Loading...
183 Caravan Ln (2)Account #: 989900596 Biiled To: Brenda Cruz Reference Name: Amold Belcher Proposed Facility: Residence ATC Number: 2070 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mceksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT �,�-9� �� Tax PIN/EH #: 5820-441332 Subdivision Info: Location/Address: Caravan Lane-27Q28 Property Size: 1 Acre **NOTE** This ImprovemendOperation Permit DOES NOT authorize the construction ofa septic tank system or any wastewater system. An ALJ1'HORIZATION FOR WASTEWATER SYST'EM CONS'TRUCTION 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). THIS PERMTT IS SUBJECT TO REVOCATION IF STTE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type /lj� #People �_ #Bedrooms _� #Baths �_ Dishwasher: � Garbage Disposal: �� Washing Machine: � Basement w/Plumbing: O Basementll�lo Plumbing: ❑ Commercial Specification: Facility Type #People #PeopleJShift #Seats Industrial Waste: � Lot Size e Type Water Supply �� Design Wastewater Flow (GPD)�� Site: New B" Repair ❑ System Specifications: Tank Size%D� GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width �� Rock Depth /� Linear Ft;/�� � IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6� BELOW FTNISHED CRADE. ****NOTICE: Contact a representative ofthe Davie County Health Deparhnent for final inspection ofthis system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-87G0.**** ✓' Environmental Health Specialist's Signature: Ti� Date: DCHD OS/99 (Revised) Account #: 989900596 Billed To: Brenda Cruz Reference Name: Amold Belcher � Proposed Facility: Residence ATC Number: 2070 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospitat Street Mocksville, NC 270Z8 (336)751-8760 Tax PIN/EH #: 5820-�4-1332 Subdivision Info: Location/Address: Caravan Lane-27028 Property Size: 1 Acre 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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: � Date: $-Z 3 - �p 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 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. Septic System [nstalled By: Environmental Health Specialist's Signature : DCHD OS/99 (Revised) �� J � Account #: 989900596 Billed To: Brenda Cruz Reference Name: Amold Belcher Proposed Facility: Residence ATC Number: 2070 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Tax PIN/EH #: 5820-44-1332 Subdivision Info: Location/Address: Caravan Lane-27028 Property Size: 1 Acre **NOTE** This ImprovementlOperation Permit DOES NOT authorize the construction of a septic tank system or any wastewater system. An AiJTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Departrnent 