Loading...
1135 Daniel Rdt• DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section ^ '�' P. O. Boz 848/210 Hospital Street '� Mocksville, NC 27028 � (33G)7S]-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990002517 Tax PIN/EH #: 5736-82-3899 Billed To: Clayton Mobile Homes Subdivision Info: Reference Name: Kelly Graham Location/Address: Daniel Road-27028 Proposed Facility Residence Property Size: 2 acres ATC Number: 3887 **NOTE** This Improvement/Operation Permit DOES NOT authorize the construction ofa 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). 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 �• ����% #People � #Bedrooms � #Baths Z Dishwasher: � Garbage Disposal: ❑ Washing Machine: � Basement w/Plumbing: ❑ Basement/No Plumbing: � Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ Lot Size 2��%�.`� Type Water Supply �U� Design Wastewater Flow (GPD) � Site: New � Repair ❑ System Specifications: Tank Size ���GAL. Pump Tank GAL. Trench Width �:a(D�� Rock Depth �'%� Linear Ft. �2�� �h�: ���, ���;r1� �r� �r�►�� P�c� � f�� �vt�M�, � �-���--� Required Site Modifications/Conditions: _ l�Vc�7A%i. �� �/U�j ��=�" ��.`}f-r' �� /�l�.1" %� �l�� �,�-L�i: s i,�L* 11�1PROVEh1ENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISER(S) IF 6" BELOW FINISHED CRADE. ****NOTICE: 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 (33(►)751-87G0.**** �' � . _ _ �d Health Specialist's Signature: DCHD OS/99 (Revised) �1 �J �'`��i �., � .��� u� �� ��� ;�, � �, ��s �r � o�a Date: /� J 01 `/ iy Account #: 990002517 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Billed To: Clayton Mobile Homes Reference Name: Kelly Graham Proposed Facility Residence ATC Number: 3887 P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (33G)751-8760 Tax PIN/EH #: 5736-82-3899 Subdivision Info: Location/Address: Daniel Road-27028 Property Size: 2 acres 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 . 0 Sewa e Trea ent and Disposal Systems). THIS AUTHORIZATION FOR WASTEW ON TIO S V LI A PERIOD OF FIVE YEARS. Environmental Health SpecialisYs Signatur : Date: lD % CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion 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 I, � given period of time. y � 1 S �j n � :� �� �� ��� ;a� . }{ -�c? S�beJa�RDc'.�1�..,�„�1?� ����L.l"�1 ��-� �.r-��s�r Septic System Installed By: Environmental Health Specialist's Signature : DCHD OS/99 (Revised) n�.� � � ���,�� LD .. - . �oar� �� � � �ro _ 2 2004 � ETIVIR�V4����� ON FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Health Department Environmenta/Hea/th Section P.O. Box 848/210 Hospital Street � Mocksville, NC 27028 (336) 751-8760 �"�"�'iMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed 2. 3. 4. f`GContact Person C C E Mailing Addresa �OZ` �,� tSi d.