Loading...
482 Rainbow Rd � -�'.� ! • � DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P.O.Boa 848l210 Hospital Street Mocksville,NC 27028 (336)751-8760 Account #: 990000830 Tax PIN/EH#: 5851-89-6160 Biiled To: Alex McGuire Subdivision Info: ��Z Reference Name: Alex McGuire Location/Address: Rainbo�w Road-27006 Proposed Facility: Residence Property Size: 10 Acres ATC Number: 2235 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MLJST BE ISSLJED 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 WASTEW R CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. Environmental Health SpecialisYs Signature: � �� Date: /��'-9�-'y � . CERTIFICATE OF COMPLETION **NOTE** The issuance ofthis Certifica Completion shall indicate the system described on ImprovementlOperation Permit has been install pliance 'h Article 11 of G.S.Chapter 130A,Section.1900"Sewage Treatment and Disposal Systems,' but shall ' AY be taken as a guarantee that the system will function satisfactorily for any given period of t' e. � �" ° �,H,� s,e� � ^ • D�., �,��-oa l r �, � o , k � . W � K� N � � )r Septic System Instalied By: �J Environmental Health SpecialisYs Signature: Date: l� --�� ��� DCHD OS/99(Revised) ' � , -- DAVIE COUNTY HEALTH DEPARTMENT n d 1`,�p,9q • '' �-' � ' Environmental Health Section C ' P.O.Boa 848/210 Hospital Street • Mocksville,NC 27028 / � (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000830 Tax PIN/EH#: 5851-89-6160 Billed To: Alex McGuire Subdivision Info; Z � Reference Name: Alex McGuire Location/Address: Rainbow Road 27006 Proposed Facility: Residence Property Size: 10 Acres ATC Number. 2235 **NOTE** This Improvement/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 PERNIIT 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 � #People � #Bedrooms � #Baths 2 Dishwasher: � Garbage Disposal: ❑ Washing Machine: � Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type #People #People/Shift #Seats Industrial Waste:❑ Lot Size / l�� Type Water Supply� Design Wastewater Flow(GPD) U�o� Site: New� Repair❑ �! i System Specifications: Tank Size�DDd GAL. Pump Tank GAL. Trench Width L��Rock Depth /� Linear Ft. D6 �h�: �tD���l�s �k.e1� 1�'��.-e Required Site Modifications/Conditions: IMPROVEMENT/OPERATION PERMIT LAYOUT- APPROVED EFFLUENT FILTER RISER(S)IF 6 K BELOW FINISHED GRADE. **'�*NOTICE: Contact a representative ofthe Davie County Health Department f r 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#i�336)751-8760.**** ��`�e CI g/22-0 � � I ,r ^ r Environmental Health SpecialisYs Signature: , Date: ��'b �� DCHD OS/99(Revised) �o` '���� � �- ��': =- ;� , �P CATION FOR S(TE EVALUATION/IAIPROVEMENT PENMR&AT C� C� � Q d � � ��„� �,, Oavle County Health Department � G' .,�'�g• j �� Env�inoutme�rta!He�/!fi Sertfon � �k„� OGT 2 1999 � ��' � P.O. 8ox 848/210 Ho�pitsl BtrNt yr��" (10 ��p �ox.,►�ii•, Nc z�o2e � OJ � (336�751-6760 ENVIRONMENTAL HEALTH DAVIE COUNTY •**I?