Loading...
1076 Eatons Church Rd Lot 1 ter wo Cwffr xrUon Surveyors CsrtMccftn Surveyors 'Certffication for bdivision m9 DePa / Planning ent Review Officer Qavie County Register of Deis pa7WW,0 RM r AY a tiE _--- dans or 'hare d M1st. 'l` _ - fm ab Od••••a IV a�. L xO TM� FOWO ossew d hone swvwow. L— as aldroa W by on x: Final Subdivision Plc>Itt Approval Plot Reg rtratfon . Me 70-41111110 Ala A11L1lT Reg .f" nsr.+�w.r.!A�.t .Few>.Md w x d w Lea►M talaNM I Ai vo0oc a r` " A. ThClt plot y d a �r ilret ereaAss a aLIbdIAsfsn rRlliLia aes d e oelrl�r er murridpaibr ai M w�M ei Pd sI�r111 M tawal6�"� Or etMO 011101 sm Mr ) od 10 a&0�a•slays/6=86 IrKw b* 1W � eR an 1111- - alar•ns�llleAns Pam d Imt OwdRaW 6*10 a�s IY�M 11r l&6'iN*1111dw amew 4f sub am*_ma UK As ent w M wM40 Iwo&q-n•MONA � �M�P.%is-of u�et i ii Aja et k d a OWA4 or r*AAc4 o ft that is wwo9wated �� �r b�Yt Mr�e/w Y Ae�� �IAA��r w ww�1�111019@* !rte C. That "a plat is d a suraay d an sealing paroN a d earl: M s L-2552 D. The this Peet is d a survs�r d a sew oabpory, such reoombblotlon of aocMtln9 parcels, o court 0 �M u�N� RLJp R Nwry>M•fir r I" Number erdwed sur a W or other a e 1pMon to Ow dMwam d o ��� ` OYL1[ 0olT! OL9O ��c f.� E. That iw k4onrwtba ovailabN to 116 wwvww is such am unable to make a debwn*%tion to the twat %111*Aar "(lel '.` d prdewaal !e oarldnd Is A�auQh 0. ebwo. ft a. Drlr M t1e Mdelord / Daps ¢ p 01b DAVE CMfi 1r-NORTH .•••••••�.�w�j '.� DAME COUNTY, NO" CAROLINA DAVIE CMM. NORTH CARMINA L-2532 sE 9�= LArM sr rwyor License Num oAv1E COtiNTY-NORTH cARouNA C RVXATE OF APPROVAL zo CERT*YA7E OF APPIlMI. ,QE PRIVATE I :_ �• L_ Al' FOR RECORDING 2552 ? a '1 HUM CQITNY vw we OM1 PLAT AS 11"0" 1 i (ON-3t� SEwAf tE DLSPO6Ai SYSTEMS I �► p�t - 9 MEn " WS Un I%= To c OWLY UM M COUMY N C HWY d0 sLND1Vr10M iMiaLlLAi M no t�L x OOLRIIY • ��� .� / ♦ NOILM CMLOLN4 AIO R11r Rm PLAT we im APPR0IIlEa BY 7w 1 M M CaRD1f 11K coum o N OEPARIIEIB No ( fj, T.A.• g ,♦♦♦ " 'A I' .ON .1 LA. a� I •./may Fo HOWELL RUAD \ � of Mw Of OMK ,w PllOM"M Memo AIO 1w a m it FOM ToC0019V LIm1 sual I "'�I���IE�N�� COLENE MAYBERRY SR 1419 _ CMIM Ale callowolla DOW As FQUIO N ulcer lMiLLs1DOR. colt DB 158 PG 346 c IMU ar Rae IeLiLJUMM AO MR u1�M101R SM R[IUM RDWIT ON i , l N MLR040MN RD ' FU 3 4" Pi AI RN >!w aoMraba>w1. 0. J. HART, JR. ($— Pe S 8 04'Or E i DB 97 PG 61 '— — — 392. Dom 00Uwy CLIM � 99 a_ DB 125 PG 251 — ` — _ R R epi i SfTE _ _ I CERTIFICATE OF APPROVAL BY THE PLANNING BOARD ;:. �I �S 01'50'58" W I � OA1C COW" MEALIM OPFlCML 1" Square Irun $ E x.89' aI 57.68, Tie I rf ROM l MW I�r AARORR 1W Rft Ree FGR of EATON CHURCH RD 345.10' �'M � 48. 