� /lf� -� Phone r��S�� ��� ��O City/State/ZIP _��G �Str%[ !c_ �L_ �e (o K3 Busineas Phona �/U7'' ) � / � � a �'� Name on Permit/ATC if Different than Above � l�j� (JYL�(it..�r Mailing Addreas �ae ✓/1Qr"d h,C�Id�L/l!� City/State/Zip �7z.fLlFL(C_ /r�� l,id(p7/� Application For: [�Site Evaluation La'Improvement Permit/ATC C�3�oth syatem to service: ❑ House L�'Mobile Fiome ❑ Business � Industry ❑ Other 5. Type ayatem requested: 1'� Conventional ❑ conventional modified ❑ innovative 5. =f Residence: # People _� # Bedrooms _� # Bathrooms y C1Diahwasher ❑Garbage Diaposal YJWashing Machine ❑Basement/Plumbing ❑Sasement/No Plumbing 7. If Businesa/Industry /Other: verify type # Commodes # Showers IF FOODSERVICE: # Seats 8. Type o£ water aupply: � County/City # People # Urinals # Sinks # water Coolers Estimated Water UBdgA (gallona per day) � Well' ❑ Community 9. no you anticipate additiona or expansions of tl�e facility tt�is system is intended to serve? ❑ Yes If ycs, wl�at typc? Ca'No ***IMPORTANT"`** CLIENTS MUST COMPLETE TH� REQUIRED PROPERTY INFORMATION REQUESTLD I3ELOW. Githcr a PLAT or SITE PLAN MUST BE SUBhfITTED by the clicnt witl� THIS APPLiCAT(ON. Property Dimensions: � ��i�S Tax OfGcc PIN: # �%��ID Z�O � �% Property Address: Road Namc ��n � �� �d ' City/Zip �G/�S7//�l/�� If in a Subdivision provide information, as follo���s: Name: Section: Blocic: Lot: WRITC DIRECTIONS (from Niocksville) to PROPCRTY: � c %iar„'c / �(o� —�l .S% 7`t� ou /� �� 6� J'`a� L/ctY�i,� r.t .4'/��r Date home corners flagged: !� 0 Tl�is is to certify tl�at tlie information provided is correct to the best of my kno�vledge. I understand that an}� permit(s) issued hereafter are subject to suspension or revocation, if tlie site plans or intended use change, or if the information submitted in tliis application is falsified or changed. I, also, trnrlerstaitd t11at I ani respousible for nll ckarges i��currec! frour t11is npplicativn. I, hereby, give consent to the Autl�orized Representative of the Davie County Healtl� Department to entcr upon above described property located in Davie County and owned by to conduct all testin procedures as necessary to determine tl�e site suitaUility. DATE �i SIGNATU �� THIS AREA MAY BE USED FOR DRAWING YOUR SIT� PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). �-� � ,�,.��-- � . I\� J� � �r �ss r�' � ���� � ��. � � � � , � �o, �� �Pa Sign given J,��.c��- S Revised DCHD (05/03 `� v � ��� � " � . !/ -- �`-� ��`� �S�S— �-�3 � � Sitc Revisit Chargc � D1tc(s): Clicnt Notification Datc: EHS: Account No. � � � Invoice No. / 3 9 � �- o�� �.e� � r s s� �- � �� � l � _ _ . .. ,� � , , �� ; ,. .,�..._ , .r�; ' /j '; _ , ;; � . .,... . � ''t � YL y; ,1 � . r � i 1 i . F � �" � «.,..... . . . � . � / _�� u I � , �� \� � / � �" � �� �� � . 33 � � � F „ .. ... v _.,. _. . .