130 W Renee Drive Lot 34DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption Sewage Disposal. System - G.S. Chapter ;130 -Article 13C)
OWNER OR CONTRACTOR; .:J ' ; , , ¢� f `� /.% DATE PERMIT
J 0
LOCATION F--' ,' r <<s c a 1.� " s' �.; 1 '' f 1� • 19
S. R. NO.
SUBDIVISION. NAMEx.� { LOT NO. ,M. SECTION OR BLOCK NO.
BUSINESS
NO:.,BOROOMS N0. BATHROOMS. t
GARBAGE DISPOSAL UNIT YES ❑ -NO
AUTO. DISHWASHER YES : Q'';. NO ❑
AUTO. WASH. MACHINE: YES ,.NO ❑
SITE SUITABLE. ,YES 4 NO [3SIZE. OF TANK. - gal."
NITRIFICATION FIELD; sq. ft.
DEPTH OF STONE IN -LINES:
WATER SUPPLY: Individual ��j Public ❑
IMPROVEMENTS PERMIT BY
House Trailer 800 -Gal.
400"Sq. Ft.
Two Bedroom House 800 Gal.
6001 Sq. Ft.
Three .Bedroom House 900 Galt
900 Sq. F
Four Bedroom House, 1000 G.a1.
22 00�Sq. t.
INSTALLED BY
DAVIE COUNTY HEALTH DEPARTMENT
(Septic Tank) Improvements Permit and Certificate of Completion
(Ground Absorption SeVage Di$sposa� Systeip - G.S. Chapter 130 -Article 13C)
DATE
OWNER OR CONTRACTOR �-'il :1 • PERMIT
: _.
LOCATION t5K S t� Cf `rt'' i i f [:� cx+ it , t f `� l • OI 7. ^•7 1�I 850
-,
� � � � -� ., h l � • . � �� ' " Sf'' R. NO.
r
SUBDIVIS ON NAME LOT NO. SECTION OR BLOCK NO.
HOUSE ❑ MOBILE HOME $1 BUSINESS ❑
NO. BEDROOMS NOXBA`THROOMS
GARBAGE DISPOSAL UNIT YES ❑ NO
AUTO. DISHWASHER YES ❑ NO
AUTO. WASH. MACHINE YES BY NO ❑
SITE SUITABLE YES [3"- NO ❑
SIZE OF TANK raa gal. r�y�
NITRIFICATION FIELD ,0 sq. ft.
DEPTH OF STONE IN LINES:
WATER SUPPLY: Individual Public ❑
IMPROVEMENTS PERMIT BY , r L ref �t
House Trailer 800 Gal. 40D-.Sq_.__Ft.
Two Bedroom House 80010 Sg FtA
Three Bedroom House 900 Gal. 900 Sq. Ft.
Four Bedroom House 1000 Gal. 1200 Sq. Ft.
TALLED BY
r
CERTIFICATE OF COMPLETION BY f 1tF _yam +,, ,,,� Date C-3-'-2 7w- 26
(8/16/73) *Construction must comp]/with all other applicable State and local regulations
LOT AREA
OFFICE OF THE DIRECTOR
Dailir (rniutfti � r<ilfh r. ar mr�Yf
Aiuiiir �r:iltl?ritr
P. O. BOX 57
Aiarhsiiillr, N-nnrfli (ENralitt.I 21028
ember Iy i;7S
C. L. Hendrix Sr.
P. 0. Box 828
Clemmons, N.C. 27012
Re: Lot #34 Woodlee, Section III (C.L. HendricX-s)
Dear Mr. Hendrix:
A site evaluation ;;as performed on Lot 135 by Dan Reilly
and Buck Hall on December 14, 1978.
The lot slopes do�ti ward from front to back and downward
from right to left as viewed from road. The soil on left side
of lot is reddish clay with gray mo -,ales and evidence of mixed
minerology. The soil on right side of lot tends to be similar
but more shallow. The pervasive mottling would indicate moderate
to poor internal drainage and vxould require further evaluation.
A percolation test i%ould help to determine final suitability.
Provision (if percolation rates an- s-.iitable) Trust be made to
divert surface water from lot as a depres:7icn is present in
central part of lot.
It is recommended that if i,r. Hendricxs wants to pursue
it, that the percolation holes be placed on left side (at least
two) and right. side (t,„,o more) to help determine absorption
capacity of soil.
Please call if we can be of furthur assistance.
Sincerely,
Dan Reilly, Technician I
Davie County Health Department
DR/gh
TELEP41ONE
704/ 634.5985