Loading...
165 Sunchaser Trail Lot 7O D fn P L N DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section • P. O. Boz 848/210 Hospital Street ' Mocksville, NC 27028 (336)751-8760 10� ��-C33� � T IMPROVEMENT/OPERATION PERMIT Account #: 989900024 Tax PIN/EH #: 5735-38-0207.07 Billed To: Roger Spillman Subdivision Info: Sunburst Downs Lot # 7 Reference Name: Location/Address: Sunchaser-27028 Proposed Facility: Residence Property Size: 5 acre tract **NO i�14 *'lh�s tmprov7msent/Operation Permit DOES NOT authorize the construction 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). THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type -bk1 M H #People _ #Bedrooms -S #Baths � Dishwasher: 19"" Garbage Disposal: ❑ Washing Machine: 13"'- Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type /�_ #People #People/Shift #Seats Industriall Waste: EI Lot Size -5 -4611-4611-6CType Water Supply l0y�0Design Wastewater Flow (GPD) Site: New Repair ❑ or System Specifications: Tank SizeLO-AAL. Pump Tank GAL. Trench Width3& Rock Depth /.?- Linear Ft,�3690 Other: '2 ►O 1604 �,Ot 14 P3E)Xty5 , 1,)stA l.le-)"5 C1 ` 0.e— K uj . Required Site Modifications/Conditions:_ I V Ssw ,. t,A U4 -w t1 Q , VLE c!� D(ir illoos- IMPROVEMENT/OPERA'T'ION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County Health Department for final inspection of this system between 8:30 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of installation. Telephone # is (336)751-8760.**** L D X I �--4 o ° i3 4- L a -1 �4 Enviro ental Health Specialist's Signature: DCHD /99 (Re 'sed) DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 989900024 Tax PIN/EH #: 5735-38-0207.07 Billed To: Roger Spillman Subdivision Info: Sunburst Dooms Lot # 7 Reference Name: Location/Address: Sunchaser-27028 Proposed Facility: Residence Property Size: 5 acre tract ATC Number: 2706 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s). This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for building permit(s) (in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1 0 Sewage Tre ment and Disposal Systems). THIS AUTHORIZATION FOR WAST EWA CT IS PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: /— CERTIFICATE OF COMPLETION **NOTE** The issuance of this Certificate of Completion shall indicate the system described on Improvement/Operation Permit has been installed in compliance with Article I 1 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. bo�l 7 T -;S! - Septic System Installed By: Environmental Health Specialist's Signature DCHD 05/99 (Revised) Date: I j APPUCAHON FOR SITE EVAWATION/IMPROVEMENT PERMIT & Davie County Health Department D d EnKivamenta/Health Sw ion P.O. Box 848/210 Hospital street.. Mocksville, NC 27028 (336)751-8760 ***IMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALZ;"THE 'REQ INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to be Billed _(_���%L(J�I / l��V Contact person v Ee Nailing Address 1133 gee Phone City/state/ZIP U Business Phon 2. llama on Permit/ASC if Different than Above Mailing Address City/State/Zip 3. Application For: 0 Site Evaluation ❑ Improvement Permit/ATC X Both 4. System to Service: 0 House d Mobile Home 0 Business ❑ Industry 0 Other S. If Residence: # People # Bedrooms # Bathrooms 0 Dishwasher 0 Garbage Disposal 0 Washing Machine 0 Basement/plumbing 0 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # Sims # Com®odes # Showers # Urinals # Water Coolers IF FOODSERVICE: # seats Estimated Water Usage (gallons per day) 7. Type of Prater supply: County/City 0 well 0 Community e . Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 'k No If yes, what type' ***IMPDRTANT*** CLIENTS AIUST COMPLETE THE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPLICATION. Property Dimensions: 5 aC m T -Fu " Tax Office PIN: # .5735 39 UQ -0 I Property Address: Road Name cSUA LMASCP2 WRITE DIRECTIONS (from Mocksville) to PROPERTY: Ru)(l (Oo/ 1 oSoQTH- P'J�C 14T o> ) 01AD51D r0- Lb.- 8105MI 0)\J city/zip ry)XK6�11 L.F.n1 G 0 oU FV /Z D, - le -La Wr 00 (9,7oa8 n� If in a Subdivision provide information, as follows: _ � .u�.iL-rrb l� 15r dhr T Name: .S o AU25T T)OWres RD . h rJ LeFT TQ P-90IU 7✓ OF PUCCAEY--2 � c Section: Block: Lot: Date Property Flagged: o q I , This is to certify that the information provided is correct to the best of my knowledge. I understand that any permits) 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 Countyand own d bv = `t' kUC e- RUDOeSo to conduct all testing procedures as necessary to determine the site sui i ' DATE d / SIGNATURE THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Inctfide all of the following: Existing and proposed propegy lines and dim ens. ous, structures, setbacks, and septic locations). U 6 ` / Vz! d /l '-- > i _ .f '� ✓ �� x ....... r Revised DCHD (07/98) Account No. Invoice No. U a -`-E DAVIE COUNTY HEALTH DEPARTMENT - Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 989900024 Tax PIN/EH #: 5735-38-0207 Billed To: Roger Spillman Subdivision Info: Sunburst Heights 21 -at #7 Reference. Name: Location/Address: 1606 Junction Road -270 8 Proposed Facility: Residence Property Size: .713 acres Date Evaluated: 2 Water Supply: On -Site Well Community Evaluation By: Auger Boring ./ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position Slope % t HORIZON I DEPTH ;7,* 0 - /2- ZTexture Texturegroup Consistence Structure Mineralogy1 _ 1 HORIZON II DEPTH Texture group Consistence a Structure GfL Mineralogy l 1 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 fl SITE CLASSIFICATION: 0S LONG-TERM ACCEPTANCE RATE: REMARKS: LEGEND Landscape Position EVALUATION BY: � VI:" 6m;q� 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 05/99 (Revised) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ase■sM■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■Nee■■■■■■■■e■■■■■■■■■■■■■e■■■ ■■■■■■E■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Mel■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ UMMEMEiMEMEMEMEMMEMIMMEMEM MEMNON �MEMMEMMENEM ■■■■■■■■■■■■■■■■■■■■■■■■■1�■■■■■■■■■■■■M■■Ile■■■■eM■■■■■■ ■N■■ OMEN i e ■ 11MM■■E■■ 11■■N■■N■ RIM■■■■■■ WMEEM■■■ ■■■■NEEM ■■M■■M■■ ■iuN■■■■■ MINE■■■E■ ■■MMN■MMM■MMMMMMII ■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ ■ ■ ME ON NO No ! .5.004 Acres f/ n J Contarlino Proposed s/;242 81. --�."'.,'''; N 00-33'13"W. 146.39 wriprprcimc _�-.-=` o ► 117 'Ses Street 2-d 2 CO 308.60'. 874.BQ' IRS Placed O River Bank N 01055'28"E -983.20'. Tota! 2 I Parcel 8 Parcel 6 ,. 5.009 Aces.+/= 100 Year Flood Area s as Scaled from FEMA Map IRS Placed ® River Bank ! .5.004 Acres f/ n J Contarlino Proposed 60' Access -.Easement 117 'Ses Street 2-d 2 308.60'. 874.BQ' IRS Placed O River Bank N 01055'28"E -983.20'. Tota! Parcel 6 Parcel 6 5.009 Aces.+/= 100 Year Flood Area as Scaled from FEMA Map Dated 12-17-93 munity-Panel No. 370308.0075 C 3/4" E7P Found in Center of Old.RR E1P 339.46'. S Q2°20'26'.'W River Bank 3%4" E7P Benf -....__ 340.59• S 05.33'13"W 37L72' ;:5:01°31'03"E S 01'4726'E 17.50' I •� % Tax .Lot 30' Tax':*MCI q Center Llrre cL - center Line Tax 'Lot' 35 , .i�-4 n/f Herman SCOP± Rnhhil+ EP — Edge 0 Pavement T. I # ., t ► 'A " IRS W m !RS 2.718, o-- — - Area in Question Tax Lot 30.0 Tax h;ap, M—