434 Livingston RdPermitt s COUNTY HEALTH DEPARTMENT �� Name: -�C l �" 1 �` �''"l «''�AVIE
JOC.}1 Environmental Health Section PROPERTY INFORMATION p 1/
_ C, `, ( P.O. Box 848
(�
Directions to property: T r'r . Mocksville, NC 27028 Subdivision Name: 141 l%�y�eG✓► ��„�"•%
Phone #: 336-751-8760
'C) M..�� G . Section: ' Lot:
AUTHORIZATION FOR r
c. e" C-, Ir 1 WASTEWATERTax Office PIN:#_ �- % 1.1
SYSTEM CONSTRUCTION
AUTHORIZATION NO: 002895 A Road Name: l' .5 j4 Zip: �76d-9
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
E WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)
LOT SIZE TY v �< � � NEW SITE REPAIR SITE
-j6X/ SSYSTEM SPECIFICATIONS: TANK SIZEGAL. PUMP TANK GAL. TRENCH WIDTH G ROCK DEPTH LINEAR FT. Qd
OTHER C `' „\ to 41 P "1 ,/ 'el C`5 �j e r C v —e► O C �\ a 7 -F Lull
UV\ V" Je- . AS stated in 15A WAX .J.8A.i98 5t
REQUIRED SITE MODIFICATIONS/CONDITIONS: OW601ed Sygternslnby ;al -,ho.
IMPROVEMENT PERMIT LAYOUT
Lo 4
FOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT �� Qy
SYSTEM INSTALLED BY:_h�
Vo
HORIZATION NO. OPERATION PERMIT BY: DATE:
y —a
++THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
WITH ARTICLE I 1 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.
DCHD02/02(Revised) f # le(q✓
/I
ka./L. ii::_Y: yc.v ,-v r 1.... '� �,.�, .M '� � F;`t„a ..,.:L.:t*�r .- v-t.r,y,�_,7c .: 1'r ^.,ia,��'a`, ?, .y A7 'r +"r ,y r'w ti:�,+�� ,+,a 4'i` ire _ ��•a.
Permittee's DAVIE COUNTY HEALTH DEPARTMENT aa Off'
- 1�
Name`:C ��` ""'f C �r� y+1 Environmental Health Section PROPERTY INFORMATION i1/1''
P.O. Box 848 j ,�1
Directtons to property' ` Mocksville, NC 27028 Subdivision Name:�is 17�yr�c r� r,i�
! Phone #: 336-751-8760 -�
Section: ' Lot:
t = AUTHORIZATION FOR
' /� WASTEWATER SYSTEM CONSTRUCTION Tax Office PIN:# �1' �- It -.--z ►
AUTHORIZATION NO: ®®2895 A Road Name: Zip: X.dg
**NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior
to issuance of any Building Permits. This Fonn/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
ENVIRONMENTAL HEALTH SPECIALIST
***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
DATE ISSUED
RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS? # BATHS <;-) # OCCUPANTS GARBAGE DISPOSAL: Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
LOT SIZE �'" TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) 3 NEW SITE REPAIR SITE
��,�
SYSTEM SPECIFICATIONS: TANK SIZE�Xr _GAL. PUMP TANK /;,/ 'J GAL. TRENCH WIDTH 3G ROCK DEPTH e� LINEAR FT.yO
OTHER (A-C� 1 v
k-- %^\ U
REQUIRED SITE MODIFICATIONS/CONDITIONS:
I IMPROVEMENT PERMIT LAYOUT
.0
U/ +
//PU
L
JAW
f ;o•
h \ZGc
IIFOR FINAL INSPECTION OF THIS SYSTEM PLEASE CALL BETWEEN 8:30 - 9:30 A.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336) 751-8760.
