531 Rabbit Farm Trail Lot 13• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT(OPERATION PERMIT
Account #: 990002689 Tax PIN/EH #: 5779-59-5701.13PR
Billed To: Peter Ressa Subdivision Info: Rabbit Farm two Lot # 13
Reference Name: Location/Address: 531 Rabbit Farm Trail -27006
Proposed Facility: Residence Property Size: see map
**NOTE * This Improvement/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 1-i 2 IC7�Qr #People #Bedrooms #Baths
Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑
Commercial Specification: Facility Type #People
Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
#People/Shift #Seats Industrial Waste: ❑
Lot Size -7Af-2 S Type Water SupplyL)GLL- Design Wastewater Flow (GPD) I20 Site: New ❑ Repair u
.r .r
System Specifications: Tank Size 1 �'AL. Pump Tank GAL. Trench Width 3(o Rock Depth 1� Linear Ft. 1 ny r
Other:
95t&-&) IO�l ZtW
1
Required Site Modifications/Conditions: � g 1 ") ��, p-1�' 5 C?�F t ctl )DAiIO-)
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISERS) 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.****
Iod,�3t.�2rrqm�" � pg- .)r
EI �� ' pbc>t, ts&
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised) y�s�
�� J7-
,s « 'r• ; v. P
Perwittee"s.. ` DAME COUNTY HEALTH DEPARTMENT.
N9m5:I L-1'` Environmental Health Section PROPERTY NFORMATION
y� P,O. Box 848-,
Directions to property:�1. Mocksville,, NC 27028 Subdivision Name: q
Phone #: 336-751-8760
t t:1''-►�..>�..� Section: 'Lot: 1, 3
AUTHORIZATION,FOR'
WASTEWATER.' Tax Office PIN:# _
SYSTEM CONSTRUCTION
.
AUTHORIZATION NO: A Road Name: r� rs
Q4' ►'i �1 '""' 'T � '
p: 7�:
**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.
(In compliance .w•th Article I I of G.S. C- gap" T6 130A,`Wastewater Systems, Section .1900 Sewage. Treatment and Disposal Systems)
*,**NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
4"D/
IS VALID FOR A PERIOD OF FIVE YEARS.
THSPECI4Z' D
RESIDENTIAL SPECIFICATION: BUILDING TYPE SSE# BEDROOMS # BATHS # OCCUPANTS � GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE *PEOPLE # PEOPLE/SHIFT # SEATS ff INDUSTRIAL WASTE: Yes or No
LOT SIZE 70 ",TYPE WATER SUPPLY �E�-� DESIGN WASTEWATER FLAW (GPD) �CD NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK, GAL. TRENCH WIDTH ROCK DEPTH 12 - LINEAR FT. v
OTHER
REQ SITE MOD CATI NS ONDITIONS`. 'NST Lt.. C-�TQi�J' �' b�� �aIL�I
IMPR VEMENT PERT LAYOUT
1-l:
f ec),JT �
!*CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HE DEP NT 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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY:
u
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 I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND`DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BETAKEN AS A
GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFA RILY FOR ANY'GIVEN PERIOD OF TIME:
' DCi1D 020¢ (Revis4 r �� ,I C�/�• � �/({_� �`v
I'elmittee', }} _ DAVIE COUNTY HEALTH DEPARTMENT
4L
Environmental Environmental Health Section PROPERTY. INFORMATION
P.O. Box 848
Directions toroperty: t t Mocksville, NC 27028 Subdivision Name:
° Phone #: 336-751-8760
• i - Section: E Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION —
AUTHORIZATION NO: A Road Name: t
`# Zip` .)
**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.
(In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
,t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE �r (# BEDROOMS . # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yeas or No
LOT SIZE fL '(TYPE WATER SUPPLY 4'`'`l �( DESIGN WASTEWATER FLOW (GPD) % NEW SITE REPAIR SITE M
SYSTEM SPECIFICATIONS: TANK SIZE t GAL. PUMP TANK GAL. TRENCH WIDTH`ROCK DEPTH ! LINEAR FT. /
-- — -- -- OTHER i l 1., -I ► , �a } : , ..r
F
CA—IQUItED SITE MODIL/CONDITIONS:t l f `•L L I}' " i' t` U 1 t-. t 1 I
c ((� e l>1i.i I,.a(
1
f r
.4PRbVEMENT PER IT LAYOUT
L. A,
II **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEAirI
BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY
OPERATION PERMIT
RTMENT FOR FINAL INSPECTION OF THIS SYSTEM
ALLATION. TELEPHONE # IS (336)751-8760.