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERNIIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type /%1 f� #People �� #Bedrooms _� #Baths �_ Dishwasher: � Garbage Disposal: C•1� Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size � Type Water Supply J Design Wastewater Flow (GPD)�� Site: New � Repair ❑ System Specifications: Tank Size%j'D�J GAL. Pump Tank Other: Required Site Modifications/Conditions: GAL. Trench Width ��� Rock Depth /� Linear Ft;/�� � IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF G" BELOW FINISHED GRADE. ****P10TICE: Contact a representative ofthe Davie County Health Department for final inspection ofthis system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-87G0.**** Environmental Health Specialist's Signature: T�� Date: � DCHD OS/99 (Revised) Account #: 989900596 Billed To: Brenda Cruz Reference Name: Amold Belcher Proposed Facility: Residence ATC Number: 2070 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Tax PIN/EH #: 5820-44-1332 Subdivision Info: Location/Address: Caravan Lane-27028 Property Size: 1 Acre AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie Counry 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 WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Q`" $-2 3 � �� Environmental Health Specialist's Signature: � Date: CERTIFICATE OF COMPLETION **NOTE** The issuance ofthis Certificate ofCompletion shall indicate the system described on ImprovemendOperation Permit has been installed in compliance with Article 11 of G.S. Chapter 130A, Section .1900 "Sewage Treatment and Disposal Systems," but shall in NO WAY be taken as a guarantee that the system will function satisfactorily for any given period of time. Septic System [nstalled By: Environmental Health Specialist's Signature : DCHD OS/99 (Revised) Date: APPLICA710N FOR SRE EVALUATION/IMPROVEMENT PERMR & ATC Davie County Health Depa�tment Envilronmente/ Neu�/tlr Sedfon P.O. Box 8�8/210 Hoapital 8trs�t Mocksvill�, NC 27028 �• �336)751-8760 *** Zi�ORTANTR ** THI$ 7►pBI+iCATICN GNNO? B� pROC�BB�D VNI+�88 ALL Tiia REQViRED ZNFORMATiON i8 PROVID&D. R�far to th� ZNH'OR1�1TI02i BOLLETIN �or instruatioas. i. llaa� to b� siii.d A-1! ►1/1 �d .�� coAtaot �r.oa Naili�Q 11,ddr��• ..��a�� � ,r9 �f ,�/i ! � 8om� pboa� �Z ����� Cily/Ytat�/iIp ��i (,T..S �t ���l�l_l_ (`�{-l. �'7� ,��( atuie�s• phon� Z. 1iw oa �rait/1►TC i! Di!l�z�at thaa �bow It�iliaq iddr��• �. J►ppiia�►tioa ror: 0 Sil� Lbslnatioa a. ey.t�.a co s.r.so.t O 8ous� �bile 8om� s. I! R�siduias: i P�opl� _�� City/Ytai,�/Eip .�rov�at B�rsit/�1Tc ❑ Soth 0 Busia�as 0=adustry 0 Oth�r f BadroOms �-- � B�thrOomO „�� O Di�hrul�r D Oarbay� Dirpo�al �•p .I�iat►inq Naohia� 0 8aau�at/pllsibinQ 0 Baawn!