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156 Longwood Drive Lot 20... DAME COUNTY HEALTH DEPARTMENT Environmental Health Section Account #: 989900573 Billed To: Glenn Johnson Builders Reference Name: ATC Number: 3206 P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 15-b Lorv9 waUd Tax PIN/EH #: 5861-59-5239.20 Subdivision Info: Redland Lot # 20 Location/Address: Highway 158-27006 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 building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWA C NSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: -XA Date: / /2 7__ 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.S. hapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be take a uarant that the system will function satisfactorily for any given period of time. 14 lea Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) 96` Date:10 . DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ` P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 989900573 Billed To: Glenn Johnson Builders Reference Name: Proposed Facility: Residence )�k7-a�-(,z Tax PIN/EH #: 5861-59-5239.20 Subdivision Info: Redland Lot # 20 Location/Address: Highwayl58-27006 Property Size: see map ATC NThMber: 3206 **NOTE** is 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 I 1 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 /4�-- #People #Bedrooms #Baths Dishwasher Garbage Disposal: ❑ Washing Machiney� Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size Type Water Supply Wastewater Flow (GPD) Site: New -O' Repair ❑ System Specifications: Tank SizeISGAL. Pump Tank GAL. Trench Width' � Rock Depth / Linear Fri Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a represen t've fthe 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 the day of installation. Telephone # is (336)751-8760.**** 6 Environmental Health Specialist's Signature: i Date: DCHD 05/99 (Revised) L ��J APPLICATION rOR SITE EVALUATION/IMPROVEMENT PERMIT & L5 tl Davie County Health Department A/ Environmental Health Section p +' T P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 ***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 Mailing Address _/J/( ('41d"s City/State/ZIP 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: ❑ Site Evaluation Contact Person Home Phone Business Phone 35 6-- i �'C7 5 6✓ City/State/Zip Improvement Permit/ATC ❑ Both 4. System to Service: House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: �# People # Bedrooms_ # Bathrooms a �/ I- Dishwasher 1'1 Garbage Disposal I-rWa—shing Machine I:I Basement/Plumbing II Basement/No Plumbing 6. 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 ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes .0 If ycs, what type? 'IMPORTANT' CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: Tax Office PIN: # 5"k6t . s' y - .SZ 3! 7.0 Property Address: Road Name City/Zip If in a Subdivisions provide information, as follows: Name: Section: Block: Lot: Zo WRITE DIRECTIONS (from Moccksville) to PROPERTY:: �✓ O 7liC-r/;J� G�' �/�/:1 s'YJ c�o1 J .---jG�T Date Property Flagged: V''' It emu r t• .� 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 suitabi ity. DATE / '3 --- �� J SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Incl property lines and dimensions, structures, setbacks, and septic location! Revised DCHD (07/99) of the following: Existing and proposed Site Revisit Charge Datc(s): Client Notification Date: EHS: Account No. `I b'f S o -T 72 / Invoice No. �/ APPLICATION f-011 SUE EVALUATION/IMPROVEMENT PEIiMIT & ATC • Davie County Health Department : x, .. Environmental Health Seatlon P.O. Box 840/210 Hospital Street Mockaville, HC 27028 (336) 751-8760 9[[JUN 14 20ol ,' . ***II4PORTANV** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL T RED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for i atruatfle,WF Al IWAPTI, UAVJk OUNIY 1. Name to be Billed 14-A0 J .�`/1 (11,4- � _ Contact parson k' r'/9 t`/ Mailing Address (� 2-V Hoare PhoneJ5— %G City/Stat-/tiP u/Y, c-. C, Business Phone 2. Name on Permit/ATC if Different than Above Nailing AddressCity/state/sip ta 3. Application For: ""Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. Systam to servioaa 8"'House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other W •• 5. If Residence: i People 1 Bedrooms 1 Bathrooms ❑ Dishwasher ❑ Garbage Disposal ❑ Mashing Machina ❑ Basaarent/Plumbing ❑ Basament/No Plumbing 6. If Business/2ndustry/Others Specify type 1 Coamtodes I Showers 1 Urinals 1 People 1 Sinks I water Coolers IF FOODSERVICE: # Seats Estimated Yater Usage (gallons per day) 7. Type of water supply: 0-County/City ❑ Well ❑ 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: 65-4e)-&-5 -7- -- Tax Office PIN: #_ Property Address: Road Name /6t dt 159, City/Zip t' CIPJ4,yee, kl-e , a7�,Z If In a Subdivision provide Information, as follows: Name: P 1,( /,- n_ Section: Block: Lot: WRITE DIRECTIONS (from 'Mocksville) to PROPERTY: /S� •5Y Pd+ lVLLI O 7�q- 7-4 / 4- Date Property Flagged: This 6 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. 1, also, understand that 1 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 (eating procedures as necessary to determine the site suits pity. DATE —"C �/SIGNATURE - THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Iuclud all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). i Revised DCHD (07/99) Site Revisit Charge I Date(s): I Client Notification Date: I EIIS: Account No. Invoice No. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SoiVSite Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 989900136 Tax PIN/EH M 5861-59-5239.20 Billed To: Westview Development Co. Subdivision Info: Redland Lot # 20 Reference Name: Location/Address: LISHighway 158-27028 Proposed Facility: Residence Property Size: see map Date Evaluated: -7 JJID)0) Water Supply: On -Site Well Community Evaluation By: Auger Boring Pit Public / Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Slope % HORIZON I DEPTH Texture group Consistence ` S Structure 6 MineralogyI HORIZON II DEPTH — Z 1(0 ' Texture group C Consistence F;S —: S Structure S Mineralogy HORIZON III DEPTH Texture groupOLK Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE . 3 SITE CLASSIFICATION: rS EVALUATION BY: `-1 t:PC 1S0qcZJ% 1 L LONG-TERM ACCEPTANCE RATE: O 3 0.!7s^ OTHER(S) PRESENT: REMARKS: Z— %c ,�.1CAV "�t Al 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) a, 2- 1.031 Ac. 5o W! 0 30,466 sq. ft. I I 21 N 0.699 Ac.t I n _ 31,020 sq. ft. ` �cn 0.712 Ac. t 691 20'13" `NI 1 S Zg22 244.99' 4' Total y,/ 310.67'(Total) N 83.53'32" E o' — S 86 20'13" I 299.93' rn C" LA oo O O Ln/ , © 10' Public 0 20 � �'�e °/ o35,349 sq. ft. Utilities 32,129 sq. ft. ) 0.811 Ac.t Easement I .LK. dr L.M. MCCULLOH _ 0.738 Ac.t o W 10' Public " E 15' D.B. 54, PG. 4.72 0 5 80.51836 1 �3 Utilities I't- g 0 316' \k- Easement N 30j LD N / Typical Setbacks o O ro / 1 g Interior Lot 30' w 36,438 sq. ft. 1 33,33 sq. ft. lc�o N 0.837 Ac.ftat) o \ 0,765 Ac.t / '15' ' 5 4, 33 .22 �J o 15 m i \ 6 i 75.26' 43 W o \-' 30'/ Z9� �� o 1 S CTypical Setbacks \2• P. / 157 85 Comer Lot \ N d, ` 18 n \ 32,175 sq. ft. N 03.03'02" E ar'cr, \30,59 sq. ft. `� n 0.739 Ac.f " 3 " 40.01 d 10'x70' Sight 3 O 0� 0.702 Ac.t 3 g Easement /\ 6�5p. Rp U, o y � tea° � 30,870 sq. ft. �- \ 2� 2j s N 27� L S\ 0.709 Ac.f X30'LP 1• 2 31,282 sq. ft. m � 1 O G25 0.718 Ac.t )71 sq. ft. 366 Ac.t co S rO� 9� 0� 10'x70' 'v\ai9_ 6�452 h2 10' Public C\4 Sight Easement o \ o 0'- Utilities pUtilities 0 oo �_ 'i Easement CO \ 10' Public Utilities \vas (JD rJ 4 �` Easement 14 J, 35,101 sq. ft. " o 3•A91`ti^ � 30,605 sq. ft. is 4c 0.806 Ac.f �t L 7 �8 0.703 Ac.t 36 C22 \ o\� o� �2 2 00 " \ ao �. 10' Landscape G pt 0 "r,\�� Easement 10' Public A-1 ao\\ `L t3o \o�, 6p�62 Utilities ��, �\ 15 o, �S Easement 11 ryh 30,701 sq. ft. ),695 sq. ft. � N �\\ 0.705 Ac.t ).934 Ac.t or' 10'x70' Sight nl LS 10' Landscape s N w, r- rn Easement j Easement / 13 �, �" v+ V1• 31,718 sq. ft. `ro 9 12 0 0.728 Ac. t \ � S ro& hs p99 35,891 sq. ft. p�' \ Z 10'x70' L 0.824 Ac.t 10' Landscape Sight Easement / LEGEND EIP......... Existing Iron Pipe Found w/size i NIP......... New 3/4' Iron Pipe Set �( Stone..... Old Planted Field Stone Found j REBAR..... Existing Steel Reinforcing Rod found w/size .......... Control Corner FW .........Floodway NOTES: 1. There are no N.C.G.S., U.S.C. & G., or other Geodetic survey monuments within. 2,000 feet of the site. 2. All distances shown an this plat are horizwdal ground distances, unless otherwise designated. 3. All bearings shown on this plat are based an deed or plat bearings as noted 4. Total Area 40.22Ac. 5. Total lots Phase I - 41 Lots Average lot size - 0.89OAc. 6. Lots 12, 13, 15, & 16 have negative access gQs to NC HWY 158. 7. Zoned R-20 8. Minimum building setbacks: Front.... 30'/Side.... 15'/Back.... 30'/Side Street .... 25' 9. Public Streets, 20' wide ribbon pavement 10. Public Hater Systems & Private Septic Systems 11. All utilities underground NOTE : This survey is subject to any facts that may be disclosed by a full and accurate title search. NOT furnished me as of this date, and may be subject to easements, rights-of-way, restrictive covenants, assesstnents, if any, as the same may appear of record in the Office of the Register of Deeds, Clerk of Court, Town or County Tax Office or which may have been acquired by prescriptive use. Redland Way Phase I Owner.- wner:Westview Development Company Westview 2631 Reynoida Road Kinston -Salem, NC 27106 (336) 777-0078 SCALE: 100 0 50 100 200 FIELD roRK Br CH3'CAE'D BY.• CJ JEB TAX MAP: PARCEL.•