2' 30" Post Oak t" �► .2 A� VICINftY MAP — NOT 70 SCALE , 7,128 sq.ft:. c: 2 0.1636 acres ►� CHA RMAN.. COUNTY PLANN NG BOARD rERTiFICATE Of APPROVAL OF h' k ` y CLAY HUNTER •! NOREOQ cow Rw 10 smomm Ka wiN ilt S " 96E-241 � ilRu"ololls. wRN atE olcenalL ov ww R 6 `'� I ►�` $ PiA-Mm �OIMN AIO RIILT rt" am AFPRoM roR ^� FRANCES BECK 1�a� 52•227 W8 acres m c - Q ReodplG N M G"KE or 1!E Raat<1ER or 0®a. rt IS rAwxwMw OM Not DB 140 PG 376 a I • Wkft W AM u� s rACKMIN NOR •� �` �� aces ti 110AM APINFO M. POLL TN8 OONNINUL' M OR 0=0*W11 ` of 91)11X 00 OR s1lluCnAW N S 88'24.21" E tib 370.42' cM1E 11' a U i= PROPERTY LINE O 7 DeIECiM CMIIE cawff PLANING 00%mma i RIGHT Of WAY LINE Cb 3.33' .01. S 84.03'38' E .i — -- — -- — UNE FROM DEED OR PLAT iC 1.3456 acres 260,55• Y i~ N/F NOW OR FORMER0 at 58.615 sq.f'L , De DEED BOOK ,Q p BO�S.90' 7 r PG PAGE ^s C ` � Reba PB PIAT BOOK S 86'24'21' E 2 0 WILLIAM HICKS o 'r bb DMD DOUBLE MERIDAN DIS'ANCE 4 7• 1' cv 103.386 eq.ft. _ s - el cENTI_RUNE m � D8 81 PG 431 PL PROPERTY UNE h �� 2.3734 acres R/W MV41 Of WAY ----- 4 fV �'03'3g' iy Q EIP ( EXISTNiG IRON FC.X IND ) O ' �' Q y 0 NIP ( NEW 1RON SET ) 57,071 sq.ft. �o CIO Q POINT ( NO MONUMENTAiTON SET ) 1.3102 scree 49 1 $ 'O ?0 a ! MICHAEL DALE WALLACE Q NCGS CONTROL MONUMENT s.30. .. lin° DB 155 PG 435 1 Q EXISTING PK Nett $ � t S �•1$,2,5. % 9 PX NAIL SER" 1�---'-- E Q EXISTING STONE W �1•i�. / 789.76• urn m. PDIE b ��91• f $ N j 8 - .." 3 i4" P n _ �o n ~ 106.927 ft. r R R Spike 2 N 42,560 sq.fL iy 0.9770 acres 2 2.4547 roe S 8535'00'' E n 7.� 0' 44,120 sq.ft. S .�• 1.0129 acres S 535 745.3?' 1' T ,tib' ❑ 2 �" E ° 1 ° 50.00' "i N PAUL. MASON 1 Go 57,488 sq.ft ° ( 9 ) DB 147 PG 486 )a \ 1.3198 acro _ `-/ �Q9• 3 10 3 ^1'24,804 sq.ft. 3 \ N 2.8651 acres \ I a 49,499 sq.ft. N ^ 1.1363 acres ago I�(iAL REl3 r rn �' OEM BOOK 47 PARE 271 C" amu BOOK W PAGE 190 MD BOOK 112 PAW 073 1 224.64• �i f "`3'S'00�' W 876.47' N Rebar Jf", B B (ill A LOT 1 (1) FROIR YARD-Hol .SET a4CK i WO ARE 4W TYPICAL \ LOT 2 LOT 3 CIO GRADY BECK EATON CHURCH ROAD ti \ 4286 NC HW 801 N. 2 SIDE 111100 UT RlACIC tlNES Mt£ tb'1YPiClil ?1 Spike N. C. 27028 w 4 �ARERA M�NW" OOFUNM �40.O0 SOtMRE FEET SR 1415 s�� woCKsv►LtE, � COUNT_RYSHIRE WAY cautMMU 70WM + / VAVZ CovMT. x.C. 7w Ct1PIM Zomm of PROPERLY s RA \ d THE LOM AMIE`Tn BE SONO 6Y PltW'ft WEIAS AND SEPTIC w EMs PB 6 PG 51 wt PA�c.`lii. eo �c til 111P D-�s ++ THE POLtRI7t FOR THERE LUM SWILL m OVERHEAD AND PHONE LA*S UNDU F40UM c ,\YS 1W LOCK10 WOM 30 FEET OF A STREET RO f OF MY INTERSECTION. T- F R Y R R RDA 1/ON (9) OMM �A IS LESS T1MN ONE ACRE TH�FOl1E AN ERO5m cONTROL PLAN is NOT REQUIRED PREL/M/NARY PLA NOT O sALEss toNVE ANCE4 O ECO Dams ocro>�t isat� slc�►�,t: s _ goo' rani � BY 90 le.O U THB ELL taw►Tim TIE sues pllop IV ( ) e / (x) 6 NX L�p11ED III A YUK I= WM AREA GRAPHIC SCALE . 15 o LINO I V TIE DSM OF uoi M 10 W MI DEVEl&DI�REtrt. +� TOTAL AREA = 16.0858 ACRES ( DMD ) aG 100 no 400 AIOfE SOMll LA1� S 1'01lB - IIAIRNi1� _ Me coaeE„„ _m�>Qnl FbL1Nf1t tela M 2nffl TOTAL LOTS = 10 zaoD vets OEM' PRI011E SN1f� 1-0 ; 11r �e PLACErr � AM LT © UNLM a� NMWAVERAGE LOT SIZE 1.608 ACRES M FRO MM IS SUBJECT TO F � _ TW VWtMR/iM OF ("J1T!ON 0WRCH RCaAD a: M0IMELL RM i l Walk L00 ft -%=T1 OF 1 JOB N0. 