117 Chandler Drive Lot 39DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Account #:
990001248
Tax PIN/EH #:
5749-63-6844.39
Billed To:
Mike Hester Building Co.
Subdivision Info:
McAllister Park Lot # 39
Reference Name:
Mike Hester
Location/Address:
Chandler Way -27028
'roposed Facilitv:
Residence
_- Property Size:
144x210
111 C ho nd I er DY
ATC Number: 4301
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to
the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of
G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
AUTHORIZATION FOR WASTE ST IS VALID FOR A PERIOD OF FIVE YEARS.
Environmental Health Specialist's Signa e: Date:
ke `"60 0 - , CERTIFICATE OF COMPLETION
**1O�TE** 14 issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit
i has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and
i Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any
given period of time. 4,;X
00CV, L4r-D � ArI -
Sr dare- i -Z9
Septic System Installed By:
Environmental Health Specialist's
DCHD 05/99 (Revised)
fi?w,jr
Date: /L—)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001248
Billed To: Mike Hester Building Co.
Reference Name: Mike Hester
Proposed Facility: Residence
Tax PIN/EH #: 5749-63-6844.39
Subdivision Info: McAllister Park Lot # 39
Location/Address: Chandler Way -27028
Property Size: 144x210
TE
**NOp* um�er: 4301
is mprovement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater
system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this
Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with
Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type fl#People #Bedrooms —�) #Baths Z
Dishwasher: 0-*� Garbage Disposal: M"- Washing Machine: M"- Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑
Lot Size Type Water SupplyC ^"-nq Design Wastewater Flow (GPD) Site: New Repair ❑
System Specifications: Tank Size IC00 GAL. Pump Tank 1 CC GAL. Trench Width "3(;- Rock Depth a Linear Ft:! -:28
Other:
P%1-1
Required Site Modifications/Conditions: I NSTQL U OQ C�11-�400(Z Kjo._=p 15 C)Fp : L -o , 1/--E& 16 &F -F P� u •J �
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1••00 p.m. to 1:30 p.m. on the dad of installation. Telephone # is (336)751-8760.****
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�t-
�R1�E
C�� 5L+�N: OJT" of tASEM��-.1�5
S�ciiYp 10' I
vironm taI Health Specialist's Signature: ��-----�%1 ,.i-7 -� Date: 3 �3 ��tSta7
DCHD 05/99 (Revised)
DAVIE COUNTY HEALTH DEPARTMENT
` Environmental Health Section a
�
P. O. Boz 848/210 Hospital Street 1
Mocksville, NC 27028 to I�
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001248 Tax PIN/EH #: 5749-63-6844.39
Billed To: Mike Hester Building Co. Subdivision Info: McAllister Park Lot # 39
Reference Name: Mike Hester Location/Address: Chandler Way -27028
Proposed Facility: Residence Property Size: 144210
**NOTES* s�mprovement/Operation Permit DOES NOT authorize the construction of a septic tank system or any wastewater
system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this
Department prior to the construction/installation of a system or the issuance of a building permit (in compliance with
Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS
PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR
WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type #People #Bedrooms Z-� #Baths Z
Dishwasher: d Garbage Disposal: Washing Machine: 0'- Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
Commercial Specification: Facility Type #People #People/Shift #Seats _
Lot Size c�50,0i Type Water Supply Design Wastewater Flow (GPD)
Industrial 13all Waste:
Site: New u Repair ❑
�� 1
System Specifications: Tank Size 10M GAL. Pump Tanki OCO GAL. Trench Width Rock Depth Linear Ft.SA
Other: S1:)1-:--'T(Zt &X -a,3 Eows' kcc-d- -ru-b 2-5f2
Required Site Modifications/Conditions: 1t jsf-'i.LL- `c.�.J r-C>jT0jC L!Lp 1 c:>' ow Pizoy UAtS 1�4 1-�
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on, the day of installation. Telephone # is (336)751-8760.****
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I dot � I 1tJ cjotAKO,,J ,d,(?3i--:4
I
11 I
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lth t? %CAt 40 _M ij.Ia��qq l
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Speciahst's sVatur ,
DCHD 05/99 (Revised)
* N
,� S ed. q106
APPLICATION FOR SITE EVALUATION/Ih1PROVEh1ENT PERNIIT t� Q
Davie County Health Department V �'
Environmental Reaith Section
P.O. Box 848/210 Hospital Street APR
Mocksville, NC 27028 3 z�DS
(336) 751-8760 PA111—
***DJP0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE-REQUXEM
INFORI4ATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed /� 'CC�-1�� %z( �-1y �� Contact Person
Mailing Address �l �1�� /III E'_ Y' �� i' Home Phone 712 - O •-L
City/State/ZIP Lz �� ��''`� cS;, If-- 7/o j Business Phone 'fL -7 .L
2. Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
3. Application For: 13 Site Evaluation ❑ Improvement Permit/ATC ❑ Both
4. System to service: C -house ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
S. Type system requested: 113"Conventional ❑ conventional modified El innovative
6. If Residence: # People ? # Bedrooms
,..,
� ,� � '3 - � # Bathrooms
ODishwasher ❑Garbage Disposal [Ma'shing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /other:"verify type # People # Sinks
# Commodes
# Showers
IF FOODSERVICE: it Seats
# Urinals
# Water Coolers
Estimated Water Usage (gallons per day)
S. Type of water supply: W-county/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ m-/
0
If yes, what type? .
