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241 Sawgrass Drive Lot 713
DAVIE COUNTY ENVIRONMENTAL HEALTH ,;,i • • P.O. Box 848/210 Hospital Street ' Mocksville, NC 27028 i (336)753-6780/Fax # (336)7534680_. - OPERATION PERMIT Account. #: 990005710 Tax:PIN/EH#: 'E900000713 Billed To: ' D.R. Horton, Inc ', Subdi:uision Into:: Saddlebrook at Oak Valley Lot 971.3 Reference Nanie:. si..Location/Address: 241 Sawgrass Drive -27006 .: a _. Propdsed Facility: Residential '- :..'. PtopertySize: .80 Acres ATC* r. TheQ67uance of this Operation Permit shall indicate the system described on the ATC has been mstalle u d' 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, System Type: Z FIn .T. Manufacturer. � �n "NWl Tank Date Tank Size ZSv Pump Tank Size i Bedrooms: S System Installed By: I (iC04\_` ,h95 Installed/. Date: [( a GPS Coordinate: y. Environmental Health Specialist Date: /79j(e DCHD 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC27028 (336)753-6780/Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005710 Tax:PIN/EH #: E900000713 Billed To: D.R. Horton, Inc Subdivision: Info:! i6roole- CL4 (aIC�Ct��Ps( Reference Name: Location/Address: 241 Sawgrass Drive -27006 Proposed Facility: Residential Pfoperty/Size: .80 Acres ATC Number: 5967 Site Type: 2(New ❑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 I1 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 -:57-#People Basement❑ Basement plumbing0 Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility)- - Lot Size Type of Water Supply: &ounty/City ❑ Well ❑Community Well System Specifications:. Design Wastewater Flow (GPD) &—V Tank Size GAL. Pump Tank /GAL. Trench Width 4" Max. Trench Depth -5:,S! Rock Depth Linear Ft.�m/ Site Modifications/Conditions/Other:�� Contact the Davie County Environmental Health Section for final inspection of this system between O:JU — V:JUA.UI. UH LUC Udy V1 lUMUHAL1UU. 1G1G LULL tt JJV /Jl-O/VV• Environmental Health Specialist Date: .f )/ lz t>rzrn 11 mF MP,,;�P ti ' 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 #: E900000713 Billed To:. D.R. Horton, Inc Subdivision Info: Sawgrass Lot # 713 Address: 2000 Aerial Center Parkway, Suite 11 . Location/Address: 241 Sawgrass Drive -27006 ` City: Morrisville, Property Size: .80 Acres Reference Name: Proposed Facility: Residential **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 .11 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: IENew DRepair DExpansion Permit Valid for: OM Years ONo Expiration Residential Specifications: # Bedrooms__5 ' # Bathrooms 3 # People_ Basemento Basement plumbingO Non -Residential Specifications: Facility Type # People_ # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): 00 Type of Water Supply: IOlCounty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: S stem T e LTAR Initial vSG/o r Repair M ®*4 p:wow For. 0 Site EvaluauonImproveroem Permit .D Authorization To Comsbuct(ATC) t*oth Type ofApplication:ANew System DRepa'v to F: tt"9 System ❑Fxpareioo/Modificatioo ofFxisting System or Facility ••WPORTAMP•• THM APPLICAT10N CAMOTBEPROCESSED UNLESS ALL OF THE REQUIRED ' INFORMATION It PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC ACCLII.AlVl llVt'VtlW1P.1lVlV,y,� ' Name tobeBnled F+�" _ e,l C' .' ContactPetson Brlliog Address Home phone , City/Statew a usinessPhoneto U Ids V- Name on Permit/ATC if Dii ferme than Above Manine Address Ci /State/Zi - PRUPBRTY INYUKMATIUN 'pate tfo» sw NOTE: A survey plat or site plan must accompatny tdds application. Includ (Pemdtisveli forfi0monthswithshoplan,no nation th con Owver's Nana Owner's Address Ci Property A C'tA L Awl Ci I:btSize a P # Suhdivie(on Noun ' applicable) Zo 3, Sect Directions To Site: H the anwver to any of the following questions is" "ye. supporting document Are then any existing wastewater systems on the site? OYas hoes the sits wmain jurisdictional wetlands? . DYes Am then any easements or right-of-ways on the site? Dyes Is the silt subject to approval by another public agency? Oyes Will wastewater other than domestic sewage be generated? DYes UT THE BOX l # Bedrooms '_, Basement Plan # Sinks _ # Commodes # Showers # I Estimated Water Usage (galloon per day) (Attach documentation FOODSERVICE ONLY: # Sens TypesyriemrequestakConventimral DAccepted Dlarovetive CAltemative M :d stele) . r �g0000!17/� hsLoi auw-¢� -' Garden TubAVhirlpool &tts ONo ng W People - inals f similar facility water consmmption) W.W Supply Type:)(CountylCity Water D New Well DExisting Wen - 0 Communitywell Do you aeticipaw additions or expmaions of the facility this system is intended to serve? 0.Y= *0 - ifyes, vdattype? This is to canify that the infom n6on provided on this application is true and correct to the beg of roy knowledge. I understand that any pemnit(s) or ATC(s) issued heteafler ate subjeetn suspension ormocation if the site is altered, the intended use changes, or if the bSormation submitted in this application is falsified or changed I hereby gam right of entry to the Atdhorired Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws andrulm. I understand that I am responsible for theproper identification and labeling of property lines and comers and locating andlptit§king the lnawseffacility loczdor4 proposed well location and the location of any other amenities. Pro cr or ownYAerYs'lagalLrlyl entativ� a signature _ Site Revisit Charge Dafe(s): Client Notification Dare: Date - EHS: Sign given Dyes CNo' .:Account ` Revised 11/06 . - Invoice # .. . .. . .. . . .■ . � . . .. ?}�k��\ G . _ ©�.§ .. . 22 ., } |� . -� � $. ■ - |� *$ ®�`§\ § �� �� \�� � �I� ]f°� •__»2)§ �! § § I |. . ■^ J .94 °■K■.� ._. �] � . | . . . \^ ||■| . y . .— am _ \/ „ lie 9 MVS ■|-. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation 'APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990005710 Tax PIN/EH #: E900000713 " Billed To: D.R. Horton, Inc Subdivision Info: 9A u�qro_,ss Reference Name: Location/Address: 241 Sawgrass Drive -2700 Proposed Facility: Residential Property Size:. .80 Acres Date Evaluated: 2 Water Supply: On -Site Well Community Public X Evaluation By: Auger Boring Pit Cut FACTORS . 1: 2 3 4: 5 6 7 Landscape position . _Slope % op. HORIZON I DEPTH Texturegroup Consistence ; ,:.' Structure Mineralogy, ;•• ra r aa -270:16 HORIZON 11 DEPTH Texture grou 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.^� �'}2ifUCY�w J., I ' EVALUATION BY. " Oaulixw- LONG-TERM ACCEPTANCE RATE ✓ OTHER(S) PRESENT.,' REMARKS: 5P "s � '.: LEGEND 'Lan s pe Position _ ...i . 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 LS -.Loam sand. SL -Sand loam, .- L -Loam . ;... S -Sand Loamy y � SI ,= Silt ` SICL - Silty clay loam SIL- Silty loam CL - Clay loam SCL Sandy clay loam SC Sandy clay SIC 7 Silty clay C - Clay " , CONSISTENCE . VFR - Very friable FR Friable " FI - Firm VFI -Very firm - EFI - Exremely firm a, NP Non plastic SP - Slightly ghtly plaghtly stiS c P Plastic " VP Vry Sticky e rY Plastic � Struciu[t SC Single grain M'- Massive CR -Crumb OR - Granular , ABK - Angular blocky; SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogy I i 1:1, 2:1, Mixed Depth of fill= riches DeHorizon de th - In i p Ininches Restrictive horizon Thickness and inches from land surface i_.Saprolite - S(suitable), U(unsuitable) r 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(pr)visionally