Loading...
131 S Benson Lane Lot 17/ Address/Road #: 131 S Benson Lane Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: *Water Supply: PUBLIC Subdivision: Twin Cedars Phase: Directions v Hwy 601 South, Left on Deadmon Rd, Right on Walt Wilson Rd. to Benson System Specifications 'CONSTRUCTION Site Classification: PS For Office use Only ' AUTHORIZATION Saprolite System? QYes ONo Inches 'CDP File Number 122867-1 f' Davie County Health Department 210 Hospital Street Maximum Soil Cover: Inches *System Classification/Description: County ID Number: 1.5-020.80.017 Evaluated For: REPAIR y °. W• P.O. Box 848 Township: Mocksville NC 27028 PERMIT VALID UNTIL: Phone: 336-753-6780 Fax: 336-753-1680 0 8% 2 0 2 0 1 8 Applicant: David J. Piff erty Owner: David J. Piff Address: 131 S. Benson lane rAdd ress: 131 S. Benson Lane City: Mocksville City: Mocksville State0p: NC 27028 State/Zip: NC 27028 Phone #: Phone #: / Address/Road #: 131 S Benson Lane Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: 3 # of People: *Water Supply: PUBLIC Subdivision: Twin Cedars Phase: Directions v Hwy 601 South, Left on Deadmon Rd, Right on Walt Wilson Rd. to Benson System Specifications Septic Tank: Gallons 'Proposed System: 1 -Piece: QYes ONo Pump Required: QYes ONo OMay Be Required Nitrification Field Sq. ft. Pump Tank: Gallons No. Drain Lines 1 -Piece: QYes ONo Total Trench Length: ft GPM—vs-- ft. TDH Trench Spacing:OInches O.C. Dosis Volume: _ Gallons _ Feet O.C. g Trench Width: Inches _ Feet Grease Trap: Gallons Aggregate Depth: inches Pre -Treatment: ONSF OTS -I OTS -II 1\ Septic Tank Installer Grade Level Required: 01 Oil 0111 ON Minimum Trench Depth: Site Classification: PS Inches Minimum Soil Cover. Saprolite System? QYes ONo Inches Design Flow: Maximum Trench Depth: Inches Soil Application Rate: Maximum Soil Cover: Inches *System Classification/Description: *Distribution Type: Septic Tank: Gallons 'Proposed System: 1 -Piece: QYes ONo Pump Required: QYes ONo OMay Be Required Nitrification Field Sq. ft. Pump Tank: Gallons No. Drain Lines 1 -Piece: QYes ONo Total Trench Length: ft GPM—vs-- ft. TDH Trench Spacing:OInches O.C. Dosis Volume: _ Gallons _ Feet O.C. g Trench Width: Inches _ Feet Grease Trap: Gallons Aggregate Depth: inches Pre -Treatment: ONSF OTS -I OTS -II 1\ Septic Tank Installer Grade Level Required: 01 Oil 0111 ON CDP File Number 122867-1 County ID Number: 1.5.020.130-0117 ❑ Open Pump System She( air System Kequirea:v T rs I. IVIU Uu( ndb rrvdlldUlt: Jpdctr Trench Spacing: Deet ches 0. *Site Classification: Ps — 9 O.C. Trench Width:Inches Design Flow: 3 6 0 ► — 3 6 Feet Soil Application Rate: 0 3 Aggregate Depth: inches v Minimum Trench Depth: 2 � Inches *System Classification/Description: TYPE 11 A. CONV SYSTEM (SINGLE-FAMILY OR 480 GPD OR LESS) Minimum Soil Cover. Inches Maximum Trench Depth: 3 6 `Proposed System: 25% REDUCTION Inches Maximum Soil Cover: Nitrification Field Inches Sq. ft. No. Drain Lines *Distribution Type: GRAVITY - SERIAL Total Trench Length: 3 0 0 ft. Pump Required: Oyes GNo OMay Be Required Pre -Treatment: ONSF OTS -1 OTS -II 'Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity of the Improvement Permit, not to exceed five years, and may be issued atthe sametime the Improvement Permit issued (NCGS 130A -336(b)} If the installation has not been completed during the period of validity of the Construction Permit, the information submitted In the application for a permit or Construction Authorization Is found to have been Incorrect, falsified or changed, or the site is altered, the permit or Construction Authorization shall become invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting and repair (1938(b)). ApplicanVLegal Reps. Signature Required? Oyes ONO Applicant/Legal Reps. Signatu ,Issued By: 2244 - Daywalt. Andrew Authorized State Agent: Date: / Date of Issue: 0 8/ 2 0% 2 0 1 3 Malfunction Log OYes OHand Drawing Olmport Drawing Total Time :(H H 1-1.1 M) **Site Plan/Drawing attached.** 0 1 Hours 0 0 ltlnutes Page 2 of CONSTRUCTION AUTHORIZATION 122867 - 1 Davie County Health Department CDP File Number: 210 Hospital Street County File Number: 1-5-020-130-017 P.O. Box 848 Mocksville NC 27028 Date: 0 8/ 2 0/ 2 0 1 3 Q Inch Drawing Drawing Type: Construction Authorization Scale:. ON/AOBlo= Q N /A Hse- taws f� � t ' f Davie County, NC - GoMaps Advanced Davie County, NC - CoMaps Advanced 0136 5s 152 CP 40 m 100 ft 33� V '5° 51 9 OS' Lan; ituae; -S0::_ Page 1 of 1 http://maps2.roktech.net/davie_gomaps/index.html 8/20/2013 Appraisal Card. ~ J DAVIE COUNTY, NC Page 1 of 1 8/20/2013 2:18:02 PM IFF DAVID J Retum/Appeal Notes: LS -020 -BO -017 131 S BENSON LN UNIQ ID 21874 2530035 ID NO: 5746489519 COUNTY TAX (100), FIRE TAX (100) CARD NO. 1 of 1 eval Year: 2013 Tax Year: 2014 LOT 17 TWIN CEDARS SECTION TWO 1.000 LT SRC= Inspection kppralsed by 19 on 05 /20/2008 05004 FAIRFIELD TW -05 C- EX- AT- LAST ACTION 20130627 CONSTRUCTION DETAIL MARKET VALUE DEPRECIATION CORRELATION OF VALUE Foundation - 3 ER. BASE Standard 110.0600C ntinuous Footing 5.0 U5 MO Area UA RATE RCN EYB AYB CREDENCE TO MARKET ub Floor System - 4 Ilywood 8.00O1 01 1,841 120 84.00 15614 200 200 % GOOD 1 94.0 DEPR. BUILDING VALUE - CARD 146,78 xterlor Walls - 21 TYPE: Single Family Residential Single Family Residential DEPR. OB/XF VALUE - GRD 2,73 ace Brick 34.0 MARKET LAND VALUE - CARD 23,10 STORIES: 1 - 1.0 Story TOTAL MARKET VALUE - CARD 172,61 oofing Structure - 03 able 8.0 oofing Cover - 03 TOTAL APPRAISED VALUE - CARD 172,61 s halt or Composition Shingle 3.0 TOTAL APPRAISED VALUE - PARCEL 172,61 nterior Wall Construction - 5 )rywall/Sheetrock 26.00 TOTAL PRESENT USE VALUE - PARCEL nterlor Wall Construction - 6 TOTAL VALUE DEFERRED - PARCEL ustom Interior 0.00 TOTAL TAXABLE VALUE - PARCEL 172,61 nterior Floor Cover - 12 ardwood 10.010 PRIOR nterlor Floor Cover - 14 I PTO I BUILDING VALUE 150,86 'arpet 0.00 1 1 BXF VALUE eating Fuel - 04 0 0 ND VALUE 26,25 lectric 1.0 1 1 PRESENT USE VALUE +--13---+ +6-+ +------25-------+ DEFERRED VALUE eating Type -04 IBAS +4-+ +4-+ I orced Air - Ducted 4.0 I I OTAL VALUE 177 11 r Conditioning Type - 03 1 1 entral 4:00 1 I 1 I edrooms/Bathrooms/Half-Bathrooms I I PERMIT /2/0 12.00 1 2 CODE DATE NOTE NUMBER AMOUNT drooms I 8 AS-3FU5-OLL-0 