SYSTEM INSTALLED BY:
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 02/02 (Revised);
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
PO Box 848/210 Hospital Street
Mocksville, NC 27028
Phone: (336)751-8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑
Name: Pe -4C kt., Phone Number: (Home)-
(5POMailing Address-4rR10- -rli
0 R4 ^ ::L --V V 0 (Work)
AMOLL)a ^ C_ -e— /1J C_
Detailed Directions To Site:
jrd 1 a r Cor P,,t-4 4--p L44cA
%'a s c is r%� L& -'--+—
Property Address: L-0 t ) -31 L tF=i4-�e -
Please Fill In The Following Information About The Existing Dwelling:
Name System Installed Under: �e- �MA Type Of Dwelling: �- S �--•
Date System Installed(Month/Day/Year): 1 9 % Number Of Bedrooms: 5 Number Of People: S
Is The Dwelling Currently Vacant? �Yess 0 No �-Yes, For How Long?
Any Known Problems? Yes ❑ No � if Yes, Explain:
Please Fill In The Following Information About The New Dwelling:
Ra/LU--S t s 6",
Type Of Dwelling:(—/-4_�- Number Of Bedrooms: Number Of People:
Requested By: Date Requested:
(Signature)
For Environmental Health Office Use Only
Approved ❑ Disapproved ❑ n
�......e�M. l cc 7o)-' 0_"'Pa l a � -� r 440,3,
Environmental Health
*The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a
gaarantee(extended or limitedyCliat the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check [Money Order ❑ # Amount: $ 50 Date: b
Paid By: q Received By:
Account #: �� / Invoice # _. :
• 04/03/2003 12:12
J Nov 05 02 11;088
CARAUSTAR 4 1336751B786
devie county er+vhealth
N0.160 D01
336 751 9786 P•1
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
F0 Boot 84010 Hospital Street
Mocksville, NC 27028
Phone: (396)731.8760
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) REPLACEMENT 0 REMODELING o RECONNECTION IK
Neale �� e_S S! _ Phone Number. ! S_ -- a 30 9 (Home)
MallingAddM&s C� 3i It�a(,� L 64dh Ti�x.1 _ -�6�" aq 4 (Work)
-mac`- "/Vc a10b 6
Detatled Directions To Site: Zew, d`0 I K - ovx Cor j�c r
Property Address' LD T %i?a �J D�� l�.r�,. �f b_ r ` i�"M r i
K C31
610,11 TC -0 -
Please Fill In The Following Wormation About The Existing Dwellingt
Name System Installed bader: _— Si4W C A s 1 of/L Type Of Dwelling- L
Date System lm a1W(Month/Day/Year): Z929 Number Of Bedrooms �C Number Of People: S
Is nw Dwelling Currently Vacant? Yes 0 No,K If Yes, For How Lon -7
Any Known Probkve? Yea 0 No)( 11 Yes, ExpLdn:
Please Fill In The Followinpdarmatiort About The New Dwelling:
r
TypoOfDwd1tn&:_reWz Number Of Bedrocom. .�__Numbw Of People: X1
itequamd By - Date iteq►rested:T �/� -0 3
For Envirtmmental Health Office Use Only
Approved 0 Disapproved 0
Environmental Health specialist Date
'The sig mg of chis form by the Environmental Health Staff is in no way intended, nor should be taken as a
vuarantee(extended or limited) that the on-site wastewater 9vstam will function Properly for any Riven Period of rials
Payment Cash 0 Check 0 Money Order 0 Amount $ Dater.