OPERATION PERMIT +` y
? �I+Qcnc�� c.'SGcCr�iuc/ l
SYSTEM INSTALLED BY:
,� ✓ �,, . �/ t. ,!- to 4+ G L1 Q C. Uc,
r1
X
LlORIZATION NO. OPERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 02102 (Revised)
1 j l�
� L'
COUNTY HEALTH DEPARTMENT
ivironmental Health Section
PO Box 848/210 Hospital $treet
Mocksville, NC 27028
Phone: (336)751-8760
TEWATER CERTIFICATION FOR DWELLING
.WENT ❑ REMODELING ❑ RECONNECTION ❑
Mailing Address: V l ai n Ctfon a S'W'
hlV--.Sa-18M A16 7,7/43
Directions To Site: -EL
ri eWd Z,61-41
Number: 7 LS- & (,9r4 (Home)
(Work)
Property Address:y/V/{'i/LJwrom /w1 • TVIVILf ENOA1 YZICIU
L#'i
Please Fill In The FollowiAbby
g Information About
About The Existing Dwelling:
Name System Installed Under: LrotuN ype Of Dwelling:
Date System Installed(Month/Day/Year): y --/4- d Number Of Bedrooms - -!a Number Of People:
Is The DweIrmg Currently Vacant? Yes i" No ❑ If Yes, For How Long?
Any Known Problems? Yes ❑ No ❑ If Yes, Explain:
Please Fill In The Following Information About The New Dwelling:
Type Of Dwelling: /'til a1d, I Number Of Bedrooms: -? Number Of People:
X Requested By:
(Signature)
For Environmental Health Office Use Only
Approved Disapproved ❑
C'nmmanf- 1 k %5 /1) IP/ �1 ►r I � l 1 i
Requested:
*'Ibe signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a
guarantee(extended or limited) that the on-site wastewater system will function properly for any given period of time.
Payment: Cash ❑ Check ❑ Money Order ❑ # Amount: $ AQ6,6 Q—Date:
Paid By:. Received By:
Account #: Invoice #:
PAi4 V OA4
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/ Site Evaluation
APPLICANT INFORMATION
60� 1 y L 6 (a w^_ .
Water Supply:
Evaluation By:
On -Site Well
Auger Boring ✓
Community
PROPERTY INFORMATION
y3315�
/,,v1 Hf SiOrI &
1podSU;JI.e/ �7G.)S
Public
Cut
FACTORS
1 2 3 4 5 6 7
Landscape position
�--
Slope %
Z
HORIZON I DEPTH
—
Texture groupC
Consistence
Structure
Mineralogy
HORIZON H DEPTH
—�
Texture group
C�—
Consistence
Structure
5
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
.75
LONG-TERM ACCEPTANCE RATE
10. '.)—
SITE CLASSIFICATION: `5
LONG-TERM ACCEPTANCE RATE: 4!:�) • D__
REMARKS:
LEGEND
EVALUATION BY: "0/ /�la o- bt; `
OTHER(S) PRESENT:
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
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)
T TA T) T -_.- •_- ----.-a-.--- --a_ ll.l__./Lan e"+��� ne. r�- ... . •�
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
P. O. Boz 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
IMPROVEMENT/OPERATION PERMIT
Account #: 990001091
Billed To: Bobby & Claudia Brown
Reference Name: Bobby & Claudia Brown
Proposed Facility: Residence
Tax PIN/EH #: 5851-643332
Subdivision Info: Half Moon Lakes Lot # 2
Location/Address: Livingston Road -27006
Property Size: 6.0611 Acres
**NOTEC *This Improvem9ent/Operation Permit DOES NOT authorize the construction of a 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 PERMIT BEFORE INSTALLING SYSTEM.
Residential Specification: Building Type & #People _� #Bedrooms Q #Baths _
Dishwasher: e Garbage Disposal: ❑
Commercial Specification: Facility Type
Washing Machine: Basement w/Plumbing: ❑ Basement/No Plumbing: ❑
#People #People/Shift #Seats Industrial Waste: ❑
Lot Size a >XC Type Water Supply A(1Z& Design Wastewater Flow (GPD) •,::2?0_ Site: New Repair ❑
System Specifications: Tank Size,/ GAL. Pumps Tank GAL. QTrench Width �/Rock Depth ��'Linear Ft. ygd
Other: �T & lldI t, pq ` 6 `7� 4
Required Site Modifications/Conditions:
IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW
FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this
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)751-8760.****
'ok
'L-.--\ \ 4 P, -
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
Date: ff -06
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Account #: 990001091
Billed To: Bobby & Claudia Brown
Reference Name: Bobby & Claudia Brown
Proposed Facility: Residence
ATC Number: 2399
P. O. Boa 848/210 Hospital Street
Mocksville, NC 27028
(336)751-8760
Tax PIN/EH M 5851-64-3332
Subdivision Info: Half Moon Lakes Lot # 2
Location/Address: Livingston Road -27006
Property Size: 6.0611 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 .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:
Date:
CERTIFICATE OF COMPLETION
**NOTE** The issuance of this Certificate of Comple ion shall indicate the system described on Improvement/Operation Permit
has been installed in compliance with is 11 of G.S. Gapter 130A, Section .1900 "Sewage Treatment and
Disposal Systems," but shall in NO WA be en a�guar tee that the system will function satisfactorily for any
given period of time.