3 I 6 I ROUT: WTRSHD: [hrooms I I SALES DATA AS - 2 FUS - 0 LL - 0 I 1 FF. Ifice I I INDICATE AS -0 FUS -0LL-O 1 +-----21------+ RECORD DATE DEED BOOK PAGE M R TYPE / / SALES PRICE OTAL POINT VALUE 115.00 1 +-G-+ 5 F G D I I +FOP + - 1 1 - - + I 0769 480 8 00 WD Q I 17700 BUILDING ADJUSTMENTS I 4 1 I 0571 276 9 0 WD Q V 2500 uali 3 AVG 1.000 +---14---+ I I 007E 126 4 00 WL X V ha a Desi 4 FACTOR4 1.050 I I 0126 487 4 198 WD X V Ize 3 Size 0.990 I 2 OTAL ADJUSTMENT FACTOR 1.04 1 4 OTAL QUALITY INDEX 12 9 1 I I I I HEATED AREA 1,599 I I +-----21------+ NOTES /S ERA SUBAREA UNIT I ORIG % ANN DEP % OB/XF DEPR. TYPE I GS AREA I % JRPL CS ODE DESCRIPTIO LTH H NIT PRICE COND BLDG B AYB EYB RATE V GOND VALUE AS 1,594 10 13431 10 ICON PAVING I 6q 161 1,0401 3.5CI (A - I - P00800ON S1 I 7q 273 GD 5004 1906 OTAL OB XF VALUE 2,73 OP 1 03 50 O 1701 0051 75 2 Pre IREPLACE 1,50 Fabricated 2,291 156,14 DIMENSIONS BAS -W25 PTO=S3W4N2W6S2W4N13E14S10 S3W4N2W6S2W4N3W13S36E14N4 FOP=N3E6S3W6 N3E6S4E11 FGD= N5E21S24W21N19 NSE21N28 . ORMATION THER ADJUSTMENTS TOTAL FMARKET USE LOCAL FRON DEPTH/ LND COND ND NOTES OA LAND UNIT LAND UNT TOTAL ADJUSTED LAND LAND CODE ZONING TAGE DEPT SIZE MOD FACT RF AC LC TO OT TYPE PRICE UNITS TYP ADJST UNIT PRICE VALUE NOTES 010010001.000001.0500PW22,000.0 1.00 L7 1.05 23,100.0 2310SIZERKET LAND DATA 23 10 ESENT USE DATA �fl 12Z�b� http://maps.co.davie.nc.us/ITSNet/AppraisalCard.aspx?parcel=L5020B0017 8/20/2013 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900158 Tax PIN/EH #: 5746-48-9517.17 Billed To: Richard Hendricks Subdivision Info: Twin Cedars 11 Lot # 17 Reference Name: Location/Address: Benson Lane -27028 Proposed Facility: Residence Property Size: 110x298x59x5 ATC Number: 4530 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 T atment and Disposal Systems). THIS AUTHORIZATION FOR WAST CO CT NIVAL7 A PERIOD OF FI YEARS. Environmental Health Specialist's Signa Date: CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NOW ce s a guarantee that the system will function satisfactorily for any given period of time. r) Cl z -3) Sov 2 Septic System Installed By: Environmental Health Specialist's Signature : DCHD 05/99 (Revised) 0 Date: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Bog 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900158 Tax PIN/EH #: 5746-48-9517.17 Billed To: Richard Hendricks Subdivision Info: Twin Cedars II Lot # 17 Reference Name: Location/Address: Benson Lane -27028 Proposed Facility: Residence Property Size: 110x298x59x5 ATC Number: 4530 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction of 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 HOOS& #People 2 #Bedrooms _ #Baths ?- Dishwasher: Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size ©:77 XC�'"SType Water Supply �^�j`S' Design Wastewater Flow (GPD) ZLeO Site: New El— Repair ❑ System Specifications: Tank Size t_GAAL. Pump Tank GAL. Trench Width Rock Depth N & Linear Ft. ��t' Other: i p � ?U -Rt-��T1eq� Required Site Modifications/Conditions: IZQTALl_ n-3 C— DOT- a- via' J dk:PI--X V—tt� 1C''otC 02d,- 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.