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162 Brookdale Drive Lot 15 & 16 Section 2I '- I7"y5 cc: Permits and Engineering Technical Support Branch County Health Department A Central Files (/ WSRO i 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) 'T AX41r . rt 43 NO - lei 4jjOk .4 400, o• •. .Ys 6 87 • r . jo. � �� EST +1 V• ,` � , �� rr 'i:• �ti+•K. Ih, �.i4 �� y awl* /• It 41 .411 11V 'T rb to I./f ' .f- '� �•� •,11,..�• !i.l•.•l. '� 4 l' ITY 11 1 + . . • •\ , Y � 1 .,� y�. � tly ,r♦ f•4, jY I o J \ 3000 ,�•' n 194 E0173'x' / �oo 7 '• iSi� `, I' �� t�;(. �; I (_ 7410\, coirgilCoy, �e,11` 'y11 ' 1 1::✓ :;/ �(u ? i 1.73' 74 > f• �\ 't � I '� .. �y��� ! ..+'_' '`yam � S `r �. yv✓ 1614 , �J� rR; yti � �b I � r X76 � '� r . \ /�,,. ) Cif p • FA. K RES 1V 350 58 39 2.5, ZSw 7 4� ,. LONG' 80 BR... j ��� � � ;j/q i` .��-.`• , �TC r. ;\ .-..il '�. J v 11 - - � u �• 5, R 16211 / / —1 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 I Q F -i A r• A. � j $ C z m v� c y > x ; r„ A t OI j�J # .D ••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. ; �,,• .���� • �� . , FYG6 Pi' R/k/ 1►J K R naGlr N." ` NT. ti • �� I (see txlcr..) UNITE By rn wA ITER D 0 �RQDK OALE- ORIv'G K YJ Okla RaUce 310•�� �c,00 '`2'14' C_V.17 h ii G all Q I I r� i ii G all v 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) '042 z'ov 4 2 f~c nc.E 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` wo DCHD (6-62) W 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) S I F F fT� 1 P x z 6m$' 7: rn C o 0 Ota...1 [_ H > � x I IN, J "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 � S rn wRVOk M I Z ?1 0 M i TO b oK �P,t_E oRly� 0 = n t3R� =0\t �. a 3 •� �o,00 -Z -7, E• r �sl(G•g•, t . •�SQ���' of '. 61 rK t. • - 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. 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(, - o • '^i� •� \��( .Q o+• -',i �•n '` � `/''.��,I 1 ( � •' �� �� ;_ j • 1 f I l� �•6 • �9�'•�1� / �1' ;'•"�\`\ ice'•'' ' � �• •/. � � /i 1 �, _ .• _'` ,,/�: is �J, `\�Il t � �`• •'/c �::_-.`l /�� •�', asp+ �+. �), -�'- �,,;� ''/� c � I i � _ � 1 1 '( t t'.� 1 � � I? ♦ , f!( r '%a �- '� (, _ �)' _ l � (r �• r '� _ � �• .. _- '1f1\` `\\` �� ..a`t` Or- ( { �i .,� .( of ;• i ,•'\,• 1(`r((lr llx �'1 ;1`,-, �•': .:/ .� \__` l�l�i '''.� ��. I^�\L ) +,. .I.•{ , ,/ ��i_ •' / � - v �. _ la • _� i., -.. �.` Ali ��` /$ jtl( r 1 J' y.;i-i.i'� `)� •J' //`1,y0'i \f o) l/ ,♦V C-�)\ `) lam\\�/�1 -��\ ( ,, � l� s l .� .•r 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)\ • Y,cr , � \qJJ � :I " �• .?� -..yam•._ ` ;' �_! �% 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)