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107 Wyatt Drive Lot 53Davie Countv, NC Tax Parcel Report Tuesday, December 20, 2016 WARNING: '1'1i151S 1VU'1' A SURVEY Parcel Information Parcel Number: F8030A0053 Township: Shady Grove NCPIN Number: 5870642275 Municipality: Account Number: 82528109 Census Tract: 37059-803 Listed Owner 1: PSC DEVELOPMENT COR INC Voting Precinct: EAST SHADY GROVE Mailing Address 1: P O BOX 5967 Planning Jurisdiction: Davie County City: HIGH POINT Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27262-0000 Voluntary Ag. District: No Legal Description: LOT 53 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE Deed Date: 5/2007 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 007130818 Soil Types: GnB2,EnC Plat Book: 0009 Flood Zone: Plat Page: 290 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9A1� All data is provided as is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County s GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to r'p NC or arising out of the use or Inability to use the GIS data provided by this webstte. •IMP-ROVEMENT PERMIT Davie; County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone. 336-753-6780 Fax. 336-753-1680 PERMIT VALID UNTIL 4/16/2020 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: PSC Development -Cor, 0 r —T — n Address: PO Box 340 City: Advance State0l) NC 27006 Phone #: (336) 761-7300 Address/Road #: PSG Development-Cor,LLC Mocksville NC 27028 Structure: SINGLE FAMILY # of Bedrooms: # of People: *Water Supply: PUBLIC Saprolite System? Design Flow: PS LPP OYes @No A Q S Property owner: PSC Development -Cor, Address: PO Box 340 City: Advance State/Zip: NC 27006 Phone #: (336) 751-7300 Subdivision: Essex Farm Soil Application Rate: 0 2 7 5 *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 50% REDUCTION Phase: Lot: 53 Directions Hwy 64 east, left on Cornatzer Rd. pass Beauchamp Rd, on Left, Essex Farm on left Minimum Trench Depth: 2 8 Inches Maximum Trench Depth: a 8 Inches Septic Tank: 1 5 0 0 Gallons 1 -Piece: DYes QNo Pump Required: @Yes ONo QMay Be Required Pump Tank: 1 5 0 0 Gallons 1 -Piece: DYes QNo Repair System Required:@Yes ONo ONo, but has Available Space Repair System *Site Classification: PS LPP Soil Application Rate: . a 7 s *System Classification/Description: TYPE III B. SYSTEM WlSINGLE EFFLUENT PUMP *Proposed System: 50% REDUCTION Minimum Trench Depth: a 8 Inches Maximum Trench Depth: a 8 Inches Pump Required: @Yes O N o O Maybe Required Pagel of 3 CDP File Number 191864 - 1 County ID Number "Site Modifications ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. "Permit Conditions The issuance of this permit bythe Health Department in noway guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. The layout for this syiem has been designed by Soil &Environmental Consultants, PA. Seepage 4 for design. All design criteria can be picked up at Davie Env. Health. The house sizes and exact location of the site must not exceed the design dimensions as specified in the design layout. Site Plan The Improvement Permit shall be valid for 5 years from date of issue with a site pian (means a drawing not necessarily drawn to scale that shows the existing and proposed property tines with dimensions, the location of the facility and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location ofwater supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may impose conditions on the Issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article. This permit is subject to revocation If the site pian, plat, or intended use changes (NCGS 130A -335M). The person owning orcontrolling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance; monitoring, reporting, and repair (.1938(b)) Appiicantfl.egal Reps, Signature Required? OYes ONo Applicant/Legal Reps. Signature: Date: / "Issued By: 2140 -Nations, Robert Date of issue: 0 4/ 1 6/ 2 0 1 5 Authorized State Agent: OValid without Expiration? O Create CA? OHand Drawing @import Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 CDP File Number: 191864-1 County File Number: Date: Q Inch Scale: QBlock QN/A = ft. IMPROVEMENT PERMIT Davie County Health Department , 210 Hospital street CDP File Number: 191864 -1 P.O. Box 848 , Mocksville NC 27028 County File Number: Date: LO.,4,./ 1 6/ x 0 1 Sr. Click below to Import an image from an external location: Drawing Type: Improvement Permit DESIGN SPECS i:^� —= water meter local via ' , 55' � outlet survey. cable and power DFgVE approximate. o HOU sE I PIT 1 1500 gal tanks P MANIFOLD fs ' PIT 2 +' o f l open cut drainage ditch PIT 3 GRAPHIC SCALE 1 " = 50' 50 0 50 100 BASE MAP PROVIDED BY CLIENT ]j e�uesmn+uxur .oecrtwaw- F }� SOA & Environnentat Consultants, PA1. awwww..r•r.ww. wr....wr�•w wuwr _.�wr SMR[ Iw I�YIw M.r 1�_ r.L r11� wl Mi MwiRRlr.rwf rrM rwRrw.rwarwa •Rw rQ,. R /� R. rMM. wi rt R.AIM. wl t iSR • Mt rY r[ A R MSR w. AI.MIR rnr..r. 7• rM.Ir r�Rr EO rti rwrn Ar raR� fR � •OL rr[ wt res rl,.e S f1Alf w. rMY w Q M R "M MSIR! M i9 wa.IR wr /.r.M. r aM rr n*.a rr. M ua dtr� I wa�pr meter local via 55 survey. cable and power DRIVE approximate. 