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1794-1804 Hwy 801N✓' DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street ti Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 OPERATION PERMIT Account #: 990004409 Tax PIN/EH #: 5853-31-2262.02 Billed To: Tim Snyder Subdivision Info: Reference Name: Location/Address: NC HWY 801 N.-27028 Proposed Facility: Residence Property Size: 6.2007 acres ATC Number: 4742 **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. y System Type: S.T. Manufacturer Tank Date Z- 27 ank Size l CJ0 Pump Tank Size_ System In stalledBy:K Wje haYheS E.H. Specialist: r Date: S /e ar S FI- 190 ella, ,eo RW J 17 �� 4 DCHD 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Fax # (336)751-8786 I AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990004409 Tax PIN/EH #: 5853-31-2262.02 Billed To: Tim Snyder Subdivision Info: Reference Name: Location/Address: NC HWY 801 N.-27028 Proposed Facility: Residence Property Size: 6.2007 acres ATC Number: 4742 / Site Type: 2New ❑Repair ❑Expansion **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article 11 of G.S. Chapter 130A Wastewater Systems, Section .1900'Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. Residential Specifications: # Bedrooms # Bathrooms # People 2 BasementL9'Basement plumbing E4 Non -;Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Lot Size 13 - y Type of Water Supply: CCounty/City ❑Well ❑Community Well System Specifications: Design Wastewater Flow (GPD)CQD Tank Size GAL. Pump TankGAL. Trench Width Max. Trench Depth 3 O ' Rock Depth /Z Linear Ft. / d Site Modifications/Conditions/Other: As stated in 15A NCA,C 18A.1.969 5 vcgcptedSystems fr.e use Contact the Davie County Environmental Health.Section for final ection of this system between 8:30 — 9:30a.m. on the da of installation. Tele' hone # 751-8760. �7 �0 ;. -� air J-�'�P 3 f� Ii I, to Environmental Health Specialist A Date: 9-31 _ -7 OOV 00.r DCHD 11106 (Revised) Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751=876,0/ Fax (336)751-8786 IMPROVEMENT PERMIT Account #: 990004409 Tax PIN/EH M 5853-31-2262.02 Billed To: Tim Snyder Subdivision Info: Address: 2335 Almond Street Location/Address: NC HWY 801 N.-27028 City: Winston-Salem Property Size: 6.2007 acres Reference Name: Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: aNew ❑Repair ❑Expansion Permit Valid for: W5 Years ❑No Expiration Residential Specifications: # Bedrooms— # Bathrooms "�_ # People '�l—Basementtl�'Basement plumbingg" Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): t3' Type of Water Supply: 916ounty/City ❑Well ❑Community Well Site Modifications/Permit Conditions: As stated in 15A NCAC 18A.1969(5) -acc@ptF d Systems mayalso Environmental Health SpecialistD ate R — 3? —G% Lp.11-06 acc , oIN T -A LICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC Davie County Environmental Health 3 P.O. Boz 848/210 Hospital Street Mocksville, NC 27028 " ,ZOO' �_ (336)751-8760/ Fax (336)751-8786 U 1 Applicati n For: Site Evaluation/Improvemen Authorization To Construct(ATC) Both T pplicatio . ew Syste Repair to Existing System Expansion/Modification of Existing System or Facility 1. v`RGNSltF�;O�` �y***/ ANT'** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED ppV�� ORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION P I Name to be Billed I f �l Contact Person I YYI _ S Irl �{ r r,a Billing Address Home Phone rT 8 8 - 0-110 City/State/ZIP - Business Phone LIl 3 - 0109-1 - Ptll - u 4" ,q Name on Permit/ATC ifDierent than Above Mailing Address City/State/Zip PROPERTY INFORMATION *Date House/Facili C Flagged Z &7 NOTE: A survey plat or site plan must accompany this application. Included: ite Plan Plat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat Owner's Name Joe- 4 Sd Phone umber7O Owner's Address A02> i City/State/Zip _ S c� GSV i L p . VlC 2-U-1 ) Property Address WJ �01 N. City UJ2C5L5V i -- Lot Size 25- Q Gets Tax PIN#_ tj �S �, 3 1 2 2 ti APPLICANT INFORMATION Account #: 990004409 Billed To: Tim Snyder Reference Name: Proposed Facility:. Residence DAVIE COUNTY HEALW,,DEPARTMENT r Environmental Health Section Soil/Site Evaluation PROPERTY INFORMATION Tax PIN/EH #: 5853-31-2262.02 Subdivision Info: Location/Address: NC HWY 801 N.