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142 Caudle Meadows Drive Lot 710DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street ✓ Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 OPERATION PERMIT add lebrook Account M 990005710 Tax PIN/EH #: E900000710 Billed To: D.R, Horton, Inc Subdivision Ir fo Zawgrsss Lot # 710 Reference Name: LocationiAddress: 142 Caudle Meadows Dr. -27006 Proposed Facility: Residence I?roperty,Size: .69 Acres The Issuance of this Operation Permit shall indicate the system described on the ATC has been installed` m 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. p System Type;-_ (A. Manufacturer)—�� Tank Date ?J/0 Tank Size /7.W Pump Tank Size Bedrooms.: 7 I System Installed By: J O� &a 90tAt WJ Installer# Date: � D/ a GPS Coordinate: DCHD 11106 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #;,990005710 Tax FIN!EH #: E900000710 Billed To: D.R. Horton, IncSubdivisionlnfoirSQJdlarooka�o&.k-valley 7joa Reference Name: Location/Address: 142 Caudle Meadows Dr 27006. .. Proposed Facility: Residence Property,Size: .69 Acres ATC Number: 5968 Site Type: XNew DRepair DExpansion **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 I 1 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_ # People_ Basement(] Basement plumbing❑ . Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) Lot Size e jyCj oi- Type of Water Supply: RCounty/City D Well ❑Community Well System Specifications: Design. Wastewater Flow (GPD) 4w Tank Size% 6 GAL. Pump Tank / GAL. Trench Width 36 ( Max. Trench Depth 3%" Rock Depth_V/ Linear Ft. & r ,5% Site Modifications/Conditions/Other: L�PG!"ULt pON Environmental Health S T)rr-M i i inF rR>.,tcPdt APPLICATION FOR SITE EVALUATIO: & ATC For. 0 stelivaluatiodlmprovemem Permit .0 Authorization To Construct(ATC) Wth rltcationlNew System ORepair m Existing System t]EVmiordModificWon of &dsting System or Facility nrrs.rt;nrvr trvr�tcmntsvn,,j_,, - Name to be Billed �• 4/W` G)41 C ContactPerson L U Billing Address Home Phone IMeAftN City/Statow Q usiness Phone ^^ �- e % lJt�U Namon PermitlATC ifDffferent than Above � \.� (�� Moiling Address Ci /StateM - PROPERTY INFORMATION *Date House?Facility Corners Flaeeed NOTE: Asurvry, plat or site plan must accomparyrlds application Included: ®'Site Plan OPlat(mscale) - Tamitisvali for60monthcwithsheplar rM rpiration 'th complete plat) - Owner'sNanne IJ Yho eNumber. Owner's Address (Sty/Stats ip . Property Address M e—Ok-Ad IL rAt OLtiestalV • City V Lot Sine ocyl ka, . Tax P114# Seetion/Lot# '+to go000671 Subdivision Name(if applicable) JL Directions To Site: If the ensverto any ofdne following questions is "yes", supporting documemation must be aaacbed, Are there soy existing wastewater systems on tic site? Dyes 600 - Does the site oomainjurisdictiond wetlands? ., - - Aro them any easement or right-of-ways on the site? Oyes Flo OyesNoe,Vl i:kc- Is the site subject to approval by another public agency? .Oyes j❑'y}.fo - - Will wastewemr*that thendomestic sewagtbegenerated? OYes 07v0- - IF RESEDENW FILL OUT THE BOX BELOW' #People #Bedrooms #Bethn�ms - Garden Tub/Wh¢ipool es ON, - Basememo:OYess W Basement Plumbing: OYesIF NON -RESIDENCE FILL OUT THE BOXBELOW Type ofFw ty(BushtmS Total Square Footag of Building '#People # Sinks # Commodes # Showers # Urinals . Estimated Water Usage (gallons per day) _ (Attach documentation of sirmlor facility water cousumptiou) FOODSERVICE ONLY: # Seats - - Type systemrequesteeiXiConventiond OAcceptedDinnovative OAltereative 00ther Water Supply Type: KComq/City Water 0 New Well OE.Lbg Well 0 Community Well -Do you anticipate additions or expansions of the facility this system is intended m serve? 