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110 Welcome Springs Way Lot 4DAVIE COUNTY ENVIRONMENTAL. HEALTH P.O. Box 848/210 Hospital Street + Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Account M 990004245 Tax PIN/EH M 5813-99-4502.04 Billed To: Juan Bartolo Subdivision Info: Waters Edge Lot # 4 Reference Name: Location/Address: Bowman Road -27028 Proposed Facility: Residence Property Size: 1.838 ATC Number: 4596 **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. (/� i System Type:..11lI S.T. Manufacturer a V/, Tank Date 10 [6 rank Size I� Pump Tank Size System Installed By: SAM— E.H. Speci Z Gtt' 4rv►� 41 a ( c1 [ 4 !�T� 2 DCHD 11/06 (Revised) WZL11 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC. 27028 (336)751-8760 Fax #(336)751-8786 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004245 Billed To: Juan Bartolo Reference Name: Proposed Facility: Residence ATC Number: 4596 Tax PIN/EH #: 5813-99-4502.04 Subdivision Info: Waters Edge Lot # 4 Location/Address: Bowman Road -27028 Property Size: 1.838 /1: 30 Site Type:.,?<ew ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms 3 # People3 Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size Type of Water Supply:. ❑County/City Z<e11 ❑CommunityWell System Specifications: Design Wastewater Flow (GPD);Xld ank Size I COOGAL. Pump Tank GAL. Trench Width �� Max. Trench Depth Rock Depth14 & Linear Ft.� Site Modifications/Condition,A/Other: �1�1 El �>o ��dC•�% ��- % [, — , — Jr- ` rill /? y Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 — 9:30a.m. on!the day of installation. Telephone # (336)751-8760. kD A 1 � Environmen al Health Spec' ist DCHD 11/0 (� MS MBK lbcs; 12o, x Dec 29 06 01:11p �F�L�CATI 1 . _„M�ectilA�NEALTH- - - davie county envhealth 336 751 8786 FOR SITE EVALUATION/IMRIOVEMENT PERMIT & ATC ,ANew System Davie County Environmentar. Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 provement Permit . lAuthorizaticn To Construct(ATC) ❑ Both :11t.epair to Existing System ❑Expansion/Modification of Existing System or Facility "� **IMPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE .REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed d, Conta,-t Person Billing Address _�n3 L 1,� Horne Phone City/State/ZIP _N%ei�s v: I •. �1, L 0.2 Y Business Phone i �� -i(0 4'1 Name on Permit/ATC if Different than Above `Ti..A,it 1�c4tJe Mailing Address City'State/Zip rKUrr1K1 Y lBrUFUMAHUN *Date House/Frlcility Corners Flagged ) O 01 NOTE: A survey plat or site plan must accompany this application. Included: Iii' Site Plan ❑Plat(io scale) (Permit is vali for G0 months witli site plan, no expiration with complete pat.) Owner's Name N Phone Number Owner's Address �ln'�� ..,� ,Som, C-}- t.", —SJ -1 City;State/Zig, So,�,...,. X'1(2.1 Property Address Lot Size_ I '6 �tXcr Tax PIN# Subdivision Name(if applieable)�,DMNI. =s T.1. Scctior./Lot# .`'r _ Directions To Site: k.,C)l tv fl�a,.2( � '?qhl Q A >h0- At o o 0 If the answer to any of the following questions is "yes", supporting documentation. must be attached. Are there any existing wastewater Eystems on the site? ❑Yes 1'J' O Does the site contain jurisdictional wetlands? 0Yes 17 0 Are there any easements or right-oi-ways on the site? Ryes 01\b Is the site subject to approval by another public agency? Dyes ONO Will wastewater other than dornesti:: sewage be generated? ❑YesAIN,o IF RESIDENCE FILL OUT THE BOX BELOW # People _ 3 # Bedrooms _ _ # Bathrooms Garden Tub/Whirlpool-0,Yes CNo Basement: ❑Yes., -No Basement Plumbing: ❑Yes tNo IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage o:'Building #f People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per days (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: &onventional V.ccepted ❑Innovative ❑Alternative ❑Other. Water Supply Type: ❑ County/City Water XNew Well DExisting Well 0 Commtmity