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1339 Hwy 801NAccount #: 990000673 ` Billed To: Jerry Kapp Reference Name: Proposed Facility: Barn ATC Number: 5072 DAVIE COUNTY ENVIRONMENTAL HEALTH P.O. Box 848/210 Hospital Strl;�t — - Mocksville, NC 27028 (336)753-6780 / Fax # (336)753-1680 OPERATION PERMIT 11,. Tax PiN1EH #: 5852-98-3345 Subdivision Info: LocationiAddress: NC Highwary 801 N.-27006 Property Size: 1.75 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 `SMOOTTank Date Tank Size o' G Pump Tank Size � System Installed By: ,104 ' ` 141"�I E.H. Specialist: Date:/7( 7�- I/ -3&001. oc9a uJ 090 3T0 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 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION Account #: 990000673 Billed To: Jerry Kapp Reference Name: Proposed Facility: Barn ATC Number: 5072 Tax P€ir€IEH #: 5852-98-3345 Subdivision Info: LocationiAddress: NC Highwary 801 N.-27006 Properly Size: 1.75 Acres Site Type: Q-,ew ❑Repair ❑Expansion **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 11 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 &y(4 # People # Seats Square Footage(or Dimensions of Facility) &o Lot Size 75 Type of Water Supply: Rf ounty/City ❑ Well ❑ Community Well System Specifications: Design Wastewater Flow (GPD) IC90 Tank Size GAL. Pump Tank 4eZGAL. Trench Width 3lo tr Max. Trench Depth G "'Rock Depth � � � Linear Ft. f (Q r Site Modifications/Conditions/Other: -Li ce —Yr U A, Contact the Davie County Environmental Health Section for final inspection of this system between 8:30 — 9:30a.m. on the day of installation. Telephone # (336)7514760. S� � rc ekel. 1 ��01✓�ir Fu I U ! -P #C);1A. P Environmental Health Specialist_ rj//!s� Date: DCHD 11/06 (Revised) Davie County Environmental Health P.O. Box 848/210 Hospital Strut Mocksville, NC 27028 (336)753-6780/Fax(336)753-1680 IMPROVEMENT PERMIT Account #: 990000673 Billed To: Jerry Kapp Address: 153 Cornwallis Dr. City: Mocksville Reference Name: Proposed Facility: Barn Tax PIN/EH #: 585 Subdivision Info: Location/Address: NCJdWkW 801 N.-27006 Property Size: 1.75 Aft&rts **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: ONew ❑Repair ❑Expansion Permit Valid for: PIS Years ❑No Expiration Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type a ✓✓1 # People # Seats Square Footage(or Dimensions of Facility) .DC9 0 Design Flow(GPD): o� Type of Water Supply: QCounty/City ❑Well ❑CommunityWell Site Modifications/Permit Conditions: AS statedin 15A NCAC 18A.1989(5) accept", OybLUIlis may also bc; usnd System Type LTAR Initial -r-1 (a 011_7 Repair f ed Site Plan -7 7 H1 � epeaIc 1 a4 /33 Environmental Health Specialist yt�1_'�% Date'_ i.p. 11-06 03/18/2010 09:09 FAZ . , APPLICATION FOR SITE EVALUATIONAMPROV -MENT PERMIT & Davie County Environmental Hea th P.O. Box 848/210 Hospital Street Mockavllle, NC 27028 (336)753-6780/ Fax (336)751.8786 ApI lica lon For. Site Evaluation/Improvement Permit fa Authorization To �ification nstruct(ATC) o T o Applicatio : Aew System ORepair to Existing System OExponsiun/M of Existing Syst * l PORTA " THIS APPLICATION CANN0T6EPR0CBSSED UNLESS 4LLOF THE RL•QUIRED 1 FO tMATIONJIS PROVIDED. Refer to the INFORMATION BULLETIN for filittructions. be L. tGL1Y t PermitU TC if Dgerent than Address intact Home ne_ 9yJ-y/5v tsiness P ne_ TY IN ORMATION *Date House/Facilit niers Fla ed=:.. survey p at or site plan must accompany this application. Included: n S Plan OPlat(to scale) crmit is i slid months wigFite plan, no expiration with complete pla t) Lot i 1. era f Qtax PIN# - .