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179 Essex Farm Road Lot 10Davie County, NC 'a Tax Parcel Report Tuesday, December 20, 2016 ;--- ----- r WARNING: THIS IS NOT A SURVEY 187 0 Parcel Number: F803OA0010 Township: Shady Grove z 5870640116 Municipality: of Account Number: 8304855 LLx 37059-803 Listed Owner 1: BROWN ISABEL MARIA Voting Precinct: FAST SHADY GROVE LU 179 ESSEX FARM ROAD Planning Jurisdiction: 0 41 City: 179 -------- Zoning Class: DAVIE COUNTY R -A State: ` 107 Zip Code: 27006 Voluntary Ag. District: No + -------- -- ---WYA Ie err 0.69 DR Deed Date: X0 Middle School Zone: 171 CcI 009830761 Soil Types: rW Plat Book: - - U wL i ; Plat Page: 290 11.14 9s�ig 1111 data is pmWded as b wlthoaft nty, orguarantes ofany Idnd elthererynased or Implied Including but not limited to the Davie County, ImplledwnnntlesofinemitantabllgyorlhnmforapaNcularusa./WusersofDavieCounty'sGISrrebsgeshallholdhamlessthe Ai County of Dade, North Carolina, its agents, consultands, contractors oremployees from anyarui all claims orcauaes of scion due to N CpGN'Sl C - orarisin9 out ofthe use orinabirtyto use the GIS data provided bythis website WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: F803OA0010 Township: Shady Grove NCPIN Number: 5870640116 Municipality: Account Number: 8304855 Census Tract: 37059-803 Listed Owner 1: BROWN ISABEL MARIA Voting Precinct: FAST SHADY GROVE Mailing Address 1: 179 ESSEX FARM ROAD Planning Jurisdiction: Davie County City: Advance Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27006 Voluntary Ag. District: No Legal Description: LOT 10 ESSEX FARM PHASE 1 Fire Response District: ADVANCE Assessed Acreage: 0.69 Elementary School Zone: SHADY GROVE Deed Date: 3/2015 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 009830761 Soil Types: GnB2 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: 9s�ig 1111 data is pmWded as b wlthoaft nty, orguarantes ofany Idnd elthererynased or Implied Including but not limited to the Davie County, ImplledwnnntlesofinemitantabllgyorlhnmforapaNcularusa./WusersofDavieCounty'sGISrrebsgeshallholdhamlessthe Ai County of Dade, North Carolina, its agents, consultands, contractors oremployees from anyarui all claims orcauaes of scion due to N CpGN'Sl C - orarisin9 out ofthe use orinabirtyto use the GIS data provided bythis website Applicant:. RS Parker Hornes/Joy.ppringer Address 5 . 02 , Hickory , 'kid' ge r Drive CRY: Greensboro State/Zip: NC 27409 Phone it: (336) 978-7120 Add ress/Road M Subdivision; 179 Essex Farm Rd Advance NC 27006 Structure:, .$INGLE FAMILY. of Bedio0mv. 4' 9 of People: *WaterSupply: PUBLIC IIP Issued by. 2140 -Nations, Robed ICA issued by: 2140. Nations, Robed Design Flow: 4 8 0 Soil Application Rate. 0 .1 5 Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: /`ProP!qrtY9wQer-- RS Parker Hornes/Joy.SpIing9r- Address: 562 Hickory Ridge Drive CRY: Greensboro StatefLip: NC 27409 11� one #: (336) 978-7120 Phase: Lot: 10 Directions, Hwy 158 to Hwy 801 turn right, go to Comatzer Rd ,on Right, then Essex Faftn :on tight *System Classification/Description: Seprolfte System? OYes (§)No 'Distribution Type: PUMP TO GRAVITY Pump Required? *Yes ONo 'Pre -Treatment: 1 9 a 0 Sq. ft. 6 4 8 0 ft. 9 OInches O.C. — *Feet O.C. 3 Inches �Feet inches Minimum Trench Depth: OPERATION PERMIT 1 Davie CountyDepartment. en.t. Minimum Soil Cover. 