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229 Country Circle Lot 12Davie County, NC Tax Parcel Report Wednesday. November 23. 2016 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: City: State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: WAKNMU: hill IN AU1 A JUKVIr:Y Parcel Information E8140A0012 Township: Shady Grove 5881122718 Municipality: Census Tract: 37059-803 Voting Precinct: EAST SHADY GROVE Planning Jurisdiction: Davie County Zoning Class: DAVIE COUNTY R -A Zoning Overlay: Voluntary Ag. District: LOT 12 COUNTRYSIDE Fire Response District: ADVANCE 2.03 Elementary School Zone: SHADY GROVE 10/1998 Middle School Zone: WILLIAM ELLIS 002060768 Soil Types: Gn62 0005 Flood Zone: 210 Watershed Overlay: DAVIE COUNTY 263630.00 Outbuilding & Extra 25340.00 Freatures Value: 52500.00 Total Market Value: 341470.00 341470.00 No MI data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. MI users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to NC or arising out of the use or Inability to use the GIS data provided by this website. t `• yjl Y`, .,e .�'r+. vyaz dr:ty.r �Fwi�ti..+•i-vJ.'.•B,,'i.4tae:'tv'vl�"v"ri;:atep,"N'a""r.'4/W}`+. i''1 ' v,.�ry.6arj b'xvv AUTHORIZATION NO. 6" '1' . � ,� ,',� �� DAVIE COUNTY HEALTH DEPARTMIS N f Environmental Health Section PROPERTY INFORMATION Permittee's /� P.O.'Box 848c;1 Name: ! /C Mocksville, NC 27028. ; Subdivision Name: f400nliti SIC f Phone # 336-751-8760 Di ctions to property: Section: Lot:„_ AUTHORIZATION FOR r. an cw. i WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:#w Road NameGY �'—• Zip: g v **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (Incompliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION ikG�►�' IS VALID FOR PERIOD OF FIVE YEARS. E NM T L EALTH SPECIALIST DATE ISSUED .. _,__i .__. _.. .._ •_ __ , _ __ ., ate. ,., l _. __ �.. _. t.. .s k1 cT.e,.'i 's'iw y. p: u. ". „ . r.. '-tv � Y" ;39;. - ,� {..a .> •4 ,-•.-., '.•.. ./�///�O.J%n/.. ,,.,.._,. •/.� �... :t r •. a�rs�{ r j•+/JC�J✓{/ ��2/ �/ I ��V ' . - • pw.. 1~ OA DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittees «"". ....�+ * , Name Subdivision Name: Section: ` Lot:�� Dil�ctions to property: �,, IMPROVEMENT PERMIT Tax Office PIN:#' J Road Name.' % r ;,Tr" �is Zip: "�2 P4 k **NOTE** This Improvement Permit DOES NOT autho e,the construction or installation 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 I I of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE r Rs .R ?� '✓I 6y Cw .N• PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER E VIR�NME AL EALTH SPECIALI DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS ,) # BATHS%_',-�_ # OCCUPANTS GARBAGE DISPOSAr & or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZEt TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)3(e26 NEW SITE `"� REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT._ 40 REQUIRED SITE MODIFICATIONS/CONDITIONS:+ Y! r11 _ IMPROVEMENT PERMIT LAYOUT+APPROVED EFFLUENT FILTER* *RISER(S) IF G" BELOW FINISHED GRADE* 3(o�'X�� o "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (30F6WX. J. (33G)751-8760 OPERATION PERMIT SYSTEM INSTALLED BY: 7 jJ✓ 7� AUTHORIZATION NO. OPERATION PERMIT BY: DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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. DCHD 05/96 (Revised) wrrLI AIIUN full SIZE EVALUATION/IMPROVEMENT PERMIT do ATC Davie County Health Department ,..w.._.. EnviIVnmenfofHealth SmWw P.O. Box 848/210 Hospital S Mocksville, NC 27028 (336)751-8760 1 MR 13 19M ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED S INFORMATION IS PROVIDED. Refer to the INFORMATION 8 TIN-fo _ !tame to be Billed/ A S;'4J�y�/ e�./ (1L -L.