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1849 Underpass Road P/O Lot 2 Section 2' AUTH0RIZP TI01`1 NO: 149!tJ DAVIE COUNTY HEALTH DEPARTMENT s Environmental Health Section PROPERTY INFORMATION Peimittee's `� P.O. Box 848 Name:'.:- qty) A 1 L- Mocksville, NC 27028 Subdivision Name: ' - Directions to property: J � Co. -7u F 0 t Phone #: 704-634-8760 , Section: Lot: AUTHORIZATION FOR —itsPA) tG,li , Ju�J t.r tw i �uC `r��WASTEWATER ' SYSTEM CONSTRUCTION. Tax Office PIN:# ,�i%l _ 7/ C, 51 T.' �t11 t_t. G'�1 rL� to+f T" `0 1cl Road Name: UWP MASS 69 Zip: Z 7CLY. —O **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 IS VALID FOR A PERIOD OF FIVE YEARS. ENVIAON MIEALTH SPECI�LLST DA * ISS ED OS/ U"04a°�s1�0 UNDER ASS ROAD SITE "� „ . IRON FOUND 2 ' 4� S 51°53 56 E 192.02 4 :b a� o� 19.83 �> "40'00"W 259.48 I FOUNDS 5 220.17' To CENTER OF INTERSECTION WHITEHEAD DRIVE AND UNDERPASS ROAD 0 X09 RE 1 QF Ln Ln yd 4 o, L. / / IRON BUND � JI N NI W W �00 � IS 1 r C m Im I I, I� 76.49' 20.14 N 44@ 3600"W 382,63' N z TOTAL z 10 & '(3) 1.1829 ACRES 186.00' @I CAR 04., -JOHN RICHARD HOWARD certify that ��•`�?00`t ,......�4% this ma was drawn from an actual s weWST'�R�a•� field survey under my direction and supervision, that the ratio of = SEAL precision is 1 _ L6.-91�1_0 ° S.•� A LV �► CHARS �. q_EGLAND SURVEYOR L-2890 �•��"!'�""~���� W 1 LL 1 oI O I IRON FOUND N_ • • LOCATION MAP 50 100 150 MAP FOR ROBBIN W. & DAWN .S. GREENWOOD SCALE TOWNSHIP I COUNTY I STATE DATE,s 1 " = 50' 1 FARMINGTON I DAVIE I N • C • 7-18-97 REVISION OF LOTS 2 AND 3 BLOCK 8 P.B. 3 PG. 88 GREENWOOD LAKE SECT 2 HOWARD SURVEYING JOB NO. JOHN RICHARD HOWARD RLS 97052 ' P.O. BOX 276 ADVANCE, N.C. (910) 998-5396 ` DEPARTMENT OF HUMAN RESOURCES DIVISION OF HEALTH SERVICES SANITARY ENGINEERING SECTION Greenwood Lakes Subdivision REPORT OF INVESTIGATION OR INSPECTION OF (Lannon Property) Block 8, Lots 2, 3,1( Place visited --- -Ilayie-C.ounty------------------------------------- Date --- Au&ULt 29:---------- 19_1L _ Address---------------------------------------------------------- Time spent --- Z -bras----------- By whom ____ Mr : Steve J._ Steinbeck,,� Soil -Specialist -_,.,1) 111 Persons contacted __Mr__Jose�h_;�I@ndo and Mr. Robert (Buck) Hall,._Jr_�_ Sanitarians, Davie ------------- ------ --- -- (Owner, Agent, tenant, manager, ocher) County Health Dept. Reason for visit ---- determine _site _ suitability_ for _the _installation of aground _absor.ption sewage disposal system Copies to: Amr. Joseph Mando, Sanitarians, Davie County Health Dept., Mocksville, N. C. - Mr. D. Y. McBrayer, District Sanitarian, DHS, Kernersville, N. C. Mr. Steve J. Steinbeck, Soil Specialist, DHS, Raleigh, N. C. Mr. Steven E. Lannon, Property Owner, Dayton, Ohio I REPORT: Owner's address: Mr. Steven E. Lannon, 5218 Greenbush Court, Dayton, Ohio 45429 i This property is bounded to the north on Greenwood Drive by a property line 240 ft. and to the south or back of the property by a property line 196 ft. long and to the east and west property lines 237 ft. and 217 ft. respectively. Examination of 2 test pits and additional soil borings on this property indicates that a brown, sandy clay loam topsoil overlies a reddish, with some tan, silty clay subsoil at a depth of 0.3 ft. below the surface. The subsoil was encountered to a depth of at least 4 ft, below the existing grade. This subsoil has a medium to weak, subangular blocky structure in the upper 2 ft. of the profile and below that depth, the structure becomes progressively weaker. This soil is slowly permeable and it is estimated that: the percolation rate would be approximately 120 in., plus. Based on the above noted observations on lot 2,it is recommended that a shallo-1 system be installed in the northwest corner of the property at a depth not to exceed 2 ft, below the existing surface. Since the site has a slope of approximately 5 percent and slopes away from the northeast corner of the property, a pump system may be requ"red. Therefore, if a pump system is required, it is recommended that a shallow, low-pressure system be installed. The design loading rate for this system should not exceed 0.25 gpd per square foot. Lot No. 3, Block 8, is bounded to the north that fronts on the road by a property line 190 ft. long, to the south by a 186 -ft. property line, and to the east and west by a property line 261 and 237 ft. respectively. Based