210 Hospital. Street 9 PA Box 848 Maximum Trench Depth" 3 ",,maximum NC,'27028' Inches Phone: 336-753-6780 Fax: 336-753-1680 Applicant:. RS Parker Hornes/Joy.ppringer Address 5 . 02 , Hickory , 'kid' ge r Drive CRY: Greensboro State/Zip: NC 27409 Phone it: (336) 978-7120 Add ress/Road M Subdivision; 179 Essex Farm Rd Advance NC 27006 Structure:, .$INGLE FAMILY. of Bedio0mv. 4' 9 of People: *WaterSupply: PUBLIC IIP Issued by. 2140 -Nations, Robed ICA issued by: 2140. Nations, Robed Design Flow: 4 8 0 Soil Application Rate. 0 .1 5 Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: /`ProP!qrtY9wQer-- RS Parker Hornes/Joy.SpIing9r- Address: 562 Hickory Ridge Drive CRY: Greensboro StatefLip: NC 27409 11� one #: (336) 978-7120 Phase: Lot: 10 Directions, Hwy 158 to Hwy 801 turn right, go to Comatzer Rd ,on Right, then Essex Faftn :on tight *System Classification/Description: Seprolfte System? OYes (§)No 'Distribution Type: PUMP TO GRAVITY Pump Required? *Yes ONo 'Pre -Treatment: 1 9 a 0 Sq. ft. 6 4 8 0 ft. 9 OInches O.C. — *Feet O.C. 3 Inches �Feet inches Minimum Trench Depth: 3 1 Inches Minimum Soil Cover. 1 9 Inches Maximum Trench Depth" 3 ",,maximum 6 Inches Soil Cover. .1 4 Inches *System Type: INFILTRATOR QUICK 4 STANDARD Installer frankTansou Certification #: 2771 *EH S: 2140 -Nations, Robert Date: 0 a/ I a / 2 0 1 5 CDP Fite Number 158798 -1 Manufacturer. shoal STB: 760 Gallons: 1000 Date: 0 8/ 0 a/ a 0 1 4 *Filter Brand: POLYLOKPL-122 With Pipe Adapter STMarker. ❑ Yes R No nforced Tank: ❑ Yes IN No 1 Piece Tank: ❑ Yes (] No Manufacturer. shoaf PT: 42 Gallons: 1250 Date: 0 8/ 0 a/ a 0 1 4 RiserSealed ® Yes ❑ No Riser Height: [E Yes ❑ No (Min.6 in.) nforced Tank: ❑ Yes ❑r No 1 Piece Tank: p Yes ❑ No Pipe Size: a inch diameter Poe Length: 1 4 0 feet *Schedule: 40 Pressure Rated ® Yes ,pproved fittings p Yes PumpType: Zoeler Dosing Volume: Draw Down: *Chain: STAINLESS Valves Accessible I] Yes Flow Adjustment Valve ® Yes Check -valve ® Yes PVC. Unions, ®Yes Vent Hole ® Yes \ Anti -siphon Hole i] Yes County ID Number: Fs 30•AO-010 Lat. Long: i Installer. Frank Transou '! Certification #: 2771 THS: 2140- Nations. Robert Date: 0 a/ 1 a/ 2 0 1 5 Approval, Status ® Approved D Disapproved Pump Tank Installer Frank Transou Certification #: 2771 THS: 2140 -Nations, Robert Date: 0 a/ 1 a/ 2 0 15 Approval Status ❑O Approved O' Disapproved pply Line Installer. frank Transou Certification #: 2771 THS: 2140- Nations. Robert ❑ No Date: 0 a/ 1 a/ 2 0 1 5 ❑ NO A'pprov8l'$tetus ® Approved ❑ Disapproved Installer. Gal Certification #: Inches *EHS: 2140- Nations, Robert 0 No CDP Filp Number 158798-1 N EMA 4X Box or Equivalent [E Yes Box 12 inches Above Grade Q Yes Box Adj. ToPump Tank, 91 .Yes; conduit Sealed I] Yes Pump Manually Operable ff] Yes 'Activation Method: PIGGYBACK Alarm Audible 91 Yes. Alar Visible R Yes *Operation Permit completed Authorized State Owner/Applicant Signature: County ID Number. F8-030-ao•010 ❑ NO Installer. Faniktransou ❑ No Certification#: 2771 ❑ No ❑ No "EH S:.2t4D;Nations,,Robert ❑ 1.L. No .Date: 0 '.1 / 1 `a_ /.a,;0_`1 5i. Approval Status; ❑ Noi I];gpprove `d❑ Disapproved` ❑ No 2140 - Nations, Robert