P4500 Granada Drive Lot 8.� , . . y ... ...: ,i, ,i ai.vt '�, 4`.Y ' ! M,:Y J �'., .. y ^_:,(�; r.;+' f ti,;,:rY::-:r• . -Au ..S f' _ u;X .. .t ",,;W 7 y.f: �....c L '..., f...S: g •1`.,•, j. i'1
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS RERMIt AND CERTIFICATE OF COMPLETION
"NOTE: Issued in Compliance with_G.S. of North Carolina Chapter 130 Article 13c
Sew ge' Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name /� + SCS � �S Date C " E, 0 0
Locationt�fii
Subdivision Name
Lot
Sec. or Block No
Lot Size House Mobile Home t>�� Business Speculation _
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑J NO -❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
y
Improvements permit by`'--�r�
*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•. saa'�...t,_ ....,u� .._ ..�; J°:t.. �."=_-+., �'•.^:.,—.-..R`�E .- .. ,,-;.+7. .._.. _r �.^�: �i'.:sr. -_.. . .�ti, ..i t"'. _ �--.
DAVIE COUNTY HEALTH DEPARTMENT
%'r4' IMPROVEMENTS PFRMIT 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
-- �o
Name . /�; / S Date
Location
i
Subdivision Name Lot No! Sec. or Block No.
Lot Size House Mobile Home Business Speculation
No. Bedrooms = No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System: ,
Auto Dish Washer YES ❑ NO i] v �i ,—
Auto Wash Machine YES ❑, NO ❑
Type Water Supply _
'This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvementsermit b
P Y
"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:
f5!
System Installed by �+ i
f
r,�
Certificate of Completion fir' 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.
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name— Date 'oy/' ,
Address Lot Size
FACTORS ARFA i ARFA 9 ARFA S ARCA A
1) Topography/ Landscape Position
S
S
S
S
C5PPS
PS
PS
U
U
U
U
2) Soil Texture (12-36 in.) Sandy,
S
S
S
Loamy, Clayey, (note 2:1 Clay)
PS
PS
PS
U
U
U
3) Soil Structure (12-36 in.)
S
S
S
Clayey Soils
PS
PS
PS
U
U
U
U
1) Soil Depth (inches)
S
S
S
S
PS
PS
PS
U
U
U
i) Soil Drainage: Internal
S
S
S
PS
PS
PS
U
U
U
U
External
S
S
S
PS
PS
PS
U
U
U
i) Restrictive Horizons
Available Space
S
S
S
®
PS
PS
PS
U
U
U
U
I) Other (Specify)
S
S
S
S
PS
PS
PS
PS
U
U
U
U
S
9) Site Classification .1U—UNSUITABLE S—SUITABLEPS—Provisionally Suitable
Recommendations/Comments:
r
Described by , Title Date 1C!
SITE DIAGRAM
o
/!5'V
j
DCHD (6.82)
j
I
r APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
/ Davie County Health. Department. -. - -- - —
e' l Environmental Health Section (9 /
I iSR O. Box 665 � Mocksville, N.C. 27028
II' �
AONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By
2. Address
3. Property Owner if Dif
Address
Business Phone
4. Permit To: a) Install ✓Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division %1e Sec. Lot No.
. System used to serve what type facility: H Mobile Home Business
IndustryOther
b) Number of people
5
06. a7 If house or mobile home, state size of home and number of rooms.
House Dimensions 1112 X 6 0
Bed Rooms Bath RoomsDen 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 garbage disposal
lavatory showers washing machine /
dishwasher , sinks
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? Yes --' No
9. a) Property Dimensions I. -, r�-
b) Land area designated to building site
c) Sewage Disposal Contractor j"�A DiU
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 corr ct to the best of my knowledge.
tel-
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIAN WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
9e f f
wliv
de �-t D N So,&XrA- lD/- �e_<-t
DCHD (6-82)
Pr
t6 14 14 L /j
i
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME
ADDRESS
PROPOSED FACIILTY Vii?
DATE EVALUATED —/, Ils'
PROPERTY SIZE /Ike
LOCATION OF SITE
Water Supply: On -Site Well L Community Public
Evaluation By: Auger Boring L-1-11 Pit Cut
FACTORS 1 2 3 4
Landscape position J S
Slo a %
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH v
Texture group
Consistence
Structure
!J2 -
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: U• 5,
LONG-TERM ACCEPTANCE RA
REMARKS:
DCHD(01-901
Landscape Position
EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
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
. • Davie County Neabf De artment
and .,7�vme ,�ealtii yency
210 HOSPITAL STREET I P.O. BOX 665
MOCKSVILLE. N.C. 27028
PHONE: (704) 634.5985
Betty Potts Realty
P. 0. Box 2056
Advance, NC 27006
July 23, 1990
Re: Site Evaluation
Granada Drive - Woodvalley
Benjamin Browder - Owner
Dear Realtor:
As per your request, a representative from this office visited your
site on July 16, 1990, to determine the soil/site suitability for the
installation of a ground absorption sewage system. Unfortunately, due to
the reason(s) noted below, we must classify this site unsuitable:
1) Shallow soil to rock.
We sincerely regret this classification and are more than willing to
discuss this matter further, upon your request.
Sincerely,
Robert B. Hall, Jr.,•R.S.
Environmental Health Section
RH/wd
Enclosure ,