0 Yes C�lo �. . Ifyes,whattype? - - This ism 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 hereby grant right of entry, to the Authorized Representative of the Davie Comely Health Department to conduct necessary inspection to determine compliance with applimbic laws and rules: I understand that I am responsible forthe proper identification and labeling of property firm and comers and locating eggi r i g the housdfacility lorationr i g the housdfacility loradon, proposed well locstion and the location of any other amenities... - - Property owreArAlYs oAAr owner's le presentative signature Site Revisit Charge Date(s): .' L CliedNotification Dare: Data - EHS: Signs give OYes ONo' Accomn# •" Revised 11/06. _ InvoiceIt _ Davie County Environmental, Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax (336)753-1680, IMPROVEMENT PERMIT Account #: 990005710 Tax PIN/EH #i E900000710__ Billed To: D.R. Horton, Inc Subdivision Info: 641ebrw—O&k-val ieK, yl3 Address: 2000 Aerial Center Parkway, Suite 11 Location/Address: 142 Caudle Meadows Dr. -27006 City: Morrisville, Property Size: .69 Acres Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction -of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building 'permit(in'compliance with Article I I of G.S. Chapter 130A, Wastewater. Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: RNew ORepair DExpansion Permit Valid for: i5 Years ONo Expiration Residential Specifications: # Bedrooms #Bathrooms 3 #People_ Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) Design Flow(GPD): . rT�eu Type of Water Supply: Wounty/City DWell ❑Community Well Site Modifications/Permit Conditions: ' Q-+.- T-. r TAP Environmental Health Specialist Date i.p. 11-06 - - - APPLICATION FOR SITE EVALUATIONAMP ROVEMENT PERMIT & ATC ]Davie County Health Department Environmental Health Section P.O. Boa 848/210 Hospital Street Mocksvllle, NC 27013 (336)751-8760/ Fax (336)7:11-8786 Application For. O Site EvaluatimliblWovement Permit O Authorizat. on To Construct(ATC) n Both to Name to be Billed Uq 14 A Ile 0J 5 0" L JA' 1- Cortact Person L /I J IJ IM n r lrevN Billing Address Zia H:�me Phone City/State/ZIP - L 0 Business Phones Name on Permit/ATC if Different NOTE: A surveyplat or site plan must accompm y mss appucaumL (Permit is valid for 60 months with th site �Plan, �no expiration with complete plat.) Street Address N keV City i Subdivision Name a Sectioa/Lot# Directions To Site: 21 jys c. 12 Date House/Facility Comers Flagged a v4 L if the answerto my of the fogowing quutiom is'jes •, supporting documen,atio must be Aro there.any existing wastewater systems on the site? DYcs Do" the site contain jurisdictional wetlands? - DEW . Are these any easements or dtht-of-ways on the lite? DY: s ONo Is the site subject to approvalSy another public agecey7 DYis ONo Will wastewater other than dourestiesewagebo generated? OY:e ONo IF RESIDENCE FILL OUT TIM BOX BELOW #People #Bedmorns .__#a^•.ours Tax PIN# dSiu r 670�dD-- r-- attached. r ^ 3ardctt Tub/Whirlpool OYes ONo IF NON -RESIDENCE FML 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 dn.unentation of similar facility water consumption) FOODSERVICE ONLY: # SealL Typesystemzequesred: Artventioml OAceepted Olmovative OAltemative ❑Other Water Supply Type: VOCounty/City Rater ❑New Well OFxisting Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? O Yes 1LYNo If yes, what type? _ This is to certify that am information lirovided on this application is true and correct to the best of my knowledge. I anderstand that any penmit(s) orATC(s) issued heraal':er fire subject to euspeasion m revocation if the site isaltered. the intended use changes, or if the information submitted in this application is falsified or changed. l undc rstand that I am responsihie for all charges incurred from this application. 