Date of Issue: 0 a/ 1 a/ 2 0 1 5 This system has been installed in compliance w1h applicable NC General Statutes: Article 11, Chapter 130A, Rules for Sevtage,Treatment and Disposal,15ANCAC,M ;1900 et, Seq.,and oil ,conditions of the improvement Permit and Construction Authorization. Ttlis property is served bye SeWdge, Septic System. =Rule :7961 requires that a Type septic system meet the following criteria: Minimum System Review ByThe Local Health Department: Management Entity: Minimum System Inspection/Maintenance Frequency By Certified Operator. Reporting Frequency By Certified Operator. Rule .1961 requires. that a Type IV and V septic:systems designed fora hometbusiness_owner must maintain a valid contract with a public rilanagement entitywxh a certified operatoror a'privste certified operator for , life ofth'e septic system. Rule .1961 requires that Type VI septic systems designed fora home/business owner must maintain a valid contract with a public management entdywith a certified operator for the Iffe of the septic system. ®Hand Drawing OlmportDravving =; **Site Plan/Drawing attached.** OPERATION PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksvilie NC DmwinE Drawing Type: Operation Permit 27028 (00 CDP File Number. 158798-1 County File Number: F8.030 -AO -010 Date: ././ /W/ O Inch Scale:. . . OBlock ON/A CONSTRUCTION AUTHORIZATION Davie County Health Department 210 Hospital Street 1 P.O. Box 848 Oo..A Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: Address: City: State2ip: RS Parker Homes/Joy Springer 502 Hickory Ridge Drive Greensboro NC Phone #: (336) 978-7120 27409 Address/Road #: Subdivision: 179 Essex Farm Rd Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: 'Water Supply: PUBLIC +`Site Classification: Provisionally suitable SaproliteSystem? OYes @NO Design Flow: 4 8 0 Soil Application Rate: 0 a 5 'System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 25% REDUCTION Nitrification Field No. Drain Lines 6 Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: 1 9 a 0 Sq. ft. / For Office Use Only *CDP File Number 158798-1 County ID Number: F"30-Ao-010 Evaluated For: NEW Township: 1 0/ 1 0/.2 0 1 9 Property Owner. RS Parker Homes/Joy Springer Address: 502 Hickory Ridge Drive City: Greensboro State/Zip. NC 27409 Phone #: (336) 978-7120 Phase: Lot: 10 Directions Hwy 158 to Hwy 801 tum right, go to Comatzer Rd on Right, then Essex Farm on right Minimum Trench Depth: a 4 Inches Minimum Soil Cover. 1 a Inches Maximum Trench Depth: 3 6 Inches Maximum Soil Cover: a 4 Inches *Distribution Type: PUMP TOGRAVITY Septic Tank: 1 0 0 0 Gallons 1 -Piece: OYes ®No Pump Required: @Yes ONo OMay Be Required Pump Tank: 1 0 0 0 Gallons 1-Piece:OYes ®No 4 8 0 ft. GPM—vs— ft. TDH 9 2 9 Inches O.C. Dosing Volume: Gallons — �r Feet O.C. — 3 @Inches Feet Grease Trap: Gallons inches Pre Treatment: ONSF OTS -1 OTS -II Septic Tank Installer Grade Level Required: 01011 0111 OIV CDP File Number .158798 - 1 it *Site Classification: Provisionally Suitable Design Flow: 4 8 0 Soil Application Rate: 0 a 5 *System Classification/Description: TYPE III B. SYSTEM W/SINGLE EFFLUENT PUMP *Proposed System: 250/6 REDUCTION Nitrification Field No. Drain Lines 6 1 9 a 0 Sq. ft. Total Trench Length: 4 8 0 ft County ID Number: F8 -030-A0-010 ❑ Open Pump System Sheet No ONO, but has Available Space Trench Spacing: — 9 2Inches 0.1 w Feet O.C. Trench Width: Inches 3 2 Feet Aggregate Depth: inches Minimum Trench Depth: a 4 Inches Minimum Soil Cover. 