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928 Farmington RdDAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000766 Tax PIN/EH #: 5841-76-3011,,6 Billed To: James Meeker Subdivision Info: Reference Name: James Meeker, DVM Location/Address: Farmington Road -27028 Proposed Facility: Business Property Size: 14.624 Acres **NO TIJ**This grriproveement/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 1 l 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 IN'T'ENDED USE CHANGE. YOUR WASTEWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING SYSTEM. Residential Specification: Building Type _ #People #Bedrooms #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type4-T0U4-'QPeople #People/Shift #Seats Industrial Waste: ❑ ..CC t-Wl-,AL- Lot Size (`1. (D t�> Type Water Supply CVOIJW Design Wastewater Flow (GPD) 3SD Site: New 13 ' Repair ❑ r System Specifications: Tank Size1000GAL. Pump Tank GAL. Trench Width 3Co11 Rock Depth 12-" Linear Ft.Z" Other: 3 Nof 3(L5 ,1AC,1-41, LI -36 `7 `AC. 1014 , / `X.QFCi�S o.J C.l CoQ IN Required Site Modifications/Conditions: LL&j CApnQ %L%Z-P /00'f-een— —5-W6 9 r, LTea&J Fi25T T4 -J K f-iZj A IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER. RISERS) IF 6 " BELOW t 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.**** 771s, 4,04' S�S P t)lPa:l� oVJ o "TO FSP u�G Ft,oc�- APPS �,,�co x tJ Z - �-rgak�a 2 ja,ksrl P Q✓ ) Environmental Health Specialist's ignature:%1�1"S� at • (,c r0ML 01 DCHD 05/99 (Revised) 744 k !4 - St,J S t FLOD I � S� Sly � -(I�qa V- -A2 F-FPLOC-'')T pO�L�T Ft LT k Cob.&- cF t.-2onn111 -f A►�K �t � / F t_TdZt�t.- &t,i t NvJ ,L- 942 5C►� l�C�� i1n19�T A&IJG Q.NSOL W�OJEO-hM —EF ,J� G ►-�z`(L G. DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boa 848/210 Hospital Street 1 �' Mocksville, NC 27028 (336)751-8760 IMPROVEMENT/OPERATION PERMIT Account #: 990000766 Tax PIN/EH #: 5841-76-3011.13 Billed To: James Meeker Subdivision Info: Reference Name: James Meeker, DVM Location/Address: Farmington Road -27028 Proposed Facility: Business Property Size: 14.624 Acres **NO'I">J'°* "Ttiisbgri o e ent/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 #People #Bedrooms #Baths Dishwasher: ❑ Garbage Disposal: ❑ Washing Machine: ❑ Basement w/Plumbing: ❑ Basement/No Plumbing: ❑ Commercial Specification: Facility Type NoSPrTat.. #People #People/Shift #Seats Industrial Waste: ❑ Lot Size HAP ACQ-10S Type Water Supply t7a Design Wastewater Flow (GPD) igO Site: New 131" Repair ❑ 2 K f u5bec-^� c�PD System Specifications:(Tank�ize1DED GAL. Pump Tank GAL. Trench Width 3(0Rock Depth 1-4 " Linear Ft.-3d0 r Other: Z SOP zowes e ltls�IA - ".SLS I&C. „ SaExa,0S o..l Gr-oL-e- *_,'�P-atA3� Required Site Modifications/Conditions: 60J, U. ©,-� C,gJ'T( Q, F�l:1:I � FRQ,rn g�,�[�. K ,Orf i3JltrJla� r IMPROVEMENT/OPERATION PERMIT LAYOUT - APPROVED EFFLUENT FILTER RISER(S) IF 6 " BELOW FINISHED GRADE. ****NOTICE: Contact a representative of the Davie County He th Department for final inspection of this stem e 0 a.m. to 9:30 a.m. or 1:00 p.m. to 1:30 p.m. on the day of in�stallatio .Telephone # is (336)751-8760.**** APf DK . 15 MOP c..t.,u -Toy- a I - �taKS, FLc� `i?�1K TAa+�2 v Environmental Health Specialist's Signature: W.ILD14 'tit f-jS MvST 441.4E Pis p1?,� 00 t C�4IJw Td"JK. 'A2 -Ar-.0 Njzr--,TA-1 Ft-4-TOE051 'fN.J \C - Date: 1 T4- � � T1} IS Ps.