�d e . ,. it oaF , , . � t n � . ' �E 3� , y y ye . � ,;” , _ � � � ; t��w w '�^� : � r g. � i* '. h- '� , . M1� . ��°r .., ti "�, . .. n �. � � nt _ � ° � '�. � � .. �>a liS` �. .�. a ` a +� ' a ��, �� � � � � � �� �� � �' �� ,�` p, s� �' `� - � � �ce�� � � �� � � � �§d"� �� C ��«a % �. {�u� �.a � �I � .��; ay� � �,4 � '��" �� p °^ � s. �t�. *�.+i � n . . .. . �� : � »'�"wi � 4m �F �3'�.. , . 'R � , .... �'� '� p. 4' � � �� x� e� r ��, „ �g , t rc ' �' �. "°� �"�r� �v „a;'' . � �p �e, Pd �"rt b�� € s �` .,�q ;� a .,i '� � � �� � ° rvM : o : 1" �. i. . .: j` .w , � �. y,.. � x � �: �S � v. � � ;�x 1 f' ✓'"s � *' ^u ' . , , . � �:° -� . � ti�;" .� � . d� p a� � '�a . . . ., . � � ,. a. �. oi . . . a ., `� #" �� ,�� � � � ° ^� ..�.� ,'� " ,r m :�,��"�^ �� �,. , �:�. -�,'S�' �w ���, �, . .'j � ,.. . ;� e � M � � � ° '�`, � � ,�' , =aa ��� � r,� 'mt ..� �, �� . � r `��y ` '� � . �# ° ,� � ro,' �� ` � r . �,�;,� �y r '� • -:� �. �,� � � � �r.:.�� �� � � � : ar �. � „, ,t' �� ¢ a��' `^. ' ��;.. f� �:�m � .. �LN ��^ . . � „�.g��" � ti �.>' � ,�19£8� �� ?� ,��� � � � � � �� �' ' �" � ' ' i � q � � 3f, � �• ��, �w'� �`"���' ' ��� r _ t i'� a� � ��. �; . ;w �b�`� �� °�, �s. r� -�° „� � � � � �� F�g � i � � . o . t _ � s a .. �� , � � � a + � �0�3 �` '� � � _ �° _ y. y � .g i M e � �}��� " � y .+#� "h �,fM U�� 3 °i� � -_.� � �.���: 2" Hm�#� -a .• i'� e � m �:�µ �� 1�R� �4Yi"����������. ,�'�t � QbQb !y1��"� , ° ' � � "�`'�l..�z �� U' V�� £64� . ,Sse � � � �� � �� q�� � < I l��r' � �1�'1} !•' ��' -��SZj . ��,�""� �,� '� � � �v ,' � t : � `� ��, n��sa� � . 0 �s _. . � � ��� a � ;, o� �„, ► s �„� � �. �.� `� � , ,¢� � ,�'�* ���',� a� � � � � ^ _ . .�� �'.�" a KF , w � �,� ��� �� ` . i a � , , �aF � � � � < = ^, � ' s � �' � � � �86� � � a� � .�� � � . � ;� ` � q = * � �` � *e�'� i ��' ,� m� ° �W ,�� � _ _ _ � ,�� ��'< � � � , ' � � , � � ,,y � '� �- .� . �� � " � „� 86'�) ,� � �'��;� �,,��_ � r;;,,�; '��9� �' °�� �.,� °�� � � ",„ a�' t�"� �+^ \r.f� �� �� � ��� �d � s � � � ��� :kz� Ix�� , e t�' � <. � � � , ��" � �t�s '"V `'� �,�� � � � � .� «���e 99� �'� ��°��,� ,�., � �a� d" , 8�� e` � � �av � � � , � '� "�+y � � . � ` ��i � '`� " '� n p '� � � � �� '�'��� 6} � � �°,� � ' � � � .� ����� a �� � `� . � ,�" i � � � � � „�, , "� ; w�� � �'� � � � `��'; ,�,„�, �`: � � �g , �s�� � � " ,. i �y;r �# » �i'�� � .. � vr '� � a �"�� � �' tu � �'fL66ii5' �. Q� � f x. " �, d ��1"� x � t� �. <* .. v ' e ;4 ".�° "�. it��� � , � �h � � � ' e�, i�P� tA . ��' I � � �� x q � " �• �. �o- ' , w � � � a � � 6 b L , �� � � �`.�y�g � .. �. & '4 aa �*,� ���r , i � ��' d fipp �. VI � ��. a . �_ , .y . k � � r� ,� a � ' � � '�°. � �, � .,a ` � �8��6e�,,�, �. � o- �� a �� ,�.: � o �.° � '� ,r v � _� H (O�,Q�� ) �88 � � .� � � ., �,. �, � � � -� �:, �� � � � ��� ,� � � ° � s 98L .. � ,� � � � � . �� y� � � L � . �.