**** Jt ' A� V� ka\y-1v 11 r ov 126 Environmental Health Specialist's Signature: Date: DCHD 05/99 (Revised) F 2 3 2005 `aNn�,Er,1n�11� n IECGUNN Ava uation/ cv ITE EVALUATION/IMPROVEMENT PERMIT & ATC `Ak�� lavie County Health Department Environmental Health Section P ital Street P.O. Box 848/210 Hos �''.. Mocksville, NC 27028 (� (336)751-8760/ Fax (336)751-8786 �N wement Permit Authorization To Construct(ATC) ❑ Both ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. raw VALWXLlF QlK9JW0IGXM 9JLgI Name to be Billed ' 6,' ! '; car!' Contact Person ' Billing Address Home Phone 336 Y?18d' City/State/ZIP ,yl/ct�,,fs�,'//� ih• C . Business Phone 2si Name on Permit/ATC if -Different than Above Mailing Address City/State/Zip PROPERTY INFORMATION NOTE: A survey'plat or site plan must accompany this application. (Permit is valid ,f,,Q r 60 months with site plan, no expiration with completq plat.) �/ Street Address 1�'�tKON [( tV City la��kk, �l (�— Tax PIN# S '7 / tN S/ �l Subdivision Name %tk„;., (c d ..-,r Section/Lot# / ' Lot Size Directions To Site: f E��iC�/fnAe.• .f�W ri 4,,4 d ✓/ -S-16,!..0 ..1 2.✓`. 4,7- e1 t "al;6- Date House/Facility Corners ,Flagged /o 23,96- If 3 06If the answer to any of the following questions is "yes", supporting documentation ust be attached. Are there any existing wastewater systems on the site? ❑Yes Does the site contain jurisdictional wetlands? ❑Yes Are there any easements or right-of-ways on the site? ❑Yes Is the site subject to approval by another public agency? ❑Yes LIN Will wastewater other than domestic sewage be generated? Dyes 8'1Vo IF KJ✓SIllBNUL PILL UU'I Ihh BUA BbLUW # People o� # Bedrooms _7 # Bathr�o ms _�_ Garden Tub/Whirlpool ❑Yes Ao Basement: ❑Yes ANo Basement Plumbing: []Yes BNo IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: 26onventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: [County/City Water ❑ New Well ❑Existing Well 1 ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes P'No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed. I understand that 1 am responsible for all charges incurred from this application. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compli nce with applicable laws and rules on the above described property located in Davie Coun owned by Je' Site Revisit Charge Pro erty owner's oro er's lega representative signature 4) Date Sign given ❑Yes ❑No Revised 2/06 Date(s): Client Notification Date: EHS: Account # �WLdI Invoice # 6705-- r Qdery/Selection Results Please enlarge this window to see all results. Pronerbu Lines Page 1 of 1 Rec Parcel PIN Account Listed Owner Listed owner Mailing Address ;Mailing Address City Stade Zip Legal Number Number Number #1 #2 1 2 Code Description L5020B0017 � 5746489519 000082516570 WILSON WILSON 494 PINE MOCKSVILLE NC 27028 17 tWIN 1 DEBBIE DEBBIE JERRY RIDGE CEDARSk-a�ba& ROAD X06'7 http://maps.co. davie.ne.us/servlet/com.esri.esrimap.Esrin`aap?ServiceName=davie&CustomService=Query&ClientVersion=3.1 &... 10/23/06 33' 2 o. ,COMMON ARE rA � � `� C" foa12 ti GREEN °1�. ?� 87� b N 20.12 CONTROL CORNER `O �P I, I ?