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1237 Junction Rd, 163 Delanos Ln Lot 14Davie Countv. NC f Tuesday. January 3. 2017 Parcel Information Parcel Number: M4010A0014 Township: Mocksville NCPIN Number: 5726902840 Municipality: Account Number: 82516538 Census Tract: 37059-801 Listed Owner 1: SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN Mailing Address 1: PO BOX 738 Planning Jurisdiction: Davie County City: COOLEEMEE Zoning Class: DAVIE COUNTY R-A,R-20 State: NC Zoning Overlay: DAVIE COUNTY CZOD Zip Code: 27014-0000 Voluntary Ag. District: No Legal Description: LOT 14 GRANT HEIGHTS 1.46 ac Fire Response District: COOLEEMEE Assessed Acreage: 1.46 Elementary School Zone: COOLEEMEE Deed Date: 12/2013 Middle School Zone: SOUTH DAVIE Deed Book / Page: 009450493 Soil Types: GnB2 Plat Book: 10 Flood Zone: Plat Page: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: g Freatures Value: Land Value: Total Market Value: Total Assessed Value: 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, consultams, contractors or employees from any and all claims or causes of action due tc rap N S> NC or arising out of the use or Inability to use the GIS data provided by this website. AUTHORIZATION NO: '"ir 3'0 DAVIE C LINTY HEALTH DEPARTMENT (Environmental Health Section PROPERTY INFORMATION Permittee's / , P.O. Box 848 t j 1 Name: ! ��� i �.�/��-Y` Mocksville, NC 27028 Subdivision Name: �!' ' tf�' /fit /6- Phone # 336-751-8760 Directions to property: el Section: Lot: AUTHORIZATION FOR WASTEWATER}; SYSTEM CONSTRUCTION Tax Office Road Name:',(L,/-'/ /`,,?/r'� Zip:rl0%4 **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 I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) !i ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION �� f.. •,tta,�/!4� Gf,i `V . i/r IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED DAVIE OUNTY HEALTH DEPARTMENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION _Permittee's , Name: k"' �` %% ' - - Subdivision Name: r / N'r�rLt. ✓y �'- Directions to property: "tTSection: f Lot:. IMPROVEMENT f PERMIT Tax Office PIN:# J � Road Name '.l ./,;,/r,, 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 I I 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 ,DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE !t i. # BEDROOMS y�_ # BATHS —._ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE�/�, # PEOPLE # PEOPLFISHIFT / # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE ( TYPE WATER SUPPLY ' y DESIGN WASTEWATER FLOW (GPD) �o NEW SITE L—' REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZF�-� GAL. PUMP TANK GAL. TRENCH WIDTH a ROCK DEPTH LINEAR FT. �d OTHER 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 (336)751-8760. OPERATION PERMIT SYSTEM INSTALLED BY: AUTHORIZATION NO. 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 05/96 (Revised) DAVIE OUNTY HEALTH DEPARTMENT Permittee's' Name: r Directions to property: r' TMPRO 1 EMENT AND OPERATION PERMITS. PROPERTY INFORMATION -, Subdivision Name: ;r Section: ,�'� Lot:. IMPROVEMENT PERMIT Tax Office PIN:# ­ Road Name. -j 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*** THIS 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.2/2—/ / # BEDROOMS _, # BATHS _V_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY i"'" DESIGN WASTEWATER FLOW (GPD) NEW SITE 4—'." REPAIR SITE r SYSTEM SPECIFICATIONS: TANK SIZE/JC �' GAL. PUMP TANK GAL. TRENCH WIDTH X�^ y ROCK DEPTH <'' LINEAR FT._ ='t� OTHER 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 (336)751-8760. OPERATION PERMIT AUTHORIZATION NO. OPERATION PERMIT BY: SYSTEM INSTALLED BY: DATE: I **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 1I 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 03/96 (Revised) ' APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT L72AT (E M R Q W R Davie County Health Department Environmental Health Section JUN - 319913 P. O. Box 848 Mocksville, NC 