***IMP0RTAN7'*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST Bl: SUBn11TfED by the client witli THIS APPLICATION.
Property Dimensions:
Tax Office PIN: fl
Property Address: Road Name 514; 1J 14i
City/Zip
If in a Subdivision provide information, as follows:
Name: /y � f� /IIS I R k
Section: / Block: Lot: /
WRITE DIRECTIONS (from Mocksville) to PROPER'T'Y:
;- L"' GL ) , a of< -
Date home corners flagged:
'!- ,t,;L- Os,
This is to certify that tl:e information provided is correct to the best of my knowledge. I understand that any permit(s)
issued liereafter are subject to suspension or revocation, if the site plans or intended use cliange, or if the information
submitted in this application is falsiried or clianged. I, also, understand that I am responsible for all charges incurred front
ibis application. I, hereby, give consent to the Authorized Representative of the Davie County IIealth Department
to enter upon above described property located in Davie County and owned by
to conduct all testing procedures as necessary to determine the site suitability.
DATE Lf - L3- - D 5 SIGNATURE
TIiIS AREA MAY BE USED ICOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Sign givcn—A—)D
Revised DCIID (05/03
Site Revisit Charge
Datc(s):
Client Notification Date:
EIIS:
Account No.
Invoice No.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Water Supply:
On -Site Well
Community
Public
Evaluation By:
Auger Boring
Pit f
Cut
FACTORS
1
2 3 4 5 6 7
Landscape position
Ir -
Slope %
U20
HORIZON I DEPTH
Texture group(�
Consistence
Structure
Mineralogy
HORIZON II DEPTH
- �{
Texture group
Consistence
Structure
Mineralogy
_
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
C7'
SITE CLASSIFICATION;
a
LONG-TERM ACCEPTANCE RATE: (D -'5
REMARKS: �V -2 (�=1..� $ N -I j
LEG
f ---VALUATION BY:
OTHER(S) PRESENT:
Landscape Position A
R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Texture
S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
STEN E
ois
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
.Wet
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky
NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic
tr ct re
SC - Single grain M - Massive CR - Crumb GR -.Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less
Classification - S(suitable), PS (provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCI ID 05/99 (Revised)
R n ATION FOR SITE EVALUATION/lAIPROVEMENT PERMIT & ATC #
Davie County Health Department
DEnvironmental Heaith Section
P.O. Box 848/210 Hospital Street
JAN j 9 2006 Mocksville, NC 27028
(336) 751-8760
***iRaRTA **"THIS A LICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFOR,1 !F ED. Refers to the INFORMATION
INFORMATION BULLETIN for i-n�sv►tructions.
1. Name to be Billed I • :r1` ��E' J 5 G� 4 -I `1 0 1/'-C- cc. Contact Person ell I /f 1 t r / P SrJP•-r
Mailing Address a U U,M� �1 r&L-L / : �Z Home Phone
City/State/ZIP ` r `W S (, ✓� �(' _ A" J 7 o.Y�� Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: ❑ Site Evaluation
City/State/Zip
&Tmprovement Permit/ATC
❑ Both
4. System to Service: L'YHoou�se El Mobile Home 11 Business ❑ Industry El Other
S. Type uystem requested: lid" Conventional ❑ conventional modified ❑ innovative Glaccepted
6. ,I.,,f��Residence: ��// # People # Bedrooms 3 It Bathrooms
LlDiDliwasher [RGarbage Disposal 216ashing Machine ❑Basement/Plumbing ❑Basement/No Plumbing
7. If Business/Industry /Other: verify type
# Commodes
# Showers
# Urinals
# People
# Sinks
# Water Coolers
IF FOODSERVICE: 4# �eaSeats Estimated Water Usage (gallons per day)
8. Type of water supply: L7 CQunty/City ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this systein is intended to serve? ❑ Yes Q'1`I0
If yes, tivhat type?