>•�3, :, i II / 22 "1.x 70' _.i'3tT --Y' (� I (D.1 i+, •.r y =.1SEMENT[TYa.) C 1 gs �Gr: / / A O 3 ;',' GREEN ! (140 ACV b [-ASEVENi A YS ' J 2Q 22 4,4 . Af Z� If.X i Tor 1 lo'? . - z N 449 (a i ApHj 91 4 �r Jj h (*AM JCS /r 0 f 11A r ,� iJISENfM(TW) 5$•C ~ 20 S0 2 (0.712 ACqQ S H. PRICE y � ao s J•� v65`'s �tj '°�� ''-- rrc 26 Pg. 487 5 (0.746 ACRO - - G23 18 m� y L� _,9 6 L h d �iiNfROL CGRNER (MW ACNQ ti N 691 85 (07T0 AM){ ��j T` i S 4 6 /S a 16 J� 4 • 66 =� b� 3_ (0.790 Acm tv U Y I f W GREEN 0 ii2 64 � (CILM ACAQ I,- N �f N 31'41'53' E / 79 07 15-44 0N.<, (0.741 AOIU < (� 00 ,i' 2Q I ►2 0 cs 6 239, Cl AL JDS BE,*Vs—ojv �, �� A 4 - -r- amob. c-; Ilk a,. It -C I cc rcT,4L APPUCAIION FOR SITE EVAUTAIION/IMPROVEMENT PERMIT & ATC Davie County Health Department 7 Environmental Health Semdon P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ***ZMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS Al INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN fa �[0WR p NOV { 7 I,ggg QUZRED ink 1. dame to be Billed /Ir?L�..� S ('�t�L �ir5, Contact Person 'fU/ feK.Xd 5JgV'L'�/i�1G lfailinq Address /_QLD2.17.1er Uee0o=%<<1. Bome Phone City/state/ZIP Z. Name on Permit/ATC Different than Above Mailing Address Application For: • �p�Site Evaluation 70,�,� Business Phone ¢q 2,- 5O /v City/state/Zip 0 improvement Permit/ATC 0 Both 4. system to service: XHouse 0 Mobile Home 0 Business 0 Industry ❑ other s. If Residence: # People Z -/ # Bedrooms 3 # Bathrooms L - 2- 8'ishwasher 0 Garbage Disposal 0,Wa-skiing Machine 11 Basement/Plumbing 11 Basement/No Plumbing 6. If Business/Industry/other: specify type # People # sinks # Ccmmodes # shovers # Urinals # Nater Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is Intended to serve! ❑ Yes 0 No If yes, what type' ***IMPI0RTANP** CLIENTS AIUST COHPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: i 3 0,000 . f�. Tax Office PIN: # % ¢b 0 23 4 6 l • Q/�-) Property Address: Road Name 10cr- 46.0.'' P,(/, City/zip /v/G WRITE DIRECTIONS (from MockrAlle) to PROPERTY: 7i) 1"467- ?eyr01ry If In a Subdivision provide information, as follows ,� p Name: /�✓ CG�,¢(L , B .V tWAP yF Section: 2— Block: Lot: -�– ate Property l �Flagged: This Is to certify that the information provided Is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or Intended use change, or If the Information submitted in this application Is falsified or changed. 1, also, understand that I am responsible for all charges incurred from this application. 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 al eating procedures as necessary to determine the site suitability. DATE ��f�O�1. /o� A/ SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Irklo all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Revised DCHD (07/98) Account No. Invoice No. �6V ■■ ii ii ME ■o ■ ■ ■ ME ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ SSSS■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ SSSS■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■SSSS■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■cam■■■■■■■��■■■■■■ ■■■■■■■SSSS■■■■■■R===.