•1 �s. � P�� awe. t Date: f� DCHD 05/99 (Revised) -X x - UV 74"A. C01,nPbC,-T WI SwEL'? cx,v-_w CeLp. Date: f� DCHD 05/99 (Revised) -X x - UV 74"A. C01,nPbC,-T WI SwEL'? cx,v-_w CeLp. DAME COUNTY HEALTH DEPARTMENT Environmental Health Section P. O. Boz 848/210 Hospital Street Mocksville, NC 27028 (336)751-8760 Account #: 990000766 Tax PIN/EH #: 5841-76-3011oB Billed To: James Meeker Subdivision Info: Reference Name: James Meeker, DVM Location/Address: Farmington Road -27028 Proposed Facility: Business Property Size: 14.624 Acres ATC Number: 2445 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 .1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION FOR WASTEWATER CON T N IS ALID FOR A PERIOD OF FIVE YEARS. Environmental Health Specialist's Signature: Date: G� 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 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. r4p ox �5 � — �o. �C�A Acws� V MY bV-P Septic System Installed By: Environmental Health Specialist's DCHD 05/99 (Revised) -USA C-44 A Wc�S -sPhL' Ind' "-AN ,-s LAr-EY - PLO(A61 vjoVe�Q-Seb - ptcoa aJS �A c4,St,� to av f51TDATi0J ,Plt-C 1�) C.,-,Ql-%--CTt 0-� L U6y Date: R APPLICATION FOR sFrE EIIALUA?10m,/iMPROvEMENT PERMIT & An p� Davie County Health Department D s Enipfronmental Health Se+cdon P.O. Bo: 849/210 Hospital street MAY 2 3 2000 Mockaville, 3C 27028 (336)''31-8760 ENVIROWENTAL HEALTH UM PnIM ***IMPORTANT*** THIS APPLICATION CANNOT BZ PRO=SSED UNLESS ALL THE �'— INFOMQTION IS PROVIDED. Refer to the I�N/,F,�IORMATION BULLETIN for instructions: I. Masa to be Billed �/H�'►� /�/CC 19 /I / Contact Person Nailing Address o'/6 G 14-( o,0 5 jd tc�� eko. am* phone (?919 citr/state/EIp hi'aJ Jff/JCr rj_e a i�© ©6 Business phone Z. Mame on Permit/ATC if Different than t►bove S� Nailing Address city/state/zip 3. Application for: O Site Evaluation Improvement Permit/ATC O Both 4. system to service: O House 0 Mobile Home Business ❑ Industry 0 Other s. If Residence: # People # Bedrooms # Bathrooms 0 Dishwasher a Garbage Disposal O Mashing Machin -e/ 0 Basement/Plumbing 0 sesement/Kc Plumbing 6. If Business/Industry/Others specify type ��1 # People -CE # sinks J # commodes ` # showers # Urinals # Water coolers IF FOODSERVICE: # Seats Estimated Water Usage (gallons per day) 7. Type of pater supply: Xcounty/City ❑ Well ❑ community e. Do you anticipate additions or expansions of the facWty this system Is intended to serve? 0 Yes 1)5No If yes, what type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BE SUBMITTED by the client with THIS APPUCAT10N. Property Dimensions: ) q dC X A 6 Tai Office PIN: # Property Address: Road Name �ir'7% n1 &rMl KD. City/up Ill ©c k 5 d(11C /�J c - If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITE DIRECTIONS (from Modmville) to PROPERTY: ::�-qO P9�7' 7-V "iT /7Li Fel i 1./C`�1-1J PJ. ft f r1/F ©nl I-irt m),)G-Tnld &P 2� o, -,J, Date Property Flagged: 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 we change, or if the information submitted In this application Is falsified or changed. 1, also, understand that I ant responsible for all charges incurred front 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 to conduct all testing procedures as necessary to determine the site sul bWt4PIU1of DATE �- A " 00 SIGNATURE THISAREA 1MIAY BE USED VOR DRAWING YOUR SITE PI (Ineinde the following: Existing and proposed property ones anai n ensions, structures, setbacks, and septic locations). cLor� CSP �A Revised DCHD (07/99) Date(s): Client Notification Date: EAS: Account No. 7C Invoice No. 15";0 DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL. HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksviile, NC 27028 Phone #: (336)751-8760 September 24, 1999 Dr. James E. Meeker, DVM 266 Hidden Creek Drive Advance, NC 27006 Re: Site Evaluation/Farmington Road Tax Office PIN: #5841-76-3011 Dear Client(s): As requested, a representative from this office visited the aforementioned site on September 23, 1999. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of a modified, oversized on-site sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Xj 14 Wo Ve. , 0-- Z/O Robert B. Hall, Jr., R.S. Environmental Health Specialist Enclosure(s) APKICAT1ON ICOR SITE. L1► .1%nC 4/'. IP R0VEMENT PERmrF An Davie County Henith Department - EnvliviamerfalMOW Secbton — 7 ,999 �� 10 P.O. Box 848/210 Hospital Street y . ( i Mocksville NC 27028 6�V� 336 751-8760 YIRONLIENTALHEALTH ( ) ❑, DAVIE COUNTY ***ZNF01tTANT*** THIS APPLICATION CANNOT BE PROCESMW UNLESS ALL THE REQUIRED INrORMATION IS PROVIDED. Refer to the INSORMATION BULLETIN for instructions. ,/� i. Nana to be silladlf ni ESI %I%E I�E%� A✓%Y1 Contact Parson Mailing Address /�� WAG` �1 1't�'1 DQE J_ `Cle� L�/_ So®s Whoa. City/state/LIP A -QV 1 rX - ', /,' C . a `'00 0 vminaaa Phone 92 3 1 o e Alo 19i 2. Mane on Pezait/ATC if Different than Above 14Liling Address City/st.ate/sip s. Application for: Site Evaluation ❑ Improvement Permit/ATC ❑ Both 4. Oratec to service: ❑ House ❑ Mobile Rome Business ❑ Industry ❑ Other 5. If Rss±,dente: # People # Bedrooms # Bathrooms O Dishwasher O Garbage Disposal ❑ washing Machina ❑ Basa/ ent/Plumbing 0 sassuent/No 2l:mbing 6. sf sneiness/EnduOpacify acify type �1CT �oex A5PiJ/*J # People # sinks # Comvoodes �! # showers # Urinals 0 Nater Coolers / Ili' 11'OODSERVIC3: (( Scats Estimated (Pater Usage✓ (g�az�� per day) 3 rC l 7. Type of water supply: Kcounty/City ❑ Well ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes To If yes, whlit type? ***IMPORTANT*** CLIENTS MUST COMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST RESUBMITTED by the client with THIS APPLICATION. Property Dimensions: E :47 lob - H AC Tai Office PIN: # .Sco`i i �-3 o i Property Address: Road Name Fik-em ),✓%AJ A.1W City/zip AcLsa".I)F; 9,70" If in a Subdivision provide information, as follows: Name: Section: Block: Lot: WRITED/IRECTIO S rfrom�MockaviUe PROPERTY: Fi/,v 67F1.J AA -o. tFFT 6) n1 Pfiie"i ),J vii Q0, 6D Date Property Flagged: 9- 7 - Ills 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 1, also, understand that I ant responsible for all charges incurred from this applicadox 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 the site snlb ty. g DATE - 3 " ? _1. SIGNATURE C� G THI2 AREA MAY BE USED FOR DRAWING YOUR SITE.?1"-(Include aril of the VA:owing° Existing anal proposed property lines and dimensions, structures, setaacluk and septic locations). Site Revisit Charge I Date(s): Client Notification Date: I EHS: Revised DCHD (07/99) Account No. Invoice No. �r _ 44;' 32c� ^364.72 /9 '4 S. R. 14.05 (5)+ c 29.65Ac 1 (32.75 A c) ??. � • , _M.� 0 i G 2ND • '31 ���' *i 11-7 i ti.6 A,; ito W 5 -'d {� a, • I , + Ayk '<>M0i�1�, E�- � - � ! t b>e � `)"J : iE� '� a •J rf�. ., � 302,46'xa �'/�•`� T �.'. '� ', w18.0 1116 s,�„ .+ i '� !!CR tl. {'\ �'k 4�1• .t a•� �9 a ` t � �T�, � , • ,Mhi�'� ♦: �.. i �';�:. Mir' 3AC'` o r i:R24) 3 i> tr s w•, ti . N gyp... ��29 m •�, vif 20 Com,^ "+► ` ,' I _„ 1 �' � .l � �y L ` .. 231 0, H r F 4 � 1 �',� '� '2'I � N,(0.. .. ! t. ! � 4•.� > �� ... 27 nto8 , f t �`y w• r, 2� j, � i 7 e6��}N a , �` * --1 o G"?'�r`�/F�;� y}^J�y} �d'�r. � •c(' +) e •"P,W tF j, A�, Z 'NI �lV'� �1,�M, AV'Y K �t '..'� r: 'rrw'id�,L�.�'.•' *..,•,•:L,�,t �j, � 1 1J.1, • ,�.�5•� ��1r, .p,.�� �(� ' !,r ?,�kt 9��"� r%t�'�`t" ! _.,'—c r i�r� �'t�i;,;.,�V•� ` � _ � �� �o�^�..