on observation of test pits on this property, approximately 0.4 ft. of topsoil overlies a reddish -brown subsoil to a depth of at least 4 ft. below the existing grade. This subsoil has a moderate to weak, sub- angular blocky structure and is classified as a silty clay that becomes more massive with depth. Lot No. 3 has similar soil conditions to Lot No. 2 described above,and the same recommendations would hold; that is, the system be installed in the northwest portion of the property at a depth not to exceed 2 ft. below the existing surface with an application rate no greater than 0.25 gpd per square foot. MIS Form 1449 Rev. 11-7.1 SaI.1•ary FogineeriuR U s a. !Investigation of Greenwood Lakes Subdivision (Cont:) Page 2 August 29, 1979 n ILot No. 10, Block 8, has an area of approximately 1 acre and fronts on Whitehead Drive to the west. Percolation rates, as determined by the Davie County Health Department, were all greater than 300 mpi. The southwest corner of this property is located in a depression and is subject to standing water during the wet season. Based on examination of soil test pits and auger borings on this property, approximately 0.2 ft. of topsoil overlies a silty clay subsoil to a depth of approximately 1.6 ft. below the existing ,ratio. This subsoilhasa weak, subangular blocky structure and is very slowly permeable and overlies a massive saprolite that varies in color from reddish -brown to tan and gray. While the overlying subsoil has a weak, subangular blocky structure, the underlying saprolite parent rock material is somewhat massive and relatively impermeable, thus a perched water table condition would exist during the wet season. on 411e above noted observations, this site is properly classified unsuitable for the installation o£ a conventional sewage disposal system due to the slow soil permeability, shallow, depth to massive saprolite,and seasonally perched water table. APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PE Davie County Health Department v 15 s Gr Environmental Health Section �. P. O. Box 665 14AR 13 Mocksville, NC 27028 1. Application/Permit Requested By PGx4,), Mailing Address_AF 0 1 3 li n d t r a < s s �� Home Phone `1' ; if y�% % V,821Ce dol 7700% Business Phone 5,-^-c 2. Name on Permit if Different than Above 3. Application for: 'General Evaluation a Septic Tank Installation Permit 4. System to Serve: ouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unk�rn 5. If house, mobile home: Subdivision �}ec;w,le.s J Section �' Vy Lot # ❑ Basement/Plumbing No. of People ❑ Basement/No Plumbing No. of Bedrooms 30.-. ❑ Washing Machine No. of Bathrooms ��� — 3 ❑ Dishwasher Dwelling Dimensions ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: ublic ❑ Private 8. Property Dimensions 22- Q- /!4%A —2 Sewage Disposal Contractoi 9. Do you anticipate additions/expansion of the �facility this�sytem is intended to serve? If yes, what type? ❑ Yes ❑ No ❑ Community 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. Directions to Property: X _ AO k S -e O iN This is to certify that the information provided is correct to the best of my knowledge, and I incurred from this application. — /3 — S.S 9&- n 4J. DATE SIGNATURE I am responsible for all charges CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitabi ity for a grown bsorption sewage treatment and disposal system. DATE SIGNA11LIRIE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ���h (YI%eI-V% 09 DATE EVALUATED ADDRESS PROPERTY SIZE 720'F X,2VZ3S X labia PROPOSED FACIILTY 64 LOCATION OF SITE W "" L RIX I erU"uwad 6X%1 Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Pit Cut FACTORS 1 1 2 3 4 Landscape position ,L L L L Slope % HORIZON I DEPTH Texture group L G Consistence Structure Mineralogy HORIZON II DEPTH Texture group C_ C C Consistence E� Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION f LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: '!a LONG-TERM ACCEPTANCE TE: OTHER( ) P ESENT: n REMARKS: �! F J� � / i� f�i, •� A-1 LEGEND Landscave 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- V+ ---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 Ilorizon 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 (01-901 DEPARTMENT OF HUMAN RESOURCES DIVISION OF HEALTH SERVICES SANITARY ENGINEERING SECTION Greenwood Lakes Subdivision REPORT OF INVESTIGATION OR INSPECTION OF (Lannon Property) Block 8, Lots 2,3,10 Place visited --- .Ilayie_C9maty--------------------•---------__-_-__ Date ___Aupzust 29=---------- 1979- Address 979- Address----------------------------------------...