�::::�:■■■■■■■■■ SSSS■■■■M■MMMM■MEIN■■■■■�7■■■■■■■■■■■► ■■■■■■■■■■■M■E■■■INM■■Ili■■■■■■■■■i/■■■■ ■■■■■■■■■■■■■■■■■11■■■r:! �:1■■■■�■►SSSS■■ ■■■■■■■■■■■SSSS■■II■■■■■■■w'.'::3�■■■■■■■■ ■■■■■■■■■IN■■■■■►.'��I■■ SSSS■■■ ■■■■■■■■■IN■■■III■■■■■■■■■■■■■ SEEN EMMINNN MOMMME MEMNON ■SSSS■■■■II■1�:�.■■■■■■■■■■■■■■■ ■■■■l��7■■11■■Lim■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■moi■■11■■■■\\■■■■�■■■■■■■ ■■■■■■■■■■■■r■■■■11■■■■■■■■■■ SSSS■■■ ■■■■■■■■■■SSSS■■■IN■■■■■■■■■■■II��iIi■■■■ ■■■■■■■■■IN■■■■■■■■■■�■■■\`\SSSS■11■■ ■M■MMMMEMII■■M■■M■■■■ ■■■■■►\■■■II■■ ■ ■ ■ ■ ■ ■E■ MEN MEN MEN MEN IE■■■■ IM■■M■ IM■■E■ I■■■E■ IME■E■ IMM■■■ IM■■E■ 1■■■E■ IM■ME■ IM■■E■ IM■EM■ ■E■■■NIM■ ■O■S■11■■ ■E■E■NI■■ ■E■E■NIM■ ■■■■■NIM■ ■E■■■NIM■ ■E■E■NIM■ ■■■E■NI■■ ■■M■■NI■■ ■■M■ENI■■ ■■M■ENI■■ ■E■MENI■■ ■M■■ENI■■ ■■■■■ ■■■■■ ■■■■■ ■■MM■ ■ENE■ SOMME ■E■E■ ■E■E■ ■E■■■ ■EME■ ■E■E■ ■■■■ME■■■■ ■E■■MEM■■■ ■E■■■ME■■■ ■E■MEM■■■■ ■■■■MM■■M■ ■E■■M■■■■■ ■■MEM■■■■■ ■■■ME■■■M■ ■M■■EM■■■■ ■M■■EMM■■■ ■E■ME■■■■■ At DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT'S NAME �C PROPOSED FACILITY NyyD SUBDIVISION —rC ) t N S Water Supply: Evaluation By: On -Site Well Auger Boring Community Pit SECTION CTA'r 1'7 DATE EVALUATED PROPERTY SIZE _Z5- A 3zg X 1 to r, 333 ROAD NAME =h.T t'j 1 t..5+ Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe % 47, HORIZON I DEPTH 0 -10 p Texture group C t - Consistence 555V Pr SS 2 Structure C -a Mineralogy/ 1 1 HORIZON II DEPTH Texture groupG Consistence r 5 Structure: 5 Mineralogy( ` HORIZON III DEPTH O Texture group =r� iS Consistence ,- SS Structure Ic Mineralogy HORIZON IV DEPTH O y Texture group Consistence r41 Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION L> LONG-TERM ACCEPTANCE RATE --C SITE CLASSIFICATION: P5 LONG-TERM ACCEPTANCE RATE- o,4 REMARKS: LEGEND DCHD (O1-90) Landscape Position EVALUATION BY: 015CT, OTHER(S) PRESENT: ✓��T '^^� J R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 no ■■ no on ■■ on on on on ME on ■■E■E■M■■E■■■■■ ■MEMMOMM■MEM■M■ ■■■■E■E■■■■N■■■ ■■M■M■MEMEMM■E■ ■ME■■EME■■■M■■■ ■■■ENNEMMEMME■ ■■■■■■■■■■■■■■ ■■■M■■■■■M■■■■ ■■■E■■E■E■E■E■ ■■■■■■M■■■M■■■ ■E■E■■■■■E■■E■ ■EMM■■■■■E■■E■ ■■MM■■■■■M■MM■ ■■■EM■■N■OMME■ ■■■■■ ■■■■■■ SENSE ■■■■■S� ■■■E■■■■■■■■■■ ■O■■E■■■■■■■■■ ■■■E■■■■■E■■■■ ■■■■■■■■■■■■■■ ■■■EM■■■■E■■■■ ■■■E■M■■■E■EE■ ■■■M■■E■■ENE■■ ■■■M■■M■■E■■E■ ■■■M■■E■■E■E■■ ■■■■E■EMMO■M■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■M■■■■■ ■MESE■■■■■■M■■ ■■■■■■■■■■■■■■ ■ ■ ■ ■■E' ■■■ ■N■ ■■■ ■■■ "NNE 0 10 ■■I[■O■SSSS■■■■l1■■■■■�wJl■■■■■■■■■■■■ ■■11■■■■■■■■■■■■■■■■►■■■■■■■■■■■Sri■ ■■11■■■ ■■■■■■■■■■■■����■■s■■■Sri■■ ■■11■■■■■■■■■■■■■■■■■■■■■■■■■►111■■■■ MERIMEM MONSO■■MENNENMENNENME ■■■■E■ ■■■■■■■■■■■■■■■■II■►L'�■0■■■ SSSS■■"■■NOON ■■■■■■■►/■ NONE ■■ONE ■■ ■■■■■■■■■■Sri■■■■■■■■■■■■■■ ■■M■■■ ■■■■■■ r21■■■■ NUMME■ ■.MM■■ MNEME■ ■■MN■■ ■■N■■■ ■EM■■■ ■OMM■■ :�■■■O/ COMMON ■■■■r■ ■E■MUM ■■■M/■ ■■NINE■ ■■■IM■ ■■■■■E■E■EN■■■ ■M■■■EM■■ME■■■ ■■■NN■■■■MEMM■ ■■■■■EMO■ME■■■ ■E■■MME■MOMME■ ■EM■■EM■■M■ME■ ■EM■■M■■EM■■E■ ■E■■MEMO■M■M■■ ■M■■E■E■MEM■■■ ■■■■E■M■M■E■E■ ■■E■E■E■M■■■E■ ■O■■E■■MM■■■M■ ■■■■EM■■E■■■E■ ■■■EM■■■E■■ME■ No ■i on ME ■■ NOON MEMO ■■■■ MEMO MEMO ■E■■ ■EE■ ■■O■ ■■M■ NOUN ■■M■ NONE ■■O■ ■■■■ ■■■■ ■O■■ ■■E■