/No pluabinQ % 6. S! swia���/Industry/Ot1�rt Yp�ci�y typ� +�opl� ! BiAk� ! Comod�� � Bhox�s� + IIrissal� � Nat�r Cool�r� � I! i00D8ERVZC3: � S�ats 3stimat�d 1Pat�r IIsaq� ��ioaa p.r a.Y) 7. Typ� o! wat�r suppiy: 0 Couaty/City O 1P�11 0 Commnunity e. Do yoa �ndcipate addiHoro or espaaalont of t6e fAcWty thia system !s intended to �erve? � Yea U-Ai� Uyes, wLst type? •*NMPORTANT""* CLIENt3 MiI.ST LiOMPLETETHE REQUIRED �'ROPERTY INFOEiMAT10N REQUESfED I BELOW. Eit6er a P1.AT or SITE PLAN MtIST B8 StJB1�9TlED by the client w�It6 TEll3 APPLICATtON. Propecty Dimensions: �_ C /I � �Sf Ta:O�ice PIN: # J ��� ���� Property Addres�: Road Name �'_����i ,a- �_�r► City2lp If in A Sabdtvision provide informANon, �a %Ilowss Name: 3ccHons Biockt Lott WR1TE DIRECTION3 (from MaW�ville) to PROPEBTY: ��� / �l j � � f � v��, �..� ; , .��- �.�- �,� l�ef' ,,���- Dste Property Flsg�eds This Is to ¢ertify thst t6e IntormsHon prawided is correM to the beat of my knmvledga I anderat�nd that �ny permit(e) isaaed hereatter �re tubje¢t to saspeneloa or revoc�Hon, i! the eite p1Ans or Intended nse c6ange, or if the informaHon eabmitted in tbb sppllcuHon is falstiied or chtn�ed. I, also, anderstand t1ka� I ane rtsponslble jor all clicrges lncumedjront tlils appUcotlon. I, 6ereby, �ive coneent to t6e Anthori�ied Represenbitive of the Dsvie Coanty Hailth Department to eater npon sbove dacribed propecly located in Davie Connty snd vwned by to condact �Il taNa� procedwa as necea�ry to detern�iue the dte s�ihbWty. " DATE � �� U � � -�-� SIGNATURE j / �i� �.�;�.����C,�1� — .. THIS AitEA MAY BE USED FOR DRAWING YOUR 31TE PI.AN (Inciade All of t6e follawingt EzieHn� aud propoeed property llaa and dimenaiona, stractares, utbscka, �ud �epHc locaHo�). Revised DCHD (07/99) Site Itevbit Charge Datc{�): Client NoHBcaHon Date: EHS: �9���o�t Na ��/ Invotce Na y� i ��2' �• J � / tt,: .. . ��"- ,�� �'I�G'1 � . ;'-� , ,�Q. .P� ;,'!,`U� ^ ` � __.•r�v���111���1�UV��� ��Ai�� �:A�� Davis County Health Oepafinent Environmental HealMr Secdon P.Ca. Hox 8�8/210 Hospital Street �� Moakaville, NC 27028 1336► 751-8760 �� � �����lls -; ` ,�,�f - I 199.9 •*+►:3�ORTANT�*i THI3 APPLICATION CANHbT EE PROCESSED LINLE33 ALL ll�t�►2�tMATION T3 PFiWIDED. �Leferl to �e INFORMATION HtJI�LETIN for inatznations . �--- �- ��L �� � � e� a�� �sianQ n,sa��. ,L.B�? ���a,°.�.i/ .Lil�/� ci��sc�r.��zir ,��C_�S U,'/Le f'� • C , �%a � Name on f"essit/1►?C i! Di!lerent than I1bwe �1 .',rNih N IC ��at �.�, �r.�.