'***L111'ORTi1NT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN hfUST BE SUBAfITTED by the client with THIS APPLICATION.
Property Dimensions: % ��( 01 to
•3 _
Tax Office VIN:
Property Address: Road Name
City/Zip
If in a Subdivision provide infornlation, as follows:
Namc: M `14t( 1 S11-6 ?f9v11(
Section: Block: Lot:
WRITE DIRECTIONS (frons Mocksvil(e) to PROPERTY:'
E V 'b s lA ( A/ � U . N'r'V
S45 CJ,'L-1 I'S tVL" C) 11i
0SSi <��i Witness my hand anduo(ficial seal,
I!d 1 200b. Nqt ry Public
T _ SEAL - this a day of -Jf44 , "-q 20M
LS 3513 _ ply commission expires October 3, 2010.
4.
v oQ
c/ SURE
0yti• GR
,',JrlJrJrC�.kilt, w FOR LOT 34 1823.04' S :-'39'45' W
_FOR SUBDIAStON—
MUNA114.G1' 104.00' 104.00'
•� TOTAL / 32261' S 2'39'45' W T 1
rd Surveyor, Number L-3513, - f_ ._ _ __ _ _l r - - -- -- -t
survey that creates o subdivision I r/ - n
xn!y or municipality that has an
d5 cf land.
I
0 M
L-3513 ,ri m N
Registration Number `n Y m a Lu / co
O>Jcr� d n / I�
J0W V' N
SNIP_ AND DFUICABON' W- Q m N o{ O N N i
�0Min ii r7 Tj �y Co
owner of the property described m
ENbdMsion jurisdiction of the v, �' J ED
here-
by adopt this subdivision plan I
fishing minimum building setback
'00�a _�` t7
((roods), alleys, walks, parks and IPI 1 S
public or private use as noted. S 19,'06
Ll c _ A �l� zS • w
a Dote of Q o I50 RD. R/1+I AM l%%,�' pRcsZ5—
UJ r- •4 L 12 R`� �t i
YALOF THE DESIGN OF NmN o -- �,�L9
1 /� (tea
Q_DIER IMPROVEMENTS, �; ? � L i 1 � - r�- � }�� � 19"
!Is, utilities, and other required
N I '
sled In an acceptable manner and � � �
ile,pecificotions and standards `
im or that guarantees of the S S 0 1 i �� 3 \
co !
Vrovanents in on amount cndL -
am of IAockshlle has been 5 2' W -J l CID <n 1 1
�^ `a this plat has been paid. 0 220.78_ w r l Wit �o I n
0 r
Dote z m I i C-4
n
! 168.00'
210.19' -D- i - -- -
V�%-> �- O I 1 1' 'f i Wlln O
�J
L1441i W
-- y C)^ 1 I
?x,06 r r, s r W 1
a 210., 4'
- - -
i r
16
..,,`
LO
i �J ! �11D 1
O I
t t rel n 1
CN
i
ry $ 2' W
f---210_09 -3---
o
Co
cc 1
\ 1
Z _ 4
e: 1I - 4 -" Y o j o `221, 6 E
BRADFORD PLACE 7 -a
SUBDMS10N LJ J • �! _ _ '
PB 6 PG 91 S W I ��
210.02' o o_ 1 r
g' S D'27' 0' W FOR Lor 36, 31 ` !�1 i 1�Co
- - - - -
1 U� 1 si ! N 2' E
1 01
CC I
,n JI 1 213.94' �•._ ... .
J
REA B
G l�
S4N-�j 0 O 2
jI!
A10996�-- 52_14'_r _- 187_03'- LD
5 1090 0 �� �� RS�0' - TOTAL 239.17' S 7W
-,::I -tet^ 1! .3
•� � PUgVC RO �} �U 5o L' 49 TOTAL 239.17" S 2' W ) - N- 2' E
2a PAID l: - -, -- 1 --_- it 213.98'-Q .._ .. .
If4Y�� 64.79' 70.78' 103.60' (--- --
�L
O OT^J9
-C' 11 i U
St1ELTER RE TION6, \+„� o ui a l t• i
d AREA ,1+, 0.