1 hereby gram right cf entry to the Authorized Repm sentative of the Davie County Health Deparhneatto conduct necessary tions trains cam Bance with applicable lava and rules on the above described property located in Davie County end o�vmcd bYlsI^..aT,'p i I,Ni'�s, �1 �{• P'�r/I!•:^.ii'r'pr ^Jl%JJ/M Site Revisit Charge o s 1T�nentsveatureProoettowners noroln! Sign given UYes ONo Revised 2/06 APR 6 2006 D f Account Invoice# AR MINIMUM YARD REOUIREMENTS NOTES: ONINGIYA -- SSR THE MAP IS NOT FOR ROMA) ATION NOR TRANSFER OR PROPERTY•- PRONT ". AO' NOTE THIS RAN IS SUBJECT TO APPROVAL BY BUILDING INSPECTION - DEPARTMENT a BUNG ILDER PRIOR TO STROOR COmsTRUCIION. - SLOE STREET S /MIYIDFD' ° NO CONOBNkE: COVENANTS OR RESTRICTIONS PROMOEO. SIDE IT TOTAL SNE - - REAR II - - W -FMBORfamm Z AWN - SIEOwHaDFM,7w6Tff - - D®1= 93 FASE365 - - SWV3M 13254 A — — - — • - . 291 1p ,a 3DJWSF I' F In SAOMEAEDOC I ,�.I 3 - : sFrOOYAIIF/ ONH I fWarr MfinIPJ NA3• I RATIIOGCn PA6F319 - 4W 4WI - - NOO52YJ'3n MnAT) -.-- CAUDLE MEOWS DRIVE 1�•nBucwu9 axxm a CONIRACroKS - .. NNE a ADORESS . D. R NORfOf4 - A CPARKNAY M ITT - - E 11010ENIFIt MATE YDRR6Yl1F. - NORTH 0Z1550 PHONE--(919919) ) 250-2M I -. . D ID Ar PD• lw HO' ]O:IY PATD).YTYiE BFB-AODBBRRI;mFS' DRIVE PRDiY1.4D OflElllYlEl/f PVN ALR D. R. NORTON, ANG Nor&Cwofim 27107 -. aAlomsox - DATE Fm 3364548876 SADMIEWOORATORVAMiY 0/AIDIl �wre19T1-- P 8m.elva Amm Fb0O03368548877 F1Da3ia No.: 60168 rnY / TOWN'33P - mlrtnr scut FAMi@1611ONTOARL9N 1MY¢COINTY ]5p' OAIE REV. N0. OFSfJ7oilON . IDT N0. SFLilG11 / F L Na RAT R6. MlE msaYe I AHL4 roAur�-e 710 STTORNM I U49M PW BOON I PAGE ORN1N 6! 81 30 . FIC - - 06AVIE cm". NC. RBaTRY May 1,'' 2006 Oak Valley Associates, Ltd. Partnership Attn: Bo Davis 3401 Healy Drive Winston-Salem, NC 27103 Re: SAWGRASS Proposed Subdivision / Lot # Caudle Tract / Beauchamp Road Tax PIN# 5871252458 Dear Client(s): As requested, a representative from this office visited the above site April 11, 12, 18, 2006 to perform site evaluations. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building penmit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans or the intended use change. Improvement Permit JCI: System To Serve: l �I` I7� ► Wastewater Design Flow: System Type: ❑Conventional /5X­ccepted Dlnnovative DAlternative ❑Other System Location: Valid: ,Bears DNo Expiration Site Modifications/Permit Conditions: ps-i.p.letter 65 Die/ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil /Site Evaluation j APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990005710 Tax PIN/EH #: E900000710 Billed To: D.R. Horton, Inc Subdivision Info: Sawgrass Lot # 710 Reference Name: Location/Address: .142 Caudle Meadows Dr. -27006 Proposed Facility: Residence Property Size: 69 Acres Date Evaluated: a1212619 Water Supply: On -Site Well Community Public f Evaluation By: Auger Boring 1 x Pit Cut FACTORS 1. 2 3 4 5• 6 7 Landscape position Slope % oc_ HORIZON I DEPTH Texture group Consistence Structure Mineralogy} n', HORIZON H 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 C SITE CLASSIFICATION: 7 EVALUATION BY. LONG-TERM ACCEPTANCE' RATE: OTHER(S) PRESENT: `:REMARKS: LEGEND' Landscape Position R - Ride S -Shoulder L - slope FS Foot slo N -Nose slo e g Lmear pe . p 'CC- Concave sloe CV Convex slope T Terrace FP,- Flood plain H - Head slope 4- Texture SL- Sand loam. L - Loam SI - Silt' S -Sand ::.LS -Loamy sand y - .. SICL - Silty clay loam SII. - Silty loam CL- Clay loam SCL 1 Sandy clay