Well Do you anticipate additions or expansions of the facility this system is intended to , erve? ❑ Yes KNo 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 ;-abject to suspension or revocation if the site is altered, the intended use changes, or if the information subnritted in this application is falsified or changed. I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to co: educt necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the prober identification and labeling of prop.:rty Iines and corners and locating and flagging or staking the house/facility location, propose.I well location and the location of an)- other amenities. s /(I�t1 -) tS Property owner's or owner's legal represcntat ve srgnaturk"z", :5>q` -"� a l3-0 `%I Date Sign given Dyes ONo Revised 11/06 Received Time Dec -29. 3:26PM Site Revisit Charge Date(s): Client Notification Date: EHS: Account # -�� Invoice it nn !�4 4:,y 1 i t 1 � i : . l 1 . i , . ,. , , i . i , • 1 I , 1 � (, i ., I i. . i � i i I :•' �^ � i 1 iQ� i � i i t 1 i i � I i .i i- � .. 1 i i i 1 , , , + i � • - , 1!!. to I , , 1 ; ` , I 1 , , S ,C7 , .1 tCc.�. �•-� ''' `1�,���i`y- �I 4 S s-�,.r•� M �— • , , . , . _ , , , i , , Q i y �s�—� . JV Qrr _.••.--� '- � Siigh\-Ci=++�y pavrd Road Pub S- �sEMEtri_ . ticGAi1�E ACCE55 _ 25'c' CONTROL CORI, td 4C'30 '% _ S -- ACCESil+SE1AENi � t1E 11YE _ 2g' 2S' __ Zi -61 ` _ —`n � � ) • 0.3f3 ACRES(D1AD) � r � �-!�� r f c�} ?ACRES{DIAD) fi �} (L W0 (� J V �a . t O � c c 1.533 ACRES(UMD) '4 o 0.918 &rRES(DIAD) ;-1Qi N i _V�IELCQME= :.,SPRIN�S WAY,. • ��� (PRNAiE) . STILL WAV ERS LANE (PRNATE)V� 2g�A7' ' ,634'Oi1 W t g 1.9 zv l' _ — 40' 6/L S 1430'1.9 W ; _ __ _ A0, f A 1 4C' BSL •• ���� ;i 1,318 ACRES(DAID) � J� �n � ,. O . O • 44 • 1.982 ACRES(DMD) 1.695 ACRES(D1A0) 2.083 ACRES(0►AD) s s 25G.7� 506.4h DELTA w t�37.2 w 22'16'44 E 09'18'34 E of RUTH SPILLMAN D8 160 PO 880 3, 0, • - f c; JUtiE CLEARY � 05 157 PG 025 LV"j k \ANutl�7l�: 0 DAVIE COUNTY HEALTH DEPARTMENT . Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001512 Billed To: Special K Builders Reference Name: Bill Kageorge Proposed Facility: Residence pd. 1. 2 °I- of Tax PIN/EH #: 5813-99-4502.04 Subdivision Info: Waters' Edge Lot#4 Location/Address: Bowman Road - Property Size: see map **NOTL�* its gmproveei ent/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 J(� �BM #People I #Bedrooms a_ #Baths 2 - Dishwasher: Wr" Garbage Disposal: ❑ Washing Machine: Ef'— Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industria13�l Waste: Lot Size A C � Type Water Supply OZ"� Design Wastewater Flow (GPD) V Site: New'_Repair ❑ System Specifications: Tank Size E+OGAL. Pump Tank �1 • f GAL. Trench Width Depth ) Z Linear Ft.� Other: 3 DaL � r { ��AL.I. � c1 cam$ /Rock "1 tU, C, r►'l.�.l. Required Site Modifications/Conditions: �►�Tgll., (��Ol� n �C�' 5 (d1i�jC 1t1'�.�f41 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.**** .sem 2' w EnvironmpptaIA4ealth Specialist's Signa(u 05/99 (Revised) �14P.C. MIP4. Date:1 00 �a1 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 990001512 Billed To: Special K Builders Reference Name: Bill Kageorge Proposed Facility: Residence ATC Number: 2662 5813-99-4502.04 Subdivision Info: Waters' Edge Lot # 4 Location/Address: Bowman Road - Property Size: see map 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 buildi permits) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .19 0 Trea ent and Disposal Systems). THIS AUTHORIZATION FOR WAST ATER C ATS TIO S VALID RIOD OF FJVE YEARS. Environmental Health Specialist's CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. Septic System Installed By: Environmental Health Specialist's Signature: DCHD 05/99 (Revised) Date: V � f I OOZ u i (a �3a0v z�• �. u J / 00'OS ►'a)SBH0'v -m-0 �/ c NOISOa3 ; M3d013! AND ONUNO TTV NOV" ONO Qs►o • ! t I owo ae3 0 / 4F rho I \� t09 L j WR • '� a l 1 ' x • t A1Mf10O NgIQy� � - r �s APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC S - Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 DEC ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed -X'- eCIZI K '/��- -r Contact Person 73,ot �/1) ealrPc Mailing Address 14 0, Uoy loll G Home Phone /� / y-29 y/ /r33 City/State/ZIP `��►^�IT�`� NC Z728;�' Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address f 3. Application For: Site Evaluation 4. system to Service: ❑ House Mobile Home 5. If Residence: City/State/Zip Improvement Permit/ATC ❑ Both ❑ Business ❑ Industry ❑ Other # People / # Bedrooms l� # Bathrooms 2 LY/Dishwasher ❑ Garbage Disposal O washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Buainess/Industry/Other: Specify type # Commodes # Showers # Urinals # People # Sinks # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: ❑ County/City Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes iQ i o If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBM17TED by the client with THIS APPLICATION. Property Dimensions: oZ0 G X 3 0 6 Q 9 d X 3 o v Tax Ofrice PIN: # S&1: 9 9 yS—gL ,� J Property Address: Road Name 13 arm a, GU% City/Zip If in a Subdivision provide information, as follows: WRITE DIRECTIONS (from Mocksville) to PROPERTY: �Q()� Nai;r to 1 JJOuJw-2n R - a 4 - Name: Name: ,Wafers EdF4 Section: Block: Lot: Date Property 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. I, 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 all testing procedures as necessary to determine the site suitability. DATE ( SIGNATURE t�lhwa-o✓ K_ 1 K4 RD-' THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Date(s): Client Notification Date: EHS: Account No. ' I Revised DCHD (07/99) Invoice No. W -OA- -7 -/X o ee'- `r APPLICATION FOR SIIE EVALUATION/IMPROVEMENT PERMIT & Davie County Health Department Environmenb/Hea/tfiSeWon P.O. Bos 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 MAY 23�- D THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to bs Gilled_ /'C�'� ^ Contact Person Nailing Address :r 47 �� 4A1,e Agza /y 0� f Home Phon �Z A/ City/State/ZIP L''l �A- r?W' ;Ve' / 41-Z 07c usiness Phone 2. Name on Permit/ATC it Different than Nailing Address City/State/Zip 3. Application For: Site Evaluation 0 Improvement Permit/ATC O�7 ❑ Both 4. system to service: ❑ House 0' mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People y # Bedrooms # Bathrooms e'-5`i.W6//.ge Disposal all -aching Machine 0 Basement/Plumbing f_1 Basement/No Plumbing S. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of Water supply: ❑ County/City 'Well 0 Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: o. /r2 //-/s � Tax Office PIN: # Property Address: Road Name &w -W&17 �e City/Zip 11&&11;MC ,2%02 � If in a Subdivision provide information, as follows: Name: [..t/ /4- 7�S E/, Section: Block: Lot: WRITE DIRECTIONS (from Moksville) to PROPERTY: Al Zez/ Z-.u� YL' Date Property Flagged: L/ -cmc 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. I, also, understand that I am responsible for aft 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 all testing procedures as necessary to determine the site suitability. DATE 2 /_/ v? aZ G �� SIGNATURE �/ THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic location . 0 Revised DCHD (07/99) Date(s): Client Notification Date: EHS: Account No. Invoice No. -16& I to e�. y yp fy�j� y ' 'r. �"M .h Yt t w -.h� �� � .�} t3� y �� `{} ti � '�gr��"4'• �Yj(3 ' ���+� f *t'a.. ✓bn ! iyw' f��t q '? `i! rrY t jr i j' l "' :ff�y'�p�i � • f �•4 K� s� �k h{�a -kA 305 ��f'�3`"s"t'�"� �••C +�ti. `�����tr�lj� ����,,' *� r' `Ak �F,. !! 7 g'' � ti .,tie •q y. ._ _� a 'C',`;�t J i�5' �,� ����`�'�'! f�ya'ty�Y�'�'�.���et» ed�[st3'*p*'t'%r� r^�'� h�,'.r+.; �.+`�2 1'�`+ '�.`.�� ?