1 a Inches Maximum Trench Depth: 3 6 _ Inches Maximum Soil Cover: a 4 Inches *Distribution Type: PUMP TO GRAVITY Pump Required: @Yes ONo OMay Be Required PreTreatment: ONSF OTS -1 OTS -II "Site Modifications No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. 7! ^Permit Conditions The issuance of this permit bythe Health Department in no way guarantees the issuance of other pertmits.The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. °^ 2( This Authorization for Wastewater System Construction shall be valid for a person equal to the period of validity ofthe Improvement Permit, not to exceed five years, and may be issued at the same time the Improvement Permit Issued (NCGS 130A336(11)} If the installation has rat 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 rncone" falsified or changed, or the site Is altered, the permit or Construction Authorization shall become Invalid, and may be suspended or revoked (.1937(g)). The person awning 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: 1 0 / 1 0 / .1 0 1 4 Authorized State Agent:gg:r Malfunction Log Oyes ®Hand Drawing Olmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 CONSTRUCTION AUTHORIZATION Dayie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Drawing Drawing Type: Construction Authorization CDP File Number. 158798 -1 County File Number: F8-030-Ao-010 Date: 10/10/2014 W W O Inch Scale:. . .OBlock ON/A ■■NE■■■ ■ENE■■■ MEM Id ■■■ ■E■■E NONE MEN ■ IN E■ ■■■ NONE NONE E■■E ME ■ ■ N■■■■ ■■EMMMM ■■■E ■■ ■ M M■■■ E ■■E■E■E ■■■■■EN EEE■■E■ ■EEE IN ■■ ■ ■■ IN IN ■t ■■■■ ■EEE ■ ■■■■■■■ ■■■■■ ■E ■E I ■N ■ NINE MMIN ■■■■■■E ■■EN■■■ ■■■■■■N ■■■■E■■ No No ■ NONE ■■■E' ■■■■ NONE; ■■■■■EE ■■EEE■E ■ ■E■■ NONE ■■EN ■E■E■E■ OMEN MEN■E ■■■N. ■E■E■■E _ri IN-0-MMIMINE■ ME■■■■■■ ■ WIN Paoe 3 of APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC - Davie County Environmental Health rP.O. Boa 848/210 Hospital Street l� ^•CENED - P 1 ( - Mochsville, NC 27028 Date: -- �1,� _____.(336)753-6780/ Fax (336) 753-1680 (� Rec@RRiff8ik7n Fon Evylum on/Improvement Permit YAuthorizati!RIO Cons � - - pe o pp cauon.- L ew System CRepair 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. t1l'YL1l.tLLV l Name to be Billed R6 PW K2)" �iDtY12`7 - Contact Person I.A 6pr —s (aer Billing Address .rToa Wim LOrV Q I� Home Phone'` —� 0 City/State/ZIP (ter oo r15b o (� C a1 0 Business Phone 19 - -rm1 Name on Permit/ATC ifDierent than rreVrnrcr r LnrumwAiiun -"ate nouseiracuny Corners rraggeu NOTE: A survey plat or site plan must accompany this application. Included: O Site Plan �(m scale) (Permit is alid fe 0 onths w'tl site plan, no expiration with complete plat.) - - Owner's Name J� Ir S - Phone Number Owner's Address 5007 City/Stat Zip�441lIm^!O Property Address I7 ) City VQ f)CQ_fYt, - n..n Directions To Site: If the answer many of the following questions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? Oyes Vo - Does the site contain jurisdictional wetlands? - Dyes rMo "Are there any easements or right-of-ways on the site? Dyes o Is the site subject to approval by another public agency? Dyes Io #People . #Bedrooms #Batjuooms Garden Tub/Whirlpool Wes DNo Basement: DYes SRQo Basement Plumbine: Dyes o 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: Part ventional DAccepted ❑Innovative OAltemative 00ther Water Supply Type:�County/City Water D New Well OExisting Well - ' D Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? D Yes If yes, what type? No 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 - 1 'in a and agging or staking t e home/facility location, proposed well location and the location of any other amenities. Pr pe own is � or own s legal representative signature Site Revisit Charge - Date(s): - - Client Notification Date: Date - EHS: ' Sign given Dyes DNo Revised 11/06 /0 Account# Invoice #1,_,_f—,_i_ I SETBACKS: N07.32'00'E FRONT: 45' SIDE: 15' 100.00' REAR: 30' PROPOSED RESIDENCE DO SETBACK co If7 10 UTILITY -EASEMENT `t N07.32'00'E - 100.00' ESSEX FARM ROAD 50' - RIW (PUBLIC) GRAPHIC SCALE 40 0 20 40 w IN FEET ) 1 inch = 40 1t li i 50.00' PROPOSED RESIDENCE C 50.00' 7 PRELIMINARY PLOT PLAN FOR: RSP BUILDERS LOT 10 OF ESSEX FARMS, PHASE 1 P.B. 9 PC. 290 F��ming F.oginrcring, Inc. 8518 Tdad Drive, NC 27235 Phone:336-852-9797 *Fax: 336-8529766 NCBE7S C-0950 DATE: 09-29-14 REF: PR0J\1931-07\Ow9\E55RFAUM.Ow9 ATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC UV Davie Count- Environmental Health P.O. Box 48/210 Hospital Street Mocksville, NC 27028 (336)751-8760/Fax(336)751-8786 tion Site Evaluation/Improvement Permit . D Authorization To Construct(ATC) D Both ,,,ap\yOOPJ E(};y pplication: ONew System ORepair to Existing System OExpansior Mlodification of Existing System or Facility U • "'IMPORTANY*** THIS APPLICATION CANNOT BEPROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLIUANI INV VRMAI ION - / IWY44,73 Name to be Billed ASC Arra .p",rAT cw. i x Contact Person %cRRti Bv7c v,C Billing Address Aci-A.rr 31,o - Home Phone - City/State)ZIP 4rQf �cc�t .qac. L 7cz 8 Business Phone 7S/ - 73o0 - - v Name on Permit/ATC if Different than Above - - -. Mailing Address City/State/Zip rnvrnr�rr uvrvnvuyrrvry 'Lore nuwcrracwi wrucirra cu NOTE: A survey plat or site plan must accompany this application. Included: O Site Plan a lat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat) If the answer to any of the following 4uestionsris "yes", supporting documentatio99 must be mulched. Are there any existing wastewater systems on the site? DYes ONy - - 210 Does the site containjurlsdictional wetlands? - Oyes Are there any easements or right-of-ways on the site? ales 0190 - Is the site subject to approval by another public agency? - - DYes IrNp Will wastewater other than domestic sewage be generated? DYes [?No IF RESIDENCE FILL OUT THE BOX BELOW - #People # Bedrooms _ -# Bathrooms Garden Tub/Whirlpool DYes ONo Bem asent: DYes ONo Basement Plumbing: DYes ONo tMIZI CBL>t1163!7_xCI"�lyU1.1[�18YW4;IaaaY.�:]:11IaY.'I type of Facility/Business Total Square Footage of Building # People i Sinks- . # Commodes # Showers # Urinals 'Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) "OODSERVICE ONLY: # Seats - - Type system requested:��2fConventional DAccepted OImovative DAlternative--OOther Water Supply Type: 13-County/City Water 0 New Well. Misting Well _. O Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? O Yes ONo 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 'tgging or staking the house/facili location, proposed well location and the location of any other amenities. Site Revisit Charge Prope r r or o er's legal repmsenta re - Date(s): Client Notification Date: Data 1 - EHS: - Sign given DYes ONo Revised 11/06 Account# Invoice 9 I s r DAVIE COUNTY HEALTH. DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION Account #: 990004425 Billed To: PSC Development Corp. Inc. Reference Name: 'Brad Coe .Proposed Facility; 'Residence Property Size: Slope % Water Supply: Evaluation By: PROPERTY INFORMATION Tax PIN/EH #: 5870-64-2265.10 Subdivision Info: Essex Farm Lot # 10 Location/Address: Cornatzer Rd -27006 0.691 Ac. Date Evaluated: — ae —�-7 On -Site Well, Community Public Auger Boring Pit �� Cut FACTORS / / (�! 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture grou fs Consistence r StructureMineralo j,1 SF k 17HORIZON II DEPTH j -Texture rou 5 t C 1C__.Consistence r Structure /c Mineralogy HORIZON III DEPTH Texture group . Consistence Structure Mineralogyr HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON _ SAPROLITE . CLASSIFICATION - o o LONG-TERM ACCEPTANCE RATE y7 Zs SITE CLASSIFICATION: w:� aro1L EVALUATION BY: Vit j A loc 'I o'. a LONG-TERMACCEPTANCE RATE: OTHER(S) PRESENT..a / / REMARKS: A S-01 $oil Co -r (or, LEGEND Cot Landscape Position 0� '� �'` 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 . CONSTSTF.NCF. Mois VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic rStructure 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 iynlss 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 05/05 (Revisrdl 1 i **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: R<ew ❑Repair. ❑Expansion Permit Valid for: Med ears DNo Expiration Residential Specifications: #Bedrooms 7�#Bathrooms #People_BasementOBasement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(orDimensionsofFacility) ' DesignFlow(GPD): 118- Type of Water Supply: o ounty/City []Well ❑CommunityWell Site Modifications/PermitConditions As stated in 15A NCAC 18A.i969(5) SUM-Vted Systems may a So a use System Type LTAR Initial Ck Cr– cmbeA 0141$— Repair QCc cn�� O•a f Environmental Health Specialist - - .r Davie County Environmental Health P.O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 IMPROVEMENT PERMIT Account #: 990004425 Tax PIN/EH #: 5870-64-2265.10 Billed To: PSC Development Corp. Inc. Subdivision Info: , Essex Farm Lot # 10 Address: PO Box 340, Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: 0.691 acre 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: R<ew ❑Repair. ❑Expansion Permit Valid for: Med ears DNo Expiration Residential Specifications: #Bedrooms 7�#Bathrooms #People_BasementOBasement plumbing❑ Non -Residential Specifications: Facility Type # People_ # Seats_ Square Footage(orDimensionsofFacility) ' DesignFlow(GPD): 118- Type of Water Supply: o ounty/City []Well ❑CommunityWell Site Modifications/PermitConditions As stated in 15A NCAC 18A.i969(5) SUM-Vted Systems may a So a use System Type LTAR Initial Ck Cr– cmbeA 0141$— Repair QCc cn�� O•a f Environmental Health Specialist - - .r