21'718-- x"al�r• :3,.9. v-�'s.s,,Sr,.a�.'a1[..�«: ita.'+� .i., u.� �:',. c -.s.•. . . ---.�; rT.. N C MhIY 801• - • _ _ � HOWELL ROAD MURCHtNSON RD - COLENE MAYBERRY SR 1419 DB 158 PG 346 O. J. HART, JR. 3/4_ Pipe 5 DB 97 PG 61 �- —— 84'o4roT E g - � DB 125 PG 251 - • �_ X392.99� R R Spi EATON CHURCH RD - S01'50'58' w S 4i25.45- E 448 69• 57.68' Tis I' Square tron - 343. ! t 0- Re) - �4821 (A Z Iryb 7.128 sq.R. 2 0.1636 acres . - rn CLAY HUNTER e b n 96E-241 - K `� ;' o _ 6� 56.227 sq•fL m a ~ 4 - 1� 1.2908 acres o DFRANCES40 PG 376 S 8624'Zr a ro 370.42- 0110 70.42•a _ 3.33' O t• S 84'03'38- E 6 1 2456 oa'ea , 28d.Ss' - °' 58.618 eq fL f 605.90• Iq o g ' ; ' r 512.0 7 Reba _ - - S 8624'2 r E as .g O 2 _ 427.01. WILLIAM HICKS O 5 cv — on R 103,386 n DB 81 PG 431 � 2-3734 a�aea O - o N "— 03' r Ir ' 290'54• sn 67,071 sq.R p w 1.3102 cues — u1CHAEL DALE WALLACE ?OS� h Power und, _ DB 155 PG 435 - sa tans- F . S �f� — 1 • 769.78• _ a 3,-4-Pipe 9�8 R R Spike Z N 42.560 sq.ft. 106.927 sq.ft. 0.9770 ocrea 2 24547 acres h = 44 120 S 8535'00' E 3. sores � 745-32- S7 50•?? f _ ti 1.0129 acres 8535`00' ti O a a • 1'le �ry0 ^ O 250.00• - eV PAUL MASON _ °° _ \ 1.3198 488 acres c 9 DB 147 PG 486 �6d, m 10 124.604 sq.ft. \ 2.8651 acres - A 0 49.499 sQ.ft~ !► � _ _ _' _to 1.1343 acres r: - N ttv PROPERTY LINE JB i — R►GFtt Of *AY LNE �l• _ LINE FROM DEED OR PUT 211 224.64' N/F 1NOW OR FORMERLY JJ 451.84', , os Dun Boat '0 3 N 853s' PAGEio�,, w # 7 Rebar PG LAT 9 MERmra+ o+svwcE ~00Ke 2. z n 676.47• SATE A'L,^PESS: DUD 3 i CL CENTERUME PL _ PROPERTY UNE d - MGM OF _-LOT 1 EEa. . _ ELEv� x ?� spike 1 LOT 2 LOT 3 THS IY�t. CEit Y TI IAT THE SUe Cr PROPERTY ( ) S ! (�U ttoT IOCJITED w A WECAL FLOOD w1�11�AX1k EATON CHURCH ROAD s _ AS DEr� BY.THE DEPAgTUExr OF �AND L1RjM DEvw T c c cuRB a cutrER 9\ N F F MRS"M FLOOR ELEVATYON SR 1415 _ �,� KOytVE7H L Pt _ - Surma a COUNTRYSHIRE WAY. / FOSTER, z� CERrItYTHAr c p EIP ( DUSTING IRON FouNO , 1hNS AMP RIAS DtR�1,�7V IhYDER ,ur Sr i�fRNS1�Y fF.CV AN MARY E BECK ESWO = p ►ea NEW Tia► sEt � . PB 6 PG 51 ACAW fED .SII U L4E UKDDR UY St499MW 00V cu- 0 _ POW ( NO mmuUMATiON SET ) Nccs COWW E MOWME►ct OCT. 4 - ly s9 :t f7r9YTN£]P LlrRTffY TXAr Q Ex%ST&G PK %W k - Ate'' TO SUD f�ZD Y, rXE PRAY LAI N KENNETH LFOSTER �r ASSOG/,4TES_ PA o PK NML SET i MID LOliU10V Or ALL .STRU 7VffN AR .4LY.7mn2Y �PLAW Sum:oftS - o E SIG-KE, PREU�!/NARY PLA T-NOT FOR SALES CONVEYANCE$ OR REPORDA T/O_ JV - H � ►' 271 wATER WIER L" - o ',mw�,r POLE 03 TELEPHONE 336 / 723-assn ' t ` , # - ® SAKnARr SEWER ► ,NHoLE +_ -`•��'�• p !,,� wP OF, — ,....r• W FIR? Wop"a GVAPHIC SCALE ,��a o�Fss�oys�••'••' LOT NO.!- - C. PTi. - PC.