188.43 70.00' 70.00' 70.00' 62.00 I 50.01' I 214.06'
60,00 NSR .,::t TOTAL 784.50' N 0'52' 23" E 5
FOR LOT 3-J
uF TIT S'
1
A) OLA) M -1n tCT 31
APPLICATION FOR SITE EVALUATION/IAIPROVEAiENT PE-RA11T E C 'F 0
Davie County Health Department V
Environmenta/Hea/th Section
P.O. Box 848/210 hospital Street APR ]
Mocksville, NC 27028 3 z�DS
(336) 751-8760 Fnna,,,._
***XbIPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE --RD ��IEip ""'
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed 2 -lac•. cC ��I'L 14- Contact Person
Mailing Address (C� i'�/III I le r IS 4-- Home Phone 7S
City/State/ZIPL:.%� S f �' c /1-.`t 71,63 Business Phone 'f6 7 - 6Y -Zq
2. Name on Permit/ATC if Different than Above
Mailing Address
3. Application For: 13 Site Evaluation
City/State/Zip
❑ Improvement Permit/ATC ❑ Both
4. System to Service: 2" -House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other
5. Type system requested: lid' Conventi�o7nal 13 conventional modified E3 innovative
6. If Residence: # People r # Bedrooms
_y#Bathrooms ,1-2�
1 DA isll.ashor ❑Garbage Disposal llaWashing Machine
7. If Business/Industry /other: verify type,
❑Basement/Plumbing ❑Basement/No Plumbing
# Commodes # Showers # Urinals
IF FOODSERVICE: #1 Seats
# People # Sinks
# Water Coolers
Estimated Water Usage (gallons per day)
8. Type of water supply: 0--county/City i ❑ Well ❑ Community
9. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑-N6
If yes, what type?
***1111P0RTANT*** CLIENTS 111US7'COAIPLETE7'I-IE REQUIRED PROPERTY 1NFORAIATION REQUESTED
BELOW. Either a PLAT or SITE PLAN h1UST B SUB.H17TED by the client witl: TIIIS APPLICATION.
Property Dimensions: I
Tax Office PIN: #
Property Address: Road Name '5l4 1' l i 2L -a'
City/Zip
If in a Subdivision provide information, as follows:
Name: e f}j(!S-tel l�i1r�
Section: Biocic Lot:
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
;— L" /Of a C c.
Date home corners flagged:
-Y- - o's,
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits)
issued hereafter arc subject to suspension or revocation, if the site plans or intended use change, or if the information
submitted in tliis application is falsifled or changed. 1, also, unnlerstand that 1 am responsible for all chanwes incurred fi-oar
flus application. I, hereby, give consent to the Authorized Represcutative 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 the site suitability.
DATE' �.3 D SJ SIGNATURE / `''-'*�, ��•
TIIIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lilies and dimensions, structures, setbacks, and septic locations).
Sign given UD
Revised DCIID (05/03
Site Revisit Charge
Datc(s):
Client Notification Date:
EIIS:
Account No.
Invoice No.
~, DAVIE COUNTY HEAUM DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION
JL
qco
PROPERTY INFORMATION
�
Water Supply: On -Site Well Community Public ✓
Evaluation By: Auger Boring Pit Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
Sloe %
'o
HORIZON I DEPTH
a —
Texture group
Consistence
Structure,
Mineralogy
-' L7(
HORIZON II DEPTH
1 '
Texture groupG
Consistence
,r
Structure
5
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: toff
LONG-TERM ACCEPTANCE RATE:
REMARKS:
LEGEND
Landscape Position
EVALUATION BY: JC9__ 1 .0c'vvins'1140
OTHER(S) PRESENT:
It - 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 loans L - Loam SI - Silt
SICL - Silty clay loam . SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
CONSISTENCE
is
VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm
.Wet
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky
NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic
Structure
'SC - Single grain M - Massive CR Crumb GR - Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface `
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less
Classification - S(suitable), PS (provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCI ID 05/99 (Revised)
DAVIT; COUNTY HEALTIi DEI'ARTNI-ENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT' FN#012MATION
PROPERTY INFORMATION
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring Pit ✓ Cut
SIT
HORIZON I DEPTH
Consistence
aMMANKIARMAr
RAIMMAHORIZON
��
11 DEPTH
rCgroupit
�nsistcncc
HORIZON III DEPTH
Consistence
HORIZON IV DEPTH
Consistence
SOIL WETNESS
•
RESTRICTIVE HORIZON
SAPROLITE
�A ��A��.
SITE CLASSIFICATION:
LONG-TERM ACCEPTANCE RATE:
REMARKS:
EVALUATION BY:F--taLt►Q
OTHER(S) PRESENT:
LEGEND
Landscape Position
IZ - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope
CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope
Texture
S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt
SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam
SC - Sandy clay SIC - Silty clay C - Clay
CONSISTENCE
Moist
VFR - Very friable FR - Friable FI Finn VFI - Very firm EFI - Extremely firm
Wet
NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky
NP.- Non plastic SP - Slightly plastic P - Plastic VP - Very plastic
Structure
'SC - Single grain M - Massive CR - Crumb GR - Granular ABK -Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon - Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to f lec 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
. ...-,,,n ,., . 11