�� ��� Z $� r� 1a[,g� � SS�� , --e, Phone �lailinq Addtess �ilp/8tate/Lip a. 1►ppliaatioa zo=: [� Site Evalnation 0 Improvemeat Permit/ATC �oth lti �. sytem to servsce: U Honse �Mobile gome 0 Bnsiness 0 Iadnatry 0 Other s. Ii R�esidenae: � People / Bedrooms _� # Bathrooma �- 0 Dishvasher 0 Oatbaqe Dispesal �ashinq Nachias 0 Has�t/Pla�binq 0 Sasement/lio pitmbinQ 6. i! Bnsiness/industry/Other: 8peailY type f People / 81c�Ys i Caaoodes f 8hoxers � Urinals � Rat.er Coolera IP li'OODSERVICE: # 3eats 8atimated Nater tlsaqe (Qallons per day) 7. Tpp�r of wr.:tar supply: 0 Connty/City I�i%11 0 Coa�uaity e. Do you anticipsie additiona or e:pan'iona of t6e facility t6b ayriem la iate.�s�led to �erve! 0 Yes 0 No lt ya, w6at type' ""*IMPIDRTANT'*• CLIL►NTS 11lUST Cb�llPLETE TN� REQUIRED PROPERTY INFORMATION REQUESTBD BELOW. EIWer a PI.AT or SITE PI.AN MllST BESUBMI?TED by t6e client with TH1S APPLLCATIOiV. n � Property Dfinension�: �19C �7� -S WR1T6 DIRECI'IONS (from Mak:ville) to PROPL+RTY: Taz Oitice PIN: �_ .,�'�'�/� `" `�� ` /-�.32 �C> % /J � �c� �ct UG f� I'roperty Address: Rnad Name C�r�"C1l�Q �7 /Tn= �/ �� ' . City/Zip .� c��G2/�C�" � 1" C (.� . '�...�, If in a Subdivision provide informatlon, as followr. l�l • Name: Seetion: Block: Lot: D�te Pro I�l ed: ��` ( "��� � �, p�� � � This i� to certffy that the ioformatioo prnvided fa correct to the beat of my knor►ledge. I underat�nd t6at �ny permil(a) issa�ed hereatte� ane subject to au�pension or ttiwocattoo, if l6e ��te plans or intended use change, or if the information �ubmitted in tbi� applicAtion fs �alained or cdanged. I, olso, undrr�tand diat I am nqponsiblefor a/1 cAra�,►a lncrrmd fronr thi.r a�,pltc�t,Fon. I, bene6y, give cooseot fo the Au16or�ed Reprcseotative of 16e Davie County He,�ith Department to eoter apoa above described property located in Davie County and vnoed b�- to conduct all testing procedura � naa�ry to detenriine t6e �ite aitabilit�r. DATE (.P - I' 7 J SIGNATURE ti THIS AREA MAY BE USED F'OR DRAWINC YOUR S11'L PLAN (Iacinde ail o� t6e foll ing: L�sting and proposed property Ilna and dimensiow, droctur�a, �etbutu, and ieptic louttlons). l'��via�:" �1CH�i �� ',98) Ac�ount Na ��� invoice Na ! �-� • '� . � - ;•_ , _ � , DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION LOT SoiUSite Evaluation APPLICANT'S NAME ( � �/''LL `Z PROPOSED FACILITY � G� SUBDIVISION Water Supply: Evaluation By: unnt�nt�r r n�ffru HORIZON II DEPTH SOIL WETNESS SITE CLASSIFICATION: On-Site Well Community Auger Boring Pit DATE EVALUATED (n /l�/�� PROPERTY SIZE �/f L ROAD NAME �j`7 r/9�✓� /I Public Cut EVALUATION BY: ` ` -�G' ' L/ LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT: REMARKS: DCHD (01-90) LEGEND � Landscape Position R- Ridge S- Shoulder L- Linear