�ART]IH?*** THIB �IPIILICA'1'ION C�iNOT 8� PA��88�D UNLZS 8 71LL '� RZQOIRaD tNrORl�ATi027 =8 pRGVIDILD. a��as to th� �'O�ATION BULLZTrii !or iastruatioaa. ' i. x... to b. s�u.a \ �= ca►taot P.r.oa �,'�:.�,L�L IfL�l� ��• . � �1 1� ���� =OM p'hOn� — " L ��,rn�.wi::. ( �.s�... a�. ��—� �� lo Z. 1ta� oa �sai!/i'tC i! Di!las�at tlsaa �bov� . 14iliaq �ddr��• CitY/tlab/!ip . a. �►ppiiaatioa tor: 8it� lvslwtiioa � 0 Improvaawnt p�rait/l�TC �Hotb a. sr.� co as.so.� �nt• � tsobii� 8om� O Bnaia�s• 0 tadwtsy � Oth�r � a. Z! R�.idsac�: f p�opl� � Badrooms r � f Bsthrooms �i /� �0"Di.1►xa.a.r B' rtarb.q. oi.po,al �a.hiao xaobsn. 6"sa,.�.nb/rl�sbinq 0 sa..�.n!/�to alisbs�q i. t! lwl���/ZnduslsY/Otl�sst fp�oi=! t7IP� + �o'Pi� � i1A1c� , i Coaud�� � �hox�s� � Orinalt � xabr Cool�r� I1' �'00�8t�CVIC=: � S�it� �_ lttiaat�d 1�it�= t��iq� t0+u1� P� �fl �. syp� o! xat.�r aupplpt 0 Couaty/Citp 0 N�11 �i Commuaity �. Do yoa snHcipste�ddidau or espswiont otthe fs�ility t6�ey�tem u Intended to rerveT 0 Ya � U ya,w6�t type? . *"*IMPORTANTR**CLiENI'S MUST(aDMPtETBTHE REQUIREDPROPERTY INFOttMAT[ON REQUESfED BE[AW. Either a PL.AT or SITC I'LAN MWS1'BBSUBbIIiTED b the eUeot �vlt6 TN1S APPWCATION. Propeaty Dlmeasion�t � T�. �� f-+� L���� VN1tiTE DiRF,CTtONB(ti�om Mak�ville)to PROPERTY: Taz 081ce PINt #. h����(r i� /,� 6 � /t� f`�U i�bn� � �t�r.r Property Addreat Rad Nsme�(" � � � ��� � �-2 -}-� 4 c� 1 /J7 i��� � City2lp t-�C�UC�h.(SL �L �(�'iYt (� � �/l r% . � U lu s Sabdivision pravide Inform�Hon,u folla�v�s - �- � . N�mes ' secdon: Blocks � I.ots nate rroperty ms�ed: (A' 20-a 9 ' `�`t•�' Thb b to cerHty►thwt t6e intocrosHon pt�o�vWed b eorr�ct to t6e bat otmy Imm►ledga I anderebad th�t�ny penmtt(�) iun�d 6ereaBer ara�ubject to�wp�ndon or rerocAdoo,Itt6e dte plaw or Intended me ehan�ti or if the IaPormaHon •a6miqed in t6b applicstloa V falttlied or c�an�al l,41so,ander�tand�at 1 am raponstble jor oll chargu Incarnd jron� t�ls apptkadon. 1,6ereby,�ive eowent to the Aat4orized Repreknhtive ott6e e Coaaty Ha L Dep rtment to eater apon abovs dactibai pcopetty bcated In Dsvie Coaaty and o�nned by to eondact�p tating proc,edara a ne�a�ary to determine the dte bWty. DATE ��^01�"� �l 8IGNATURE � 'rHI3 AREA MAY BE USED FOR DRAWINa YOUIt BTCE PI.AN(Inclnde all oit6e folla�rinQ: Esbtin�and propaed property Ilaa�nd dimen�tonM �trae ut���., ,�Qa kpa���ao��. . � � 2c�'' � (� 'Z°``� �x i s���� h.o u-� $ite A�vblt C4a e D�h(�): � �u.k�s�- ���,`z� . ; Client NoHAcaHoa Dates —�,t�� 1��-�-v��ro(�ss�y ' ' , 1,,.i c�- ' LAS: A�coont Na �� Revtscd DCeD(07/49) Involce Na !�� � ,�; � �Dw✓ie.C'ounty, Tiorth Carolina Spatial Data Exp... Page 1 of 2 O�.�A ' -' - " }' �J�1.L�7� d�il�l £���J���rt,r� � � - � p� �.