188 Valley Oaks Drive Lot 11DAVIE COUNTY HEALTH DEPARTMENT
�i IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION,
"NOTE:i`Issued`in Compliance with G.S. of North Carolina Chapter 1'30'j, Article 13c r•,, .'
Sewage. Treatment and Disposal Rules (10 'NCAC 10A .1934,1968) Permit Number
Name {I '�1Er��-P,�� Date 4079
Location
Subdivision Name
Lot No.
Sec. or Block No. {
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DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name ��1J1�.r���f�� Date
Address Lot Size
FACTnRS ARFA 1 ARFA 9 ARFA 3 AREA A
1) Topography/ Landscape Position
S
U
S
(:F:1PS
S
U
S
PS
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
S
C�
S
CEV
S
PS
S
PS
U
U
U
U
1) Soil Structure (12-36 in.)
Clayey Soils
U
U
S
PS
U
S
PS
U
y Soil Depth (inches)
�S--�,
S
C��->
S
PS
S
PS
U
U
U
U
�) Soil Drainage: Internal
S
SS
PS
S
PS
U
U
U
External
S
S
PS
S
PS
U
U
1) Restrictive Horizons
') Available Space
Sl
p i
�
S
PS
S
PS
U
U
U
U
1) Other (Specify)
S
PS
U—
S
PS
U
S
PS
U
S
PS
U
1) Site Classification
0 S
U—UNSUITABLE S—SUITABLE) PS—Provisionally Suitable
Recommendations/ Comments: l
Described by _: Title
SITE DIAGRAM
DCHD (6-82)