The URL can be used to link to this page

1451 Hwy 801NDAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 Account #: 990005616 Billed To: Sugar Creek Farm Reference Name: Proposed Facility: Barn ATC Number: 5724 OPERATION PERMIT Tax PINIEH #: 5852 -76 -4572 -Barn Subdivision Info: LocationiAddress: 1451 NC Highwary 801 N.-27006 Property Size: 45 Acres **NOTE** The issuance of this Operation Permit shall indicate the system described on the ATC 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. System Type: S.T. Manufacturer • Tank Date Tank Size /d�U Pump Tank Size ;fir 1 System Installed By`%GIS IV�IJa�� E.H. Specialist: ✓m bet P46 ate.?e=,�=m� GPS Coordinate: DCHD 11/06 (Revised) DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Street Mocksville, NC 27028,E (336)753-6780 / Fax # (336)753-1680 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990005616 _Tax P1N.,EH #: 5852 -76 -4572 -Barn Billed To: Sugar Creek Farm Subd1yisi6b,-1nfb:F-arfa Reference Name: Location/Address: 1451 NC Highwary 801 N. 27006' Proposed Facility: Barn _ Property Size: 45 Acres Site Type: ANew ❑Repair ❑Expansion ATC Number: 5724 t:724 **NOTE** This Authorization to Construct (ATC) MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any building permit(s), (in compliance with Article. l l of G.S. Chapter 130A Wastewater Systems, Section .1900 Sewage Treatment and.Disposal Systems). THIS AUTHORIZATION TO CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans, plat or the intended use change. - . Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type. 22am # People # Seats Square Footage(or Dimensions of Facility) Lot Size _ Type of Water Supply: ❑County/City )6Well ❑Community Well System Specifications: Design Wastewater Flow (GPD) 'I �� Tank Size�� AL. Pump Tank AO "AL. o Trench Width � Max. Trench Depth u Rock Depth Linear Ft.� a% Site Modifications/Conditions/Other: 7Iwl /a26 36tt -x /�fOli�I`7L Contact the Davie County Environmental Health Section foY?hlhT spection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)751-8760. 0 N Environmental Health Specialist Date: 2 &Z 10 DCHD 11/06 (Revised) Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780/Fax(336)753-1680 IMPROVEMENT PERMIT Account #: 990005616 Tax PIN/EH #: 5852 -764572 -Barn Billed To: Sugar Creek Farm Subdivision Info: Address: 1451 NC HWY 801 N. Location/Address: 1451 NC Highwary 801 N.-27006 City: Advance Property Size: 45 Acres Reference Name: Proposed Facility: Barn **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: )New ❑Repair ❑Expansion Permit Valid for: f Lyears ❑No Expiration Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD):� U6 Type of Water Supply: ❑County/City Kwell ❑Community Well Site Modifications/Permit Conditions: S stem Type LTAR Initial I M h Repair mucirm Site Plan P U Environmental Health Specialist i.p. 11-06 NMIl'�.1 Y 014,60 Y Date � � � S N � TION FOR SITE EVALUATIONAUTROVEMENT PERMIT & ATCRECEIUED Davie County Environmental Health P.O. Box 848/210 Hospital Street2010 Mocksville, NC 27028 (336)753-6780/ Fax (336) 753-1680 Zth 1ECOUNTYHEALfh0h1'ARFMENI ite Evaluation/Improvement Permit ❑ Authorization To Construct(ATC) /Z'11-10 fAcw System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility IIMPORTANT*** THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed -�cl4gCreeh A r^% Contact Person L—T T Billing Address Al Home Phone 9V - /D M City/State/ZIP Business Phone q 7/ - Z Name on Permit/ATC if Different than Above Mailing Address City/State/Zip YKL)FEKI Y 11NCUKMAIIUN-Latertouseiracutty corners rtaggea NOTE: A survey plat or site plan must accompany this application. Included:/Site Plan ❑Plat(to scale) (Permit is valid for onth wi site plan, no expiration with � complete plat.) / -Z) Owner's Name J r Phone er-17/-ZJ13 Owner's Address City/State/Zip AdV91tiCe Z% Property Address I V N City V9.6G Lot Size 4S of -ere TAx PIN# 3Tf,7- 76 1179 Subdivision Name(if applicab e) �wr Section/Lot# f J j,, -e Directions To Site: /q�� &-&Hto'7� ei,- a 40,Z?�i�-1,riq/ t ✓'9,'V If the answer to any of the following questions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? Dyes fd'No Does the site contain jurisdictional wetlands? Dyes INo Are there any easements or right-of-ways on the site? Dyes VNO Is the site subject to approval by another public agency? ❑Yes/No Will wastewater other than domestic sewage be generated? ❑Yes^^ IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms # Bathrooms Garden Tub/Whirlpool ❑Yes ❑No Basement: Dyes ❑No Basement Plumbing: Dyes ❑No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business 519rll Total Square Footage of Building 41 # People ."tg # Sinks I # Commodes 1 # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: /Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: ❑ County/City Water ❑ New Well /Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes /No 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 gpdf}t1gging gp%tak ouse/facility locaJjan, pyeP90d well location and the location of any other amenities. -' �— ��-` Site Revisit Charge Pro erty o s or owner's legal representative signature O (1.3o.ly Datc(s): Client Notification Date: Date EHS: Sign given Dyes ❑No Account # fw5b// Revised 11/06 Invoice # 33 W W W Zoom To Scale: L Quick Search:(County 10 or Owner Name) Map Layers Tools I Help I Address/Name/Parcel Search I n I �s .5 PPLICANT INFORMAT DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation Account #: 990005616 Billed To: Sugar Creek Farm Reference Name: Proposed Facility: Barn PROPERTY INFORMATION Tax PIN/EH #: 5852 -76 -4572 -Barn Subdivision Info: Location/Address: 1451 NC Highwary 801 N.