suitable), U(unsuitable) .: ' �LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05105 (Revised) ■ mii ■■■■■ MENEM ■■■■■■■■■■■■■■■■■■■■u■■■e■s■■■■■�■s■eeeos■o■■■■en■oesee■■e■■■e■■ ■■■■e■■■■■■e■■■ ■■■■■■■■■■■■■■■ ■e■■■■■■■■■■■■■ ■ APPLICATION FOR SITE EVALUATION/IMP kOVEMENT PERMIT & ATC )Davie County Health Department Environmental Health Section P.O. Box 848/210 Hospital Street MocksvDle, NC 27028 (336)751-8760/ Fax (336)7:1-8786 Application For. O Site Evalmtiotdlntpnvemem Penrdt D Authoriret on To Construct(ATC) nBoth •••IMPORTANT"•• THIS APPLIC A'ITON CANNOTBE PR0CESSED UIILESS ALL OF THE REQUIUD INFORMATION IS PROVIDED.Hear to the INFORMATION BULLET:V for imunctious. " APPLICANT INFORMATION - nrrd Nametobe Billed QgIC alfa f 0U� 1' �Cortact Person NJ Billing Address Za H(mte Phone — City/State/ZIP 0 Business Phone r70 Name on PemtitIATC ifDifjermf than Above _ PROPERTY INFORMATION NOTE: A survey plat or site plan must accompany this application (Permit is valid for 68 tmndu With site plea, no expiration withcon-plete plat.) PIN# Street Address r. ✓a City Subdivision Name uw SectieNLot# 4 of Siu p D Dreetions To Site: I IF NON -RESIDENCE FILL OLT THE BOX BELOW - Type of Facility/Business Total Square Footage of Building_ # People - # Sinks # Commodes # Showers _,_ #Urinals Estimated Water Usage (gallons per day) (Attach doc,a rentation of sitrdlar facility water consumption) FOODSERVICE ONLY: # Seat; Type systemrequested::❑Conventional OAccepted Dlmovativs DAlremstive OOther - Water Supply Type: Vcounty/City F"Star 11 Now Well DFx bring Well ❑Community Well - Do you anticipate additions or expans-ow of the facility this system is ndceded to serve? D Yes a<, If yes, what type? M is to certify that am information provided on this application is tare anal correct to the best of my knowledge. I understand that anypmmit(s)orATC(s)issuedhereai:- are subject to suspension or mvueation if the site is altered, the intended use changes, or if the ioiu[matiun submitted in this application is falsified or changed. I and mrand that [am responsibleforall charges incurred from this application. I hereby grant right of entry to the AutboriacdRepn smmtive of the Davic County Health Department to conduct necessary ons cJJ��mune cam lienee with applicable lana and Ostia, on the above described property located in Davie County and owned � (kw�Q{, �M¢�r-l�wh1 Uaw anti As; ,��r, ►,�.P. P sl7� - f, Al Site ]revisit Charge Property Miner�S 114e's minesenta ve ivItme Date(s):___ E_C E� 6 APR 6 2006 D if tie answerto any ofihe following questions is "yes', ntpportiog docurrseniutrio�9gam,mt bo attaebtd. Are them any existing w,,tcwdcr systems on the site? DYrs Does the site contain jurisdictional wetlands? OYss o V" An there any easements or ripbt-OfWays on the site? DYt s ENO Is the site subject to app,,d')y another public agency? OYts ONo _ Will wastewater other than domestic sewage be generated? - OY:a ONo t ` IF RESIDENCE FILL OUT TI -Di BOX BELOW II -11 h VJ1 Uh sprrmtr #Bedrooms # batWms Garden I no,Whirlpool Dyes ONO, IF NON -RESIDENCE FILL OLT THE BOX BELOW - Type of Facility/Business Total Square Footage of Building_ # People - # Sinks # Commodes # Showers _,_ #Urinals Estimated Water Usage (gallons per day) (Attach doc,a rentation of sitrdlar facility water consumption) FOODSERVICE ONLY: # Seat; Type systemrequested::❑Conventional OAccepted Dlmovativs DAlremstive OOther - Water Supply Type: Vcounty/City F"Star 11 Now Well DFx bring Well ❑Community Well - Do you anticipate additions or expans-ow of the facility this system is ndceded to serve? D Yes a<, If yes, what type? M is to certify that am information provided