27028 (704) 634-8760 ENVIRONMENTAL HEALTH ,MVIE COUNTY ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ,� h l ALL THE REQUIRED INFORMATION IS PROVIDED. / 1. Name to be Billed W &M Y (dyna%`) Contact Person Mailing Address eO 50Y- 73 Home Phone U �� City/State/Zip �1/ w��/ i lV� ';o04 Business Phone �U" T 2. Name on Permit/ATC if Different than Above Mailing Address 3. Application For: 4. System to Serve 5. IIf Residence: a' Dishwasher 6. If Business/Other: # Commodes If Foodservice ❑ Site Evaluation ❑ House 3"'Mobile Home # People ❑ Garbage Disposal Specify type _ # Showers 7. Type of water supply: City/State/Zip C( Improvement Permit & ATC ❑ Business ❑ Industry # Bedrooms 3 O"'Washing Machine ❑ Basement/Plumbing # Seats di/County/City # People # Urinals Estimated Water Usage (gallons per day) _ ❑ Well ❑ Both ❑ Other # Bathrooms ❑ Basement/No Plumbing # Sinks # Water Coolers 8. Do you anticipate additions or expansions of the facility this system is intended to serve? If yes, what type? ❑ Community ❑ Ye s It -"N o PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions:1 WRITE DIRECTIONS (from 5? - �� - u'IO 1 Mocksville) TO PROPERTY: Tax Office PIN: # U'j" Property Address: Road Name r, City/Zip I / 1 0C4f s V1,' X) 021 1 If in Subdivision provide information, asfollows:follows: Name: T�L 1 h4 --b 1 ' 1 ' Section: Lot #: 14 jib � 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 hJ and owned by 'a'"k-*U a- 6P ACX M"'��tm�to conduct all testing procedures as necessary to determine the site suitability. DATE & 1� 79 SIGNATURE Revised DCHD (06-96) 4i - _. .— DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section SECTION---/ LOT . IIle Soil/Site Evaluation APPLICANT'S NAME F �!/ DATE EVALUATED PROPOSED FACILITY PROPERTY SIZE SUBDIVISION Gj 7% ROAD NAME �� > Water Supply: On -Site Well Community/ Public Evaluation By: Auger Boring Pit �/ Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture groupG C Consistence Structure /G /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:yJ C LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND Landscape Position EVALUATION BY: �'& // OTHER(S) PRESENT: 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 DCHD (01-90) NEON NONE MEMO ■■M■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■/■■■■■■■■■■■■■/NOON/■■■■■■■■■■■■■■■■■ ■■■/■■■■/■■■■■■■■NOON■■/■■�■■■■■■■■■■■■■■■■■■/■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■/■■■■■■■■■■■■■■■■■/NOON/■■■■■■■■■■■■■/■■■ ■■■/■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■/NOON/■■■ ■■■■■■■■/■■■■■■■■■NOON/■■■■■■■■/■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ NONE ■E■■ ■M■■ ■EOM■■■■■ i ■ ■■ E Davie Countv. NO Tax Pnrr.Pl RPnnrt Wednesday. January 4. 2017 Parcel Number: NCPIN Number: Account Number: Listed Owner 1: Mailing Address 1: WARNIN T: '1'H151S NUT A SURVEY Parcel Information COOLEEMEE M401 OA0014 Township: Mocksville 5726902840 Municipality: SOUTH DAVIE 82516538 Census Tract: 37059-801 SPILLMAN ROGER P Voting Precinct: SOUTH CALAHALN PO BOX 738 Planning Jurisdiction: Davie County City: COOLEEMEE State: Zip Code: Legal Description: Assessed Acreage: Deed Date: Deed Book / Page: Plat Book: Plat Page: Building Value: Land Value: Total Assessed Value: Zoning Class: DAVIE COUNTY R-A,R-20 NC Zoning Overlay: DAVIE COUNTY CZOD 27014-0000 Voluntary Ag. District: LOT 14 GRANT HEIGHTS 1.46 ac Fire Response District: COOLEEMEE 1.46 Elementary School Zone: COOLEEMEE 12/2013 Middle School Zone: SOUTH DAVIE 009450493 Soil Types: GnB2 10 Flood Zone: 371 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Freatures Value: Total Market Value: 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 weba@e 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 NC or arising out of the use or Inability to use the GIS data provided by this website. AUTHORTZATI0N NO; O 513 DAVIE COUNTY HEALTH DEPARTMENT zN ( I Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: Mocksville; NC 27028 Subdivision Name: .