
U �
/V
U
U �
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
11) Home Phone q9 ? - 2(o 27 _
1. Permit Requested By �o'^^Ag 0. Business Phone -6 7 � .Sang
2. Address FDA G3 k Q f e-
3. Property Owner if Different than Above _ Q vin Address
4. Permit To: a) Install ZAlter Repair
b) Privy Conventional ✓Other Type
Ground Absorption
c) Sub-DivisionG meny)nA LSec. Lot No. 167
5. System used to serve what type facility: House _ --'`Mobile Home Business
Industry Other
b) Number of people 67 4�Ae�a-
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions 12")(_
Bed Rooms Bath RoomsZ'_?_ Den w/Closet
b) If Business, Industry or Other, Stale: Number of persons served �
What type business, etc. (V 1 Ft
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals garbage disposal tJ
lavatory 3- showers washing machine
dishwasher �, sinks
8. a) Type water supply: Public Private Community LL, -k 00-L ,E?c,&
b) Has the water supply system been approved? Yes No-,---'
9. a) Property Dimensions QA*P_� d
b) Land area designated to building si t Y � I
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
U`
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DCHD (6-62)
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DEPARTMENT OF HUMAN RESOURCES
DIVISION OF HEALTH SERVICES
ENVIRONMENTAL HEALTH SECTION
REPORT OF INVESTIGATION OR INSPECTION OF Tom Carle Property
Place visited Greenwood Lakes_ Subdiyisi4 BQQ_4Lots _liE_ Date _ZQbruar7 a.8.________ 1983__
Address Admance,-IT -------------------------------- Time spent TTtzQ_HDvx�---------
WoJoel W. Cawthorn, Soil Specialist; Joe Mando, Environmental Health Coordinator;
By whom Ona__ ix_1 ckJia11,_5zxj axiau----------...-----------------------------------------------------
Persons contacted_z=_CazI�.Quapar ----------------------------------------
(Owwr, agent, tenant, manager, other)
Reason for visit ___ To -make, soil/site _evaluation ---------------------------------------------------
------ ---- ---- ----- ----
Copies to. D.Y. McBrayer
Steve Steinbeck
On February 18, 1983 a visit was made to, the above-named property to make
a soil/site evaluation to determine its suitability for installation of a ground
absorption sewage treatment and disposal system for a 4 -bedroom house - the follow-
ing conditions occurred.
1. The lots are between Brookdale Dr. and a lake. The land is mostly nearly
level with a small corner of gentle slopes at Brookdale Dr. on the right
side when facing the lake. There is depression on the left side of the lot.
2. The soil over most of the lot is fill material. In most places, the fill is
clay,but in some places, it is variable textures. The fill is 30 to 48 inches
thick over floodplain soil. Free water occurs at a depth of 30 to 40 inches.
3. The soils in the gently sloping area are 0 to 30 inches of fill material of
various textures over clay (group IVa) subsoil which is underlain by saprolite.
.Total.soil depth here is 28 to more than 48 inches.
Most of the soils on this property are unsuitable for installation of a
ground absorption sewage treatment and disposal system because there is fill
material covering the soil and the underlying soils,over most of the lots, are
poorly drained floodplain soils. In the gently sloping corner there is insufficient
space with provisionally suitable soil to install a conventional system or a low
pressure pipe system.
JWC:kd
Ad.
NOW DWMs
IPPY 60
DHS Form 1489 Rev. 5/80
Environmental Health
' ��L�ie (Inuit#� ��ertltlj �e�rtrhu��itt
ttnD �ame �e�t(#1� �gcnc�
P. O. BOX 665
.` orksbille, North Carolina 27028
OFFICE OF THE DIRECTOR
December 13, 1983
Mr. Thomas Carle
Box 53A Brookdale Drive
Advance, North Carolina 27006
RE: Lot #15 $ 16, Greenwood Lakes
Davie County
Mr. Carle:
TELEPHONE
(704) 634.5985
On January 11, 1983 this office conducted a soil/site evaluation
on the aforementioned property. The purpose of said evaluation was to
determine if a ground absorption sewage treatment and disposal system
could be installed to serve a proposed dwelling. On February 18, 1983,
Mr. Joe Cawthorn, State Soil Specialist, along with my office staff
again evaluated said property for the same purpose. Both evaluation
results were given to you at the respected times.