( � •I-- Contact Person / Hailing Address / & � w• e //D K// L� l? L S� fav 1- Home phare � (►' �� � �� Ci �� �� ��` state ZIP Sv %.M , & n.271.0 7 Business yhone �- Z. Name on Permit/A►=C if Different than A►taova_.sJ U/�,1/ �(/ lle fZr"i� Hailing Address ;z pie city/S to/tip �• EJB//:s, /JiL1 /.� ; 3 3. llpplioation for: U Site Evaluation [('Improvement Permit/ATC 0 Both 4. system to service: 0 House 0 Mobile Home 0 Business 0 Industry 0 Other S. If Residence: # People —4�1 # Bedrooms # Bathrooms t�Dlshrasher l Garbage Disposal B'Rashlnq Ma:hine D Basement/PlUmbing W9;wement/No P1unbing If Business/Industry/other: specify type # People # sinks # CCUCK469 # Showers # Urinals # Rater Coolers IF FOODSERVICE: if Seats Estimated Nater Usage (gallons per day) 7. Type of water supply: W/'&nnty/City 0 well 0 Com maty s. Do you anticipate additions or expansions of the facility this system is intended to serve! 0 Yes 0 No If yes, what type' ***IMI0RTANT***CLIENTS AIUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED I BELOW. Either a PLAT or SITE PLAN MUST BESUBMITTED by the client with THIS APPLICATION. Property Dimensions: YoOx,22jo X " - � Y,�,;�WRITE DIRECTIONS (from Mocksviile) to PROPERTY: Tax Office PIN: # :S—,9 2 7/ 21," �c7 Property Address: Road NameIra City/Zip If In a Subdivision pro We information, as follows: Name: Section: Block: Lot: l Date Property Flagged; 'V— /s— 9/ 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, andastand that I am retponsiblefor all charges Incurred from this appUcwtion. 1, 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. [1ZIIWifi� SUK-1.1-ry Ii1g 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). Account No. .5"d'1 Revised DCHD (07/98) Invoice No. (A `J- r�PUCAJION FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT 11 U � 9 0J, „i 41 P Davie County Health Department D Environments/Health Section SEP z 9 1998 `p, P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 ENVY DAME ENTAL HEALTH COUNTY ***IWCRTANT*** THIS APPLICATION CANNOT BE P1W=SSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed J k, &J. W<&V4 Contact Person o n / �T' �i ,�c.4-1-4 „2 Mailing Address 04 %So/!0e4* A- Home Phone 3$G 9i -6O,239 City/State/ZIP 4&wssy,t e,L , >I%G Z%o;LBusiness Phone c33:• 17 VS-- 6o L 2. Name on Permit/ATC if Different than Above Mailing Address City/state/Zip 3. Application For: N"Site Evaluation ❑ I-r=c: :' ._e — /RTC ❑ Both 4. system to service: WHouse ❑ Mobile Home 0 Business 0 Industry ❑ Other // 5. If Residence: # People _ # Bedrooms I_ # Bathrooms J ./2 NI -Dishwasher Yi Garbage Disposal W'Washing Machine "asement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # Commodes # showers # People # Sims # urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons pee day) 7. Type of water supply: WCounty/City 0 Well " Conmunity S. Do you anticipate additions or expansions of the facility this system is intended to serve? 0 Yes ErNo If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PIAT or SITE PLAN MUST BESUBAfITTED by the client with THIS APPLICATION. N Property Dimensions: i©(Ol,XjQ220X 2/ x ZZ10 WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # J Ti d 7- " z7 �(' do h5) Property Address: Road Name 004 h rR Y C t re 1e city/zip /9o%-jvG'g If in a Subdivision 11 provide information, as follows: t_ Name: 0 U n�r r' S Cl( Section: 1_ Block: Lot: /2— Date Property Flagged: 9 - 20 -S R 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 '!