�'� No�ih Caru na Click on the Map to: `��Zoomin�ZoomOut�Recenter Map�Identify: Parcel M8p L8y@I'S ., i N D�awselecfetllavers: --'�� �� Transportati0n II __ StreetCenlerlines � r- Interstate 40 � , � US Highways — I _ � -•�- NC Highvrays — Other Streets — 1 ��Lk. � _, RailLines �r-- - _ Govemment - ��I City Boundaries �W Xh�6'160 E� �_ Townships � ^— �__ Census Tracts I �, �J School Districts � '. \\ � NaWral Resources i \ ..� _ �_ HydrologY � I �� I���- 4 - � �_ Soils �,.._j Localitles ---�._�"" � Schools � � �' � FireDepartments S'.': � F;[ Parcel Data � 1 Parcels - - , SCALE 1 : 13100 Locality Map �-� -- — C� � � j � Draw Layers 2oom In Zoom Oul Full d nt � /' • � Reset Map J Parcel Data • Parcel Numbei(PINJ:5651896160 • County ID:03 E600000060D1 • Total Value:5178,790.00 • Property Address:464 RAINBOW • Ownec TUTfEROW JAMES L&FRANCES RD W • Legal Desc.:43.98 AC SR 7441 • OwnerAddress:187 JAMES WAY • UseValue:52t,020.00 • OwnerCity:ADVANCE � BuildingValue:552,830.00 • OwnerStafe:NC • Eatra Featwes Value:55,4�.00 • OwnerZip'27006 • Land Value:5120500.00 PafCel QUefy his map is prepared for Ihe inventory of real property ound wilhin this jurisdiction,and is compiled from -ino a oaicel by one(c,�parts o'one)of the Jdlowing: ecortled deeds,plats,and other public recortls and St.a St. Name St.Type ata. Users o(this map are hereby notified that the ddress ' r forementioned public primary in(ormation sources . �[ _, C _i _] houid be consWted(or verification of the informatlon Last Name First Name ontained on this map. The county and the mapping wnaf: - "— — nd softvrare companies assume no legal responsib��liry or the inlormation coma�,nea en Ihis map or in this . .:- � '�'�' ;,t �' - DAVIE COLTNTY HEALTH DEPARTMENT � ' " � Environmentai Health Section Soil/Site Evaluation � APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990000830 Tax PIN/EH#: 5851-89-6160 Billed To: Alex McGuire - Subdivision Info: Reference Name: Alex McGuire Location/Address: Rainbow Raad-27006 Proposed Facility: Residence Property Size: 10 Acres Date Evaluated: 11—� `�Q_ Water Supply: On-Site Well � Community Public Evaluation By: Auger Boring ✓ Pit Cut FACTORS 1 2 3 4 5 6 7 Landsca osition - Slo % HORIZON I DEPTH Texture rou Consistence Structure Mineralo HORIZON II DEPTH �' 3 �' � Texture rou Consistence � . - Structure L Mineralo ` HORIZON III DEPTH Texture rou Consistence Structure Mineralo � HORIZON IV DEPTH Texture ou Consistence Structure Mineralo SOIL WETNESS RESTRICTIVE HORIZON � SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE . ,�. , SITE CLASSIFICATION: P� EVALUATION BY: LONG-TERM ACCEPTANCE RATE: OTHER(S)PRESENT: REMARKS: _ ��/�l��( � /7C� 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 Mois 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 tructur SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloev 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■■■���■■�■�����■■■���■�■�■ ■�■��■��■■���■��■�■■�■■��■■����■■��■■�■��■■���■��■■��■��■■■■■■���■ ■�■������■���■��s��■■��■�■■■���■���■■■��■■�t�■���■����■■■������e■ ■■�������■��■�■■■■��■��■��■����■ ■■■�■■�■■���■■�■■��■■■■■���■��■■ ■■���■■■��■�����■oe�o�■o■.