As per your request of December 13, 1983, please note in summary
the findings of both evaluations.
1. Most of the soil on the lot is fill material. In most places
the fill is clay, but in some places, it is variable textures.
The fill is 30 to 40 inches thick over flood plain soil. Free
water occurs at a depth of 30 to 40 inches.
Most of the soils on this property are unsuitable for the
installation of a ground absorption sewage treatment and dis-
posal system because there is fill material covering the soil
and the underlying soils, over most of the lots are poorly
drained flood plain soils. In the upper right corner of the
property there is a provisionally suitable soil to install a,
system, but there is insufficient space to do so. At this
time, and with the technology available, the only two systems
which could be used in this area, require considerable more
space than is available.
Should this office be of further assistance to you concerning
this matter, please advise.
Sincerely, p
a6
oe Mando, R.S.
jh Environmental Health Coordinator
cBavie illuuu#U Pealth Pepartmen#
Unb (Home pealth '�Bencg
P. O. BOX 665
C ackstzille, �arth Qlaralina 271128
CONNIE L. STAFFORD, BA, MPH June 12, 1987 TELEPHONE
Health Director (704) 634-5965
(704) 634-5881
Rudi Faak
Rt. 8, Box 267
Mocksville, NC 27028
Dear Mr. Faak,
Please find enclosed the soil/site evaluation report on
Lots 15 and 16, Block 4 in Greenwood Lakes.
If you have any questions feel free to call this office.
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health
Enclosure
RH/wd
PLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
1 /� •'� ' 1 Davie County Health Department
Iv Environmental Health Section
P. O. Box 665 7el "q y
Mocksville, NC 27028
1. Application/Perrlit Requested By
Mailing Address 9 (a�" '_ �(0 "f r �� Home Phone
11tL A' - At LUze Business Phone CJ
2. Name on Permit if Different than Above
3. Application for: ❑ General Evaluation Septic Tank Installation Permit
4. System to Serve: i"' House ❑ Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry � ElOther El Unknown
5. If house, mobile home: Subdivision ecI alpdzye,� �4,r L Section :�Z Lot #
No. of People
No. of Bedrooms 7
No. of Bathrooms
Dwelling Dimensions
6. If business, industry, place of public assembly, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
Water Usage Figures
7. Type of water supply: X Public ❑ Private
8. Property Dimensions Wea 2AG Sewage Disposal Contractor
❑ Basement/Plumbing
❑ Basement/No Plumbing
❑ Washing Machine
❑ Dishwasher
❑ Garbage Disposal
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes ❑ No
If yes, what type?
❑ Community
"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:
UydA-,-`n- ?
�2j
Rk vL S &�- ett,--
M&J-1-10— PA" 41611 74441-1�-
This is to certify that the information provided is correct to the best of my
incurred from this application. /
01O � q "
DATE
I understand I am responsible for all charges
SIGNA
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: ❑ 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property.
If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described
property located in Davie County and owned by
to conduct all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
and disposal system.
DATE SIGNATURE
DCHD (1193)
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"I certify that on ....... e-6.e.R! �-- 2i...!98.2........... we surveyed the property shown on this plat; that
the property lines and location of all structuresare accurateiy. shown.;hereor}, that no structure
located on this property encroaches on any adjacent street' 6r,pro�etty: 'ahtl,tt kt no structure or
adjacent property encroaches on the prenUses surveyed."