- t _ . .Q _ . • i� ❑ = ® .o Y1 XAM MLET1 goo o u _ SEAL� n _ p ro (sEwETt cLfAy- T 1 s ;y O; Tovmw_ p: CLARKSVILL E i . L- 52 a= i TELEPHONE POLE j PO _ .'G • ` 50 ac 51 3 _ Bu ( BEKTanu c ) ,�j,•••�SUAd`;. �� TAX Lot uw 0-3 ' IN ]�F�f ) - _ _ -., �y -».-•• 5 . _ i tf VIA' t VALVE `1 inch 100 ft ���i��'r1 LEE� ��� DAVIE COUNTY, N C. _ Fav 1:1120 + 17- =100, 2176-99C x - {J DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mock Wille,NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990001039 Tax PIN/EH#: 5822-62-1818.01 Billed To: Ernest Caudle Jr. Subdivision Info: Mary Beck Estates Lot#1 Reference Name: Ray Caudle Location/Address: Eatons Church Road-27028 Proposed Facility: Residence Property Size: 1.31 Acres **NOTE**" i sfmprov3eme nt/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 /99// #People .9-- #Bedrooms #Baths 'O— Dishwasher: e Garbage Disposal: ❑ Washing Machine: Er Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste: ❑ A Lot Size Ime Type Water Supply f D Design Wastewater Flow(GPD) 70 0 Site: New Repair❑ System Specifications: Tank Size GAL. Pump Tank GAL. Trench Width� Rock Depth 1-.rrl 11Linear Ft,- Other: Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 u 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.**** Environmental Health Specialist's Signature: ,P , Date: DCHD 05/99(Revised) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boz 848/210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990001039 Tax PIN/EH#: 5822-62-1818.01 Billed To: Ernest Caudle Jr. Subdivision Info: Mary Beck Estates Lot#1 Reference Name: Ray Caudle Location/Address: Eatons Church Road-27028 Proposed Facility: Residence Property Size: 1.31 Acres ATC Number: 2359 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 WASTEWA CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: �� L Date: 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. U� Septic System Installed By: A� Environmental Health Specialist's Signature: Date: DCHD 05/99(Revised) APPLJCATION FOR SITE EVALUATION/IMPROVEMENT PERM `� � OUR E5 Davie County Health Department Environmental Healtfi Section MR 1 3 2000 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Ira f ; L :..z, ***ZHP0RTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Reefer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed _ ,C,fi' a 19Y 107-4GtAe Xg Contact Person 6 4 44, P Mailing Address 3 1`J u lT mrt ;yt L r ^7k/ Home Phone 326 — ]�OF�1.0 1 , City/State/ZIP ji(J t /P,,U Il /• e, 2 /43 Business Phone 3 3 e'00-s'q/ 2. Name on Permit/ATC if Different than Above 5,9/7,ti. "I S -9 b n V-e Mailing Address Sig/N r City/State/Zip si'¢rrr 3. Application For: ❑ Site Evaluation Improvement Permit/ATC ❑ Both 4. System to service: ❑ House Kmobile Home ❑ Business ❑ Industry ❑ Other S. If Residence: # People �_ # Bedrooms _3 # Bathrooms moo? _ Dishwasher ❑ Garbage Disposal KWashing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sinks # Commodes # Showers # Urinals # Water Coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: Co^unty/City ❑ Well ❑ Community a. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑Yes kNo If yes,what type? ***IMPORTANT***CLIENTS MUSTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT// 3/or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Z Property Dimensions: '1'-AP3 WRITE DIRECTIONS(from / MMocksville)tQ PROPERTY: Tax Office PIN: # S g2� — (2 - /�� /� 'KCl/"ck �• C')-1 LI Property Address: Road Name_ ib, �'`i: �t� �//� 4r (�"` �tG 7r City/Zip //IDC ksV-14 Nr ,270x8' If in a Subdivision provide information,as follows: ,/ Name: /�'/��Y 131.3ec�C e'r14/C Section: } Block: Lot: �#-f - Date Property Flagged: W 1 L-L Cq�t_L U J 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 Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE .3Z Z SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: E ' =nd proposed property lines and dimensions, structures, setbacks, and septic locations). Date(s): Site Revisit Charge ft D i Client Notification Date: EHS• F , 1 Account No. D J,2 Revised DCHD(07/99) Invoice No. 3` �1 R� CATION FOR SITE EVALUATION/IMPROVEMiM PERMR&ATC . FF Davie County Health Department V 1999 Envimmenta/Hm/WSecdon 4 �• / 1 7 P.O. Box 818/210 Hospital Street Haaksville, NC 27028 ENVIRONMENTAL HEALTH (336)751-8760 DAVIE COUNTY ***DWGRTJIN?k** T8I8 71P1' IC&TIM CMW BR FWMBMW mass 71m TIM RZQUIRBD IM U M11Ti011 18 PaOVIDZD.pRotor to/the Il1>f'OZZ1�WXMI SUMTI11 form instructions.Cr1' 1. Mass to be oiled/We✓'Y /J. Bez Jt �57 "� coalaot p reop C 6n i S y-o Ce— y�tClko oA0'44(,. wilingsddre.s ✓a o' /JCC/G L 7ezd nova mme 336— 'tis8r4(oil IVC 7.7afT• Cil?/8tate/:2p T Z � Oy t. fU0C0k'✓A4 /VC, ph=G -3;16— d-7 9— R $l 4 2. now on De=L �y'A=LE Different clhaq Xbove_���'L_ �G- ��sddseia eLtr/otate/sLP v.` tai+ . ± z P83 c, Rra Luatiou 0 Improvement Persit/im 0 Both . o. Systen to servioei 9 House KMobile Some 0 Business 0 Industry O other a. if Residence: i People #-Bedrooms I Bathrooms •i O Dishwasher O Oarbaga Disposal O washing Waohine O saaarant/plmvbiag O s"Guent/wo plu biag e. sf swine•./industry/oUwrs spmdt3r t"o i people i sinke i corrodes i showers i Orinals i lutes Cooler. IF 1=811MCIi: 11 Seats estimated hater Usage :gallons per day) 7. Type of water supply: / County/City O Y' Nell 0 Community a. Do you anticipate additions or expansion of the facility this system Is intended to serve? 0 Yes -j'No If yea,what type? ***IMPORTANT°**CWENTS 1NmcoMPIETBT= REODIMM PROPERTY INFORMATION REQUESTED BELOW. Either aePLAT or SITE PLAN MILST BESI1811OrM by the client with THIR APPI jrkT!0N. , Property Dimensions: J enc- �'� "y3►Wr1rE:;hWZ-&IC*NS(nom idotWille)to PROPERTY: Ta:Office PIN;_ N _ F f V L d/ S- .-./ el, ! Property Addrea: Road Name welly ��4 �- O w igdaw C-4 4 'c 4 r✓ C-4.