�° �,°�; ¢� «�z � �°t' " �a. �ti�M�'���� a , � � " a� a� a� �1� � , e e '� � `� � � ��, ' � ,� �� i�"� � � 3� , � � tt� f � � � ., , y � ° � � � � ,«m� �= a 4,� � � » a . . r . t ! Y � � `"�m : M . � �' � � a � � a � � � � ��°�aa �� � � ` ' � � � � ��' "�' � �' ��, g rU �„p � i � ,� a � b + � a � r" ZL ��5�' ..� � �� � �'. ,q ii � ,f �� � .� �„ � �, � c i `"L s � ¢ '�,� �. � aiv"� �t�° a°� '�� � . ° a '"� + �� �„ � � M i � �e� .� ab .� m � s � � . i�' � � � � � � � ����� � � �"� a ,. �„"1 , � .�. �� �',� � � �! `�"�',��C<�Si� �.�" � �j -�. ��$ a `'.::� ai ,,, �"' � , `"�,. �i � V � � ; •� �k, ; � �'�i� � `� � ��,� �I{( �� � � P ,. ��y � � ' � ,� sii i� doi/J � . ��U � +�« pr'�" ,mv , . - �' ' �a° .� � . ii �� `v '�` ,� � / � a �� � �� U � §F c II . �ry����%��-��� *,�.� � `�a�'� �i�°� ��v ���; ���: . '� " "�"3 u� m n� '�° $kiia; G�,P. ^5 7 .�w�'. � � �pn��v,x a��`�U: jLni . `# , . , � 'S" <'�, °5' "�' � ,�. i��.�, x � �! . . ip °g ��� N # ¢ �,���"' �" r z� r� % `� a ,� , m � . F p�� . � g ¢.,;$"x � . ���: �a��� m �p�� i � � � O� Y� A , � . . k � �<�e ��„ R ;� vr � � '�� , ,�n 'g � L "� •� , P� 4y �^' J'� Yt � �k 5 � .�� � � .. � �� �� � a . °�"r ` �'� fi'� '��.K . a � . ;»� ., O :4 �i �� _� .. �� a � ' " [ . - ` : T, a `� �. ���'` e >`'.� i �'�u � � �;�� '�.3 � Pdµ ...,€�.��g ��� � �� �» � M y'^ _ i.� � ..v . . • �"d�l `p, . ^ ' � � � ,� '� ,� �.g j, � � � �n �c� �.. �s r� � �'. �-r a�', ����.. a � � "%, k . S . �F �et3' °. �' t. a�.• a 'JI . � . m. + r . � "� �"�� t" �s a ' �''� 9 ' �„ �, .�`.,8 0„C�� � 7 . � " "re n �. . ,<< � ��° & �k°" n �' � � "a' � i,.:, � �r ., �" . } �.�. a � d�n �z4.�; N ; � � + , , ,. � a � n a� Y .5 ' � v. _ y �✓ nw t s �ry w � "� , - .� � , „ � �`", ZBa� � " � r � , � � ,a a o : „ � � ' , � e � pMr ��� � ���� � �� � � ��` 4� f � � � V �g� n l� � �� � � � {�` �7 ^�� � ,� � „ �'� �._ , „µ � �. YY , � .: � �a-«°5 � , d � _,� a � " s �,_ r ' I � r i � � 7 i �� �� a 'm g ��y. u . � s.� �" '* . ,� �' �,� ' S "� � � �. � �� M a � � � ��� � ��. ii , �� � I � � �a � � �' ^$ . �. - .. � . � �� � # '��� � �� . � . �. �:� ,� +. � $P � � � �i�� aPr�.� d� 9�' �y6 � �+ ��� 4 "a^ � r= a f � � ..IX� y ,.L � _ : � �15a:, .. ..s $��, W i tl . � �+ �i.�, n a G :� '�: � m. . /{y <.a^ $� �� t"`°. ,� � �VG ^�. � 4 ' � �„ » 4�� .. C�f /�' �� � �� � , . �� � � e „�. �. � � nr� ���'�,; . •. . .( j� .. �, . �k � °�''d"�, "� e °��,. ', � � �.n� � °+� � �:. �, �, �m 6 � . As • � � A c �A 1 . .• ,,. . . �\ {a � � �, � �` ' � �� � i�, � ��' �- Q�, r � � p� � ,� °i �. � �� r , nb � �a I _ � � 4� ° * � + j" � � �eA' � . �` 1 `` ��Fl,f E� w�� ��,�� i' ° � �� ti -� � �, �' c� � � � � � , � � �„ � r�m .' � � ��{', �, ���"`'`�— � "� °� �' � �``� � ��� r� � � : � ��,� �� �"�:���;��`"..�. � �: � ' I �`�� $ F � � � � n .�. : t �� � �'�� � � ��"da � � �: ��� &'�� �'� '���'. . . . % � ��: � 1:" �M �.