EYG<�P7' afee t �� �t=�.�-►.ir. UNITE ~ '� `'� � :�•
By �
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• - DAVIE COUNTY HEALTH DEPARTMENT
i Environmental Health Section
Soil/Site Evaluation a %
NAME /fit✓ DATE EVALUATED
ADDRESS PROPERTY SIZE 1iqC
PROPOSED FACIILTY
Water Supply: On -Site Well
Evaluation By: Auger Boring
LOCATION OF SITE
Community
Pit &I
Public
Cut
FACTORS
1
2
3 4
Landscape position
A
oe loe-
L-
4
Slope %
.12-
oll,Y
,2
HORIZON I DEPTH
-1/1
Texture grouP
P
Consistence
Structure
MineralogX
HORIZON II DEPTH
Texture groupe
el
flj
Consistence
Structure
.QLi�
�i�l
1✓
Mineralogy
HORIZON III DEPTH
Texture groupf
L101142,
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
1 61S
S
y`S'
LONG-TERM ACCEPTANCE RATE
,3
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE IRATE:
REMARKS:
EVALUATED BY:��-
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge) S -Shoulder L -Linear slope FS -Foot slope N -Nose slope
CC-Concaveslope 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 faay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR--Viary 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
5C -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
w
Daae County Nealtlf Department
and Noh7e Aealti Ayeacy
210 HOSPITAL STREET I P.O. BOX 668
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-5985
August 9, 1994
Mr. Rudi Faak
906 Howell Road
Mocksville, N.C. 27028
I
Re: Site Evaluation
Greenwood Lakes Block 4/Lot 15&16
Dear Mr. Faak:
e
As per your request, the aforementioned site was evaluated by this office
on August 8, 1994. The purpose of said evaluation was to determine the
suitability of the site for the installation of an on-site sewage disposal
system that would serve a single family dwelling.
It should be noted that this site was evaluated two times before with the
same findings being determined. On January 11, 1983 this site was evaluated by
this office and on February 18, 1983, Mr. Joel Cawthorn, Regional Soil
Scientist, evaluated the site in order to confirm our findings of January 83.
Please note below the findings of the August 8, 1994 evaluation.
Most of the soil on the lot is fill material. This fill material varies in
depths from 0 to 48 inches. The fill material is underlain by heavy clay
floodplain soils. In the upper right hand corner of the lot there is some
provisionally suitable soil, however there is insufficient space to install a
on-site sewage disposal system.
Due to the presence of fill material, underlain by heavy clay floodplain
soil and insufficient available space in the provisionally suitable soil area
this site must be classified as unsuitable for the installation of a on-site
sewage disposal system.
We sincerely regret this classification and are more than willing to
discuss this matter further upon your request.
I
Sincerely,
Robert B. Hall, Jr., R.S.
Environmental Health Section
cc: Mr. Joel Cawthorn
Enclosure
i
�Mate of North Cardlin'.
Department of Environment,
Health and Natural Resources
Division of Environmental Manageme
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
�; eisela Faak
owell Road
Mocksville, NC 27028
Dear Ms. Faak:
MAR 3 1 im i 1 4 •
IVIRONMENTAL HEALTH
DAME COUNTY F= H N
March 7, 1995
M, 2 Q �� 5
�7
Subject: General Permit NCG550000
Cert. of Coverage NCG550451
4, Gisela Faak Res.
Davie County
A letter of request for an Authorization to Construct was received January 24, 1995 by the Division
and final plans and specifications for the subject project have been reviewed and found to be satisfactory.
Authorization is hereby granted for the construction of 480 GPD wastewater treatment system consisting
of—aTO-00 gallon septic tank at a minimum, 420 squarefoot primary sandfilter, 210 squarefoot secondary
sandfilter, chlorine contact tank and cascade aeration with a discharge of treated domestic wastewater into
Carter Creek classified class C waters in the Yadkin River Basin.
If any parts, measurement frequencies or sampling requirements contained in this general permit
are unacceptable to you, you have the right to submit an individual permit application and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and
binding. Please take notice this permit is not transferable. Part II, EA. addresses the requirements to be
followed in case of change of ownership or control of this discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES
Permit No. NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are
constructed in accordance with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be required by this
Division, such as the construction of additional or replacement wastewater treatment or disposal facilities.