■s���■���■■����■■a��■��s■0■■■■a�ee■��■■■ ■■��t�■�■■■■�����■■����■■�■■■��■■��■■■■��■■��■���■s��s■■���s����■■ ■��■����■■�■■■��e�■■■�so■o�■eo��■■�■■�����■�����■s�■���■���oe■�■�■ ■��■�■e���svs■■o�■�■e�se■■�ese■�■■����■������■�e■■s�■evesv■e�e■m�■ ■����e���■■��■■��■o■�■■�■■�■■�■��■�■■�■■■■■��■�■���■�■���■�■■■■■�■ ■■■��■�������■■■�0�0■0■�■■�■so■■�■�as�■�a■■■��o��mv■���■see■e■■a�■ ■�����■���■�■■��■��■■■��■■��■■�■�����������■■�■o�■��■■�■■■■■■■��■ ■�■���■■��■�■���■�■■��■■■■��■��■ ■�■■��■■���������■�■�■���������■ ■�������■■��■�■������■���■��■■■��■��■■■�s���■■�■��■■�■■���������■■ ■��■�■��■■�■��■��■�■s■■�����■■■�■■■��■■��■�����■���■■�o�■��������■ ■����■����■■���■��■����■�■��■■■■�■��■■■���������■�■■����■■���■�■■■ ■�■�■■���■�■����a■�■���■■�■■��■■■■■������■■���e����■■w■�■■������■■ ■�■���■��■���■���■�■■■�■■�■■���■■■■����■■�■���■�■��■������■■�■■�■■ ■�■���■■�■����■��■■■■■��■�■■���■■�■����■��■���e�■��■����■■�■■��■■■ ■���������■�■��������■��■��■��������■�■�����■■■�e■■■�■■■�■■■�■��■ ■■�■������e���■���■�■■��■s�����■ ■����■��■��■��■��■s������■��s�■■ ■■��■�■■���■������������■■�■■�■■��■■����■■■■■■■■��■■���■�����■�■■■ ■■��■��■■■�■■■����■■�■���������■■■■�■■�������������■■�■■�����■■■■■ ■■����■■■■�■■■�■���■■■■�■■��■���■■�■■■�■■■������■��■■■�s�����■��■■ ■■�■��■■�s��■■�e������■■�■s■■■■�■s�■■s�■■■■���e�■��■����se■���a��■ ■■�■s����■��■■��■��■■��■�■■�■■■�■�������■�■■����■�■■■�������■��■■■ ■■���■����■���■■■�■����■��■��■■��■���■■■■��■���■���■■s�■■■���■■��■ ■■��■■e���■��■■�■�■■�■�■■�■��■�����■■■■■�■■�����■��■o��■���■■��■■ ■■■�■■����■�■■�■■�■��■�■��■■■■�■ ■■■■���■■■■��■■■■o��������■■■��■ ■�■���■■■�����■�■�■■■■����■���■■�■��■■■s��■■■�■��■���■■■■��������■ ■�■���■■■■■■����■��■�■■■■�■■���■����o■■��■�■■�■��■■��■■■���������■ ■�����■■e■■■■■��■■�■■■■■■■�s■�■����■■■■e■■��■■■■�■■■■■■■■�■■���■�■ ■�����■■■��■■■�■■��■��■�����s��■�■�������■�■■��■����■�e�■�■■���■�■ ■■�■���■■■��■■■���■�������■■�■■��■��■■s■■�������■■��■���■■■■■■e�■■■ ■���■■��■■■�����■��■■■�r.��■■�■■■o■■�■������■■��■�■■�■o■�■��������■■ ■���■����■■�����■��■■■■■s�e��■■���■�■e���■■■����■■■■■■■��■���■��■ ■��■��■������o■■■�■■�■�■��v����■ ■■■�■■■■■■��■■■�e���■■■��������■ ■���■■■■��■���■�■�■■■■■■■�■��■■��■e■■■■■■��■��■��■�v�■■■���������■ ■■����■■■v■��■■��■�■■■�■■�■■■■■■�e��■■■o�■�■■■■■■■��■■■■����■���■■ ■■�■��■■■�■���■e���■■■■■■�■����■�■���■■■■�o�■■���■����■■��������■■ �����������������������������������������������������5������������� ������������������������������������������������������������������ ■��■��■e��■���■�������■��e�����■a�■����■�■■■s�■■�s�■e■���■�■■��■�■ �isiiii�iiiiiii�iiiiiii�iiiiiiii�iiiiii�iiiiiii�iiiiiii�iiiiiii� ■�■■���■��■■�����■���■■■■������■■■■■■�■■■■■■�■■■�������■�■�������■ ■�■■■��■■��■��■��■■��■■■�■�■■���■■■■■���■���■■���■■�■■■■���������■ ■�■■����■������■■■����■�����■■����■������■�■�■■■������■����������e ■��■����■������■■���■■s■■■■■■■■�����■■���■■■■■■■■■■■■■■���■■■�■��■ ■�■��■����s■■■■�e■■■��■■����■■���■■■■��s���������o■■■■s■■■■�■■■■■■ ■���■■��■■��■���■�����■■����s�.■■.......■�■■■■�■■■�■�������������■ ■■■������■■■■■��■�■■■��■■�■������■iii�i������■����■■��������■�s■■ ■■■■���������■■■■��■■�v�■■■��■■■ ■����■■■�i��■■■■■■■�■�������■���■ ■�����■■■�■��s����o■w■■e■��oi��m��■■■■e�s���i���■�■■■■■��■�■■���■�■■ ■■����■■��■���■�■�oe�■��■■�■���■�■�■����■�■�i■�■■��■■��■■■���������■ ■■■�������■■■■��■����■■�■■■■�■�■■■■■��a■■■n■■■■■■■■��■��■■■■■■■��■ ■■■■�■■■■s��s�■�■■�■�■����������■��■����■��i■�■��■■�oe���■■■■■�■��■ ■���t�o■■■■■�������■■■■�■■�■��■■������■■■■�t■■■■■■■■■�����e�����a■■ ■■■�������■■■�■■■����■■�■■����=�::==_=•.���i■■����������■■■����■��■ ■■�■����■�■■����o■����■��■���■�����■■��o.-�■���■■��■�a�����������■ ■■■�■���■■�����■■�����■■■■�■■■■■ ■�■■s�■���■��s��■■■■■■■■■�■■�■■■ ■�����■�■■■■■■■�e�■■■�■■■■■�■■■��■■■■■■■■■■■�������■■�■�■o■■�■�■■■ ■■���������■���■■■�������■■e�■���■�������■��■■��■■■■■■■o�s������■■ ■■■■■■���■�������■■�■�■■�■■�■■■��■■�■■■■�■■�■■���■���������������■ ■■�■■����■s■■��■�■■�■�■■�■��■■■■�■■�■�■■�■■��■���■�■■■■■�����o���■ ■■������■■�■■■■■■■■�■��■�■■■■■■■�■����■■■■■■■■■��■��■■�■■o�������■ ■��������■■■■■�■�■■■■��■■■■�■o�■������■■■■■■■����������■■■■■s��■�■ ■����s��s�o�■e�■�■■■�■v■■�■■■■■■ ■�■■■■s■■■���■�����■■■■■■■■■��■■ ■�■��■■��■■��■■�■�■■�■�■■�■■��■■�i■■���■s�■■��■■o■��■■��■■■■�����■ ■■■��■■■��■��■■�■�■■■■�����■��■�■��■���■■�■■■�■■�■■�■■��■���■��■■■ ■■■�■�■■�������������■����������������e�■■■■■�e■�■■�o���■■■■■■■■�■ ■■■�■��■■��■■���■��■�����������■■��■��■■■■�■■�����■������■■■■■■■�■ ■��■����■■�■■��■���■��■��■���■��■�■■■���■■�■■��■o���������■��■■��■ ■�■������■�■�■■������■■�■■�■■�����o�■■��■■�■■��■■�■■�����■■■■■■��■ ■��������■��■■��������■■�■��■���■�����■�■■�■■��■���■�����■■��■■■■e ■����■■�����se�■���������■■����o��■■■■■o■�■���■■���■�■■�����■�■■■ ■��������■���■�■������■■�■■.■■■■ ■■■�■��■���■��■��■■o■���������■■ ■����������������■��■����■■�■�■�������������■e��■��■■�o��■■����■■■ ■�■���■■�■��■■�■�■■�■�■■�■■�■����■�������es■■�����■■■o���■�����■■■ ■�■����������■�■o■■�■�■■■■■�■���o■������■■�■■�����■■■����■■����■■■ ■�■���■����■■■�■�■��■�■■�■��■�■��■■�■■■�■■�■��■■■�����■���t�����■■ ■■■��■��■��■■��■�■��■�■■�■■�■�■�s■�a��■���■■������■■s����■������■■ ■■��■■��■■�■����������������■��������������■�������■��s���������■■ ■���■■�■■��■�■�■�������■�����■■����■■���■��■����■■■��e��■������■■ ■�■��■�■�■���■�e�■��■��■�■���■■■ ■o■■■��■■�■����■�■��������■■���■ ■�����t����■���■�■�������■��■�■��■��■�■��■■■�■��■■■■■��■���■■�■�■■