-� Phone #: 704-634-8760 Directions to property: _ �(Llrl�`r-i� •'i� Section: f Lot: ZZ AUTHORIZATION FOR p 1 ry WASTEWATER Tax Office PIN:# SYSTEM CONSTRUCTION Road Name: .7.r Zip: r�, a **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.., a�_ /% ; .J. x r •'f� IS VALID FOR A PERIOD OF FIVE YEARS. .NVIR�AL�H SPECIALIST DATE ISSUED t4 _ .. - +� DAVIE COUNTY HEALTH DEPARTMENTc, IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Peril ttee's Name �` -'^ Subdivision Name. Directions to property:, +:-' ' Section: Lot: IMPROVEMENT f t P PERMIT Tax Office PIN:# Road Name �/{ t { i ',' 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) r' ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE ,+ 'u �' • F ' , �;" 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 _.�7_ # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY ( r:Jj ; DESIGN WASTEWATER FLOW (GPD) NEW SITE1, REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH,-?/ ROCK DEPTH . LINEAR FT.M( ( OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: **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.O ' OPERATION SYSTEM INSTALLED BY: a: A %.t4c,PAS� 1 1 v 1T E 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 05/96 (Revised) APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMITrMl Davie County Health Department Environmental Health SectionP. O. Box 848 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. 1. Name to be Billed Contact Person — Mailing Address 0-dHome Phone oo Sv-Q 9`/ 7 City/State/Zip fV -c 070/9, Business Phone cPP�_ 0551 2. Name on Permit/ATC if Different than Aboves[JC �,z tr� , 1 Mailing Address O ~%3g City/State/Zip 3. Application For: ❑ Site Evaluation ❑ Improvement Permit & ATC ❑ Both 4. System to Serve: ❑ House Mobile Home ❑ Business ❑ Industry ❑ Other 5. If Residence: # People — # Bedrooms 1_ # Bathrooms ❑ Dishwasher ❑ Garbage Disposal 2 Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing 6. If Business/Other: Specify type W/ # People # Sinks # Commodes # Showers # Urinals # Water Coolers If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: County/City ❑ Well ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 5-"-N o If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: / olD' 0o a r t 7—A1nRP - It P/6 ,,-r� X X07/0 ' >< Tax Office PIN: # - � - ? 1 Property Address: Road Name 1 1 City/Zip C 1 If in Subdivision provide information, as follows: 1 1 Name: 1 1 1 Section: Lot #: /IV 1 I WRITE DIRECTIONS (from Mocksville) TO PROPERTY: 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 Rearesentative of the Davie and owned by as necessary to determine the site suitability. DATE % SIGNATURE Revised DCHD (06-96) Department to enter upon above described property located in Davie County conduct all testing procedures DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY /�• DATE EVALUATED PROPERTY SIZE �t'9 e LOCATION OF SITE Water Supply: On -Site Well Community Public L� Evaluation By: Auger Boring Pit Ll- Cut FACTORS 1 2 3 4 Landscape position Sloe % -112 HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH 4 - Texture rou Texture C Consistence i Structure 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: 16 EVALUATED BY:� Ll LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-901 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- V=.. -y friable FR -Friable FI -Finn VFI-Very fine 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 CCCCiiiiiiiiiiiiiiiiiiiiiiiiiiiC.��iiiiiiiCCCCCCC■eiiiiiiiiiiiiiiiiiiC ■■...■■....■■.■■■.■■■■..■■■.■■■■.■■.■..■■■■■■■OMEN. ■■■E■■■.■■■E■ ■.■■.....■■EE■■.■■...■.■■.■..M.E�■..■■E.E■■E..■EOE ■■.EMNE■■■.E■■ CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC SCC� MMOMOME on CCCCCC0 MIMMMMCCCiiiiC ■■■E■...■■.■■■■■■■.e■■E■■.■.■■■■■■■E.E■.eEMEE=CFC C■■EC'�iei■E.■R�i.. ■EEE.■■■■EE■■■■EE■.E■■E.EEEE■EE■E.■EMN..�..■ ■ ■ O■. 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