�. a I 1 „�' .8,^ 1 " , . � �-. m �� � � � � 51 �' w� � . , . . , , a _, �� � � � � W� � - , � , n � � �, �� Q � � : � . ,� i�� §� '�' �.. �S .d l�a , I � VaCi �� � �Q� �k ?^� ��S ` Ka ` � �y�p.� . r�T' . *� �$� w � '� m � � '.F� •� ��a� ,��� »�'ti�`i�. �c a,~� � "�r�" ( ��r w� � �.i � ��� I R �J. . �yv• +r. m. . � F.�. , ��� � �A , � � a � v' V .• � .. �� � � � � � �� � �� t � � . �+ �� .. � � �!l � � g �"d4 -f �"'����. �' v��i} r i ` � 1b`� �:: .� � �r . ��SG ' ... � � � �kh�:�u ° , � . � , \ . e . « ; . � x °- . q� � , • .r a '�"' ar � � - a �, a :��. � R �" ,. � v � �. t �. , ... i $, , �„�.. . �� �� , `:. ` , � ( t�9�66)'. .e ;. � � a,�T�y A� ,., _ , .. q �' , A � . I ` � �(`"�' `" / � y� ,. � . A, � �y } � � x „ . ' ` ' _ . _6L/6 ,� , � ��. �� �; f � � \ � � P�. � ti .� , � � � 0� � '�•i - �p� '�'"r. � � � :'� � � �� x � N a� � I C . � � � � , 4'.' i �j � " � � h . . ,�„ � —/ ..�� /, . . ":t & � E �_~��,�a, .'. r�I � '°T� / `�` ' � ,�r�' �� �'�. 'd! n�"x a ,, ���� �a> �°� � � ��� � ZE69 � �"�t';��� ��'�'�. � -�� � �o� �� ��� �,' �-� � �' � ��- ��° �. _ r,,,.,, � � �.�1 � °.� �.� � �� �«�t. .. �.� r�. �,.�� �,:t � r �� . . . � - �, . � � � � - --� - ' � , I �££L .; �✓r, `" ^' "`��J,.`� �� �, � � � Oi t ,— LO£9 1� ' SZ� 8 _ \' I . � � � � F=�-- �� - � � 0�� � " � � � �, � � � �� 5c` f _ �QbO� ��� � '--_.. S8 � � � E 1t�Z � � � � ; � � Nt�L7 .. -- � �,,Z� � � � � � s' � � � � -s�E�_�ts _ � � � � � k y.� .: s, �)��.. '_'." . .. �L8 ... � . ^- � .. �...: . s �' � --.:. ... � '.. . � � '�."�_•u . � . , � � .� [ e� � � �. � . . C . ..._. .. .., �n . . . �. � . . . . . ' ".. . Q6) . . r - � � , . .. p � . ° � �. ' . �. ,.. �. . � � `�� � � .�,. � �����,�� � C a , , , , , �,_ � � �. � ,; �� � �95 � � >. ' � , , � � � �rr ��9tr , F r . ��. � � ' � ` � _ rv ,� � _ .. . +1 . >. . . ... _g �.l 4 � 99G � `� 8�6�� o � . �. _, f �8�' �CCZ'� .., ' � .. „��� � ���z �� t ti r�v� /.`�� n� ts�`~~~-�.;`�.: � � ' �. ; �, .�, � � �� � £ � � � , �, �� � , �� � a e �o � � � -� � .,,� � � �� � `� z � - ' � t86� ` � � �� � � � �, � �� , ��� ���� po,� � �� � � � �� t �� �ti � � � ,� ; � �.. �5 '� 8s �� ., � a o � �, � / � " ; %r':.r��'' �`,� � « � E' - :,�5� � � �. S�� 1' E$ � �' � . ,_% R;� ) � � c¢�9 � ` � � . � ,,�- ��.��, � � -; ,.�� . �n � � v � ,�� : � � � i i � � � , � ...t' � �� �`� � � �� ,'G � �.06� ti ��y �',.� . � .. . �.� 8 ', � ' - ,�'`� .�'�.'�,�� 0f� � n � ��, ,r' ; : �`�,. �9�s , � - ° � � 8�6 � 9p� s w�, � �. � �5���_�pSt� ,` � � �. , � �v � � � � ,, :: - il � � �� `'��, � � ���� EO �� � �� '� � �I ti ��� � � � 3 �w � ,� b� . ..y �, � . ... � . " `•.�» i 4 '� ,,: � .. . � . � . . . � ' . .. • ,. ! . � . v � �_ , ' � . � . ' � � �. � � � �� 6Z�� � � � � �� � � �� �� � � � '� i � � h, � � A �� � I � �`-`,� � `"� _ � � t , � �� 6 � � � � Q �I � ..�* � ("� , �'� �✓ ,� R �,, ,�, � � �� � ��� � � � � � ��`S'�' � `S�i � � L��L � �, � � tf(�Q' I. _. �`` _ � ` . 