� Sub ivi ion Name (if applicable) Sec Dirc tic isToSite f-ya ixls W. Pld A. If th ani wer to any f i e following questions Is "yes", supporting document re there afiv existing wastewater systems on the site? Utes Does the J.biect o contain jurisdictional wetlands? ❑Yes Are therey easements or right-of-ways on the site? UYes Is the site to approval by another public agency? Oyes illwastder other than domestic sewage be generated? ❑Yes IF AESIDENCE FILL OUT THE BOX BELOW # P+plf Bedrooms # Bathrooms _ Bas me t: ❑Yes No Basement Plumbing: ❑Yes ❑No IF NOW -RESIDENCE FILL OUT THE BOX BELOW s Q001 ) ��uU MAR 7 8 2010 ENVIRONMENTAL N cilia OAS VI_�UNT}�(TH Garden Tub/Whirlpool ❑Yes ONo Typ c Facility/B siness UHRi✓ Total Square Footage ofBu ding /32 v 1 # People / # Si ks / # Commodes / # Showers rinals -O- Esti at Water sage (gallons per day) 1 O O (Attach documentatio of similar facility water consumption) FO D RVICEONLY: # Seats - o - Typ system requea d: OConventional OAccepted 0hmovative OAltemative then Wa St pply Type: ®'County/City Water O New Wcll ❑Existing Wel n Community Well Do u a nticipate k ditions; or expansiow of the facility this system is intended to us N, 10 Yes II Ifyis, what ? This s tc certify tha the information provided on this application is true and correct be best of my knowledge. I understand that ny ermit(s) oi ATC(s) issued hereafter are subject to suspension or revocation i he site is altered, the intended use than es, r if the rmation submitted in this application is falsified or changed I h r eby grant right of entry to the Authorized Rep ter tiv f Davie Cou Health Department to conduct necessary inspcctic r s to determine compliance with applicable laws nd s. 1 etstand I am responsible for the proper identification and lab ing of property lines and comers and lots n nd in s the se/facility location, proposed wall location and he location of any other amenities. Pro y ner's or er' al representative signature Site Revisit Charge te(s): /v1cr I ant Notification Datc: Signiv n nYes 0 0 Account# 0&73 Revi d 1/06 Invoice# 03/18/2010 09:10 FEun-rr C19Is1I" 1 Opp Q 003 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLICANT INFORMATION PROPERTY INFORMATION Account #: 990000673 Tax PIN/EH #: 5852-98-3345 Billed To: Jerry Kapp Subdivision Info: Reference Name: Location/Address: NC Highwary 801 N.-27006 Proposed Facility: Barn Property Size: 1.75 Acres Date Evaluated: Water Supply: Evaluation By: On -Site Well Community Auger Boring Pit Public r__ Cut . FACTORS 1 2 3 4 5 6 7 Landscape position Slope % HORIZON I DEPTH Texture group C qss Consistence r $ Structure Mineralogy HORIZON II DEPTH /—V - Texture group Consistence Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure MineralogyR HORIZON IV DEPTHLr V Texture group' Consistence LX Structure Mineralogy SOIL WETNESS '—'- RESTRICTIVE HORIZON -� SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE , 1 ?5 SITE CLASSIFICATION: ) �" EVALUATION BY. _&&,ell ��?—r.Q LONG-TERM ACCEPTANCE RATE:y / OTHER(S) PRESENT. 1 � REMARKS: 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 3 NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky I 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 s Horizon depth - In inches ,/ ! Depth of fill - In inches t Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) \ n Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less `Q1 Classification - S(suitable), PS(provisionally suitable), U(unsuitable) TTAR - T.nna-term arrPntanrP rATP - oaUAau/ft) Tll-TTrl ncInc m__.:__�� Parcel #: C60000007602 Page 1 of 1 oA4r� Davie County, NC - Basic Estate Search ZoU ,1-,P Davie County Web Site •Basic Search Real Estate Search Tax Bill Search Sales Search View Property Record for this Parcel View Map for this Parcel View Tax Bill Information Parcel #: C60000007602 Account #:82514806 Owner Information Tax Codes ADVLTAX - COUNTY T - FIRE TAX PP JERRY W & KAPP FAYE B 1620 FARMINGTON RD :1FIREADVLTAX MOCKSVILLE NC 27028 BXF• Property Information A Township nd (Units/Type): 1.750 AC ddress: FARMINGTON 4600 ssessed: 4600 Deed Information Local tonin Pate: 08/2009 Book: 00804 Page: 0193 Plat Book: 0010 Page: 103 Legal Description PIN [TRACT B 1.7504 AC HWY 801 5852983345 Property Values uildin 0011 BXF• 16 26 nd: 29 74 arket: 4600 ssessed: 4600 eferred• Sales Information No. Book Page Month Year Instrument Qual/UnQual Improved Price 1 00804 0193 08 2009 WD Unqualified Vacant 0 View Property Record for this Parcel View Map for this Parcel View Tax Bill Information « Return to Basic Search 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=1414959 9/8/2016