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155 Wood Ln Lot 8 NN, �. ''u DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION 'NOTE:Issued in Compliance With Article II of G.S.Chapter 130a �S)anitary Sewa a Systems ,�� L.�),J �c� Permit Number Named " ,re Date Z: N2 8090 Location �L�� �� %vr,-�. , d ,. .E; r,✓�_ l,/i`' !n Subdivision Name -r� - r' %� . Lot No. Sec. or Block No. Lot Size ' — House Mobile Home ---_ Business —_ Industry No. Bedrooms —?—.No. Baths -- No. in Family _ Public Assembly Other Garbage Disposal YES ❑ NO D'-*' Specifications for System: Auto Dish Washer YES NO ❑ Auto Wash Ma^hine YES NO ❑ /�� �� F` Type Water Supply •This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation if site plans or the intended use change ATTENTION: YOUR SEPTIC SYSTEM CONTRACTOR MUST SEE THIS PERMIT/LAYOUT BEFORE INSTALLING THIS SYSTEM. P ger'.'.__ L-, 1 Improvements permit by `Contact a representative of the Davie County Health Department for final Inspection of this system between 8:30-9:30 A.M., 1:00-1:30 P.M.or 4:30-5:00 P.M.on day of completion.Telephone Number: 704-634-5985. Final Installation Diagram: System Installed by — �,1°DDX� r XI� r4 r� Certificate of Completion -- Date a _ 'The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. DAVIE COUNTY HEALTH DEPARTMENT �J Environmental Health Section �6,✓ Soil/Site Evaluation NAME ��/7��YSOr✓ DATE EVALUATED ADDRESS PROPERTY SIZE _ 116 PROPOSED FACIILTY LOCATION OF SITE �Zl Water Supply: On-Site Well _ Community Public L--- Evaluation By: Auger Boring Pit Cut FACTORS 1 1 2 3 4 Landscape position L L Sloe Z -% HORIZON I DEPTH Texture groupt4 Consistence Structure MineralogX HORIZON II DEPTH 'Z16— Texture group 0 G Consistence Structure S 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 SITE CLASSIFICATION: �/ EVALUATED BY: LONG-TERM ACCEPTANCE RATE: y 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 :lay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-V+--.-y 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 3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineralogy 1:1, 2:1. 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