--t4 / City/ZlpLa �r'c� U in a Subdlvbion provide information,an follows: l/V W., Name: ��O'' .W�! Section: Block: Loh / Date Property Flagged: At This Is to certify that the inkrmsdon provided Is correct to the bat of my Imowledge. I understand that any permit(s) Issued hereafter are subject to suspension or revocation,if the We 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 aU charges incurred, om this appNeadom 14 hereby,give consent to the Authorized Representative of the Davie County Health Depa to enter upon above described property located In Davie County and owned by ti -y � r5 --- to conduct all testing procedures a necessary to determine the site suitability. DATL Al �'/ 9 SIGNATURE Vz THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN(Include all of the following: Ling and proposed property Una and dimensions, structures, setbaclu, and septic locations). Site Revisit Charge -- - DateO: Please complete the highlighted areas)and ; i return. Client Notification Date: EHSs Account No. �- RribW DCHD(07!99) invoice No. 0 _ S I' Square Iron �84'25'45- E 446.89' S TM �� 343.10' (Tia) 4r 48.nt 3.2 `ry6 7,128 sq.tt. _ L 0.1636 acres m tj of 3 O LP 56,227 p.ft o 1 1.2908 acres FRANCES BECK ds _ i DB 140 PG 376 S 86'24'21" EXX , I ,y0 370.42' iV O � 3.33' .01., aC 1.3456 acres 1 20 as 58,615 sq.ft. $ $ i S 8624'21' E 427.01' t WILL to D n B n O 57,071 .q.rt. 1.3102 acres Q, ?05 3puj h 138 9l f / ai 09 Ila n 9t 8.2 n Spike Z `14 42,580 p.tt. 0.9770 acres �� O m q3` ` \ S 33:3-0. /�� o' 44,120 p.ft y, r f t 1.0129 acres S 85!35-W E 'I r� sod b O � ❑ 2so.00. ti ^ 37,4E8 p.ft 1.3198 acres 49,499 s /i x 1.1363 0 L6ci)<!!D hJe� LuIE � � W RIGFIT OF WAY UNE UNE FROW DEOR PIAT � 224.64' ED —%M OR FORMERLY ?*?.T/�� I� ; DEED aoo+c PAGE KAT BOOP( DOUBLE MERIDAN CEN1ERLWE OPERV UNE L� RIGHT OF WAY \ & G EATON CHURCH ROAD ti p. Spike URB � URB E GUFTOR �\ +sNED FIAoa ELEVATION SR 1415 4 (EXISTING em FOUND ) \ \ w ( NEW IRON SET ) MONUMENSATION SET ) GS CONTROL MONUMENT wTMIG PK NHL NAIL SET t�MFIFEPRELIMINAPL RY A T-NOT FOP r DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990000872 Tax PIN/EH#: 5822-62-1818.01 Billed To: Grady Beck Subdivision Info: Mary Beck Estates Lot#1 Reference Name: Grady Beck, Executor Location/Address: Howell Road-27028 Proposed Facility: Residence Property Size: 1.31 Acre Date Evaluated: /k V44 Water Supply: On-Site Welly Community Public Evaluation By: Auger Boring Pit a./ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Sloe% HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence i Structure 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 i SITE CLASSIFICATION: EVALUATION BY: 4 t LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: 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 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 DCHD 05/99(Revised)