-27028 Property Size: 6.2007 acres Date Evaluated: 5i — t -0 -7 Water Supply: ' On -Site Well Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 5 6 7 Landscape position t� Slope % HORIZON I DEPTH 4 Texture group e G Consistence tr,xrj Structure 1(( Mineralogy s HORIZON H DEPTH Texture group-� Consistence Q Structure iSt L Mineralogy l.' (. M ;x HORIZON III DEPTH Texture group Consistence Structure rall Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: /'/dV 5(-4J A EVALUATION BY: TIQG� -Ale! la LONG-TERM ACCEPTANCE RATE:y''2 17 OTHER(S) PRESENT: ', Cv REMARKS: 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 Moist _ VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 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 Mineralog 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 DCHD 05/05 (Reviced) V GoMaps GIS R I http://maps.co.davie.nc.us/GoMap 247 S851-1 mo i ap/map.cfin?CFH)--4565&CFTOKEN=82887446 Is 6/. 17 t -i LZ mo i ap/map.cfin?CFH)--4565&CFTOKEN=82887446 Is 6/. Map Frame ' Page 1 of 1 Davie County, NC - GIS/Mapping System Click Here To Start Over Quick S�earch:(County ID c rrn m .i-+ ' ! Active Layer. P U..A7ap 77ps GIS PARCELS (Map Tips Available) Map Layers Results 1 NEZuVESTMENTS LLC Is ® CGOJ�Qt3t�L;tiS01 37.830'AC �, F iiwy 843 } I 4 ly I t1 �: N 13 i ❑1C WATER ArA 0 024911 ft C, \ r, EBB INVESTMENTS' LL COMPANY \ r r, N' LIABILITY \ NORTH CAROLINA LI oIT pG. 199 \ A NO D.B. 69 \ 1 \ E ,IG nTE\ ,x;Enr,� X ; R Ip�. M�.;N. )N 43.0411 .9 _ — N 83" 41'07' TOTAL- _---"`— 3 CT IE) I � ri N� 0 I Z ' X ;TIN rDN 1 ! 03 k0 ! RALPH WELCH, , JR - PG. R I D.B. 696, P NE,y ! I RCN I I I I I I — — — — — — — — — — — — — — AxLE i h e I 1 � I 1 EXISTING 50' EASEMENT oog2gp'1' i 1 I gel I,DESCIBES SOUTHEAST SEE C.B. 690, PG. 190 ' N5 1 I 1 r L%E E1 E2 E3 BE4RNG DISTANCE 1 S 05'22'52" W 309.141 S 05'21'30" W 159.62 + X.110-134667\ r S 03'06'13" E 18-8.33 r � -DN � r 1 1 ' Ah I I sil JC I D. I W i1' s I ► AREA= 13.4015 AC. AI ( + PROCE I , JOE K. FOOD (YARD f'I WHICF D.B. 144, PG. 546 THE C FOR BLANKET EASEMENT r � 1 SEE D.B. 144, PG. 546 tis�4r� AND ALSO SEE SPECIAL i I �1I9�9 PROCEEDINGS BOOK 10, PG. 503 F, 4. WHICH APPEARS ON RECORD IN r THE CLERK OF SUPERIOR COURT t I E7,S NG OF DAVIE COUNTY. i '. R _'U I I � o p 1 ID n ~ co O .n I I Z c- -T 1,':.NU�AENi I I I t ( II + I i I I I 1 + I WAYNE WEBB I JENNIFER WEBB I 1 I D.B. 547, PG. 414 + + I I II { + ( I I I I I I I � + I 1 I I ( , I ( II + + I I ` I + I i I I I + 1 ( I I ( I I I I I ------- I I I + ( I I I I I II II I I I 1 ► �� + I I I ( 1 I I I I I I ( I I I I ( � I I I I I I raq cv 4 i A ko I 4' I I I I O l I I ( Q I I II f I I I I II 1 +I I II + +I I II II K�t E HWY 801 N�< c'L WN 4W EASEMM /IS Of AUG -1 Lm ommwm L1 s Draw 1w • 53.25 12 s 1941*4V W 31A2 L3 37A7 N124M E tM s 2r4M* • 3s a7 L5 s tsrte''2el' r am LAI 13m '3 U 10 111: urw-tmu, Is 1 92 La s OT3s'Nr 11 151.27 uo s oarsow r am L11 s (w4ow r am L12 s w2lo " w alis JOHNSON A. McBRIDE D.B. 580, PG. 55 <= 1. NMARKED POINT 0�7 EASEMENTS i Op SI) j 100 X00 3,10 ;RPV 1`E b1';Nl M_'1T tl If fl i i i DONNA M. FR YE D.B. 130, PG. 47 /l I r PRELIMINAR Y MAP I, -,RADY L TUTTEROW,=ERTIF`r" THAT UNDER MY CIRECTION .4+D SUPEFNISION, THS 'GAAP WAS DRAWN FROM AN 4CTI;AL FIELD SURVEY MADE BY TUTTEROW SURVEYING COMPANY FROFESSICNIAL LAND SURVEYOR L-2527 TUTTEROW SURVEYING COMPANY 107 NORTH 'SALISBUR'Y ST. 27023 PLAT OF SURVEY FOR, TIMO THY AIARK SSV Y DER REID JAMES SNYDER, Jr. REVISIONS SCALE, 1 = tj0 APPROVED BY, DRAWN BY,TILE HAZE, SN"—TIM DATE- DATE, aUG-3-2007 3.L. TU-TEROW J HORR ,w►EN/EB15E01 -c.1 BEING --71.303 AC. TAKEN FROM THE JOE K. 'NOOC'NARC PROPERTY D.B. 144, PG. 545) LYING IN THE r,APMiNGTON-GWNSHIP DA'',,lE COUNTY, NORTH :ARC;-iNA DRAWINZ NUMBER, TA,d "AFD P 77-J_ ����-