slope FS - Foot slope N- Nose slope CC - Concave slope CV - Convex slope T- Tenace 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 Wet NS - Non sticky NP - Non plastic FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm SS - Slightly sticky S- Sticky VS - Very Sticky SP - Slightly plastic P- Plastic VP - Very plastic tructure SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mineralogv 1:1, 2:1, IVlixed 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 - gaUday/ft2 ■ ■�■■�■��■■�■�■■■■�■�■■��■■■ ■��■�����■■�■�■■■����■■�■�■ ■��■■■■��■■�■�■■■��■�■■�■�■ ■��■■�������■���■■�■��■���■ ■��■■�■�■�■■■��■■��■■�■���■ ■■��■�■■■�■■�■�■�■��■�■■�■■ ■�■��■��■■�■�■■■��■�■����■■ ■�■■�■�■�■�■■�■�����■■����■ ■�■■�■���■■■��■������■�■■�■ ■�■■�■■��■�■��■■■��■�■�■■■■ ■��■■■■��■��■�■���■■�■■■�■■ ■■��■�■��■■■■�■■■�■��■■���■ ■■��■�■��■■�■�■■■■�■�■■���■ ■■�■■�■���■�■��■■■�■��■���■ ■■■■■�■�■�■�■������■��■■��■ ■■■�■�■����■�■�■������■■��■ ■■■�■■�■■■�■�■■■�■■�■��■�■■ ■■■��■�■�■�■�■■���■�����■■■ ■�■■��■■�■■�■■■�■���■����■■ ■�����■��■■���■�■�■■�■�■�■■ ■��■■�■���■�■�■���■■�■■��■■ ■��■■�■■■�■�■���■■�■�■■���■ ■���■��■■�■■�■■■■■�■■�■���■ ■■��■���■�■■���■�■�■■�■���■ ■■■����■■■■■�■■■�■■�■�■■��■ ■■■��■���■�■�■�■����■■�■�■■ ■�■■�■■��■���■■■■�■■■■�■■�■ ■�����■■�■■■�■■���■■■■�■��■ ■��■���■�■■■��������■■�■��■ ■■�■■■�����■■���■����■�■■�■ ■■�■■■■■■�■�■��■■■■�����■■■ ■■■■■����■■■�■��■■�■�■■��■■ ■■■��■���■�■�■������■�■���■ ■■■■�����■■■�■■■��■�■��■■�■ ■������■�■■■�■■■�■■�■■��■■■ ■■■■��■�■■■���■�■�■�■■����■ ■■�■■■■■■■■��■■■■�■�■■�■■�■ ����■■■■��■��o�■�■�■�■■�■��■ �■�■■■■����■►�■■■�■�■��■■■■ ���■■�■��■■■■►�■■���■■�■�■■ ������■�■�■�■���■■■■■�■■��■■ ������■■��■�■��■■■■■�■��■■■ iiii�iiiiiii�iiiiiii�iiiiiii i■■■�■��■■�■■c�■■��■�■��■���■ i��■■■���■�����■■�■�■■�■���■ i■�■���■■■����►■■�■�����■■�■ i■�■��■�■■■■����■�■■�■��■�■■ ■�■■■■■��■�■■■i����■�■��■■■■ �i■■■■■�■�����■�r�������■�■■■■ i■��■■■■■���■■���■��■�■■�■�■■ i■■�■�����■■■����■��■■■�■��■ i�■�■��■�■■■�m�■■■�■■■■����■ i����■■■■r��■�iri�■■■■■�■■��■■ i�■��■�■�i��a�����■■■■�■■�■�■ I�■��■■■[11�J���1■r,�■■■�■�■����■ �� � �� �� �� ■■ ■■ ■■ ■■■�■■■�■���■��■■■ ■�■��■�■■ ■■���■■ ■�■��■�■■ ■■����■ ■�■��■�■�■��■���■■ ■�■■■■■■�■����■��■ ■�■■�■■■�■■�■■■�■■ ■■■■�■■■��■��■■��■ ■■�■��■■�■■�■■��■■ ■��■���■■■■�■����■ ■■�■�■�■■�■�■���■ ■■�■■���■ ■�■�■�■ ■■������■�■■�■■��■ ■■■�■�■�■�■■�■■■�! ■■■�■���■��■�■■■�■ ■�■�■■���■�■■��■■■ ■�■��■������■�■■■■ ■�■■�■■�����■�■�■■ ■����■■■���■■■�■■ ■�■■�■■■■ ■����■■ ■��■�■■■��■���■�■■ ■■�■■■■■��■�■■���■ ■■�■■��■■�■��■�A�! i���i��■■����■■�■■ Ef■����■■��■■�■■��■ I1���■■■■■�■■��■��■ ���■�■���■���■�■�■ f��■�■■��■ ■�■�■�■ ■�■�����■��■�■�■�■ ■ ■ ■���■������■���■■���■ ■����■�■■��■■■��■���■ ■�■��■�■■■■�■■■��■■■■ ■�■■�■�■■■■�■�■����■■ ■�■■����■■■��■■���■�■ ■�■■�■■�■�■���■■����■ ■��■■�■����■��������■ ■■\�■�■���■■�■�����■■ ■■��■�■■���■���■■■■�■ ■■��■�■■��■���■�■■�■■ ■■���■����■■���■■■�■■ ■■■����■�■�■■��■■■�■■ ■�■■�■�■���■■��■■■■■■ ■����■�■■�■■����■■■■■ ■��■�■■�■�■��■■�■■�■■ ■��■■■■�■■■■��■��■�■■ ■e�■■����■■■��■�■■■■■ ■��■■�■■�■�■��■■�■■■■ ■■■■■�■■���■■��■�■■■■ ■■��■■�■���■■■■�■���■ ■■��■■�■■���■�■�■■■�■ ■�■�■■�■■■��■■■■■■�■■ ■�■��■�■■■���■■■�■■�■ ■�■■�■�■■■■��■�■■■■�■ ■�■■����■■■��■■■����■ ■�■■�■■�■■■��■■�����■ ■�■■�■■�■■■��■■■����■ ■�■�����■■■���■■��■�■ ■��■�■■�■■■■��■�■�■�■ ■��■■■■���■■��■�����■ ■■�■■�■■�������■■���■ ■■��■�■■��������■���■ ■■■��■�■■■■■�����■��■ ■����■��■�■��■■��■��■ ■�■������■��■■��■■■■■ ■�■eo■��■■■�■■������■ ■�■■�■■��■■�■■��■�■�■ ■�■■�■■��a■■�■�������■ ■�■■�■��n■■�■■�■��■■■ ■��■�■■���■■■��■■■��■■ ■��■■■■�������■■■■�■�■ iii�iiiii�ii�iiiiiiii�i ■■�■■■������■■��■�■■■■ ■■�■■�������■■���■■�■■ ■■��■�����■�■■���■■■�e ::::::::�■��■■���■■■■ ■�■■■■■�■■■��■■�■�■■■ ■�■■�■���■■■���■���■■ ■�■■�■■����■������■■■ ■�■■�■■����■���■���■■ ■��■��■��■■■■��■■■■■■ ■�����■■��■■■���■■�■■ ■■��■�■■��■■■��■■■��■ ■����������■■����■■�■ ■�������■■�■■���■■■■■ ■��■�■ ■���■■ ■���■■ ■����■ ■�■��■ ■��■�■ ■■■�■■■■ ■■����■■ ■■■����■ ■�■��■■■ �m �� � ,, � a q � � 1� ° �� � a � ; � - , l. �j . � :� ,r ° a� . . ,� . , • � , � n � � _-.-: � a - � 0 : 2' 3..60.$So%2S Z . O � � � � =::`:.� •�O•ps/ ' � O � .._.-.-. .: N . (�%•• �;f 3 J,�� ' 'F � �j �. j , , ' ' tJ, p, Q t:. �� { ' � .�� j ,, j ; � , i � '. . � �i 1 O !'�� �i ri: "'�� ' � � .� ' i dl lf� � :_.,�" $Co .,. ti . ,1 ; \ . r � ,,,� ti� ` �, ±.;;:,��. ; a � , •� �,—�rsk t,�--�ti ti � � . . ! / - ' . � : �`�� .b0`S9/�: . % � •f , . . � `.. { �4� ,�� ,ZFo&2 1► . •�, _ \i • . • ` , ��� � ��;. . � � �• ,� . / , I � •' , 4/ o •, S •Efi •E S. , . , � � 1 �, . . ~-; �+� S���K. � ...,�� � � '.+. ,k._ . .�"" r� I p p r � i a� ;• }.Q, ,�.�,t,�;j= �� a : , :r ���� • , ' � , � � J' N 1f3 ��i� • fr �' ��; /., '`' `�`�' � ° � � 2-. •' ' . . ' � + Q .' � L ��` � -c�y . •,� � � a, aY . � , i . ' . . Q� � � ,�"���l� � �F -�,��� .� i� �Y� � 1�� �+� • . . . ` N 9 �''� �: �;�:-a �n��' �.r,��r ,, . + r ' , i '' ' ' � � , �a. � :,�.�tojs`� . '� � � . � . . . . . F� Q � � � . � ' i �:� +' � �11 ' � . � I - . ; • . �� 4 �s � r ^ x y r , ! % � t . . ' � , . r� I ` •IT '� f � p�• i . ' . � , . � . . . . �' x: 1:, / 3 s�,C ""li+�. 1. •t ,�rts, f i. . .� i'��r. ; .V t?�1. � j:.- , :� @.�� ',�, � �Y- �� . � , �'l ' �y`� "�, : • �:.� � �._ � - � � a : W - .+�•. ",�. v� ' � ^- ' . � . d ; Z; ,, , j N �,. ri � ��,�.,��. ,� _ % , � � . , . ,� t ��,�i;f'�r.1 '• �: W `:ty}`+., sr. ,';� y.'