---------------� -Time spent ----------- ByBy Steve J. Steinbeck Soil S ecialist whom-----------------------------�--------p-----------�� --------------------------------._..... Persons contacted __Mr__JoseRj riando and_Mr. Robert_(Buck) ltal1Z_Jr_s_ Sanitarians, Davie_-_ .- ------------- ----- ------ (Owner, agent, tenant, manager, other) County Health Dept. Reason for visit --_-determine _site suitability_ for _the _installation of aground _absorption____ sewage disposal system__._ Copies to: Amr. Joseph Mando, Sanitarians, Davie County Health Dept., Mocksville, N. C. Mr. D. Y. McBrayer, District Sanitarian, DHS, Kernersville, N. C. Mr. Steve J. Steinbeck, Soil Specialist, DHS, Raleigh, N. C. Mr. Steven E. Lannon, Property Owner, Dayton, Ohio REPORT: Owner's address: Mr. Steven E. Lannon, 5218 Greenbush Court, Dayton, Ohio 45429 i This property is bounded to the north on Greenwood Drive by a property line 240 ft. and to the south or back of the property by a property line 196 ft. long and to the east and west property lines 237 ft. and 217 ft. respectively. Examination of 2 test pits and additional soil borings on this property indicates that a brown, sandy clay loam topsoil overlies a reddish, with some tan, silty clay subsoil at a depth of 0.3 ft. below the surface. The subsoil was encountered to a depth of at least 4 ft. below the existing grade. This subsoil has a medium to weak, subangular blocky structure in the upper 2 ft. of the profile and below that depth, the structure becomes progressively weaker. This soil is slowly permeable and it is estimated Chat: the percolation rate would be approximately 120 in., plus. Based on the above noted observations on lot 2, it is recommended that a shallt_­, system be installed in the northwest corner of the property at a depth not to exceed 2 ft. below the existing surface. Since the site has a slope of approximately 5 percent and slopes away from the northeast corner of the property, a pump system may be required. Therefore, if a pump system is required, it is recommended that a shallow, low-pressure system be installed. The design loading rate for this system should not exceed 0.25 gpd per square foot. Lot No. 3, Block 8, is bounded to the north that fronts on the road by a property line 190 ft. Jong, to the south by a 186 -ft. property line, and to the east and west by a property line 261 and 237 ft. respectively. Based on observation of test pits on this property, approximately 0.4 ft. of topsoil overlies a reddish -brown subsoil to a depth of at least 4 ft. below the existing grade. This subsoil has a moderate to weak, sub- angular blocky structure and is classified as a silty clay that becomes more massive with depth. Lot No. 3 has similar soil conditions to Lot No. 2 described above,and the same recommendations would hold; that is, the system be installed in the northwest portion of the property at a depth not to exceed 2 ft. below the existing surface with an application rate no greater than 0.25 gpd per square foot. ANS Form1.189 Rev;,,, Sanitary Fir neerin, jinvestigation of Greenwood Lakes Subdivision (Cont'.) lPage 2 August 29, 1979 .0 Lot No. 10, Blolck 8, has an area of approximately 1 acre and fronts on Whitehead Drive ¢ to the west. Percolation rates, as determined by the Davie County Health Department, were all greater than 300 mpi. The southwest corner of this property is located in a depression and is subject to standing water during the wet season. Based on examination of soil test pits and auger borings on this property, approximately 0.2 ft. of topsoil overlies a silty clay subsoil to a depth of approximately 1.6 ft. below the existing grade. This subsoil has a weak, subangular blocky structure and is very slowly permeable and overlies a massive saprolite that varies in color from reddish -brown to tan and gray. Mnile the overlying subsoil has a weak, subangular blocky structure, the underlying saprolite parent rock material is somewhat massive and relatively impermeable, thus a perched water table condition would exist during the wet season. Oa Llt,: above noted observations, this site is properly classified unsuitable for the installation of a conventional sewage disposal system due to the slow soil �- permeribility, shallow depth to massive saprolite,and seasonally perched water table. O b U� N W N O 00 st N N S s?2 S S9,�F 2 (2) 1.000 ACRE 7 N 9,366 O7 ,w 96 60. S 5� 043 S9'f E '90 00. 