Septic System Installed By:
Environmental Health Specialist's Signature:
DCHD 05/99 (Revised)
16), �X-3 X/-"'eji V, 4
S
r
APPUCATION FOR SITE EVAUTATION/IMPROVEMENT PERMIT & AT D
• Davie County Health Department �PR 6 2Q�Q
Environmental Health Section
P.O. Box 848/210 Hospital Street
Mocksville, NC 27028
(336) 751-8760 t _ ,
***nWCRTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
1. Name to be Billed t RB f3 '4 L, � CLA baba A � .�� dJ� Contact Person SAM y,
/
Mailing Address a � � f /� a a� -,1 � Home Phone �--u5-- �
u�4�1p
city/state/ZIP jkl s ?,.q a S'i41g M t 7103 Business Phone
2. Name on Permit/ATC if Different than Above
Mailing Address City/state/Zip
3. Application For: WSite Evaluation ..Improvement Permit/ATC ❑ Both
4. system to service: Q' House ❑ Mobile Home ❑ Business ❑ Industry ❑ Oth.e._r,
s. If Resilience: # People # Bedrooms _y_ # Bathrooms 2-
❑ Dishwasher ❑ Garbage Disposal VWshing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing
6. If Business/Industry/Other: Specify type # People # sinks
# Commodes # showers —2-7� # Urinals # Water Coolers
IF FOODSERVICE: # Seats Estimated Water Usage, (gallons per day) _
7. Type of water supply: ❑ County/City ell ❑ Community
a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 01 -No ,
`Y
If yes, what type?
***IMPORTANT*** CLIENTS MUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED
BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION.
Property Dimensions: !; •d /O j l A-
,1- t
Tax Office PIN: #
Property Address: Road Name b V I O GS ► o N DPL
City/Zipsr/�
If in a Subdivision provide information, as follows:
Name: 14 A L F /q 6o ni I- A k -E
Section: Block: Lot: Z
WRITE DIRECTIONS (from Mocksville) to PROPERTY:
Otto 1 ptvaK —jv 4 tdfriau q
PD X L IO6 b �� 10 �T�2,
Date Property Flagged: 1A2Cg 6
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s)
issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information
submitted in this application is falsified or changed I, also, understand that I am responsible for all charges incurred from
this application. I, hereby, give consent to the Authorized Representative of the Davie County Aealth Department /
to enter upon above described property located in Davie County and owned by I-
to conduct all to ting procedures as necessary to determine the site suitability }�
DATE �'L41 o SIGNATURE ��� '
THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed
property lines and dimensions, structures, setbacks, and septic locations).
Site Revisit Charge
Date(s):
Client notification Date:
EHS-
Revised DCHD (07/99)
Account No.
Invoice No.
C�;,
Name to be Billed
APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT & ATC
Davie County Health Department R lh
Environmental Health Section D
P. O. Box 848
Mocksville, NC 27028 E
(
(336)751-8760
****IMPORTANT**** THIS APPLICATION CANNOT BE PROCES ED URLV
ALL THE REQUIRED INFORMATION IS PR
Mailing Address cD5Us n_l to 0) 14
City/State/Zip Mods It, IyeI ac
2. Name on Permit/ATC if Different than Above
Contact Person
Home Phone 14q,�
Business Phone !160 -aC)qCr)
Mailing Address City/State/Zip
3. Application For: ❑ Site Evaluation Yi 0 ❑ Improvement Permit & ATC tyr Both
4. System to Serve: ❑ House &V Mobile Home ❑ Business ❑ Industry ❑ Other
5. If Residence: # People # Bedrooms c # Bathrooms a
lel Dishwasher U. .Garbage Disposal W' Washing Machine ❑ Basement/Plumbing . ❑ Basement/No Plumbing
6. If Business/Other Specify type # People # Sinks
#- Commodes # Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type .of water -supply:. ❑ County/City ,�/ 6�Well
.. " y. ii
8. Do you anticipate additions or expansions of the facility this system is intended to serve?
If yes, what type?-
❑ Community
❑ Yes WNo
b11MI( A PLA1 UK S11t FLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A K>bkW THE PROPERTY MUST.BE
SUBMITTED WITH THIS APPLICATION.