� _/. 4 lwe ."':11 to conduct all testing procedures as necessary to determine the site suitability. DATE ! 'Z SIGNATURE _7Z& THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inc inde all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). w+'w i 5 oh Ptertf� A1145L 15 f fg flyt ote,ko d Size x 914 41 int dtka"'nq Revised DCHD (07/98) Account No. A Invoice No. S 27°50' 21' E - S 33° 27' 21" E S _ R. 1656) _ S 38° 04 IF' E;�;7; - R = 1525 •00 ROAD TOTf�L +-S 19° 47' 11" E °78., 16 ARC v�iDERo A WS ° 4, E �.- 471.59 128 91.98 }, _ + S 10040' 00 S 39 49 28' E S 41 l7 3 34266 38.32) 034 9/ \ S 00 78.15 C H . 9 TOTAL g ° 4, E 611.9 cn z X86 7�,CHORD.= 232.19_ ' z ARC - 232.42 S 41 17 3 403.13 + S 31°43' 57"E-+- z Ln LOT 24 (All 2p8.86 t cn �' LOT 21 cn �° 2.793 AC. cmo�' cn N 'S3j � R= 1525. 00 z w o I c"ow W- W 4,92 t� 3 Ln LOT It A� p T - ro 2.596 AC. t0cim 0) o - LOT 20 LOT I o � oro L 0 T 10 �° 2.560 AC. n�io o A O. o` 2.402 AC. m 1.409 AC. NIT b N OP 1.545 AC. o 0- L4 m a, o , o o o- c O_ 0- • - Control Corner c m Control Corner N 34°09 00' W •-N 29°33' 08' W f UJI r^ ° -•-- ° 329.89 379.98 300.61 N 34 09 00' W N 34 09 00" W N 34° 09 00' W N 34° 09 00' W 1 400.00 ` 340.00 z o L in > z 28 z S 5 51 00' W ° cn LOT 2 cn �, LOT 12 87.42 N 55 . 00" E N N 87.42 cn o ^� L 0 T 19 1.415 A C. N1° o N LOT 9 N o 2.031 C N V' m Ln iN _ No 0 �+ 41' S0'W LOT 22 LOT 23- m� o __ 0 2.035 AC. 0 1.439 AC. 0 C= 132.59 z 3.293 AC. O1 0 0 0 0 C 0 D= 13203 2.832 AC. tN o 301.44 0 0, p 0 o c a0 m o o z A w O_ -N 27 54' 00" W f w m ,. JRNOAr-N 34° 09 00' W N 34° 27 16 W N A Ln z ' �- N 34 09 00' W ;ONSV1/E$q 0�9 _ o, 390.86 5 It 285.00 421.01 s 'L 'P POO ao O ro O 1 o O m� O mo O 1 N 55 51 04' E C9 z �'0 3 �� : 1+ O• 56.94 S 27 Z O'y9P �°'o • v A S O 1 D. LO7 18 3_ O n 3 S S o c^�_N L 0 T N 'A v . �'' 2F ,� •O ors tihy4,. ° , 2.028 Ir$O •wo O' � 0 N 72 25 24" E _ P a,, _ ARC -- 133.06 LOT 4. 1.538 AC. LOT 13 O O Q� O 0 oz j' i� OF �CHORD = 13L21 1.490 u, -N 3.465 AC. 0$ \� G�pQ`16 ',LgO ....� N o O Ln .� S -� 25 29' o �-N 34° 09' 00' W 0- C 49c. S2. C�U/1/ TRY Q`PO 4451728 - W --N 3400Y 00" W * 285.00 00 `8 �''oR �2-" CIRCLE 2 S 790 299.97 o z m LM ° 0� 09 O /9. -90 �-+ ,, ,��o ChO,; 1;,. 9p� I f _ 0 2 0 o LOT 7 0 62 y9y. 01 � I r c�0 `�0, 89 43 LOT 4 co u+ u .�0 1.3 7 0 AC. 4 O - °0 0 h O 1.635 AC. v A a �' O �rvcb ON �n� J N- �. _ , r - N 33° 54' 41' W 'nr� v „ ° �- 2d. Drainage 4,�,QO Saco IV -0- Easement ° A 284.99 �a q Q O ao -N 34 09 00' W �N 32°33' 58" E m LOT 14 01 v� a �w 277.51 y D ARC = 20.32 p o� cO �Om CHORD = 19.76 00 7.596 AC. a o V % R = 25.00 0 co o 2.300 AC. a r // �� N v N ca LOT 5 �0. c�0o _ _ a' I _�� o LOT 15 m a) LOT 16 p LOT 17 5.509 AC. �� y \ 8.569 AC. c\i _� .11 z M� } m 7.922 AC. o iO.343 AC. APPLICANT'S NAME DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT_Z9- Soil/Site Evaluation PROPOSED FACILITY SUBDIVISION) Water Supply: On -Site Well Community. Evaluation By: Auger Boring Pit DATE EVALUATED PROPERTY SIZE�T/ ROAD NAME �1/�� �/� c (il�rlr Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 3' y Texture group Consistence i Structure .5 k 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: LONG-TERM ACCEPTANCE RATE: l REMARKS: DQ�, �1� re DCHD (O1-90) EVALUATION BY: OTHER(S) PRESENT: �e // -,,/ 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 ■■MEM■■ME■ ■■E■M■■■E■ ■■■■■■■■■■ ■■■■■eee■■ ■MENU■■■■■ ■■■■■■■U■■ ■N■■■■■UE■ ■■■■■■■■E■ ■■■■■■■■■■ ■■■■■■■■E■ ■■■■■E■■E■ ■■■■■E■■■■ ■■■■■NNE■■ ■■■■■■M■■■ ■■■■■■■■■■ ■■■■■NUN■■ ■EEE■■■■■■ ■■■■M■■■■■ ■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■E■ ■■M■■■■■■■ ■■■■■■■■■■ ■ ■ ■■■■ ■■■■■■ NONE ■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■E■■■■N■■■■■ ■■■■■E■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■U■■■■■■ ■■■■ ■■■■■■ ■■■■■■■■■■■■ ■EE■■■E■■■■■ ■■E■■■■■■UU■ ■■■■■■■■■E■■ ■■■■■■■■■■■■ ■■■N■■■■■■■■ ■■■■U■■■■■■ ■■IL■■E�Illllee■■■■■■Eee■ OEM ■■�■i���■■i■■■■■eUU■■■■e■■■■Mee■ ■f/�!