loam , SC -Sandy clay SIC -Silty clay C - Clay CONS iS TF.NCF VFR t' Ve riable Very firm, "" FR - PriWe FI - Firm ... VFI - I: ry_f- ry rm �„EFI -Extremely firm _. F NNS - Non sticky SS - Slightly sticky S --Sticky VS -Very Sticky NP - Non plastic SP - Slightly plastic P'_ Plastic . i VP - Yeryplastic Structure p ,r '. SC =Single grain lv1-Massive ... CR -Crumb OR - GranularABK -Angular block g y SBK - Subangular blocky ky PL - Platy PR - Prismatic _ Mineraloev 1:1, 2:I, Mixed ; i. Horizon depth - In inches Depth of fill - In inches �0 Restrictive horizon - Thickness and inches from'O V �. Sa rolite -. S suitable , U unsuitable inches from la of land Soil wetness Inches from land surface to free water or in land surface to soil'co] s with' hroma 2 or less Classification-:S(suitable), PS(provisionally suitable), U(unsuitable) .' . :. LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05105 (Revised) ■OE■ ■■EE SEE ■EEEEEEE■■■ MEMO■■■■■■■ ■EEMEEE■EE■ ■■E■EMEE■■■ ■■EEEEEEEM■ ■■■■EE ■EEE■■ ■EE■E■ ■ No ME ■ O No Moss■Eo■EomEEEooEE■■ ■■■■■■■■■■■■■■■■■■■■ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003765 Tax PIN/EH #: 5871-25-2458.05 Billed To: Oak Valley Associates Limited Partne I Subdivision Info: Sawgrass Lot # 05 Reference Name: Bo Davis Location/Address: Beauchamp Rd -2706 Proposed Facility: Residence Property Size: see map; Date Evaluated: `� I-7- Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 16 7: Landsca sition L Slo % HORIZON I DEPTH 3 Texture group Consistence S Structure K -MineralogyL HORIZON H DEPTH 20t Texture rou `, C 1(�*L L rx k Consistence Structure S Mineralogy_ . HORIZON III DEPTH, Texture group ;L Consistence F Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL"WETNESS RESTRICTIVE HORIZON SAPROLITE .... 14 CLASSIFICATION S LONG-TERM ACCEPTANCE RATE Q SITE CLASSIFICATION: EVALUATION BY: < LONG-TERM ACCEPTANCE RATE: 3 OTHER(S) PRESENT: REMARKS: i.and. a Positio LEGEND .. n j _ R - Ridge S - Shoulder V L.- Linear slope . " FS -Foot slope . '. N -Nose slope' - -. CC' Concave slope , CV Convex slope T - Terrace FP - Flood plain H - Head slope ..TCuLniS 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'- Sil cla C - Cla. TF.N F...: ty Y a CONCIC C "VFR=, Very friable FR -Friable FI -; Firm VFI -Very firm EFI -Extremely firm 3YeI NS - Non sticky- Slightly sticky S - Sticky VS - Very Sticky SS Sli g Y k3' kY i . NP � Nonplastic SP -Slightly plastic P -Plastic VP - Very plasticSC SBK S Subangular blocky Massive' Plat CR-,Granular.,ABK Angular blocky g g Crumb GR g y PR - Prismatic ' Mineralo¢v 1:1,2:1,Mixed _ Nat= Horizon depth - In inches . . Depth of fill - In inches Restrictive - S(suitable), Thickness and inches from land surface SaproRestrictive horizon "- Thickness U(unsuitable) Soil wetness - nches land surface to fee water or inches from Classification IS suit tile, PS( rovisionall r suitable), U unsuitable land surface to soil colors with chroma 2 or less' LTAR - Long -term -acceptance rate - gal/day/ft2 DCHD 05105 (Revised) 3 Sq. Ft. I �jralrla9 30,894 Sq. Ft. Q�Q I103nio St. Andrews Golf Villas Section 99, Pticte II, Section 2 Plot Book B, Page 21 yIM 4 Q. hF ��l f3 33,126 Sq. ft. I �_ <_ � � 7 u, 1 �' 35,081 Sq. rt. 34,x' G Sc1. f t. 35,486 Sq. f -t. Kassel R Kassel ,ge 859 327 ' 148' _ T �145' T 142' 243' 227 15 6 N �i7 N 30,(88 Sq. Ft. '° ' �' 30,080 Sq. Ft. 1' 2�0 (1)61 ! 33,(69 Sq. Ft. r I c 264 I i 30,150 Ft. � Rt iv T 260' p 18 1 ;n+*�p i 30,160 Sq. Ft. 30474 ScIFt. _ I 1I �Co� ��er rn 0) M,137 I, 30,:637 Sq. Ft 30' 626 �/C Rigl`- ��... Of w°y) ,A -it) 4O -O b 2 .7 27 C1� N 30,078 Sq. Ft. n 227' VV .370,078 Sq. Ft. .30.040 Sq. r t. � 23) 4O.O. 31,107 Sq. Ft. M