P4541 Howell RdSubdivision Name Lot No. Sec. or Block No.
Lot Size d/1! House Mobile Home ,> Business Speculation
No. Bedrooms No. Baths_ No. in Family_
Garbage Disposal YES p NO p- Specifications for System:
Auto Dish Washer YES NO E]
Auto Wash Machine YES NO p ZGZ
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:
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.
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DAVIE COUNTY HEALTH DEPARTMENT
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
/
Locationt-
Subdivision Name Lot No. Sec. or Block No.
Lot Size d/1! House Mobile Home ,> Business Speculation
No. Bedrooms No. Baths_ No. in Family_
Garbage Disposal YES p NO p- Specifications for System:
Auto Dish Washer YES NO E]
Auto Wash Machine YES NO p ZGZ
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:
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.
Ar•T/L7
RECEIVED OCT 0 7 1986
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN TISSUED.
Home Phone
1. Permit Re uest d B / 1 ' Business Phone
2. Address » i" do ' Ir mei^s
3. Property Owner if Different than Above
Address
4. Permit To: a) Install Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Loto.
5. System used to serve what type facility: House Mobile Home Business
Industry Other
b) Number of people (0
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions /qhv %D
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
lavatory 1`
dishwasher
uri
showers
sinks
garbage disposal
washing machine
8. a) Type water supply: Public Private Community
b) Has the water supply syste been approved? Yes No
9. a) Property Dimensions c2 _fj 0-C f Y!5
b) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owne ignature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
PA app � &-�' VAX)
DCHD (6-82)
w �e
�/ 't)1k7�ed
J
DAVIE COUFTY HEALTH DEPARTMENT
ENVIR0141-211TAL HEALTH SECTION
SOILJSITE EVALUATIOIT
I?AIS � d �/ DATE
ADDRESS
LOCATIO114
LOT SIZE -5
TOPOGRAPHY: S/—�
SOIL TEi;:TURE s
SOIL STRUCLUREs,�&,e
DEPTH: Ap
RESTRICTIVE HORIZONS:
PERCOLATION FATE:
1.
2.
3.
Presoak
Mark & time
Drop
Time
Pate iin. Inch
01
ar
%'**CLASSIFICATION:Suitable Provisionally Suitable Unsuitable
COMMIITS : %
/!P '764-1� P e
! SANITARIAII
SITE DIAGMAUM
T cOMaitr Coun#Li �Hvd#4 PeyMr#nien#
ttn� ��tzttt.e eat#� c�$cut�
P. o. eox If# 665
jfflork. woillt, Worth Carolintt 270128
OFFICE OF THE DIRECTOR TELEPHONE
704/ 634.5985
August 12, 1981
Davic Realty
11.0. Box 262
MocksviIIe, North Carolina
Dear Sirs
This letter is in regard to a,5 acre tract of .land on
Howell Road in Davie County. Please note the findings
below:
Perc. rate: 320 min per inch average
Soil Conditions:
Topsoil: brown in color and loamy
6 i8" in depth
Subsoil: brown clay soil.from 6" -l8" in'depth.
Soil has poor structure and texture.
Saprolite encountered at 18" - 28".
Due to the above mentioned soil conditions, the site is
properly classified unsuitable, however, due to the availability
of space and size of lot inquestion, this office feels an
oversized system can be installed.
If there are any questions regarding this matter, please
feel free to call this office.
Sincerely, .
7
Robert B. Hall
jh Sanitarian
DAVIE COUFTY HEALTH DEPART12171T
ENVIROUMENTAL HEALTH SECTION
SOIL/SITE EVALUATIOV
I1Ai� ` DATE
ADDRESS
LOCATIO4
LOT SIZEy 9��(�
TOPOGRAPHY: � � s�j�/�
SOIL: TE.ITURE : v
SOIL STRUCTURE, : l% S�
DEPTH:
RESTRICTUM HORIZOVS: %� -/ V �r
PERCOLATION PATE:
1.
2.
3.
Presoak
Hark & time
Drop
Time
Pate/11i%. Inch
***CLASSIFICATION:Suitable Provisionally Suitable �nsuitable
C0123EITTS :