Paid Bv: ___Received By:
Account d: Invoice Y:
. 04/03/2003
12:12 CARAUSTAR 4 13367518786
NO. 160 D02
j AUTHORIZATION NO: '? DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Permittee's P.O. Box 848
Pd q -ad : q
PROPERTY INFORMATION
Name: r 1C 14 C. '>' 1 Mocksville, NC 27028 Subdivision Name: f 14". r --
t1 "IPhone # 336-751-8760
Directions to property: ! �- -1 r i ,e--1,147zo<l Section: Lot: _/31
f AUTHORIZATION FOR
WASTEWATER �'� `� `:)
Tax Office PIN:# %/ j- I - -S.��
SYSTEM CONSTRUCTION —
Road Name: -A .- 7 , 4,6'- Zip: �•.c� (r.
**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.
(In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARLS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS #BATHS t #OCCUPANTS _ GARBAGE DISPOSA .Yes r No
COMMERCIAL SPECIFICATION: FACILITY TYPE
A
LOT SIZE r / 4 TYPE WATER SUPPLY "4
# PEOPLE # PEOPLEISHIFT # SEATS INDUSTRIAL WASTE: Yes or No
DESIGN WASTEWATER FLOW (GPD) "l 6) NEW SITE ,--,*' REPAIR SITE
I z Ir( r
SYSTEM SPECIFICATIONS: TANK SIZE 11)X _GAL. PUMP TANK GAL..` TRENCH WIDTH ROCK DEPTH 1;_7 LINEAR FT. dU
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS: W SIAL L V � 0 "' Ick 0e K cc F 1S' Orr Pa?L
IMPROVEMENT PERMIT LAYOUT
,455: t rNX
F!e' u 1 �
i1)
So' ti�
"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 (336)751-8760.
OPERATION PERMIT 1(2t OV , :T t't
L4)
ppt S EM INSTALLED BY: _► �1i;, l.L��L►: 1
"{V
o�
J
AUTHORIZATION NO. � OPERATION PERMIT BY: 12,q4 7
"*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)
AUTHQRIZATION NO: 1589 DAVIE C±OUNTY.HEALTH,DEPARTMENT
Environmental Health Section PROPERTY INFORMATION
Permittees- . ' P.O. Box 848..
Name: {�.T + un Mocksville, NC 27028 Subdivision Name:
Phone # 336-751-8760
Directions to property: - �/ Tt.'' �� K''�I%A%GLl1 Section: Lot:
r—'► - AUTHORIZATION FOR
F ' . WASTEWATER 7-�7 S7G I
T,-,/,j!l /L[�r .��� SYSTEM CONSTRUCTION Tax Office PIN,#� %1
-
�`!' %rZA1L Road Name. '4171 Zip:
**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 Fonr/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
r IS VALID FOR A PERIOD OF FIVE YEARS.
3NVIRONM TAL HEALTH SPECT IST,1 DATE ISSUED
'C1DAVIEQUNTY HEALTH DEPARTMENT
IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION
Subdivision Name. �
Directions to property.: 1, -;. �L- / tc Section: Lot:
tIMPROVEMENT
("k. , r'J�:. w':1"- PERMIT Tax Office PIN:# / - 1 _c. l
.. , z -,t,
jr<'� I it Road Name ¢ �t t a °1fir: Zip;
**NOTE** This Improvement Permit DOES NOT authorize 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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
:-s' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
`r ; r PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONM)rNTAL HEALTH SPEC LIST` DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
J . S INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS" _ # BATHS # OCCUPANTS GARBAGE DISPOS Yes r No
COMMERCIAL SPECIFICATION: FACILITY TYPE` # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH a(—O ROCK DEPTH I2 LINEAR FT. 4)0
OTHER IP t(1 & )T1 �'�+
REQUIRED SITE MODIFICATIONS/CONDITIONS: I SAA L Oh C de , KGF 15',06r- NcOSC 2 PUUI.•-
.57T
IMPROVEMENT PERMIT LAYOUT
N)
4aJ I -t' �C�LY• c•-- �,
`cv L tiY
"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 (336)751-8760.