� c � ,•t 1' I _ 305 /41 opo I . I / f ,� ` I INI / � I l i r I �,' i► � I i I, I Is � / stfr I I n I 1 t / / � /� �/ � � ^,, •, I � 1 � ,gyp . w4>> i � � � I , oi 71 I i l I I i 1 »t l I 11i1 It,NeasoItr w I 0.4 I 1 Sao• 3.28 ACRES� J •� � � ( 61 ( )I EPSBAW 1 1 FUTUf�E SEC RON I _LW� }- �`Y r1 aali•o7• w ! 22216' 3 . .. �`\ \� I i R - 69.89 ' t ` �.. \ \ _ 1` L ♦7T 1 II / 112.71 50' vrivoU j I \ \ \ u f j ' , k PuW1c utwty Eoe&*W* 1 � t A 1937'21T2• � ` 11 'I R 5M.W I I I 1 ` 1 � A7 ne• I • DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990001199 Tax PIN/EH #: 5813-99-4502.04 Billed To: Ruth Spillman Subdivision Info: Waters' Edge Lot # 4 Reference Name: Ruth Spillman Location/Address: Bowman Road -27028 Proposed Facility: Residence Property Size: 0.92 Acre Date Evaluated: Water Supply: On -Site Well Community Public Public Evaluation By: Auger Boring ` Pit !/ Cut FACTORS 1 2 3� 4 5 6 7 Landscape position L L. Sloe % HORIZON I DEPTH Texture group Scu Consistence (nr SS Structure Mineralogy HORIZON II DEPTH Tie, " d Texture group Consistence Structure S' Mineralogy HORIZON III DEPTH Texture groupt Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Y Mineralogy�a SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: 'As LONG-TERM ACCEPTANCE RATE: r S REMARKS: EVALUATION BY: AV/ STT OTHER(S) PRESENT: d" - / 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 clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/99 (Revised) ■ ■ ■ ■ i i ■■ ON ■■ ■ ■ ■ MEMO NEON NONE OMEN ■■E■ ■■■■ mono ■M■■ NOON ■■■■ NONE NONE NONE Enos NEON NONE NONE ■■■■ OMEN ■n■■ ■ ■■■E■■E■■E■E■■I ■■M■■EM■■EMEM■ ■■■E■M■■ME■■EE■ ■MMEME■M■■E■E■■ ■OM■■■ME■■■■■■■ ■MMM■■M■M■MM■■■ MMM■■■■■■■■■■■■ ■■■■■■■■■■■M■■■ ■EM■■M■■■M■M■■= ■■■M■■■■■■■M■■ ■■M■■■■■E■n■■■■ ■■■■M■■■■■M■■M■ ■■MMM■■■■■■M■■■ ■■M■■■■■■■■■■■■ ■■■■■■■■M■■M■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■MMI ■MEM■■■■■■■■M■ ■■■■n■■■■■■E■■■ ■■e■■■■■■■■■■■■ ■■MM■MM■■■■■M■■ ■■M■■■■■■■■■■■■ ■■■M■■■■■■■■■■■ ■■■M■■■■■■■■M■■ ■■■M■■■■■■■M■MI ■■M■■■■M■■■M■■ ■E■■M■M■■■■■■M■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ NEON mono mono OMEN ■E■■ ■O■■ ■E■■ NONE mono NONE NONE ■■■■EEE■■■M■■■■■■n■■■■■■■n■■■■■■ ■■■■■ono■■■■■■■■■■■■■o■■m■■■■■■■ ■■■Noe■■■n■■■■■E■■■■■■■■■■■e■■■■ ■■■■■■■■■o■■■■■mo■o■■■■■■■■■mom■ ■■■■■■■■e■■■■■■■■■■■■■■■■■■■moo■ ■■■■■■■■■■■■■■■■■■moon■■■■■moo■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■one■■■■■■■moo■o■■■moo■■■■m■ ■■■■■■■■■■■■■■■■■■NNE■■■■■■■■■■■ ■■■■■■■■■■e■■m■■■■■Neo■■■■■m■■■■ ■■■■■■■■■■■Noe■■■■Nee■■■■■Nee■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■moo■■■■■■■■o■■■■■ ■Nom■■■■■■■mom■■s■■■■s■■■■■■■m■■ MEMNON ■■■■■e■■■■■■N■■■■■■■■■■Nee■■■■■■ ■■M■■■■■moo■ono■■■■■■■MMM■■■■■m■ ■■■Nee■■■■■■■■e■■■■■m■■■e■■o■■■■ ■■■■■■■Nee■■■■■■■■■■■■■■m■■■■■■■ ■■■■■M■■■■MME■■■■M■■MEN■M■■M■s■■ ■■s■■■■■■Meme■■■■■■■■■■■■■M■■■■■ ■■ranee■■■■■■■■■■■m■■■■■■■■■■■■■■ ■Nee■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■Era■ram■■■■■ ■�■Nee■■■■■■■■■■■■■■M■■■■■■■■■■■ ■■M■E■E■■■■E■■ ■■■ME■■■M■■M■■ ■MM■■M■M■M■■M■ ■EMM■MEM■E■■E■ ■M■MME■E■E■M■■ ■■M■MEME■■ME■■ ■EM■■EME■■■M■■ • DAVIE COUNTY HEALTH DEPAR'T'MENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990001199 Billed To: Ruth Spillman Reference Name: Ruth Spillman Proposed Facility: Residence PROPERTY INFORMATION Tax PIN/EH #: 5813-99-4502.05 Subdivision Info: Waters' Edge Lot #/ Location/Address: Bowman Road -27028 Property Size: 0.92 Acre Date Evaluated: Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit 1 Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % 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 SITE CLASSIFICATION: kT LONG-TERM ACCEPTANCE RATE: 112 REMARKS: 6/% .9 EVALUATION BY: OTHER(S) PRESENT: 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 clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay CONSISTENCE Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive ' CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/99 (Revised)