The Winston-Salem Regional Office, telephone number 919/896-7007, shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an in-place inspection can be
made. Such notification to the regional supervisor shall be made during the normal office hours from 8:00
a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification
must be received certifying that the permitted facility has been installed in accordance with the NPDES
Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and
specifications. Mail the Certification to the Permits and Engineering Unit, P.O. Box 29535, Raleigh, NC
27626-0535.
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496
Permit No. NCG550000 -
Authorization to Constrict
Gisela Faak
March 7, 1995
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the
life of the facility.
The sand media of the sandfilters must comply with the Division's sand specifications. The
engineer's certification will be evidence that this certification has been met.
A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration
occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of
tank capacity. The engineer's certification will serve as proof of compliance with this condition.
Failure to abide'Iby the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina Generaf Statute 143-215.6A to 143-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental
Management or permits required by the Division of Land Resources, the Coastal Area Management Act or
any Federal or Local other governmental permit that may be required.
If you have any questions
telephone number 919/ 33-5083.
or need additional information, please contact Mack Wiggins,
cc: Davie County Health Department
Winston-Salem Regional Office, Water Quality
Training and Certification Unit
Central Files
Sincerely,
6L
;_A� Presto ard, Jr., P.E.
J' Permit No. NCG550000
Authorization to Construct
Gisela Faak
March 7, 1995
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project, for the
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and
intent of the approved plans and specifications.
Signature Registration No.
Date
-
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06
Francis B. Greene Surveying & Mapping Co.
P. O. Box 501
Mocksville, N. C. 27028
Davie County Health Department
Mocksville, N. C. 27028
Attention: Joe Mando
REF.
Perk Test
Lot 16, Section 2 3 L o� K ¢
Greenwood Lakes
For: James Gordon
3 Bedroom Family Dwelling
1. Soil Type
A. Cecil 25% slope
Hiwassee 25% slope
Pacolet 25% slope
B. Septic Tank Absorption Fields
Moderate Permeability
2. Perk Rate
A: 1.4" per hour
FEB 2 6 1992
cc: Permits and Engineering
Technical Support Branch
County Health Dept.,
Central Files
WSRO
Date February 19, 1992
NPDES STAFF REPORT AND RECOMMENDATIONS
County Davie
NPDES Permit No. NC0071137
PART I - GENERAL INFORMATION
1. Facility and Address:
Gisela Faak Residence, Corner of Hillcrest and Brookdale
Drive, Greenwood Lakes Development, Mailing Address: Route
8, Box 267,,Mocksville, N.C.
2. Date of'Investigation: February 19, 1992
3. Report Prepared by: David Russell
4. Persons Contacted and Telephone Number:
Gisela Faak (919) 998-3907 Site visited 2-19-92, but no
residence was on property. (Ms. Faak was not contacted)
5. Directions to Site:
From Winston-Salem follow I-40 to the 801 exit in Davie
County. Travel 801 south toward Advance to SR 1656
(Underpass Road) on the left. Follow SR 1656 to Hillcrest
Rd. -(SR 1624) on the right. Follow Hillcrest to Brookdale
on the right. The property is located on the corner of
Brookdale and Hillcrest.
6. Discharge Point(s) - List for all discharge points
Latitude: 350 58' 39" Longitude: 800 25' 25"
Attach a USGS Map Extract and indicated treatment
plant site and discharge point on map.
USGS Quad No. D17NW or USGS Quad Name Advance
7. Size (land available for expansion and upgrading):
Ms. Faak owns lots 15 and 16 with a total of 2.5 acres;
however, part of this acreage is a lake.
8. Topography (relationship to flood plain included):
Lots slope gently from Brookdale Drive to the lake. The
creek is located on the opposite side of the lake.
r
9.