�+r �i�:., `• � •.. . ` �.c .. , / • 1 . � L ^ r i � . F �,._ f „- ,,' 1 � 4'� t bf' �,�-: �•/I ��. yyl�R . ,� � . • �` •.�� �s7� t t ' r '�_. i.,�. '�. ' •� a[.- y' 4 *' li� 1i �, '_'�� r` • Y�* e < '♦ j a� 1 � �. . . 1 3. ! ' r � + r . !t .y t y,�� �'€ 4 � " r3. . . �+ , • �. c.rf .. �. �i f •.."$i!t* �., `. y, kN�,� � ♦ 'w � a . �` . � .. � . \� � � �.r�,� � � ..r. y{.� � T �� � � r' f <� . �� f �w�'. � y}�-- .' f-+�; � .. } � �� ���. ��1.� �Q t� .�. i`y ♦ r r'4. x�iyu^ 1 � , } * j +i.l» �x.. .�!+�E � w.fi' 1 • t � �,. �y Mi► � � ,, ' • � .;� �� ,,y '�='++6;«� +� x. ,��,SR•. 1yt� �' !.� t`� i 6` t .�' � � ` _�• , �. . . � ' . •'�.,+ f . `'' Z j Y�ti♦ i'c'� � ;^�, r . F� '' .. ♦ 1 ��,� '9 .�,� - . ' � � . . . �',w :: i'` � ;. ti i c y- �.1�. �, � �s "` �+.�'rj` k, i �j '+a r. - � .. .�• k - \� • , • }�' � , �x.' �. T y,,���► '�,��fi�.4Y 9�,.��T���'• y�: `., y�. .. •� •�',..� , ... � �V . I . .. � - � �b � � t r ' ����w � � �Y,, ',t 1 F Y � � �� � . r � . �► /�,, 1 �` � • t1 � ` .« 4r : � � , � Q t � � � � � ,�. �} '�: � t � �rl�;;,� � � J � N . �'. '. , z ` , o ' ' .� � ' . J3�k �� h `-+ � •�� � /°y� � '- . ' , . .� ,.f ���'i �,� ) . �• � �t �tr �~,, 'V . 1 � � �� '� � � � ' '� � �'� . � � . w� - •.� �'� y �.�. f.�^p'�t:� t ��k � '!�r • . f � :.1 �• - f y.^ � ' . , . . • . 51 ` . �i j �4� •'�y�, )I}i�� . �, . . ) I P ..�"� '-�[' � f`/ ' .. . . �^� �¢'{,' il , -•'�. � ,, y{:� ���j.p� 1t7Y'�� � . ' ' .�`4�''�.: I �„�yy .�*� „L�`Y r. Y ?�� {,- 4/.•�� • . ' . . . . , � • .. �% ��k-� , :�� � . :sN� ��.�J�,� �r?'F N ...F: , � . .. . I . , , . . -� . k `t � ' t i �,: � , i n��r k�,, �,�''� t'� �' � . , . �,, r� � • ` ; a .,t ,;'� j¢. ,� t � � . � :� • � °'s� ,' y.� * . • _ : �� , `,Y � � + Y � � t � �-j !: . � .!, '� � ,� � , . ,�-). � . . ,r� � � ���� � . �� .r � � t . ' I. � � • A �. . �j� • t :`_y• ' ,"•. ,�f. �`';.q. f, a, : : , �:. � f � . r h� � S: .�; _ �) ._.. :�� #. �;,.� � �,��� :; � R �, � : � � . . _ ,, . �T. . . �. , , ,�t. ... . � • �.�; �•, ; i' -- �"}-�� . � �a , . . ' � .l `rt' + ti{p�l yG .+.... 1 .� f`y � .�*x e�. � i��.., �:, 1. , '' , -�'`• t � - ' '- . ,�.'�� .y;� ! � : r.�, �' �i y 1� � _ � � �• ��' . i . . ,.> � .. �i.. i.�t�.� � � i: :ti i'.i °, '�,�. J „ Y �'•i �� �fr � i'� �` ,a:�.. .. �i.+ ��� . . , . 's , .. . ` f ' ,6 .�,. '��_' 6�� } . � t .� ' , � � , � �,' � ? � , �� �. �,�~ � , � �. �;� M � � _-. �.� 9 -y� � ' : .�, f . .j, 5 �17 .F'�Z • � ` R` '��S 7j±i+:� �"'N�7iO .(�/J �' . ^I � � X.fr ii�� �'�`�"�'4, i �y �w ty.� t�i1�� ir .� `�,.1 �loQ , , , + r �'. ,� i , y i� t�R��! �, t. ��. t � 2 �„� 1f�jX . t, � . � . . lr.�i�; • .` t,. I�..- ��1,�±19 �.� ..