��■■11■■eMee■■e■■e■ecce■■■ ■■■■■■■■■ecce■■■■■■■■■■■■■■■■ ■Mee■E■■eMee■■■■■■U■E�■■■■■■ ■■■■■■■■■■■■■■■Mee■■■ ■ecce■ ■eMee■■■■■■■■■■■■■■■■■■■■■■■■ ■■e■EE■■■■■■■■E■■■■■eMee■■■■■ ■■■■■■■■■■■■■■■■Mee■■■■■■■■■■ OMENS iMOMMENMEMEMEMEMNON Mee■■■E■■■■E■■■■■■■e■■■■■■■e■ ■■■■eeE■■■■■■Mee■■■■■■■■ecce■■■-- ■■■■■■■■■■■eee■■■■■■U■■■■■■■■■■ ■■■■■■■■■■■e■■■■■■■e■■■Mee■■■■■ ■■■■■E■■■M■■eMee■■■■■■■■■■EEe■■ ■■■■■■e■■■■■U■■■e■■■■■U■■■■Mee■ ■■Mee■■■■■■■■■e■■■■■■■■■■■■Mee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■Mee■■■■e■U■■■■■■■■■■■■■■ ■■■■N■■■■■■■■■■Mee■■■■■■■■■■■■■ ■■■eee■■■■■■■■■■■■■U■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■eee■■■■■■ ■■■■■■■■■■■■■■■■■■■Mee■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■eee■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■MM■MMEM■■E■ ■■■■EMEM■EM■ ■EM■■ME■■■M■ ■■M■M■EN■ME■ ■■E■■■EMEM■■ ■■MM■■■■ME■■ ■■■M■■■■ME■■ ■■MEM■MMM■■■ ■■■N■■■■■■■■ ■■e■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■N■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■M■■■■■■■ ■■■■■■■■■N■■ ■■■■■■■■■■■■ ■■■■■■■E■■■■■■■ ■■■■■■■■E■■■■E■ ■■■■■■■■■■EEE■■ ■■■■■■■■■■M■■■■ ■■■E■■■■■EE■■■■ ■■■■■■■■■■■■■■■ ■■■EEE■■■■E■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■E■■■ ■■■■■■■■■■■■■E■ ■■MM■■■■■MEM■■■ ■■■MMM■M■MM■■■■ ■E■■■MEMM■■MU■■ ■EM■■■■■M■■E■E■ ■■■E■■O■■■■MEM■ ■■■M■■■■N■■MMM■ E■■MM■MEMEM■■M■ ■■■■■■U■■■■■■U ■■■■■■ ■■■■■■ ■■■■■■■■■U■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■EEE■■■■■■E ■■■■■■■■■■■■■■■■ ■E■■■■■■■■EEE■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■MEMS■■■N■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■M■■■■■■■■■■ ■■■■■■■■■EMEMMME ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ MEMO■■■EEE■■■■E■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Name— Address ame Address FACTORS DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section R O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION AREA 1 ARFA 9 Date Lot Size _– ARFA 3 AREA A 1) Topography/ Landscape Position S S S PS S PS U U U U �) Soil Texture (12-36 in.) Sandy, Loamy, Clayey, (note 2:1 Clay) S PS S PS U U 3) Soil Structure (12-36 in.) Clayey Soils (�P� S � S PS S PS U U 1) Soil Depth (inches) �� t PS S PS S ;_4 S PS U U U U i) Soil Drainage: Internal S (7 S (6 U S PS U S PS U External S — s) S PS U S PS U i) Restrictive Horizons Available Space 6 PS PS S PS S PS U U U U 1) Other (Specify) S PS S PS S PS S PS U U U U 1) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/Comments: � z Described by Title ✓,caw Date SITE DIAGRAM 4� DCHD (6-82) Z./f) 7T cQ0,11 yos j— JA 0 N d -o-11- A Environmental Health Section P. 0. Box 848/210 Hospital Street Courier 09-40-06 Mocksville, NC 27028 October 15, 1998 John W. Heath 206 Sonata Drive Lewisville, NC 27023 Re: Site Evaluation/Countryside I -Lot 12 Tax Office PIN: #5881-12-2718 Dear Client(s): As requested, a representative from this office visited the aforementioned site on October 8, 1998. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of an on-site sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist RH/wd Enclosure(s)