Location of nearest
dwelling:
Several within
1000 feet.
10.
Receiving stream or
affected
surface waters:
Carter Creek
a. Classification: Class C
b. River Basin and Subbasin No.: Yadkin 03-07-05
c. Describe receiving stream features and pertinent
downstream uses: Carter Creek flows into the Yadkin
River approximately 2 miles downstream. Residents in
thearea have requested a stream reclassification to
Class B waters.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
$ Industrial
a. Volume of Wastewater: 500 gpd MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
in development
should be required
approved
not needed
2. Production rates (industrial discharges only) in
pounds per day: N/A
a. Highest month in the last 12 months: lbs/day
b. highest year in last 5 years: lbs/day
3. Description of industrial process (for industries only)
and applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether proposed or
existing): Proposed septic tank, subsurface sandfilter with
chlorination to serve a four (4) bedroom single family
residence.
5. Sludge handling and disposal scheme: Pumped when needed by
commercial pumper.
6. Treatment plant classification: (attach completed rating
sheet)
7. SIC Code(s) `t95L-
Wastewater Code(s) Primary 04 Secondary
Main Treatment Unit Code: 44 0 _ 7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grants Funds (municipals only)?
2. Special monitoring requests: N/A
3. Additional effluent limits requests: Fecal Coliform Limit
because of reclassification request.
4. Other: Receiving stream information - USGS #02.1164 9350,
Carter Creek 0.2 miles above NC Hwy. 801 D.A. = 8.1 mi ,
Avg. Flow =•7.7 cfs, 7Q10 = 0.6 cfs
PART IV - EVALUATION AND RECOMMENDATIONS
This property (Lots 15 and 16) was denied for standard
subsurface disposal by the Davie County Health Department.
Carter Creek has a positive dry weather flow at the proposed
discharge point. There is a lake that crosses both lots and the
discharge must be piped along the edge of the lake to discharge
to the creek. The lots do go all the way to the creek.
It is recommended that the permit be reissued provided
access to the creek is possible. It is also recommended that
chlorination be required. On February 19, 1992, no residence had
been built on the property.
4-2�1 C.
Signature of report preparer
xW ✓�
Water Quality Regional,' -Supervisor
-Z�'
Date
0v••
Goll
a_� i \ \, O •!i\ i X15• '•\•�
_ � � �//•�,� �"�% ` 222...111 � � i / !�' a •, ; , . I I \��
77)\
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117135, i } -: f/� ( ID•.% l ��',
FAA VC
5R39�� =-A
^ eos�Alb LOtJG : 800 25 ZS"
JA
1 ? 116211 �/ !'C _ ���• - ,: �,>
Date.
Fac i I . ty Name : GISELA FAA,tc TESI'DENIC P e r m i t : NC00411-5-1
Receiving Strea.-i: CARTFR CREEK Class: C. Sub-Basin:03-01-U5
County:_-OAV1E Regional Office,: WINS'TOfV-SAL1cfu
Reference USES Ouad:ADV&WC- Existing: Proposea:I/-
Elevation:
-
Elevation:t'ol�� Drainage Area: i g. MI
Yvarologic Groan: C Design Terrn;.erature: 7-So
Slope: Comments:
Caa.-
N c �tG�+waY �0 ► USGS*A 02. %1&4 gIS0
-4Q 10
:��>~tDMm��D l �4t�0�tNP�T1�tJ
RECOMMENDED EFFLUENT LIMITS
Westeflow
(gpd):
500
BODS
(mg/ 1) :
'SO
NH3-N
(mg/I):
D.O.
(mg/1):
_
Fecal Coli
(/100ml):
100
TSS
(mg/1):
3
RECOMMENDED BY: A�i lel - uuz j- Da t e
APPROVED BY:
Regional Engineer:
Regional Supervisor:
Date:
Da t e 4 -/G - S ?—
ROUTE to Technical Support Group and Permits & Engineering Unit
(Enclose copy of USGS topographical map showing location of discharger)