0 Al 44a36o 786'S, 4 3 PRELIMINARY PLAT ONLY 50 0 50 .......... .. GRAPHIC SCALE - FEET ■■■■■■■■■■ MAP FOR ROBBIN W. GREENWOOD SCALE TOWNSHIP COUNTY STG 1 is = 50' FARMINGTON DAVIE LOTS 2 AND 3 BLOCK 8 P.B. 3 PG. 88 RICHARD HOWARD SURVFY[NG Dam? Coapt ,Ae'allft Department and Nome .1"-feallFr .i�7enty 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 6345985 March 28, 1995 Robbin W. Greenwood 1829 Underpass Rd. Advance, HC 27006 Re: Site Evaluation Greenwood Lakes (Sec. 2 -Block 8/Lot 2) Dear Client: As requested, a representative from this office visited the aforementioned site on March 22, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, A�14� Z4 Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure ��..+�,.. 1 ..- r v -t _ - "- "' .;.. "`,y l.-�/•�.i�� .v.1�'ll, w h,�.,��.,-' a -t: . i --...+i .F -"r.. � ,.,., ,; ; "n.. i..., „ _ � �-j ?� A. DAVIIE COUNTY HEALTH DEPARTMENT PAIS TM[1ENT IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION Permittee's� Subdivision Name: t..• Dire( tio'iis to property: ` 71 i dA sSection: Lot: $�.� ccd IMPROVEMENT �Fi ►I r , "e c4i4 L.Q e J V,&)C, rA„�� PERMIT Tax Office PIN:# f�.� _ 7t{.�T _ 10 Road Name: Owemss ,,) Zip: 2 **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 14 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 • r -" ED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE ENVIRONMENTAL HEALTH SPEGIAL••IST DATE ISSU r INSTALLING THE SYSTEM. RESIDENTIAL SPECIFICATION: BUILDING TYPE U005E # BEDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes oro COMMERCIAL SPECIFICATION: FACILITY TYPE l # PEOPLE # PEOPLE/SHIFT` # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZE TYPE WATER SUPPLY �y DESIGN WASTEWATER FLOW (GPD) w"'"r NEW SITE REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE ��co GAL. PUMP'TANK GAL. TRENCH WIDTH''A ROCK DEPTH LINEAR FT. OTHER •.REQUIRED SITE MODIFICATIONS/CONDITIONS: IPAST& - 'Q 4-0.4ox,. . KIrr P �, � 8 ��d%o O�u-c�lY BO ®� 0"w,-,a-Tq t-0 pa& IMPROVEMENT PERMIT LAYOUT 11 .:a 1 1 � /San 1 �d#LeOVA ja i e 1 � "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 14 PIred P.e J SYSTEM INSTALLED BY: C.-/f,4w_4.6_eA. �O I fl� •. 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 130N, 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 EVALUATIONAMPROVEMENT PERMIT & ATC Da County Health Department Enronmental Health Section NUMBER: P.O. Box 848 NEW PHONEIVE MARCH ocksville, NC 27028 EFFEC 2,1998 �7 191-IJ336 751-8760 jLiL(704) 634-8760 ****IMPORTAN ***'atl;l"jEAPPLI ATION CANNOT BE PROCESSED UNLESS ALL 11 .�SVIE C HE REQUIRED INFORMATION IS PROVIDED. Name to be Billed©WXE'i{� Contact Person (7aF YN VC�ii%�D�, UL�ge 1^ Mailing Address 3948Z Ct?TiP/,DG S D N/'C.!/� Home Phone 9,440-5-9-6- 5-95 7 City/State/Zip G'L�/�1/►9o/✓S, �C o? %fl%a Business Phone 50'177° 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip A>r'. 3. Application For: [je] Improvement Permit & ATC *qtVth- 4. System to Serve: W House [ ] Mobile Home [ ] Business [ ] Industry [ ] Other 5. If Residence: # People—2 # Bedrooms_3 # Bathrooms 2 [X] Dishwasher [ ] Garbage Disposal DQ Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing 6. If Business/Other: Specify # Showers # Urinals # Water Coolers # People #Sinks # Commodes If Foodservice: # Seats Estimated Water Usage (gallons per day) 7. Type of water supply: W County/City [ ] Well [ ] Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes [x] No If yes, what type? EITHER A PLAT OR SITE PLAN PROPERTY INFORMATION REQUIRED: *** IMPORTANT ***4Xf4M OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: Fll 9Z 5141 73.54,717-Jfr.) A � � WRITE DIRECTIONS (from Mocksville) TO PROPERTY: Tax Office PIN: # ? - 716 -3-3-5-41 158 E k 8D / ,, fi ail SIC/ Property Address: Road lame /tf,0�� % .15 P O S S to av- JFY City/Zip a7oo6 ; l�•i�. ,�' e o - `l b'a� If in Subdivision provide information, as follows: Name: 6l r4wwc to Section: Lot #: 23,4lC 8 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 and owned by ���1 ,��LL� to onduct all testin procedures as necessary to determine the site suitability. DATE 7-;Z " 9,? — SIGNATURE Revised DCHD (06-96) THIS I t xtAJ BE USED FOR DRA WI NC YOUR SITE PLAN: