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1229 Junction Rd, 171 Delanos Ln Lot 13Davie County, NC t k ' Tax Parcel Report Tuesday, January 3. 2017 WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: M401OA0013 Township: Mocksville NCPIN Number: 5726902900 Municipality: 008660454 Soil Types: Account Number: 69870000 Census Tract: 37059-801 Listed Owner 1: SPILLMAN CLARENCE Voting Precinct: SOUTH CALAHALN Mailing Address 1: 1949 JUNCTION ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 13 GRANT HEIGHTS 1.49 ac Fire Response District: COOLEEMEE Assessed Acreage: 1.49 Elementary School Zone: COOLEEMEE Deed Date: 8/2011 Middle School Zone: SOUTH DAVIE Deed Book / Page: 008660454 Soil Types: Gn132 Plat Book: 10 Flood Zone: Plat Page: 371 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 91.E �, 1 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, i implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the �T County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to .r.... �o _._ NC,__. .______.... .._.�.....�....... or arising out of the use or Inability to use the GIS data provided by this website. t DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 ON-SITE WASTEWATER CERTIFICATION FOR DWELLING (Check One) REPLACEMENT Mailing Detailed Directions To REMODELING ❑ RECONNECTION❑ L.d Phone Number: 33 b `T '-�236 %n(Home) 7�ZS j l (Work) 17 o 1 �xZDV 71� 30� Z!OL� i Please Fill In The Following Information About The Existing Dwelling-. / /meat C Pzrin f�p5/v2 C�rc,4-��5hjLz Name System Installed Under. & I ��i /m (/h, Type Of Dwelling: Date System Installed(Month/Day/Year): 21171d Number Of Bedrooms: 3 Number Of People- Is The Dwelling Currently Vacant? Yes; No ❑ If Yes, For How Long? e 0 S Any Known Problems? Yes ❑ Noy If Yes, Explain: Please Fill In The Following Information About The New Dwelling: Type Of Dwelling: 6W (h R Number Of Bedrooms- 3 Number Of People: Requested By: (Signature) For Environmental Health Office Use Only ApprovedA- Disapproved ❑ Requested: Environmental Health Specialist L &L(W Q�� AmoaJX - Date �� �c l b 'Me signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a I Kuarantee(extended or limited). that the on-site wastewater system will function properly for any given period of time. ?ayment: Cash ❑ Check*e Money Order ❑ # qS 11 Amount: $ .l.' 0.0e Date: EZZ - 0 ?aid By: q Received By: kccount #: �� / Invoice #: Davie County, NC Tax Parcel Report Tuesday, January 3, 2017 O h } WAK1'41d lli: IMM lb INUI A IUKVl' Y All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the Parcel Information ` Parcel Number: M4010A0013 Township: i Mocksville j NCPIN Number: 5726902900 Municipality: Account Number: 69870000 Census Tract: 37059-801 Listed Owner 1: SPILLMAN CLARENCE Voting Precinct: SOUTH CALAHALN Mailing Address 1: 1949 JUNCTION ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 13 GRANT HEIGHTS 1.49 ac Fire Response District: COOLEEMEE Assessed Acreage: 1.49 Elementary School Zone: COOLEEMEE Deed Date: 812011 Middle School Zone: SOUTH DAVIE Deed Book / Page: 008660454 Soil Types: GnB2 Plat Book: 10 Flood Zone: Plat Page: 371 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding 8r Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: O h } S Davie County, All data is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the NC County of Davie, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to i the Inability to the GIS data by this pU N t or arising out of use or use provided website. Ki AVTj-I0,R,j,7,ATIONNOL 1-531 DAVIE COUNTY HEALTH DEPARTMENT ! Environmental Health Section PROPERTY INFORMATION Permittee Is P.O. Box 848 • N; Mocksville, NC 27028 Subdivision Name: '---r Phone # 336-751-8760 Directions to property: Section: Lot: /.-F-'</ AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION -- I ' I Tax Office PIN:#:� ;?NaK Road Name: Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building -Permits. This Forn-L/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I I of G.S. Chapter 130A, Wastewater Systems, Section.] 900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED ry,v i�lf'' Gy, f• h�;w ry �''T ":Pa aizRs rL-r . -•a ..'�C,.. . r ... K ,"SCO 153 ` DAVIE COUNTY HEALTH DEPARTMENT �1 1,-- IMPROEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's _ . Name: ., Subdivision Name .4� .,.l, ' Directions to property: a '? Section: Lot: IMPROVEMENT PEFJvIT Tax Office PIN:#' .� ,; •'; <`: Road Name-,,1�"/, o .' Zip. **NOTE** This Improvement Permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. An AUTHORIZATION FOR WASTEWATER SYSTEM CONSTFUCTION must be i)btained from this Department prior to the construction/installation of a system or the issuance of a Puilding permit r (In compliance with'Alticle 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST Y DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No - I COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or } 0 LOT SIZE / TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD)- fX/' NEW SITE �- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE �/n GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. wee-} OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: i **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 9:30 A.M. OR 1:00 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: E 7� 3 1 � ;70 0A)D IuAUTHORIZATION NO./j)5 OPERATION PERMIT BY: DATE: **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05196 (Revised) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL /T' HE REQUIRED INFORMATION IS PROVIDED. / 1. Name to be Billed D(:�t/Ki i L ! i'YtQ /� Contact Person P Mailing Address PO 8 uY W Home Phone av ' - City/State/Zip Coo I u Mm NC, o -l-) 0 I Business Phone �U " - 2. Name on Permit/ATC if Different than Above Mailing Address _ 3. Application For: 4. System to Serve: 5. If Residence: Dishwasher 6. If Business/Other: # Commodes _ If Foodservice: ❑ Site Evaluation J ❑ House Mobile Home # People ❑ Garbage Disposal Specify type _ # Showers 7. Type of water supply: # Seats_ / Q County/City Ciy/State/Zip Fir/improvement Permit & ATC ❑ Business ❑ Industry ❑ Other ❑ Both # Bedrooms J # Bathroomsy? Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Yes W' No PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1 WRITE DIRECTIONS (from ,�s� 1 Mocksville) TO PROPERTY: Tax Office PIN: # Property Address: Road Name 1 M',0C,/<S �-�021 City/Zip �I �� 1 1 If in Subdivision provide information, as follows: j� 1 Name: 1 Section: Lot #: S� of 1 1 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative f the Davie County Health Department to enter upon above described property located in Davie County and owned by' f U o tm—,--' to conduct all testing procedures as necessary to determine the site suitability. Q DATE & . �U _ SIGNATURE � `1 •J Revised DCHD (06-96) .Jde-�O J,2,1- [I 7�b '^ DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section APPLICANT'S NAME PROPOSED FACILITY SUBDIVISION Water Supply Evaluation By: On -Site Well Auger Boring Soil/Site Evaluation Community Pit SECTION_ LOT %3 s�� DATE EVALUATED PROPERTY SIZE I—At" ROAD NAME Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence / Structure ,e 1 Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION bcdc LONG-TERM ACCEPTANCE RATE I , V , SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (O1-90) EVALUATION BY: OTHER(S) PRESENT: 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 Moist 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 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 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 - gal/day/ft2 ■■M■■E■E■E■ MEMO■■■■■■■ ■EMEM■MEM■■ ■M■■M■MM■■■ ■EM■■■■EMM■ ■■MME■■■M■■ ■■M■■M■■E■■ ■ME■MME■■M■ ■■M■■■■M■■■ ■■M■■■■■■E■ ■■■M■■■■■M■ MMMEMEMMEME ■■M■■■■■■E■ ■M■■MMEMEM■ ■■M■M■■M■M■ ■E■■■■■MEM■ ■■M■■■MMMM■ ■■MME■■■■M■ ■■M■M■EM■M■ ■■M■■■■MMM■ ■■E■■■■■■M■ ■ ■E■ MEN ENE ■■■ ■■ ■EN■E■ ■E■■M■ ■■■■■■■■■■■■■■■■■■■■■ i ■ ■■■■■ ■■N■■ ■■E■■ ■M■■■■M■ ■E■■■MM■ ■■■MMM■■ ■■M■■MM■ ■■MMM■■■ ■■■■■■■■ WEE ■N■ ■ NEE ■E■ MEN ■■M■ ■■■■ ■E■■ ■E■■ NONE ■■■■ ■■■■ SEEN MEMEM■M" ■■■E■■■E■ ■ME■■MM■■ ■■■M■MM■N ■■MM■M■■■ ■■■■■■■■■ ■EEME■ME■ ■■■■■■■■■ ■■■M■■M■■ ■■■M■M■■■ ■■■■■■■■■ Davie County, NC I Tax Parcel Report Wednesday. January 4, 2017 WARNING: THIS 1S NOT A SURVEY Parcel Information Parcel Number: M401OA0013 Township: Mocksville NCPIN Number: 5726902900 Municipality: 008660454 Soil Types: Account Number: 69870000 Census Tract: 37059-801 Listed Owner 1: SPILLMAN CLARENCE Voting Precinct: SOUTH CALAHALN Mailing Address 1: 1949 JUNCTION ROAD Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: LOT 13 GRANT HEIGHTS 1.49 ac Fire Response District: COOLEEMEE Assessed Acreage: 1.49 Elementary School Zone: COOLEEMEE Deed Date: 8/2011 Middle School Zone: SOUTH DAVIE Deed Book I Page: 008660454 Soil Types: Gn132 Plat Book: 10 Flood Zone: Plat Page: 371 Watershed Overlay: DAVIE COUNTY Building Value: Outbuilding & Extra Freatures Value: Land Value: Total Market Value: Total Assessed Value: 9�,v Il I 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, i Implied warranties of merchantability or fitness fora 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 moo ply NC or arising out of the use or Inability to use the GIS data provided by this website. _._.._____—.��___._._.._...,._._..— _._..._.____--.,....._......._.......____..—__—_-_e—.____—_........_._.__.__._.__.__—_._._.__.._—.__...__.__._ .___—.-__ i AUTHORIZATION NO: 0512 DAVIE COUNTY HEALTH DEPARTMENT �_ N Environmental Health Section PROPERTY INFORMATION Per niitee's l ; t P.O. Box 848 N Name: ` �. '''.%r! l-✓ Mocksville, NC 27028 Subdivision Name: Phone #: 704-634-8760 �b Directions to property: ll y/ t .• .� el Section: � Lot: i7 0 -1q flp AUTHORIZATION FOR © WASTEWATER Tax Office PIN:# �r W4 7 d - �/ 00 SYSTEM CONSTRUCTION Road Name:. r„, ,'f i'v, /r°Zip .d **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. . (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION r G - IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION 7 F� Permtfee's , 1 ,�-•�` Name . �•«.°.'"�.-�',--. -,-�_ ;,-' ,. Directi6ns-to property: ` IMPROVEMENT PERMIT >w -`- I,J N Subdivision Name' - Section: z Lot: Tax Office PIN:# Road Name: Y ^ Zip: **NOTE** This Improvement Permit DOES NOT authorize the construction or installation 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) ***NOTICE*** TILS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE # BEDROOMS # BATHS #OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE /� TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) NEW SITE G/ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE,,,r GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH -Z2� LINEAR Fr. 