4 B p o " DESIGN SPECS P. MANIFOLD PIT 2 outlet PIT 1 1500 gal tanks open cut drainage ditch GRAPHIC SCALE 1"=50' 50 0 50 100 BASE MAP PROVIDED BY CLIENT U" comfy WL mowre raa+.r a enc ra►T - ES= r1W - Soil & Environmental Consultants, PASKET(M MAP _ ..w.RRR ar re.w s L.r.A n an.. r—.4 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL HEALTH ON-SITE WASTEWATER SECTION SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Slicer — of PROPERTY ID 0: COUNTY: Davie_;:.,_ OWNER: Michael Houser Construction _ APPLICATION DATE -11/13/07 ADDRESS: DATE EVALUATED: PROPOSED FACILITY:4 bedroom Home PROPOSED DESIGN FLOW (.1949): 480 gpd_ PROPERTY SIZE: LOCATION OF SITE: _Lot 53 PROPERTY RECORDED: WATER SUPPLY: Private Public Well Spring Other EVALUATTON ML-TfIOD: Aueer Borina , Pit Cut TYPE OF WASTEWATER: E�Scwaee Industrial Process Mixed r R IF I L S # .1940 LANDSCAPE POSITION/ SLOPE % IiORIZON DEPTH (IN.) SOIL MORPHOLOGY (•19th) OTHER PROFILE FACTORS PROFILE CLASS & LTAR .1941 STRUCTUREt TEXTURE .1941 CONSLSTENCEI MINERALOGY SOIL WETNESS/ COLOR .1943 SOIL DEPTH .1956 SAPRO CLASS .1944 RESTR HORTZ 1 L 2-5% 0-9 NF SBXtCL SS,SP,FRtSEXP rib" >48" NA PS PS B•23 M F SOK / C SS. SP,FR/ SEXP 23.48 w F SBK / CL SS, SP,FR/ SEXP 2 L 2-5% 0.26 w M SDKI CL SS. SP,FR / SEXP a48" 48" NA PS PS 26-48 WO SBk I L. 93, SPYR l SEXP L 2-5G 8.22 W F sBkt EL Ss, sFift/ sEXP r48" r184 NA PS PS 22.48 WF SBK/ C S. 5P.FR / SEXP DESCRIFnDN Available Space (.1945) Systcm 4j 1SUT: ON Sitc LTAR COMMENTS, 1NIITAL SYSTEM 1. REPAIR SYSTEM N i1] OIR FACTORS (.1946): SITE CLASSIFICATION (.1943): _PS EVALUATED OTHER(S) PRI UrOLPOI LOOZ 81130 L 98L8 i 9L 9££ gllLlal Aaa Aumoo amp SIT24ido3 Pa LLnszad .Ioj vodag A101SiH x d 19P OUJO dH layout for a 4 bedroom home Notes: Essex Farm Lot 53 Project No. 4-1773 Nov -07 FLAGGED HI FS ELEVATION LINE LENGTH 100.0 110.5 4.90 FLAG LINE # COLOR BS TBM 10.5 INSTR.1 103.4 1 Pink 2 Red 3 Orange 4 Yellow 5 Blue 6 Pink 7 Red Notes: Essex Farm Lot 53 Project No. 4-1773 Nov -07 FLAGGED HI FS ELEVATION LINE LENGTH 100.0 110.5 4.90 105.6 75 5.90 104.6 150 7.10 103.4 150 7.70 102.8 150 8.30 102.2 155 8.80 101.7 128 9.40 101.1 65 Total 873 ** TBM located top of culvert **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings LINE LTAR SYSTEM NNOVATIVE LENGTH GPD/FT' TYPE TYPE STRIBUTION * System 435 0.275 Innov. chamber P. Manifold Repair 290 0.275 Panel n/a P. Manifold Notes: ** TBM located top of culvert **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Essex Farm Lot 53 Design Layout Specs layout for a 4 bedroom home Dec -07' FLAG FLAGGED FLAGGED LINE # COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH TBM 10.5 100.0 INSTR.1 110.5 System 1 Pink 4.90 105.6 75 75 2 Red 5.90 104.6 150 120 3 Orange 7.10 103.4 150 120 4 Yellow 7.70 102.8 150 120 Total 450 435 Repair _ 5 Blue 8.30 102.2 155 125 6 Pink 8.80 101.7 128 100 7 Red - 9.40 101.1 65 65 Total 348 290 LINE LTAR SYSTEM NNOVATIVE LENGTH GPD/FT' TYPE TYPE STRIBUTION * System 435 0.275 Innov. chamber P. Manifold Repair 290 0.275 Panel n/a P. Manifold Notes: ** TBM located top of culvert **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Line # Color 1 PINK 2 RED 3 ORANGE 4 YELLOW 120 total Tap Sheet Flow/Tap gpd SYSTEM Elevation Length Hole Size 105.6 75 SCH 80 1/2 104.6 120 SCH401/2 103.4 120 SCH401/2 102.8 120 SCH401/2 feet = 435 gal/min = Des. Flow 480 Pump Run= 17.90 soil LTAR 0.275 (INNOV LTAR) 0.366666667 Flow/Tap gpd Trench Area Line LTAR 5.48 98.11 225 0.44 7.11 127.30 360 0.35 7.11 127.30 360 0.35 7.11 127.30 360 0.35 26.81 DESIGN SPECS -YN00 A 1lYON Y11YOr OIN00 W . ILL r UL 1i1R Y111r0► N K mI01fI OM1. YN11.0. 0. � 6 N 6 rL M 01 I 011Y0. N 00 M � OYI.L .14r 001r M0..0.. 0.1 N YOOMR Y 0[ 101 OIR 0 6111.10.111r a.arwle NO.,r16 M M OOP r000r Carr Q OYMIM A 01fs OIC 00 A•l I YY[ 0.0 001iMer M MON 00 rNiON M reu 0 mw r as1Nr s r n N O[NOI IOY1 A1011 Yt aY 1V tN�at 1a1 rr � / w 001rC. rd r1N.S AN 001.6 I Or.1Yq.lYO OA TO I / /� water meter local via 55' survey. cable and power DRIVE approximate. o) L7 �® 4 p p HOUSE 11 outlet PIT 1 1500 gal tanks P. MANIFOLD — h I Aryca Q�o PIT 2- �� �`Q3�"8 I� 10 open cut drainage ditch c r F � 11 a� a 0 PIT 3 GRAPHIC SCALE 1"=50' 50 0 50 100 BASE MAP PROVIDED BY CLIENT LOT 83 OM 000 DAIN 0MWW sit Oa,r6NP Y. rYK'M SEPMC SYSTEM LAYOUT _ ESM RM _ Soll. & Environmental Consultants, PA $ Q SKETCH MAP as WNW h em c . e—a 1r -w a.... _ . 01�.r o.rl.►.11.. r.. o.o arr16 "a mN1P. rY1r G.1rrLL ram a1. rreN .•Yi{t q I��w MAIM M� � wl Ylwl � �[ wlaaw7li Mwr l.wal owM�r a.vwurra 71w w! rwu w r n • rwa w7r. Iws wllnlwn 7.L r M77MI ■ 1.[ AY M t0 f Mw.111 M IIPOwMIi �1wM 1f M MI M� OMS M SMR A M! !! 1� wMa ai wr wwMle 71r wwv M www /wf MY wt wwew� M OMOr11 I�1 M M d�Ot 1111. IM..Y II[ w ols M. w. wu r IaOt 111111 IAA/L IOM a u6 P. MANIFOLD BASE MAP PROVIDED BY CLIENT 70T DESIGN SPECS outlet PIT 1 1500 gal tanks open cut drainage ditch GRAPHIC SCALE 1 11 = 501 57 M" OM "19 C"" oet 1a1n.1+ 11...1[1.. SEPTIC SYSTEM LAYOUT RW _ Soil & Environmental Consultants, PA $ a SKETCH MAP os L.R60 L% M e . C-6 Irw o.w rIe . nI.1. m0mM w . n. C" 78. 