Property Dimensions:
Tax Office PIN: # ' c74'�
Property Address:,,',,'Road Name end a L I
`
w City/Zip T
If in Subdivision provide information, as follows:
Name:.'.-O�yi
Section: Lot #:
WRITE DIRECTIONS (from
Mocksville) TO PROPERTY:
A,),/ % _ I�f F
l'nis is to certlly tnat the imotmation provioeu is Correct, W U1C VCJL ul illy x,iuwicugc. 1 ui,ucibLai,u uiaL auy Yci,iu,kb) ibbucu 11G1Ga1LG1
are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is
falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to
the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County
and owned by
as necessary to determine the site suitability.
DATE SIGNATURE
Revised DCHD (06-96)
YOU MAY USE THE $ACK OF THIS FORM FOR DRAWINC7 YOUR SITE PLAN.
conduct all testing procedures
L-2890
j% Surveyor Regietrabon Number
Davie County, North Corofino
OP
NIP
ti
NIP
191.45'
6
OrO��
rxb
/
..Q
LAKE
�Fl ING
h
LAKE
i
r
lot
HUT
6.2740 ACRES+-
1 ,
I "
i
1 i
I 1 ,
�1
1
� 1
Z► 1 1 NJ
2I"
1 i'coo
i i 3
I 1 ,
6.06111 ACRES+— 1
/
i / N
NIP
-
-----
1 ' NIP
n,3
S
OP 85°50'48E 235.04'
6.0067 ACRES+— /
l —0 TOTAL
N" S 89°51'27"E 1175.76'
3 NIP
l�
N
v
0
w
W E
S
UP
F,
0
N
°f t E0
� N
N
S 89°51'27"E o
NIP r 50.00' EIPN R
545.48• NOS°27'53"E i
NT
NIP
1
62.46'
PRIVATE EASEME
50.00'
N
• 89°27"W,
a
' N
Oi
13
FOX RUN
_ P.B. 5 PC.
,16 fie\
4x.28, j\
\60. RUN
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section SECTION LOT
Soil/Site Evaluation
r
APPLICANT'S NAME DATE EVALUATED S �/1 Am
PROPOSED FACILITY PROPERTY SIZE /U -/,
SUBDIVISION ROAD NAME .0 i,✓/!('.5����'l
Water Supply: On -Site Well Community Public
Evaluation By: Auger Boring 11-10, Pit Cut
FACTORS
1
2 3
4 5 6 7
Landscape position
Slope %
HORIZON I DEPTH
e'
j •• l'
Y
Texture groupL
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupG
Consistence
Structure
ZZ77
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
RI
LONG-TERM ACCEPTANCE RATE
Irlo,
SITE CLASSIFICATION:
LONG-T$RM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY:
OTHER(S) PRESENT:
- R. ..7.. -
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
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
• e-�; Davie County Health Department
04� ,101' andHome -Come Health Agency
f �t :gig 15A$z6° Environmenta(Health Section
P.O. Box 848 / 210 HosPlrnL STREET
COURIER #09-40-06
MOCKSVILLE, N.C. 27028
PHONE: (704) 634-8760
May 21, 1998
Beverly Renegar
2509 U.S. Hwy. 601N.
Mocksville, NC 27028
Re: Site Evaluation
Half Moon Lake/Lot 2
Tax PIN: #5851-64-3332
Dear Ms. Renegar:
On May 11, 1998, this office evaluated a 6.06 acre tract off Livingston
Road in Davie County.
The soil conditions on this tract are very marginal for the installation
of a septic tank system. Also, due to the 50 foot separation that must be
maintained from the lake and creek, there is a limited amount of space
available for installation of a septic tank system.
It is imperative that you work very closely with this office to insure
adequate space is maintained for the septic tank system.
The system will be sized for 400 linear feet and will contain a bull—run
valve.
If you have any questions, please feel free to call this office.
Sincerely,
Robert R. Hall, Jr., R.S.
Environmental Health Section
RH/wd
Enclosure(s)
cc: Zoning Office