-27006 Property Size: 45 Acres Date Evaluated: ��aQ Water Supply: On -Site Well 2 3 4 5 6 7 Community Evaluation By: Auger Boring '�- Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position 1- -Slope % G 6 HORIZON I DEPTH '). - Texture groupt_ Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure PAY I YIA 1A Mineralogy HORIZON III DEPTH Texture group�1 - Consistence Structure 441 Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION -� LONG-TERM ACCEPTANCE RATE - 2 -- SITE CLASSIFICATION: EVALUATION BY: n LONG-TERM ACCEPTANCE RATE: - OTHER(S) PRESENT: REMARKS: —�- LEGEND T andscape 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 CONSIST +,N . . Moist VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm 3yet 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: I , Mixed LI:Qt�s 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) . T TAR - T nno-term nrrPntanrP rate - nal//lav/ft7 ^^*•^ ^� ^� �^ •� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■/■■■■■■■■■■■■■■■■■■■■■/e■`Ili■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Ile.-;■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEMNON iiiiiil�i ■■■/■■■■■■■■■■■■■■■■/■■■■■■■■I■■/i■■■Ile■■■:1■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■e.e■■i■■e,■■else...ee■■■■■■■■■■■■■■■■■■■s■■■ ■■■■■■■■■■■■■■■■■■■■/w�.■■■wi■■■■��■■■■iii■■■■■we■■■■e�e■■■w■■■■■■■ ■■■■■■■■■■■■■■■■■■■■eee■■■e■■■■■■■■e■■■■■■■e■■■■■■■e■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■eeeeee■■■■■e■■e■■■■■■■■■■■■■■ Davie County Environmental Health P.O. Box 848/210 Hospital Street Mocksville, NC 27028 (336)753-6780 / Fax (336)753-1680 IMPROVEMENT PERMIT Account #: 990005616 Tax PIN/EH #: 5852 -76 -4572 -Barn Billed To: Sugar Creek Farm Subdivision Info: Address: 1451 NC HWY 801 N. Location/Address: 1451 NC Highwary 801 N.-27006 City: Advance Property Size: 45 Acres Reference Name: Proposed Facility: Barn **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 I 1 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to rebocation if site plans, plat or the intended use change. Permit Type: &New ❑Repair ❑Expansion Permit Valid for: f, tyears ❑No Expiration Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats Square Footage(or Dimensions of Facility) Design Flow(GPD): L� Type of Water Supply: ❑County/City Well ❑CommunityWell Site Modifications/Permit Conditions: System Type LTAR Initial O h . 2 Repair - Site Plan Environmental Health Specialist �� f Date' i.p.11-06 Parcel#: D600000090 Davie County, NC - Basic Estate Search ' Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Mao for this Parcel View Tax Bill Information Parcel #:D600000090 Account #:82526108 Owner Information 329,82 Tax Codes 35,02 TUCKER CHARLES JEFFREY& TUCKER ELIZABETH D 268,84 ADVLTAX - COUNTY T 633 68 1451 NC HWY 801 NORTH 402 03 FIREADVLTAX - FIRE TAX 231,65C ADVANCE, NC 27006 3 Property Information 05 2008 WD Township ��n(�U�n�ltsype): 45.260 AC FARMINGTON ddress: 1451 N NC HWY 801 Deed Information Local Zoning Pate: 05/2008 Book: 00757 Page: 0575 Plat Book: Page: Legal Description PIN 5.26 AC HWY 801 5852764572 Property Values Book Page u" I' 329,82 BXF• 35,02 Land: 268,84 Market: 633 68 ssessed: 402 03 eferred: 231,65C Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price L 00655 0761 03 2006 WD Unqualified Vacant 0 00661 1031 05 2006 WD Unqualified Vacant 0 3 00757 0575 05 2008 WD Unqualified Improved 0 View Property Record for this Parcel View Map for this Parcel View Tax Bili Information « Return to Basic Search Page 1 of 1 op� 000riall Davie County Web Site All information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds, plats, and other public records and data. Users of this data are hereby notified that the aforementioned public information sources should be consulted for verification of the information. All information contained herein was created for the Davie County's internal use. Davie County, its employees and agents make no warranty as to the correctness or accuracy of the information set forth on this site whether express or implied, in fact or in law, including without limitation the implied warranties of merchantability and fitness for a particular use. If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120. 1.5.9 http://maps.daviecountync.gov/itsnet[View.aspx?prid=1470422 9/15/2016