���` +�.. .,i� ��!�� ���� �nr.'� " !t %. � � ` �. �� ?�•M � . �\ , j � 4�` �S �,� Y + � � + r J, z�� z , v - ,�,,t,�C' • � Z. ` � +e �} p , � . t tS R 4'�'�{x� � .. C�xr ` t' . . �' `''• . .�� .�.t }��� •. '�iiiZ�[y �' tf ; :ax "rr 7� / �SY }. � , ��'� � r�'�X�. •r � r� ' - , ,.. � � 1 �1 T �� �' ' � a ` 1 : ^ � S � s. r �/ . . . � �;� � rt .. 4 �,,�,, �, t �y �� r. � + � r ' '• 'i ,at,� .! - � 4 � � . i. ¢ � �` h � 4 ' .! � t �K�.i 4 . f �, �; r1 "Y R k � � i i} �� r : 1 � . . '' t , � r��.• � .��N' � .-V� , ` y � i � ." �'. �. 11R��e�y1''.'� i 'r/ t- Y !^•� w �' r rx�F' 1� . . _ .1' /. • . a � . yyF�� � 4 � t-r�, �.rf� !. � � { 7,� al .' f • �+ �? �� <.i � '. � t�.� -�y� n �ti,�. t�r . ' ' . �) . t•'� ' ' •� > ,1 � s S. �� e�':� ' .,pj j y . �::� "it � y •� �i�' �r���7 f' .� `� �,� i} t, � y_ �2'�f�., . x . . , ,; � b.t a. � j'�vK�jyi � � � �' ,. � R�l �r ? � (., �jI �� I� ,{ � ��... �d ^`Y '� t:��'� �- �t , � � . : .t / . ��. 1 � � 1 .a. uyA9� . ( � •;1! �. . . ti V ^ � r.:� r �ar �4 :n . . � . _t � • 1 � . �j, i '� fi:'"� .xti ii �` . . ��.� r;P � Yy .��! .� 4' . � �. � IY �~f ?� ,'.�� ��� i7 � {S.,'�`. Z :;�`74;�,�, � �kt;�-�r:`: � F. ,�i' t'y,.: `��•'���'' ��"'�� d/� '_��„[�/�!S' S , +'�.�� ,;i , Y!� . i ��f .'..' *' � ; . � •, .!+"'.."� � F . �r , � r �'� : :, �' � . ��:��j�i �'� c r1 � . 3; o � ' " �. '� 1 `1 "''r.�'Ly� � r,{ �'- r.� -""���! .�i�.',(it,. 'irta �';1���� +� � :Y' ar�3 �t�� j :' .,t�!Elw�� 4. � ��i: 'tr :,y�,,, e�..� �, 7 ��� r �`� r v a'r, aC';i�,�Kt* .t:: t��.,h� � t �•� � 4:i. X"� { r_ �;x.• � j� ?.:�:r _ ..�.�� �'+�`ifl�wwV'r�""�W , . . ,h'. � �� �� +,i �' 'F. ��.. �' t . r . . t�'�' '1..` �lr �1.�, v�f 'F .�' 1 1 � r p �1 `� . • , . :/, . . . . , . ,r,� : � � • . : • •. ..1 � t I � � ' l�r� � � � •��i., l -i• . , . t a' .1 •��`i -� C �: . ?�+'i' , t• : , , � • , . i ciu buLn� , J.�Z .)II�IItiI�J�IGII�' J ' .1[i ' ' �ery �t�c y �.1 . • r • NP - Non plas[ic SP - Slightly plastic P- Plastic VP - Very plastic �• �; �� .� . , w,� ' �� D�1lI� COUIVTY �I�LT�I D���tTbI�NT Environmental Health Section P. O. Box 848/210 Hospital Street Courier 09-40-06 Mocksvilie, NC 27028 (33fi)751-8760 June 21, 1999 Brenda Cruz 183 Caravan Lane Mocksville, NC 27028 Re: Site Evaluation Caravan Lane Tax Office PIN: #5820-44-1332 Dear Client(s): As requested, a representative from this office visited the aforementioned site on, June 18, 1999. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of an on-site sewage system Before an Improvement Permit/Authorization to_Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, /'�����?��1�'. Robert B. Hall, Jr., RS. Environmental Health Specialist �: � Enclosure(s)