'PZt,i REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT AUTHORIZATION NO.G 611 Q OPERATION PERMIT BY: SYSTEM INSTALLED BY: ,'� DATE: Ila-A,�G **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 05/96 (Revised) r APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT, Davie County Health Department Environmental Health Section P. O. Box 848 Mocksville, NC 27028 SEP 2 0 IQ j (704) 634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSE UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED 1. Name to be Billed i-� n r! J O a p Contact Perso x / J Mailing Address O �j( 1 Home Phone 2 b Y� "Q �7 q City/State/Zip &'aO i2 , JC Q%1 `f Business Phone �Q 3t "-'?5SI 2. Name on Permit/ATC if Different than Above Mailing Address !—U C2(2y= LDL City/State/Zips CLOW � oI/ C � cl—J' / U / 7- 3. Application For: ❑ Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People # Bedrooms_ # Bathrooms ❑ Dishwasher ElGarbage Disposal Z/ Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type �JIQ # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: Z County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes O No If yes, what type?` INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: 1Oin . Q (v -3y .7 1?1 WRITE DIRECTIONS (from TO r M /w m ' Ll P16 — L(� / � 1 Mocksville) TO PROPERTY: Tax Office PIN: #1oZ 6 - 1 Property Address: Road Name Qmz�o't-1673 (�• 1 . 1 City/Zip i' 17 4/AC o�)70a g 1 1 1 If in Subdivision provide information, as follows: 1 Name: 1 Section: Lot #: 1 1 1 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department to enter upon above described property located in Davie County A 11 and owned by JLAto conduct all testing procedures as necessary to determine the site suitability. DATE 4012Q&SIGNATURE Revised DCHD (06-96) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation DATE EVALUATED r NAME ADDRESS PROPOSED FACIILTY Water Supply: Evaluation By: On -Site Well Auger Boring ,&)121 G PROPERTY SIZE LOCATION OF SITE -7"1''i` %bw Community Pit FACTORS 1 2 3 4 Landscape position L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure i 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: P -Y EVALUATED BY: 14i 1// LONG-TERM ACCEPTANCE RATE: ' OTHER(S) PRESENT: REMARKS: DCHD(01-901 LEGEND Public c/ Cut 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- Vc.-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, 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 - gal/day/ft2 .................................................................. ........................................................■......... ........................... ................... .... ............. ■■■■■■..■.■■■....■■..■■■■■■...■■.■.■.■.....■■■ M■MMMM■E mom■Mmmoo■ ■■■■■■■■■.■■■■■..■.■■■■■■■■■■■■■.■ ■ ■mono■ .■.N■■■.■■■ ■ mono■ ■■■......■.■...■..■.■......■..■.■.�■..00..■■■n.O■..0■■ON■ ■E■■M ■ ■.■■■■■■.■■■.■■■.■■■.■■■.■■■.■■. ■■.■■HN�M■■■■■■■■■■■■■■■■■ 0 MOMM■■■■■■■■■.■■■■■■.■■■■■■.■■■■■■■■■■■■■■EN■■■■■■.■ ■■■ MMEMEMMEMMEM MM■ EMMEM■ ■■■■■■■.N■■■.■ON■■■■■■■■■■■■■■■..■■■■■■■■■■Nm■. ■■■■ MMOMME� ■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■.■■■■■■.■■.■.■.. .� ■ MIN■MM■■.I .....................N■■■■■E■/,a�O■O■u■■■■■NNN...■..M.■..■..■ ■■■.■■.■■.■■■.■■■.■■■■■■..■■■■fill ■■OM■■MEMOMMo�■■■NmN■n�■.■■..■■ ■■■ N■Mn.■.■H■Nm■■■■■■■■.■■rt■■..■.■..■■...mmom MEMO ■NESE ..■.moon ow mommom =N i�°Him NN MMINUMMMMEMI E ' =moons ■i�iii�iiiiii�iiiiii�i""" "" ' "' MMEMEN � """ ■■■■O■■■OO■■O..■O■O■■.■■Om�■Om■■ NNONE mmommommoomm ONE ■ o■■Omo■■E■■■ MUMMUMME ................................�.�... ■ ■o am . �O. ...........■■■■.............�■■. 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