L -
OPERATION PERMIT IV U0- 5T0
b o Q S EM INSTALLED BY: C. L ►:
O0
tt
atjV-
fav �
AUTHORIZATION NO. ` OPERATION PERMIT BY:
**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)
�A /11/4937
I t
APPLICATION FOR SITE EVALUA'1 `:: N/IMPROVEMENT PE
Davie County Il ealth I narne��
(� Environmental Healt �on
�1V j� , P.O. Box 84
j'`'`� Mocksville, NC 2 AUG 14 w
(704) 634-87
�� l:ra
****IMPORTANT**** THIS APPLICATION CAN - 4WSSE D 1
THE REQUIRED INFORMATION IS PROVIDED.
ALL
1. Name to be Billed r S S A Contact Person � !/
Mailing Address SS S� ih 1- lc &MC Home Phone 33 7MJ-
City/State/Zip o C X7 oSS Business Phone w v " 660 — C/33 /
2. Name on Permit/ATC if Different than Above
Mailing Address Al kt City/State/Zip
3. Application For: �Q Site Evaluation b✓]'fmprovement Permit & ATC [ ] Both
4. System to Serve: House [ ] Mobile Home (] Business (] Industry [ ] Other s !
5. If Residence: # People y # Bedrooms_J/ Bathrooms KDishwasher flGarbage Disposal
Washing Machine KBasement/Plumbing [ ] Basement/No Plumbing
6. If Business/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 [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes KNo
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT **Kk'T OF THE PROPERTY MUST BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions: r%6 WRITE DIRECTIONS (from Mocksville) TO PROPERTY -
Tax Office PIN: #5-775 - 5'5 - S 721 ;
Property Address: Road ]lame !1 _
City/zip E �� ctil F Ac a
If in Subdivision rovide information, as follows:
Name:
ZZ—
Section: Lot #:
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 6'—YGi -f- SAO; RZ-r/y �toconductl testis procedures as necessary to determine the site suitability.
DATE a'�— Ps- SIGNATURE -
Revised DCHD (06-96)
THIS A1.:;A MAY BE USED FOR DRAWING YOUR SITE PLAN: 1
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DAVIE COUNTY HEALTH DEPARTMENT
• Environmental Health Section SECTION Z LOT
Soil/Site Evaluation
APPLICANT'S NAME PG- Q -,,1,S A DATE EVALUATED to, qS
PROPOSED FACILITY t�St�� n PROPERTY SIZE 4,r
SUBDIVISION ���� ROAD NAME �1TA�►2
Water Supply: On -Site Well
Community
Evaluation By: Auger Boring Pit
Public
Cut
FACTORS
1
2
3 4 5 6 7
Landscape position
Slope %
rJ�
HORIZON I DEPTH
Q�
Texture groupC
L
G L
Consistence
S sff
( r
Structure
Mineralogy
HORIZON II DEPTH
2
— 2
Texture group
Consistence
i 5
Structure
k
Mineralogy:
1
l
HORIZON III DEPTH
4
-
ZLM
Texture group
C
G
Consistence
Structure
k
Mineralogy
7 =
f
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE I
D•q I
n.((,
�.
SITE CLASSIFICATION: 0t) EVALUATION BY:
LONG-TERM ACCEPTANCE RATE:y` OTHER(S) PRESENT:
REMARKS:
DCHD (01-90)
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
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Davie County Health Department
and Come Heafth Agency
Environmenta(Health Section
P.O. BOX 848 / 210 HosPITAL STREET
COURIER #09-4-06
MOCKSVILLE. N.C. 27028
PHONE: (704) 634-8760
February 22, 1998
Peter Ressa
5550 Pinebrook Ln.
Winston—Saler, NC 27105
Re: Site Evaluation
Rabbit Farm II/Lot 13
Tax PIN: #5779-39-5701
Dear Client(s):
As requested, a representative from this office visited the
aforementioned site on February 19, 1998. Rased upon the information
provided on the application for site evaluation and after the evaluation
was completed, the site was found to be provisionally suitable for installation
of an on—site sewage disposal system.
If you have any questions, please feel free to contact this office.
Sincer�Q
:i
Jeff G. eauchamp, P.. S.
Environmental Health Specialist
JP/wd
Enclosure()