on this application is tare anal correct to the best of my knowledge. I understand that anypmmit(s)orATC(s)issuedhereai:- are subject to suspension or mvueation if the site is altered, the intended use changes, or if the ioiu[matiun submitted in this application is falsified or changed. I and mrand that [am responsibleforall charges incurred from this application. I hereby grant right of entry to the AutboriacdRepn smmtive of the Davic County Health Department to conduct necessary ons cJJ��mune cam lienee with applicable lana and Ostia, on the above described property located in Davie County and owned � (kw�Q{, �M¢�r-l�wh1 Uaw anti As; ,��r, ►,�.P. P sl7� - f, Al Site ]revisit Charge Property Miner�S 114e's minesenta ve ivItme Date(s):___ E_C E� 6 APR 6 2006 D 1� I 3 Sq. Ft. -o "5 I -I' A 30,894 Sq. Ft. Q I103 150.. _..— _l Sl.. Andrews Golf Villas Sectlon 99, Phaxe II, Seatlon 2 Plat Book 8, Pape 21 SIA Q Q. 51 �>• ��e • Q,de P`Qe /\\I) 33,426 Sq. Ft. I (J in �' I x5,081 Sq. Ft. 34.9')8 Sq, rt. 35,486 Sq. R. N Kassel Il Kassel ]pe 859 327 33,(69 Sq. Ft. I 0 YOU I 18 I °+ i 30.60 Sq. Ft. I 30474 SdI Ft. m - � Cod �T enr wJ 30,1.37 S� -- r, 30,078 Sq. Ft. 227 :SO,OIB Sy. Ft. 1i _ 30,04.0 Sq. ft. s1,107 sq. F t. 5�� DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990003765 Tax PIN/EH #: 5871-25-2458.08 Billed To: Oak Valley Associates Limited Partne Subdivision Info: Sawgrass Lot # 08 Reference Name: Bo Davis Location/Address: Beauchamp Rd -2700 Proposed Facility: Residence Property Size: See map Date Evaluated: It I Water Supply: On -Site Well Community Public Evaluation By: Auger Boring Pit . / Cut FACTORS 1 2 3 4 5 6 7 Landscape position !_. _Slo e% _. Z -;--HORIZON I DEPTH, - Texture group :.,Consistence 1=. S F Structure S k 41614 -Mineralogy.e HORIZON II DEPTH 2 - 2 Texture groupS7G -Consistence F14:51" F' Structure _MineralogySi HORIZON III DEPTH r-51--77- 31 --72- Texture 2Texturegroup :u . Sc (S't Sa S Consistence 5 i� S SP SS Structure r-% M Mineralogy HORIZON IV DEPTH. Texture group Consistence _ Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON _ . SAPROLITE . _. CLASSIFICATION I VS -Sal -S .:..LONG-TERM ACCEPTANCE RATE 1p .21 i. SITE CLASSIFICATION . : EVALUATION BY: , . LONG-TERM ACCEPTANCE RATE ©• OTHER(S) PRESENT _. REMARKS: Li LEGEND; :Lands e Position --- i 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 ., ,- I ,. S -, Sand ...r LS - Loamy sand . _ • SL ,.Sandy loam .:. L -Loam ..; --SI -Silt _ r- -SICL =Silty clay loam SIL -Silty loam CL -Clay loam SCL -Sandy clay loam i SC - Sandy clay SIC - Silty clay C -_Clay _ CONSISTENCE1 M415t - VFR - Veryfriable , FR - Friable FI - Firm VFI - Very firm . ry EFI -Extremely firm YYet NS - Non sticky SS - Slightly sticky S Sticky VS Very Sticky NP = Non plastic' SP SlighNy plastic P -Plastic VP - Veryplastic. . S r , t ur SC - Single giain 'NI Massive CR `- Crumb GR - Granular.-.., . ABK - Angular blocky SBK - Subangular blocky - PL'- Platy PR - Prismatic Miniralo {- 1i1,2:1, Mixed Horizon depth - In inches i 3 -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'ofinches 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 05105 (Revised) Davie County Healtli.Department .' Environmental HealthSeetion P.O. Box 848/210.FIospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 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 permit(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 System To Serve: `'f Wastewater Design Flow: 4 CEJ System Type: ❑ConventtionalnA5A_ccepted ❑Innovative Alternative ❑Other System Location: T Ftjl Y4QZ11> Valid:,p8tears CNo Expiration Site Modifications/Permit Conditions: ps-i.p.letter 2/06 Q=41ist9 at