1E ww oa11117: mm ewer "W l.. wM�MI w. ww ulio.a r we aw�r w wiwaar a � m1 r aru r uw w � riaa ww: ww roman AVo1RO wLtsm 0. m LSmom f" aw 1.r av � ow1� a wwmmr A w ww as eoewwse wr 111wr � wwiwr r wesv ow ne w sw ww 1w/wr ui w wrs ne. ww as A ari w0 wOr awls M 1/10. PIT 2 FIELD LAYOUT 3 BASE MAP PROVIDED BY CLIENT PIT 1 GRAPHIC SCALE 1 1' 500 53 M" 0A%W MOM3 laswr we aaa.. SEPTIC sYSTEM LAYOUT - ESSU RW - Soil & Environmental Consultants, PA $ ¢ v SKETCH MAP s 1�� n e . a►a..t m.w w.a. ww . a�.. olwu �1e . n. ow >,rwc ,> mac mwm mm mr Iowa s >uw DESIGN SPECS rMw� is werr wrM twos we ,u esu �u rMM r11M11L R MM aM�f MMO11 M7MOMIM r1 � uM M uM Ma sr w MMY w w � � rwL w. tot rMrs a R iO�N r Mt ti R to a war R AWM1i wMNMa ws w av MAO ow a win rM tM� MFlO 1tr wsa MMM a� OMw1O MR M� R wn 11M rMYIM t wM� r wort rrw r » W ao� MMr nwast r I iO �s ais tr wv ori saawnw�twvuta wt rrwM� Mi �l / I a 53 55' DRIVE 50 4 BR PIT 1 HOUSE 1500 gal tanks P. MANIFOLD h � o a PIT 2 e .S o Q 8 I 0 BASE MAP PROVIDED BY CLIENT PIT 3 GRAPHIC SCALE 1"=50' LOT 53EmRw DAMES s� j I: rtaow.w..rao ;r.0, � R SEPTK srs1EM twtouT - ESSEX RM - Soil & Environmental Consultants, PA E� $ SKETCH MAP tl{ tMft p iR E a asK riM tK*r m � �11r� OW7M10 . / OHO 70-9M M11[ OOM14i MMlN OIbM► MONO It AA .�r.w[ w./�r..I 11Mrr wM.r1 raT. Ml1aw Kt MwR MrNr.waa Nw.r rww rwwrr r.ulrwraa rr Nw.. w Nr r � rwn. NNI, N.[ rrrr a K.aor r ac wu r w a rr.r w. wwsww rrw.wa r r Nar MIIKr rr a rrn r NFr[ NrK rt nlrt N.a Nr .Na�wa M MIR NR wNIwIR 11a aW K INlIw N MAORp Mlr MIO r ver Mr Nrr.r a M rwr wr.r NY r Nrwr .w1 rra Nrw r uia water meter local via survey. cable and power approximate. DESIGN SPECS I d 53 55, 5VE BR USE P. MANIFOLD 1 i Ile, PIT 2 Q 3 w g � o m iI �g , it BASE MAP PROVIDED BY CLIENT outlet PIT 1 1500 gal tanks French Drain ( V 1'wide x 3' deep PIT 3 ' GRAPHIC SCALE 1" = 50' u ea®c Rao ous rnrlr .• � p g 4 a � , r NNr./f r waver I RD SEPTIC SYSTEM uYCUT _ ,,,,� _ Soil & EnvlronMental Consultants, PA SKETCH MM s �w n aK e . Nr.ra re+. or.rr r.r . Nrir O/olw-MIO .... ave NIF.M. •ar Nr.t rww ewrr - 100m a rOI catch basin FLLJw END VIEW OF F. DRAIN gravel 6 2—ez flow bundles T SCH 40 PVC ;.� 8"slotted drain tile I--r� Line # 6 7a 7b 8 9 Flow Sheet-PPBPS LPP REPAIR Moles Line Line Line Color #Panels Panel Length Hole Size Head now Red 8 1 36 5/32" 2.0 3.28 Blue 15 1 66 5/32" 2.0 6.15 Blue 15 1 65 5/32" 2.0 6.15 Pink 16 1 70 5/32" 2.0 6.56 Red 16 1 70 5/32" 2.0 6.56 Total 70 307 29.70 aaaR.RM RawfIWA OMICOIf alA 1R RIR M6 MYI► R 1!A{A�iYl aa�aac m a-ec A&: Ri K 0..D I MM ti0 M wl aL wMAtlff Ada V WMO @*� K w w aas AA'16a Dever as sAwam raA see ma aam at awe aeeawwaa wR wraT Ra aaaAenwR acus a mom® 1eamReoermeAc q w o,a am roaar uc mu OR tmm PIT 2 BASE MAP PROVIDED BY CLIENT DT W ESSEX ROAD DAME CCUW CIE MMWrAo IeAaalel SEPTIC SYSTEM LAYOUT— ESSEX ROAD — SKETCH MAP eNaE IaeRn, owe tAla/N . RDIoaR aA E701 ' FIELD LAYOUT PIT 3 PIT 1 GRAPHIC SCALE 1 " '= 50' io(t & Environmental Consultants, PA of uw C% RE C • 0-4 a 0u am • ave ow l"m • RR ave ww.*a1 1 ......A. O H ONmMA It INNN1.1A NILL 101. NLNi.. MIIOIL N' /A]R DAlmw1AR OM A Vf N' IR O.i M W >p.1.D M 1.0 A ♦ NNN.. OIpN, NY[ AA.100 NLL t ®w N H ICO NCp NLMtiOIM 101.01U.1i Nm.M.S Ai W OK7..R®R 010700 NL 71001NRY Iq Off[ N.Ip 91N NN00: 0.:..NI .pON01.0. O.. MAOf R NNO0711P NO.O < ONS.. ■ NLa01N11 NNA NQ W 7[IOVt NNI AYO.f 11[ 101 0—j AT NpL Nf o10K 111011 NNq ApNt d< IN6 M .�p.Oti p.W 110.0 P. MANIFOLD DESIGN SPECS I I / C (:53 55, DRIVE ;0, 4 BR HOUSE PIT 2 Q� a ^� ® Q Lo m I PIT 3 PIT 1 1500 gal tanks GRAPHIC SCALE 1 T = 507 50 0 50 100 BASE MAP PROVIDED BY CLIENT mmmmw LOT, E3 ESSEX ROAD DAME OOLWM Dp[ ANLtIRY A10 NNR1715 � R sync srsnm uYour _ Esmc Ro p _ Soil & Environmental Consultants, PAsICETCHMaP M L."** " iR c . C1 v � OrN D..YN 6 . ft.— 004)bfm.. 000 70F w"m mN� nowfIIRIN Mom M lav? layeat for a 4 bedroom home Notes: Essex Farm Lot 53 FLAG LNE # COLOR BS TBM 10.5 INWR.1 1 Pink 2 Red 3 Orange 4 Yellow 5 Blue 6 Pink 7 Red Notes: Essex Farm Lot 53 Project No. 4-1773 Nov -07 FLAGGED HI ITS ELEVATION LINE LENGTH 100.0 110.5 4.90 - 105.6 75 5.90 104.6 150 7.10 103.4 150 7.70 102.8 150 8.30 102.2 155 8.80 101.7 128 9.40 101.1 65 Total 873 ** TBM located top of culvert **TBM is assumed to be 100' *All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Essex Farm Lot 53 Design Layout Specs layaat for a 4 bedroom home Dec -07 ' FLAG FLAGGED FLAGGED LIVE # COLOR BS HI FS ELEVATION LINE LENGTH LINE LENGTH UM 10.5 100.0 I1VSrR. 1 110.5 System 1 Pink 4.90 105.6 75 75 2 Red 5.90 104.6 150 120 3 Orange 7.10 103.4 150 120 4 Yellow 7.70 102.8 150 120 Total 450. 435 Repair _ 5 Blue 8.30 102.2 155 125 6 Pink 8.80 101.7 128 100 7 Red 9.40 101.1 65 65 Total 348 290 LINE LTAR SYSTEM NNOVATIVE LENGTH GPD/FT' TYPE TYPE STRIBUTION System 435 0.275 Innov. chamber P. Manifold Repair 290 0.275 Panel n/a P. Manifold Notes: ** TBM located top of culvert **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Ue# 1 2 3 4 Color PINK RED ORANGE YELLOW total Tap Sheet SYSTEM Elevation Length Hole Size Flow/Tap ggd Trench Area Line LTAR 105.6 75 SCH 801/2 5.48 98.11 225 0.44 104.6 120 SCH401/2 7.11 127.30 360 0.35 103.4 120 SCH401/2 7.11 127.30 360 0.35 102.8 120 SCH401/2 7.11 127.30 360 0.35 feet = 435 gal/min = 26.81 Des. Flow 480 Pump Run= 17.90 soil LTAR 0.275 (INNOV LTAR) 0.366666667 v Q c APPtIC FOR SITE EVALUATION/IMPROVEMENT PERMIT & AT 3 2� Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Apltcatiori F%: Site Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both i�ype of Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility * * *IMPORTANT* * * THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. AFFLICAN 11NPORMA 1IVN Name to be Billed 45C />c'V6aoprrrN t ems, Contact Person 72r ggy ,8476 ax Billing Address 3fo Home Phone City/State/ZIP _&Jocr� -G Z 702 @ Business Phone 7.5'1-7300 Name on Permit/ATC if Different than Mailing Address PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan R?lat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat.) Owner's Name �ASe ,ems-vjm9A&,rJr coat, 1AC, Phone Number 7S/ - 73--10 Owner Address City/State/Zip ,t r.,�ca.r ,�G 2 7oL9 Property Addre s City Lot Size, Tax PIN# Subdivision Name(ifap licable) ES = Sectio Lot# Qii•ections To SjjC S 2 //"! Z QYL! ;,4;4: S t? Ct If the answer to any of the following uestions is "yes", supporting documentatio} must be att ched. 2p1 Are there any existing wastewater systems on the site? ❑Yes Does the site contain jurisdictional wetlands? ❑Yes ❑No Are there any easements or right-of-ways on the site? ❑ies ❑ o Is the site subject to approval by another public agency? []Yes ng Will wastewater other than domestic sewage be generated? ❑Yes Cdl�lo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms -6 # Bathrooms Garden Tub/Whirlpool ❑Yes ❑No Basement: ❑Yes ❑No Basement Plumbing: ❑Yes []No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: KConventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: Btounty/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating an ging or staking the houselfacility location, proposed well location and the location of any other amenities. Site Revisit Charge Prope r s or o er's legal represents re Date(s): Client Notification Date: Date EHS: Sign given ❑Yes []No Account # Tom' Revised 11/06 Invoice# -lQ 73 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990004425 Tax PIN/EH #: 58ii1=64-22b0..5 Billed'To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 53 Reference Name: Brad Coe Location/Address: Cornatzer Rd -27006 Proposed Facility: Residence Property Size: 0.760 A. Date Evaluated: q — ISS —U % Water Supply: Evaluation By: On -Site Well Community Auger Boring Pit Public Cu FACTORS tqt 4 K 4 5 6 7 Landscape position Slope % 2 HORIZON I DEPTH Texture group 03- ✓Consistence Consistence i I r - 1 f Structure 1C 55K K. MineralogyF X HORIZON H DEPTH -�I Texture group C Consistence q Ll T T1 r Structure tz Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION a a s u o LONG-TERM ACCEPTANCE RATE �. a 7 7� SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: V REMARKS: " 1-e 4 - u''e EVALUATION BY- JkJ at OTHER(S) PRESENT: ,A-- C) -o 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 Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Stet 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 NALes 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) 01 LTAR - Long-term acceptance rate - gal/day/ft2 DCHD 05/05 (Revised) CONSTRUCTION * AUTHORIZATION - Davie County Health Department 210 Hospital Street . -- P.O. Box 848 Mocksville NC 27028 For Office Use Onl Phone: 336-753-6780 Fax: 336-753-1680 0 4/ 1 6/ 2 0.1 0 Applicant: PSC Development -Cor, LLC/Terry Butler Address: PO Box 340 Property Owner: PSC Development -Cor, LLC/Terry Butler Address: PO Box 340 City: Advance State2ip: NC Phone #: (336) 751-7300 Property City: Advance 27006 State2ip: NC 27006 11.1plone #: (336) 751-7300 Location & Site Information M Subdivision: Essex Farm Phase: Lot: 53 FAddress/Road elopment-Cor,LLC e NC 27028 Directions Structure: SINGLE FAMILY Hwy 64 east, left on Cornatzer Rd. pass Beauchamp Rd, on Left, Essex Farm on left # of Bedrooms: # of People: - *Water Supply: PUBLIC System Specifications Minimum Trench Depth: a 4 Inches fication: PS LPP ystem? OYes @No rDesign Minimum Soil Cover. 1 a Inches : 4 $ 0 Maximum TrenchDepth: 3 6 Inches Soil Application Rate: 0 2 7 5 Maximum Soil Cover: a 4 Inches 'System Classification/Description: 'Distribution Type: LOW PRESSURE PIPE TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP Septic Tank: 1 5 0 0 Gallons 'Proposed System: 25% REDUCTION 1 -Piece: OYes QQ No Pump Required: @Yes ONo OMay Be Required Nitrification Field 1 3 4 5 Sq ft Pump Tank: 1 5 0 0 Gallons No. Drain Lines 4 1 -Piece: OYes @No Total Trench Length: 4 3 5 ft GPM—vs— ft. TDH Trench Spacing: _ 9 '0 Fe tes C.0 Dosing Volume: _ Gallons Trench Width: 3 QInches @ Feet Grease Trap: Gallons Aggregate Depth: inches Pre -Treatment: ONSF OTS -1 OTS -II Septic Tank Installer Grade Levet Required: 01 011 0111 OIV ones i of k CDP File Number 191864 - 1 14 County ID Number: If_. ❑ Open Pump System Sheet Required:v i es vivu vrvu, uut ild5 Hvd11dU1C QPCIVC /Repair System Trench Spacing: 8 Q Inches 0. 'Site Classification: PS LPP o Feet O.C. Design Flow: 4 8 0 Soil Application Rate: 0 a 7 5 'System Classification/Description: TYPE III B. SYSTEM MINGLE EFFLUENT PUMP Proposed System: 50% REDUCTION Nitrification Field Sq. ft. No. Drain Lines 3 Total Trench Length: 3 4 8 ft Trench Width: Q Inches a e Feet Aggregate Depth: inches Minimum Trench Depth: a 8 Inches Minimum Soil Cover. 1 a Inches Maximum Trench Depth: a 8 Inches Maximum Soil Cover: 1 a Inches *Distribution Type: LOW PRESSURE PIPE Pump Required: Oyes ONO OMay Be Required Pre -Treatment: ONSF OTS -I OTS -II "Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. "Permit Conditions The issuance of this permit by the Health Department in nowayguarantees the issuance of other. permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. ; The layout for this sytem has been designed by Soil & Environmental Consultants, PA. See page 3 for design. All design criteria can be picked up at Davie Env. Health. The house sizes and exact location of the site must not exceed the design dimensions as specified in the design layout. This Authorization for Wastewater System Construction shall bevalid for a person equal to the period of validity of the improvement Penul% not to exceed five years, and may be Issued at the same time the improvement Permit Issued (NCGS 130A-33G(b)). If the Installation has not been completed during the period of validity of the Construction Permit, the Information submitted In the application for a permit or Construction Authorization Is found to have been Incorrect, falsified or changed, or the site Is altered, the permit orConstruction Authorization shall become Invalid, and may be suspended or revoked (.1937(g)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance, monitoring, reporting and repair (1938(b)). Applicant/Legal Reps. Signature Required? Oyes ONO Applicant/Legal Reps. Signature- Date: / / `Issued By: 2140 -Nations, Robert Date of Issue:. 0 4 / 1 6 / -) 0 1 5 Authorized State Agent: Malfunction Log OYes 01 -land Drawing @Import Drawing **Site Plan/Drawing attached.** Page 2 of 3 .• CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street CDP File Number: P.O. Box 848 Mocksville NC 27028 County File Number: Date: .O.A / 1 6! 2 0 1 5 Click below to import an image from an external location: Drawing Type: Construction Authorization DESIGN SPECS :r C, 53 water meter tocol via , Jr- rj' survey. cable and power 0" approximate. SO 4 gR Ir I_I HOUSE P. PIT 2 �l PIT 3 outlet PIT 1 "1500 gol tanks cut drainage ditch GRAPHIC CS^CALE 1 • _ 50V 50 BASE MAP PROVIDED BY WENT a 100 rmwr r.s �•... firm 0M M„;� .an w.- J� Soal t Enorent vIrual Consultants, PAUt" a' rw...,•...n.......r•rrrw.w. w.sw• CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization CDP File Number: y County File Number: Date: 0 4/ 1 6/ 0 1 5 J Olnch Scale: OBlock — ft• ON/A El -LL 17-1 1 ......... . Lj t -F . TT- F 7I ' F � t .,..�«...a..>n.,,.w..»y.i..,w..,...a.....b........,,.»Y„s ....<f.� i,..,...,_...., ..,....»a..+,..>,�,..,.,»-..,..,«,.<....., y v..,,.,.�,.._..�..,>.> ....� .a...: «.....:w,. } ..>».,...,«..,•i,...,.:..,... �,.,»...,...>x�...�.�,,.3 » ' a _ r t t s § Davie County Environmental Health P.O. BoxJ848/210 Hospital Street Mocksville, NC 27028 .(336)751-8760/ Fax (330751-8786 Account #: 990004425 IMPROVEMENT PENIN/EH #: 5870-64-2265.53 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 53 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksyille Property Size: See Map Reference Name: Brad Coe Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a wastewater system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems).- This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: DNew ❑Repair ❑Expansion Permit Valid for: O5 Years ONo Expiration Residential Specifications: # Bedrooms # Bathrooms_ # People_ BasementO Basement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(or Dimensions of Facility) - Design Flow(GPD): acility) DesignFlow(GPD): Type of Water Supply: ❑County/City OWell ❑Community Well Site Modifications/Permit Conditions: Environmental Health Specialist 8 Soil & Environmental Consultants, PA 236 LePhfllip Court, Suite C - Coneorii, North Carolina 28025 - Phoae: (704) 720.9405 - Fax: (704) 720.9406 www.Sandrac.com, FACSIMILE SHEET FAXNO. (704) 720-9406 DATE: 11/87%07 Project Number: t -177W To: NAME: Rob Nations CC: COMPANY;Davie County_Healtii Dept FAX NUMBER: (336)7611-R786 rROM; 'Wendell Overby SUBJECT: Essex Farms The following items are being Faxed. Number of pages including transmittal sheet: 9 x For Your Comments/Approval _ For Your Information Per Our Conversation — Per Your Request Please Advise x Please Call Wotdd Like To Discuss _ Please Handle HARD COPY SENT: US Regular Mail _Hand Delivery — Overnight .. x No Hard Copy Sent Wendell IF YOU HAVt ANY QUESTIONS OR PROBLEMS WITH THIS TRANSMISSION, PLEASE CONTACT At (704-) 720-9205. "CONFIDENTIALITY NOTICE" This transmission is intended only for the use of the Individual or entity to which it iN addressed and may contain information that 7N privileged and confidentinl. Irthe render erihiv message i4 net the intended recipiciit, you are hereby notified that any disclosure, dinribution or copying ol'this information is strictly pruhibitod. 11'ynu have received this R'ammia&ion in errol'i- hlcuxr notify its Itnme4iptety by telephone and ret im the faxed docnmtmp to uN at the abovraddress, via the UnitedStnte , l'os[al Srrvice. Greenabom_Offiec - - - Raleigh offiev 3817-E Lawndale Drive - 11010 Raven Ridge Road - Greensboro, NC27455 - _ RaleirXIQCZ76m Phone: (336) 540-6234 - Phone: (919) 846.5900 _ - Fax: (336) 540.8235 _ F= (919) 846.9467 _ BASE MAP PROVIDED BY CLIENT r—_ 0 Y�20 P/7 2 0 P/T � M o,d ; �� • GRAPHIC M o,d ; �� -SCALE 1" 50' 50 0 50 100 E rov,rr v.a lasvvm - r�vvs.w SYSEM IAYWT Afl.w Soil & En Consultant ; PASPMC V EMHMa � a r ESCOC .rE rrwu awn ..vri.r.onmental rte,. ee. BASE MAP PROVIDED BY CLIENT ®- p/J BM 3 red%M. za• . - Ormge 250 4 ® P/ J 2 Red 20' P/J GRAPHIC: SCALE m«ascv Y..siww.ui�Ywo�x ). Y0YR 1101IIIMPIr Y[ so o so ioo b FY SEPTIC SYSTEM LAYOUT _ E6 a FI. - F Soil & Environmental Consultants, PAsSKETCH MAP C e �ri+r Y rrt c. e.va rw� u�.e� ® mmsw ret mer • Y'R OMK VIIM Yr.0 MY 9 60 . -ARKE roil nmrwar Mw..M Mlles ao. wt Ials ni uw[ - . M4RdN OI M 4PMIY MNlll WMIIIOIf W 1 M [! Inf M4f. T61V! - .. WYAD f! VSm K.. 441.E M MR L'1E MM1MR MIL E IQ6SI.4I w M - rm ouc ro w� Mminlnr no la4cw»x nmx4nalia - nE v uar xman omno aw Menaun ru oe-art sme tuM srn41¢ . EIc mxvl mrsM[miulM Mr Mr¢r vrz Emarc Mr swan E axcum wnunuEnr ooMx,m: ' f) 1V E1BI1% {IILM PRCPPIY IwF 1N EIwG[ n1oY Mfl \FIL ro' EIY3 A(Y 61KK.Wt, t41a6 w WR - fw m+MaMry was rq-L 23 4 BR \H -OUSE, \ Pink 27 Zy _ Blue 46' 'staked In u field yellow 52 ' pren a 65 - Red 60' PinkW - He GRAPHIC SCALE 1"50' 50 0 50 100 BASE MAP PROVIDED BY CLIENT ITK[ED: ROK wvc mMnr +� =Rga� � 4a4 nmer we MwM1w - r � 6 i sBPn�sro�KMH�urour„K _ SC Soll & Environmental Consultants, PA a ^ w.M 4tunt wF".L ol.nMsnn<e. wwo a mM / 65' 55'' 'HOER PIT , USE 0 PIT 2 PIT 3 ' GRAPHIC. SCALE 1., = 50' 50 0 50 - - -100 BASE MAP PROVIDED BY CLIENT wrss�xao wK wwx - e EaR E V SEPnCKETgYCHM "T T � - E C Soil & Environmental. Consultants, PA ° Kawn,m, waw wwn nsrts•e.�a rwe.s.m rn.. .m oro s.w ,`q Re PIT 1 ®4sB _ ew 7s• _ Retlragge gs. gs. . B/fie Ye//a W y�. GRAPHIC SCALE 1 "' — 50' _ 50 0 50 100 *BASE MAP PROVIDED BY CLIENT - gwrw asa ewo e..�mwrc R SEPTA SYSiEAI uYOUT $ a EmN mo -coax wow -Soil &Environmental' Consultants, PA Ke..es.v.�wa,�,EECn..nwn.Re.a....... e,...em.*.. a.on,•..r�ow,e-e. g mo s un OMsleln Y[ vmm®i%.sve: ILO r / 55 45' Yellow 50• - Orange 50' Re PIT 1 ®4sB _ ew 7s• _ Retlragge gs. gs. . B/fie Ye//a W y�. GRAPHIC SCALE 1 "' — 50' _ 50 0 50 100 *BASE MAP PROVIDED BY CLIENT - gwrw asa ewo e..�mwrc R SEPTA SYSiEAI uYOUT $ a EmN mo -coax wow -Soil &Environmental' Consultants, PA Ke..es.v.�wa,�,EECn..nwn.Re.a....... e,...em.*.. a.on,•..r�ow,e-e. g mo s un :x rovra nu rsrmr us - - - mm `rw muirmsvm PIT 1 55 PIT 2 PIT e o a p 3 h 6r` l QC 55' PIT 4 ® 45' Orange PO' 'o"7 O/ - Red 51' - - - ^ - - I PIT 5 .Blue 58. O Pin Tm I GRAPHIC SCALE_ 1",= 50' - 50 0 50 - 100 'base mop provided by client - - �1ef 53 LCFI lIeIe M'R fQY[. �mMO ,..,i - S9 �E�b�RgdR ^ 7 .SEPTIC SYSTEM lArour -FEcylro—1 In ff R SNETCX w+nr . l & Envlronnental.Consultants, PA Y4 m[iM1 YYI YbY [� in [ GmL 1YN Ona II�� TO[�W • [u eY� [[ww[ g P DEPARTMENT OFENVIRONMENT AND NATURAL RESOURCES - - Sdeer_or — DIVISION OFENVIRONMENTAL HEALTH - PROPERTYIDR: ON-SITE WASTEWATER SECTION - - COUNTY: Davic SOIL/SITE EVALUATION ,for ON-SITE WASTEWATER SYSTEM OWNER: Michael Hauser Construction _ APPLICATION - DATE_l 1/13/07 - - - ADDRESS: - - DATE EVALUATED: PROPOSED FAC ILiYY: 4 bedroom Home PROPOSED DESIGN FLOW (.1940):490 gpd_ . - PROPERTY SIZE: LOCATION OF SITE: jot 21 PROPERTY RECORDED: WATER SUPPLY: Private Public Well Spring Other - EVALUATION METHOD: Auger Boring - E'Pit Cut TYPE OF WASTEWATER: E -Sewage Industrial Process Mixed P it 0 0 I L P • .1946 LANDSCAPE POSQ-ION/ SLOPE % - 'HORIZON DEPTH (IN.) SOIL MORPHOLOGY OTHER PROFILE FACTORS ; .. ---__ PROFILE CLASS &LTAR .1941. STRUCTIR Et TEXTURE .1941 CONSISTENCEf MINERALOGY SOIL SOIL WETNESS/ COLOR •1941 SOIL DEPTH .1956 SAPRO CLASS - .1944 - RESTR NORM 1 L PS MF GRSCL - NS,NP,FR/NEXP >52" - >5r - - NA P§ - - PS - - - 4.19 'M;FSBKICL -SS;SP.FR/SEXP' 19.39 MMSBK/C SS, P.FI/SEXP 39.52 MFSBKI CL SS SP FR SEXP �+ L 7-9% 0-3 W FOR I SCL NS. NP, FR/ NEXP >45" >46" NA - PS - ' PS - 3.11 NIP SBIf a - SS. P, FR I gap MM SRK/C SS. SP,FN SEXP 3246 WMSBK/C SSSPFISEXP 3 L - 7-0% Od W F GRISCL NS, NP,FR/NFXP >45' >46" NA PS PS 3-25 - MM Sex/C' SS.SP,FI/SERI- 2848 WF SBK/C SS,SP,FR/SEXP (y4 • 2.5%0.7 WF GR/CL NS.NP.MNEXP >50" - >50" NA PS - PS 70 MM SBK/2L SS,SP,FR/SFXP 18-37 'MMSBK/C IS SPPll3EXP' 37-50 MFSBWC SSSPFISEXP RESCRB'DRIS Available Spaces (.1945) System Type(s) Sit: LTAR rnM.M. WMTe• WMALSYSTEM RSPAIRSYSIBM OTHER FACTORS(. 1940. SITE CLASSIFICATION (.1948): PS EVALUATED BY: Overby, Long OTHER(S)PRESENT:-- DEPARTMENTOF ENViRONMErrT ANIS NATurtAL RESOURCES Sheet of DIVISION OFENVIRONMENTAL AALV. - - - PROPERTY ID M ON-SITE WASTEWATER SECTION - COl1NTY: D¢vic SOM/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM OWNER: Michael Hauser Construction _ APPLICATION DAYS 11!13!07 PROPOSED FACILITY: 4 bedroom Home PROPOSED DESIGN FLOW (.1949): 480 gpd_ LOCATION OF SITE: _Lo[ 22 WATER SUPPLY: Private Public Well Spring Otter EVALUATION MEMOD: Auger Boring E Pic Cut TYPE OF WASTEWATER: DATE EVALUATED: PROPERTY SIZE: ' PROPERTY RECORDED: EScmite Industrial Process - Mixed e R 1 L >i 4 .1940 LANDSCAPE P031T10.W SLOPE % - HORIZON DEPTH (IN.) SOIL IiIORPHOLOGW OTHER FROFILEFACTORS —__ _. -- _-—--___ _.-- PROFILE CLASS &LTAR _ _ ,1941 STRUCTURE/ TEXTURE .1941 CONSISTENCE/ NIMERALOGY .194z SOIL VJ=NTSS/ COLOR .1943 - SOIL DEPPII .1956 SAPRO CLASS .1944 RESTR - HORIZ 1 L 1-9% 0-13 FILL - - FILL Mr, ->41P' NA PS , M — 11.44 WMABKIC' 33: SP.PW SEXP :4.48 WFSBK/C SS. P,FU SEXP 2 L 7.9% 040 FILL - FILL . UN L 7-9% 0.16 FILL FILL >55' - >55" - NA PS PS - 16.33 WM SBK/2 Ss. SP.R I SERF 3335 WFSBK/C SS, SPd-V SEXP 4 25% - - - 0.5 WF GPJSCL NS. NP.VFR1 NEXP >51" ->51", NA PS PS 5-13 (VM-S-3KIBL 'SS, SPYR/SEXP 13-35 MMSBK/C SS SP IL SEXP 354-51 WMSBK/C' -SSSPFRSEXP OPSCRTIMON YN A4SYV79M Available Space (.1945) Syslefn Type(s3 SituLTAR REPAIRSYSTEM I OTHER FACTORS (.1946):_ SITE CLASSIFICATION (.1948): EVALUATED BY: Overby OTHER(S) PRESENT: - - - - ...W.IOI;Im..WRRW.R W..00 WV. MLNW wLlO� DESIGN SKETCH MIOML RMdY1m1R4MlOM11 MAI WMI WW WS.N R I®N A fLW VL N[� n[ Ia.WIIdW AL i ICER M M ' rm u m s w1eranr •o mrmmelm wmauimn TY W! YR IR169 WIIK YY � Inl OMl OIC SVf RROL _ s Rla oamsvRW ixo ixa+aa uo�or Mr roue � ooW000 • ocnWlon ms Aa In eros nel nlolollr ua mm mw sal sr Wu nvs Ilol naw. wn a vm 21 1500 g tanks water meters from survey cable and power approximated. P. MANIFOLD GRAPHIC SCALE. 1 = 60' 60 0 60 120 IBASE MAP PROVIDED BY CLIENT > beaCoolr _�Gonpq_u. i yaloW 92' DIVIDE II -Z (-V f; V4: Jorm; - 8 of .7 DEPARTMENT OP ENVIRONMENT AND NATURAL RESOURCES Sherr— of-DIVISION OF ENVIRONMENTAL HEALTH _ - PROPERTY ID0: ON-SITE WASTEWATER SECTION COUNTY: Davie SOIL/SITE EVALUATION for ON -SITE -WASTE WATER SYSTEM OWNER:MiduclHans'aConsttuctian _ APPLICATION DATE_11113/07 ADDRESS: DA•TEEVVALUATED:__1 PROPOSED FACILITY: 4 bedroom Home PROPOSED DESIGN FLOW (.1949):480 gpd_ PROPERTY SIZE: LOCATION OF SIIE:_.oL56 PROPERTY RECORDED. - WATER SUPPLY: Private Public ZWell Spring Other EVALUATIONMETHODt Auger Boring :Pit Cut TYPEOPWASTLIWATER: `,Sewage Industrial Process Mixed R 1- L r .1940 - LANDSCAPG POSITION SLOPE % - . HORTI.ON DEPTH- (IN.) ... SOIL MORPHOLOGY OTHER PROFILE FACTORS - .. - . - PROFILE . CLASS -&LTAR - _ .1941 -STRUCTURF/- .CONSISTENCE/ TEXTURE NENERALOGY .1942 .1442 SOIL _ -VIMINFSSI- COLOR .1943 SOIL DEPTH - - .. .1956 SAPRO .CLASS .1944 - - RFSTR HORIZ. 1 -L -7— as wRORQ. NS.NNFRIMM 749' - . _Mir NA PS--.. -. ... 5-96 'WPSHK/(2-SS:SP,FIUSFXP" 30-48 WPS8KICL SS, P.FV SEXP r} 1. 7.9% 0-5 WFGR/CL NS.NP.FRINEXP >4r Mr NA PS P5. . 5-30 WFSBK/CL SS.SP.PR/SExP 3047 WFS8KICL SS, P.FlI SEXP L.. 7-M 0.8 W P GRICL NS, NP.FW NEXP >481• >41r• NA - PS PS - --- B -0S -WP sox/C' '5S. SP.FI/SEW ' 4 2-5% 0.3 Flet. FILL AC - ' >5C NA PS - PS ' WF GRIM NS.NPXRISEXP It -34 WFSBK/C SSSPFUSEXP -34.34 MMSBKIC $S SPFl St:XP- DESCRIPTION - R4rrtALSYSTPM - REPABtsYsrEM OTHER FACTORS(. 1946). . 41TE CLASSIFICATION (, 244 �S � _ EVALUATED BY: _OVERBY - OTHER(S) PRFSL•NC: - Avoilabte Spnce (:190.5)"� Sy3temTyp9S) - Sitc LTAR DEPARTMENT Of EmliftONMENT AND NATURAL RESOURCES DIVISION OFEVVIRONMENTAL HEALTH ON -SM WASTEWATER SECTION SOILISITE EVALUATION for ON-SITE WASTEWATER SYSTEM m of 9 sheef —of, PROPERTY ID#. - COUNTY: Davie_ OWNER: Essex Fam APPLICATMXDATP— ADDRESS: DATE EVALUATED; PROPOSED FACILI1Y, 4 bedmomHome PROPOSED DESIGN FLOW (J949).490 gpd_ PROPERTY SIZE: LOCATIONOF SITE: —Lot 65 PROPERTY RECORDED: WATEILSUPPLY. Private Public Well Spring Oder EVALUATION METHOD: AurcrBorine EPA Cut TYPE OF WASTEWATER: ---SewaRe Industrial Process Mixed R 0 F L .1940 LANDSCAIT POSITION/ SLOPE% HORIZONPROnLc DEPTH (1K-) SOU MORPHOLOGY OTHER PROFILE FACTORS CLASS & LTAR 1941 STRUCTURE/ TEXTURE. .2941 CONSISTENCE/ MWERALOGY 1242. SOIL WETNESS/ COLOR .1943 SOIL DEM .1956 SAPRO CLASS' 1944 RESTR HOR17 L 7-17% 0-6 MF SBYJ CL SS, SP.FR I SEXP 148" >48" NA PS PS &36 mm SSKIC S.P.FIRISW 3648 WFSBK/CL SS, SpVpw SEXP L 0.6 wf ssric ss. SP.FR t SLYP >W >46" NR PS m .6-36 WF SBKIC S:KmtsE" 3648 WMSHKIC SS, SP.FR I SEXP 0.8 WP S9wCL SSISPMSEXP >4r >4r NA PS PS 9-34 WF SHK/C S.SPYRISEXP N -A& WFSBKICL SS. Spm SOUL 0.8 . WF SaricL. 33 . spi-w I SEXF >k" >527' NA ps ps 9.36 wFSDK/c S.SPFRISEXPL 3642 -WFSEKICL. ss.spn I SEXP - DESCRUMON INiTLAL SYSTEM PMAIRSYSTEMI I OTHERFACTOR.S(.1946): — Available SpaCc 945) SlIECLASSMCATION 1 (.1948.y EVALUATED BY* _Qvcr y_ Symcm Tyws) OTHER(S) PRESENT: —R. Smith I Site LTAR CDP File Number 191868 - 1 County ID Number 'Site Modifications ❑ Open- Fill, Sheet Nog. .radin9or constfuction activity is allowed in areas designated for system and repair without approval of Health Department., 'Permit Conditions The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits.The permit holder is responsible. forchecking with appropriate governing bodies in meeting theirrequirements.. ; The layout of this septic system has.been designed by Soli i Environmental Consultants, PA. See Page Mor the design. All design criteria.can be picked up at Davie Env. Health: The house sizes and exact location on the site must not exceed the designdimensions as specified in the design layout. Site Plan Theimprovement Permit .shall bevalidfor 5years from date ofIssue with asite plan (means adrawing notnecessarllydrawn to O. scale that shows the existing and proposed propertyllneswith dimensions, thelocationatthefactlityand appurtenances,tns site for the proposed wastewater system, and the location of water supplies andsurfacewaters). Plat The Improvement Permit shall be wlidwithout expiration with plat (means a property surveyed prepared by a registered land O, surveyor, drawn to a scale of oneInch equals no morethan 60 feet, that Includes: the specific location of the proposed facility and appurtenances, the site for the proposed Was tawatersystem. and the location ofwater suppiles and surface water s. Plat' also means, forsubdlNslon lots approved by the local planning a4thority and recorded with the county regtsterof deeds, a, Copy; of the recorded subdlNslons platthat is accompanied by a site plan that is drawn to scale). The Department and Local Health Department may Impose conditions on the Issuance and may revoke the penults for failure of the system to sagsty the conditions, the rules, or this article. This pemmit Is subject to revocation if the site pan, plat or Intended. use changes (NCOS 13DAa36M). The person owning or controlling titesystem shall be responsible forassudng compllance with the laws, rules, and permit conditions regarding'systern location, Installation, operation; maintenance, monitoring, reporting,.and repair (As3s(b)} Applicant/Legal Reps. Signature Required? Oyes ONo Applicant/Legal Reps. Signature: Date: 'Issued By: 2140-Nauons,Robert Authorized State Date of Issue: 0 4/ 1 6/ a 0 1 5 OValid without Expiration? a� 0Create CA? 01 -land Drawing .@Import Drawing **Site Plan/Drawing attached.** Page 2 of 3 ,V IMPROVEMENT PERMIT FarOffice Use only - an Davie County Health Department coP Fre Nuigher 1911868--A -210 Hospital Street Golinty ID Ntirnber P.O. Box 848 Evaluated For. NEW_ Mocksville NC 27028 Township: Phone: 336-753-6780 Fax: 336-753-1680 PERMIT VALID UNTIL 4/16/2020 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be Issued with this Improvement Permit. Applicant: PSC Development Cor, Address: Address: PO Box 340 Cay: Mlocksville State2ip: NC 27028 Phone 4: (336)751-7300 Address/Road M Essex Farm Advance Structure: # of Bedrooms: # of People: *Water Supply: NC 27006 SINGLE FAMILY 4 PUBLIC LPP Property owner* PSC Development Cor, Address: PO Box 340 CRY: Mlocksville State/Zip: NC 27028 Phone #: (336) 751-7300 Subdivision: Essex Farm SaprotiteSystem? OYes ®No Design Flow: 4 8 0 Soil Application Rate: 0 a 5 "System Classification/Description: TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION; *Proposed System: 50%REDUCTION Phase: Lot: 55 Directions Hwy 64 East, left on Cronatzer, Essex Farm on left, past Beauchamp Rd Minimum Trench Depth: Maximum Trench Depth: Septic Tank: 1 -Piece: Pump Required: P, ump Tank: 1 -Piece: a 8 Inches a 8 Inches 1 5 0 0 Gallons OYes @ No ®Yes ONo OMay Be Required �a 5 , 0 :0. Gallons, OYes ®No Repair System Required:®Yes ONo ONO, but has Available Space Repair System *Site Ciassif cation: PS LPP Minimum Trench Depth: a 8 Inches Soil Application Rate: 0 a 5 'SystemClassification/Description: TYPE Iv A. ANY SYSTEM WITH LPP DISTRIBUTION. 'Proposed System: 50% REDUCTION Maximum Trench Depth: a 8 Inches Pump Required: ®Yes ONo OMaybe Pagel of3 3 BR 45 HOUSE 44. CIIA • R d 60.Pink e2 - I , GRAPHIC SCALE 1"=50' 50- 0 50 100 .,IDfN fse MD PSE g4MlI '��'�i pgz aT o:Im..YY,YeAY F a i R sP^ ,„, TM^ c¢x.�P E C Soil & Environmental Consultants, PA p x ” Pi PYR N1nYPbW eYN•YniRC•WLYeNWw tYO•IIn-IMNbMC�fu PU TYMi O Iia A eN - � Yellow 34• - - lo° 25' - -/ NVYDA �Plwl 0.Z P[IWEIIOIII PLLM�YOYM AR Wvs1I IlY NWME FOAMC• A OLP[ vR LI[ iM1W _ ff NIP PN4000MnL:f eR PM,N YOfNYSPHOD NPpOId,IPAl lle ' A IO mNP NPI�euO Ye NNIwPIAYP,Y,. -N Y,YP PY PC.YL IM P Lm 1 a` 55' 3 BR 45 HOUSE 44. CIIA • R d 60.Pink e2 - I , GRAPHIC SCALE 1"=50' 50- 0 50 100 .,IDfN fse MD PSE g4MlI '��'�i pgz aT o:Im..YY,YeAY F a i R sP^ ,„, TM^ c¢x.�P E C Soil & Environmental Consultants, PA p x ” Pi PYR N1nYPbW eYN•YniRC•WLYeNWw tYO•IIn-IMNbMC�fu PU TYMi O Iia A eN �SUEA9i i[R PPFINN,IM W.NNK WWpRS qLY. NL IOIb M.1 PCglrlE AWRT'K 9! TIE a71A1M IFNIII E@M111[M! M A ID! 9f IR B� T6 YV ' SCUD PY V3C AS A CFMaY1 Ne6 E/I,E MlUS11FM5 MLL BE IEGSW! N 11E nEEo art ro Pll wAxETY AxP >aPacxsne wNnwmi¢ Ts w.P Nxr NTsrs Emuxi sPA mmeurc n>Ie ox-sa sEPnc TAVI sson SdIE OINFA CWSICfANWS TMT IliE4T 91E 9JIIABEM TUr EIKUD BE ECMAR?FD ' N IE�DCNIFM IXSM NE: ' 1) 1V 21VLt nrvM RJPW!/ YIC 2) 1N' SflNL% EIILYI NII .9L SI DV SEiWS iRCM SIRUl6. RYDP pi WS Sw NmrwU�p rMC I,pwL - Approx. 15,000 sf PIT4/ 65 PIF i PIT6 Soil area contains inches or more with - of usable material with potential to support conventional systems. Requires county approval. . Pit 2. shallow to rock, determined unsuitable GRAPHIC SCALE ill = 50' 50 0 - 50 100 BASE MAP PROVIDED BY CLIENT i j91a, T11L ..pCR xMln - '>;•aa=as v sEPTc sysm uvouT Essx rAxMs E C Soil & Environrlental Consultants, I ff SKETCH MAP -_ rxr m,lrt M>m u,Mw N.I.rlgnPn P.wsr,n ui<P. ®.n... nemaPm.re ax>)nNN n MrxNN ) �• PSC Development -Cor, LLC. Phone: Mailing Address: Fax: (336) 751-7300 PO Box 340 (336) 751-2669 Mocksville. NC 27028 February 6, 2015 Attached are 7 copies of prints for some of the housing footprints which RS Parker Homes has either built or considering building on Essex Farm. Hope this helps in the decisions concerning septic system and maximum acceptable house footprint for lots 51, 52, 53 and 54. We have been requiring the builder to side load the garages, to minimize the passing traffic and adjoining homeowners from having to look at open garage doors and homeowner goodies in the garage. Since lot # 51 can have a house facing Wyatt Way, we would side load from Essex Farm Road, so that it would minimize driveway S.F. and not adversely affect the size of the footprint and the type of septic system necessary. The other three lots would be a different situation, in that they face only Wyatt Way. Anything that would fit within the criteria for 4 bedroom would be greatly appreciated. Hope the attached helps with your analysis and welcome your ideas. Reggar`ds,� ff Butler PSC Devel ment-Cor; LLC 336-751-7 0 Office 336-408-1459 Mobile +185 H LE W S 82 —28'_00 + 187 LE O 100.00' E -` S 82'-28'—OOH E � S 82'-28'-00" 3.08' , 9. 1 • '90.39. 19.21' E .... N 109 61' 125.29' +,17 HOLE S 82'-28'_OO•• +179 HOL +178 HOLE E +175 OLE J 3+ 173 (11)76 HOLE C� C) P 30001 Sq.Ft.I, p tj I LL f4G E0.689 Ac.+/- +164 OL w +N 300072 HOLE' _ o Q, o Htq. EQ o o +171 - / 0.68.9 Ac.+/.. C) l o00 "' 000w.o ./ o' mn CO. r �s2 � °moo 168 HOLE Z co • /rL`L�� 167 HOLE 00 . tK N N O co 100:00 65 -' 9.65 P ` 100 00�� / / \ 30001 Sq.Ft. N 82-28'—pp" r �a0 C' 0.689 Ac.+/— rYWA Y W C� 0 9 50+166 , . S fR/W "� n + 166 �i�� HOLE 82'--2g'_ (public) 28 _ `+ 1163aQ�E 83 37.E