�!i3 f �'t �•.�_1 �1'C :iL,�'i� ! _ •'.� _..��—.. _— M DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation APPLICANT INFORMATION Account #: 990000766 Billed To: James Meeker Reference Name: James Meeker, DVM Proposed Facility: Business Water Supply: On -Site Well PROPERTY INFORMATION Tax PIN/EH #: 5841-76-3011 Subdivision Info: Location/Address: Farmington Road -2702,,8 Property Size: 12-14- Acres Date Evaluated: Community Evaluation By: Auger Boring L/ Pit Public Cut FACTORS 1 2 3 4 5 6 7 Landscape position L Sloe % HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group Consistence Structure Mineralogyl 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 77 7,r ` SITE CLASSIFICATION: LONG-TERM ACCEPTANCE RATE: REMARKS:2P�/ oo EVALUATION BY: 7 O/ OTHER(S) PRESENT: X11- — 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 DCHD 05/99 (Revised) DAYIE COUNTY HEALTH DEPARMENT ENVIRONMENTAL HEALTH SECTION P. 0. Box 848/210 Hospital Street Courier #09-40-06 Mocksville, NC 27028 Phone #: (336)751-8760 September 24, 1999 Dr. James E. Meeker, DVM 266 Hidden Creek Drive Advance, NC 27006 Re: Site Evaluation/Farmington Road Tax Office PIN: #5841-76-3011 Dear Client(s): As requested, a representative from this office visited the aforementioned site on September 23, 1999. Based upon the information provided on the Application for Site Evaluation and after an evaluation was completed on the site, the site was found to be provisionally suitable for the installation of a modified, oversized on-site sewage system. Before an Improvement Permit/Authorization to Construct can be issued the appropriate application must be filled out and the house/mobile home location staked off. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr., R.S. Environmental Health Specialist RI-1/nip Enclosure(s) �f` ore-, ---- 14.624 Acres by d.m. d. 100 0 100 200 300 GRAPHIC SCALE — FEET I; C. Ray Cates, c e r t i f y that under my direction and supervision, this map was drawn from an actual f i e 1 d survey. 04, --— -- — — - - m SEAQ. z °s Rea i s tered L and r veyor L-2623 L2623° s � Q. �00 ry�e�Qa� .i e:::t,�•o Parcel 3U Mary '.-. Boger �i.[3. 45-384 P yew "'� 305 K,n Qer James E. �,Aeeker 183 Beechlree Puce Mocksville, N.C. , 270?8 Telephone 336,/987131 R%W -- Right—of—Way EIP — Existing iron Pipe EIR - Existing Iron Rebar P -- !'oint CM - Concrete Monument N' IP - New ! r on P I ac.ea P/L - Property Line A - ';ontrolled Access RCP - Reinforced Concrete Pipe CMP - Corrugated Metal Pape C P-- Corrugated Plastic Pipe -. - ' 00 year Flood Boundary --0- Overhead 'Jtiiities --X-- Fence � - Center Line CL - Center Line EP - Edge of Pavement FC - Face of Curb PP - Power Pole P L�ight Pole MH - furan Hole R - Radius CH - Chord Distance P//0 - Part of SE -- Sight Easement DB - Deed Book PB - Plat Book FP - F ence Posltn -S- Sewer Line 15026'55"E 32.37' P P P ' N 90°00'00"W 3 1. 10' �1 \ -g 82°00'10"W 38.24' f t P, 1 V 1g• 6 P b9 J \ )Oz !V!P500 IN, '5N II I NOTE : THIS PLAT IS SUBJECT TO ANY EASEMENTS, AGREEWENTS, OR RIGHTS OF WAY OF RECORD PRIOR TO THE DATE OF THIS PLAT. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH, NOT FURNISHED TO W AS OF THIS DATE. Special Use Plan For Davie County Large Animal Hospital, P.A Dr. James E. Meeker See Deed Book 320, Page 119 Parce! 30.02, Davie County Tax Map E-5 `"'ALE -- c00' SURVEYED: None MAPPED: CRC3 TOWNSHIP �_arrn1ngton STATE North Carolina C. Ray Cates 119 Depot Street Mocksville, NC 27028 P h o n e 335 ) 75-i'-3735 Fax C 335 ) 75!-2750 DA7 05.12-00 JO N0. 32� C M N0. 3253E • 41 .