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167 Oak Tree Drive Lot 139Fe, �{ -.t1^', i•t t _ _. ... S'' n� ::•r ��:*,li' - � ^-r`-t ', ., r- -tYt }3k - ,,K..-�sy•�t-_�Fc -<..o �t�m.i't, ++,'� ja„'�„-. AUTHORIZATION NO:1575 DAVIE BOUNTY HEALTH DEPARTMENT Environmental Health Section PROPERTY INFORMATION Permittet's P.O. Box 848 Name: ` "° Mocksville, NC 27028 Subdivision Name: �RxLA1' f1�/GNTS Phone # 336-751-8760 Directions to property: it �:' `^} -to. ct1 e. Section: 3 Lot: AUTHORIZATION FOR .-- F WASTEWATER `�/ �( ?ZSYSTEM CONSTRUCTIONTax Office PIN:#hRoad Name: Zip: 1uJ ' ie -%t- �' **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 .1900Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. DA r 1575 DAVIE OUNTY HEALTH DEPARTMENT ' - IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION ,r �m . Permitt s Name' Ja I -m -P-I&Gs Subdivision Name: 0,gkL qW,6 TS Directions to property: # `' tD' it Section: 3 Lot: IMPROVEMENT PERMIT a. Tax Office PIN: f I. Road Name:` '`. rt . 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) ' `.r`7 ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER "'ENVIRONME T`AL HEALTHSPECIALIST DAtE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE M H # BEDROOMS 3 # BATHS 1 # OCCUPANTS �_ GARBAGE DISPOSAL: Yes 04n) COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No Ig3tx2yo' LOT SIZE TYPE WATER SUPPLY nI1 YDESIGN WASTEWATER FLOW (GPD) Z&V NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTHROCK DEPTH LINEAR FT. OTHER .-�1Srti�,t)TIUn} tX�1L REQUIRED SITE MODIFICATIONS/CONDITIONS:_ 10-J&LL Otj C.O,J7C, 1y' OK IMPROVEMENT PERMIT LAYOUT -* 1Zk/�t� of siSTc IrJ I L t_ 1 e 111 I?.G 5 rE►u�.. 'Tc.s. 'L��l�r�l � t_� 41 a3 "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 !�ArjgV �► SYSTEM INSTALLED BY: AS 10' sP�2 1 S PAi1ALLIF-t_ WN&JIJ t -10 -JZ AUTHORIZATION NO. 15� OPERATION PERMIT BY: BATE: Z Qd **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT E YSTEM DESCRIBED AB HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1 I 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) p `.� ' APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & A Davie County Health Department Envirwmenfal Health Section JUL P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336) 751-8760 .9V1 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED I INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed az)! � h Pi 9 6 S Mailing Address n /464R2.�Z 691k- Rd City/State/ZIP �/Gf �� Lf}l �/� Af.0 , p?76/3 2. Name on Permit/ATC if Different than Above Mailing Address Contact Person Jy 0/t/1o1��` / (rG$ QR ln ovs oe..;sC-$ Home Phone � Business Phone City/State/Zip 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. system to Service: ❑ House I�Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People r' # Bedrooms 3 # Bathrooms ❑ Dishwasher ❑ Garbage Disposal ❑ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # Commodes # Showers # Urinals # People # Sinks # Water Coolers IF FOODSERVICE: # Seats _ Estimated Water Usage (gallons per day) 7. Type of water supply: N'County/City ❑ Well ❑ Community S. Do you anticipatS.Pdditions or expansions of the facility this system is intended to serve? ❑ Yes "o /a1kJ / f- Yes . ***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED EELOW. Either a P:.AT or SAYE PLAN l.: UST BF. SUBMITTED by the client with THIS APPLICATION. Property Dimensions: i/�, %/P��8 l93,5( . 0�. 9•'7�/SC1/ WRITE DIRECTIONS (from Mocksville) to PROPERTY: Tax Office PIN: # �%7 ��' ��o f27,2 Property Address: Road Name 0h/c %2-69- DR . city/zip ill. 6. If in a Subdivision provide information, as follows: Name: �f}k A) Section: Block: Lot: - fiRs lv e L!i 6D "' I R a�'LLiq�Esd%//� %u Rn/ L . o nI6o Z kk T,eEE T� SfDA 5'CAl . A19 -TS 4?142E'Ek � ,deb tfotcsE , �o zzo tom a� H. /L , A i s ON i nI i/ClR YE Q7� zlii� ac'eoss -PROM 9Ae-EA1 /%10, 3; LE Morris. 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. 1, hereby, give consent to the Authorized Representative of the Davi 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. 610 DATE4 ► % / SIGNATURE i HIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN: 14 6'6�- 99 Aff l=lun-No. Invoice No. Revised DCHD (07/98) 3'30 APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Z Davie County Health Department 1 Environmental Health Section C P.O.(� v o� Box 848 Mocksville, NC 27028 APR281998 (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UN P "" THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed yUP1TN R16('GS Contact Person M0ACa F oR f(JD 1 % N Mailing Address 7V/ Of/,& O. Home Phone 7 d y - R 7 3 - 78 `r3/ City/State/Zip CUfG ,4,✓D /V. C, ".? 7 41 3 Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip � �9 .5 3. Application For: Site Eval ation Improvement Permit & ATC , Both 4. System to Serve: [ ] House [Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People .3 # Bedrooms a # Bathrooms_ [ ] Dishwasher [ ] Garbage Disposal C4 Washing Machine [ ] Basement/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: [v]lCounty/City [ ] Well [ ] Community S. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes P4 No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***aT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. i Property Dimensions: 0 X 7 9 3 X 7 6 S" X-2 3 5 WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # 7 ? 5 c� 7 � �i} lc , io }/ 44 W Property Address: Road ame 0 fi,t1.,q-D D.e ua uRrl -,4-L o ryt o &H ME,4' ,e r'E City/Zip Ilia c k s V 114 F Al. e, .1 7E�- c� d P. Ar�T,5'ie G,C'6B k If in Subdivision provide information, as follows: Name: OA, -G R 0 11 E/6-' N rs Section: ' 3 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 cTu b; fA 4 mo61,006 to conduct all testing procedures as necessary to determine the site suitability. DATE 4- c ? - 12' SIGNATURE Revised DCHD (06-96) THIS AREA 11AJ BE USED FOR bRAIVINC YOUR SITE PLAN: / X46) 210 0 \ SOI - 6 38 \ t, to 4 �. \ 6303 2,OM N 1A91 .�32 /O�0 (120) 4 O /Os �6 h 21 u22) es \• A� 22 ;� �s 28 aro) 27_ '62.4., 26 !y DAVIE COUNTY HEALTH DEPARTMENT 2 Environmental Health Section SECTION LOT -/-'9 Soil/Site Evaluation APPLICANT'S NAME cT " p�vn-F" �i C(OS PROPOSED FACILITY M . NOM. SUBDIVISION r.�"V_L&,4D 010,0 Water Supply: On -Site Well I Community Evaluation By: Auger Boring ✓ Pit DATE EVALUATED 611+1% PROPERTY SIZE 6d k I93'X ��51 X 23� r ROAD NAME D 1+wao ba - Public 2 Public - ✓ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % 0191 HORIZON I DEPTH - 2 - Texture rou Texture Gl' Consistence 55 i0 Structure lL P- CP- Mineralogy Mineralo HORIZON II DEPTH Z - 1 p ' Texture group Consistence ; 5 Structure V_ Mineralogy1 ` ` HORIZON III DEPTH f. qq24- --f�') Texture roup Texture Consistence Structure < k S Mineralogy HORIZON IV DEPTH 4 f 30 f Texture group Consistence 55 P 5 Structure 1< Mineralogy f t 1: I SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION Srs LONG-TERM ACCEPTANCE RATE 0, SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: 0• REMARKS: DCHD (01-90) Landscape Position EVALUATION BY: 004,14— OTHER(S) PRESENT: ek,,4.A mit �Q✓, (�. PI�M•P�,JC� 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 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■/■■tits■■■■//■■MO■■/■�■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■/■■■■■■■■■■//NOON■ ■■■■■■■■■■■■■■■■■■■■/NOON/NOON ■■■■■■■■ NOON■/■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■h■■■■■■■/NOON/NOON/■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■/NOON■■■ MORENO MENNENl� ■■■■■■■■■■■■S■■■■■■■■ �c•E■■■�■■■Eta■■■cE■■■ ■■■■■■■■■■■■\\NOON/■N�1■�J■■■i■■ ■■■■■■■■■■/■\■■■■■■■■■■■■■■■9■■�\2009000 Iti■�l■►1■■■ ■■■■■■■■■■■■■i\■■■■■■■■■■■■■J■■■■/NOON■■■ ■■■■■■■■■■■NOON►\■■■■■■■■■■■■]■■■■■■■■■■■■ ■■■■/■■■■NOON■■\■■■■■■■■■■■■1■■�■■■■■■■■ ■■■■■■■■■■■NOON■1\■■■■■■■■■■■J■■■■■■■■■■■■ ■■■■■■■/■■■NOON■\1■■■■/NOON■■1■■■■■■/NOON■ ■■■■■■■■■■■■NOON■►\■■■■■■■■■■1■tR■■■■■■■■■■ ■■■■■■■■■■■NOON■■/■■■■■■■■■CV�t■1■■■■■■■■■ ■■■■■■■■■■■NOON■■■►\■■■■■■■■■t■■■■■■■■■■■■ ■■■■■■■■■■NOON■■■■■1\■■■■■■■i'nl■■■■■■■■■■ ■■■■eMM■M■■M■■■M■EIN■�INEIN■■■E■tr MMOMM■MMOM NONE ■E■■ ■■E■ MEMO ■■M■■EM■N■■■ ■EMO■■RO■■E■ ■■EE■■■M■E■■ ■M■■■MM■■M■■ ■OMMEMMEMOM■ ■■■■■■NOMMEN ■■■MENS■■NE■ ■■■■M■■■■■■■ ■■■■■■■M■E■■ ■■■E■■N■■■■■ ■M■M■E■■■■■■ ■NM■■MMO■E■ ■■■■■■■■■■■�i ■■SEE■■E■■M■ ■■ ■■MOM■' no MORE■■ ■■M■■■R■M■■■ ■MOO■■■■■■■■ ■■N■■■■■■■■■ ■M■EME■EE■M■ ■OM■■■R■M■■■ ■OMME■MEEEM■ ■■M■■■■■■M■■ ■E■■MM■■M■■■ ■E■■■■OM■■■■ ■EM■NEEMEME■ ■■■MM■■M■■O■ ■■■M■■■M■■N■ ■■MINE■■■■■M■ ■■M■■■■■■■■■ Davie County Health Department and Home .wealth agency pNO'�'E�GN 22,899$ Environmental�lealth Section N� "j s w _87 50 P.O. BOX 848 / 210 HOSPITAL STREET EF �G 336 ?51 MOCOURIER Ksva E#N c 27028 PHONE: (704) 634-8760 May 20, 1998 Judith Riggs 761 Barry Oak Rd. Cleveland, NC 27013 Re: Site Evaluation Oakland Heights III/Lot 139 Tax PIN: #%798-96-4072 Dear Client(s): As requested, a representative from this office visited the aforementioned site on May 14, 1998. Based 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. Sincerely, Jeff G. �eauchamp, R. S. Environmental Health Specialist JB/wd Enclosure(s) s , ` DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION s - *NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number Name lam \� w�� �c����n.s Date 5 - N2 5662 Location � 1 'A+ y,\N A'717\ Subdivision Name Lot No. ,� 7 Sec. or Block No. Lot Size (. 'House Mobile Home _� Business Speculation � u No. Bedrooms No. Baths '�` No. in Family 1 _ Garbage Disposal `YES ,-] NO .0 Specifications for System Auto Dish Washer.. YES ❑ NO Auto Wash Machine YES R1NO Q }� _ U' X 3� k I - So,•' ��t'' Type Water Supply �-© _— *This permit Void if sewage system described below is not installed within 36 months from date of issue. c) - Improvements Improvements permit by *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 day of completion. Telephone Number: 704=634-5985. Final Installation Diagram: System Installed by Certificate of Completion Date "The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. r DAVIE COUNTY HEALTH DEPARTMENT y/ IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION "NOTE. -Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) _ Permit Number Name" Date 'N _ Location Subdivision Name <{�� �. �' �' \ » a� Lot No. - Sec. or Block No. Lot Size`` Y `f ` House Mobile Home _u� Business Speculation No. Bedrooms No. Baths No. in Family ! _ Di Gar age Disposal YES ❑ NO [g' p Specifications for S r�stem; Auto Dish Washer YES ❑ NO i3' - ! 0 0 Auto Wash Machine YES Q NO ❑ J+ Type Water Supply *This permit Void if sewage system described below is not installed within 36 months from date of issue. "� Improvements permit by *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 day of completion. Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by Certificate of Completion Date "The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. ' APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT Davie County Health Department Environmental Health Section P O. Box 665 RECEIVED MAY 0 5 09 Mocksville, N.C. 27028 CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED. 1. Permit Requested_ By 2. Address 3. Property Address Home Phone?!ZS - (101 (05 4. Permit To: a) Install Alter Repair b) Privy Conventional V/ Other Type jq Ground Absorption c) Sub-Divisio h Aec. Lot No.� 5. System used to serve what type facility: H se Mobile Home -- Business IndustryOther b) Number of people 6. a} If house or mobile home, state size of home and number of rooms. House Dimensions a s 6 Bed Rooms— Bath Rooms Den w/Closet b) If Business, Industry or Other, State: Number of persons served What type business, etc. Estimate amount of waste daily (24 hours) 7. Number and type of water -using fixtures: commodes �� urinals lavatory showers dishwasher sinks 8. a) Type water supply: Public Private Community b) Has the water supply system been approved? Yesy No 9. a) Property Dimensions F �0 /' 5 193.7 L5 A39. 23 A b) Land area designated to building site c) Sewage Disposal Contractor garbage disposal washing machine 10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? A16 Whattype? This is to certify that the information is correct to the best of my knowledge. Date Owner ignature OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS Allow 5 days for processing Directions to property: DCHD (6-82) ) " --- W o .(Lo b. l/lo..0- /oo. /ol P � p O', � � �' o. .2 •q '9._ -` o ,•off \ �.... ,O `e 09 , 61 I _ v QDOn IDS At Z o 0 10 >p S, a 0 0.-//._ ` �� Z. / �v' g 9•. ice`: E � V, 41r ocr �� Z6 � 9_B r V v � 9 4 /r 1 ' .\, J9 • spl, q � p -� -117 .v • 1 C9 C CovrrY H C ARO •(. /N A O ' r M. .4.G/ C/y, �! N o rPl RY u:b.C.F01.V THG r y A/vor- R fi Ac io G A L • F .G F ORE A C Ift- e -e O ✓ .G C O C ,G O • , Ae G D V ,E .� X G C v r ; •O r u _l O- '° C - __ _ - e- -4,;, 6 00 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Box 665 Mocksville, N.C. 27028 SOIL/SITE EVALUATION Name ��� C lz, N -� Date Address Lot Size�3- E FAr.TORR ARFA 1 AREA 2 AREA 3 ARFA d 1) Topography/ Landscape Position S S `U S S U ?) Soil Texture (12-36 in.) Sandy,- Loamy, Clayey, (note 2:1 Clay) d -S S � �S U-� U U U !) Soil Structure (12-36 in.) Clayey Soils ��--, �� cP U U U Soil Depth (inches) 1-10�PS. --4� U U U �) Soil Drainage: Internal PS PS U U U External '11E (- �U P U U i) Restrictive Horizons Available Space PS P U P PS U Other (Specify) S PS S PS S PS S PS U U U U i) Site Classification U—UNSUITABLE S—SUITABLE PS—Provisionally Suitable Recommendations/ Comment Described by Title Date Date�� SITE DIAGRAM L�,. i< I DCHD (6-82)