1 �� � . . ;. .l �: �� .. ,.. .. L .. . I I � � , � '1Y`�qWb'� `� ��T� �1..\l`� \�vJ� '� �Y�t bf � �G f � -�'�`i� -�K�'11t �k� COY1'1e�' 0� �;1G��. � �� -t�- � �� �v�fi a� -�c��- n �3��� c��r�� � �lbv se � •, DAVIE COUNTY HEALTH DEPARTMENT Environmental Heaith Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990002517 Billed To: Clayton Mobile Homes Reference Name: Kelly Graham Proposed Facility: Residence Property Size: Water Supply: Evaluation By: FACTORS Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence S[ructure Mineralogy SOIL WETNESS PROPERTY INFORMATION Tax PIN/EH #: 5736-82-3899 Subdivision Info: Location/Address: Daniel Road-27028 2 acres Date Evaluated: �j t� �� On-Site Well Community Auger Boring � Pit SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE � � �0� �0� �I'i��i�Ir��i '��l�i� ��i�� Public " Cut 3 4 5 6 7 SITE CLASSIFICATION: ` � EVALUATION BY: ��� �E�P.uf�Q<P�1� LONG-TERM ACCEPTANCE RATE: V' � V. � OTHER(S) PRESENT: P'�l.L\S C� i� CRC�'A REMARKS: 3OQvQ� � 3Z�� LEGEND � Landscape Position 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 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 Structure SC - Single grain M- Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangulaz blocky PL - Platy PR - Prismatic Mineraloav 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 - gaUday/ft2 DCHD OS/99 (Revised) ';. ■ ■■ �� ■ ■�■ ■■■ ■�■ ■�■ ■■■ ■ ■ ■ ■ ■ ■ ■��■�■ ■�e��■ ■�■��■ ■�o■�■ ■��■�■ ■�■��■ ■����■ ■����■ ■�■■�■ ■o��a��:e�:��■������■ ■■_=-.:�����������■�■■ ■������������������■ ■■���������������■�■ ■������■����■■�■��■■ ■��■, ■����■ ■�■�■■ ■��■ ■�■��■ ■����■ ■�������i�:�.►���������■ ii�: =���Nl�/��■�����■■ ■����������1ii:iC��!�■ ■����������■�������■ ■����■�■�■��■������■ ■�■�����■����������■ ■����r��fil���������■ ■��■ ■��������■��■�■ ■ ■ ■ ■ ■ ■ ■�■■ ■��■ iii ■■■ ■��■ ■��■ ■��■ ■��■ ■��■ ■��■ ■■ ■■��■ ■���■ ■�■�■ ■���■ ■���■ ■���■ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 / Fax: (336)751-8786 September 14, 2004 Clayton Homes of Statesville Attn: Lee Boggs 2026 Northside Drive Statesville, NC 28628 Re: Site Evaluation- 2 Acre Tract/Daniel Road Tax PIN#: 5736-82-3899 Dear Client(s): As requested, a representative from this office visited the above site September 13, 2004 to perform a site evaluation. Based on the information provided on the Application for Site Evalaiation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct, the appropriate application must be completed and submitted to this office. The location of the facility the system is to serve must be staked off. Additionally, please have initial clearing completed and the new property corners located prior to making this request. If you have any questions, feel free to contact this office at 751-8760. �J ; � Jeff G. Beauc a p, R.S. Environmental Health Section Enc(s) 0