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1123 Beauchmap Rd Davie County, NC Tax Parcel Report 00 Monday, September 26, 2011 - _ WARNING: THIS IS NOT A SURVEY -Parcel Information Parcel Number: E70000013908 Township: Farmington NCPIN Number:- 5871129661 Municipality: Account Number: . 82522368 Census Tract: 37059-803 Listed Owner 1: SIMMONS DONNIE R Voting Precinct: SMITH GROVE Mailing Address 1: 1121 BEAUCHAMP ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag.District: No Legal Description: 1.01 AC S OFF BEAUCHAMP Fire Response District: SMITH GROVE Assessed Acreage: 0.98 Elementary School Zone: SHADY GROVE Deed Date: 11/2003 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 015060266 Soil Types: GnC2,ChA Plat Book: Flood Zone: Plat Page: Watershed Overlay: DAVIE COUNTY Building Value: 27250.00 Outbuilding&Extra 6700.00 Freatures Value: Land Value: 9870.00 Total Market Value: 43820.00 Total Assessed Value: 43820.00 QD All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. t7: DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETIOV.,". *N.OTE:Issued in Compliance With Article I I of G.S.Chapter 130a /�23 � �� Sanitary Sewage Systems _ Number Name Date `, ' � �l N2 6 0 G G Location Subdivision Name Lot No. Sec. or Block No. Lot Size House Mobile Home _ Business Speculation No. Bedrooms �, No. Baths r1 No. in Family -J— Garbage Disposal YES ❑ NO p, Specifications for System: Auto Dish Washer YES ❑ NO [g/ c, - px Auto Wash Machine YES NO 0 U• � � � ,X11 ,t Type Water Supply _— *This permit Void if sewage system described below is not installed within 5 years from date of issue. This permit is subject to revocation i si a plans or the intended use change. t f r ` Improvements permit by . -� r � . *Contact a representative of hae Da County H .� l�Department for final inspection of this system between 8:30- 9:30 A.M. or 1:00-1:30 P. on d "of complet o . Telephone Number: 704-634-5985. Final Installation Diagra � System Installed by _ b 1 y: ,Certificate of Completion \ Date ' y "The signing of this certificate shall indicate that the system described above has been installed in compliance with the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function satisfactorily for any given period of time. JOAPPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT �l " Davie County Health Department / Environmental Health Section E� MAY 0 a P. 0. Box 665 G� Mockoville, NC 27028 Mail Iyu 1 . Application/Permit Requested By Mailing Address Home Phone = z K-3 Business Phone 2. Name on Permit if Different than Above %SA/�'/� 3. Property Owner if Different than Above o — 3F 4. Application/Permit For: 0 General Evaluation I)eS/Tank Installation 5. System to Serve: X House 3 Mobile Home 0 Business L] Industry u Other Unknown 6. If house, mobile home: Subdivision Sec. Lots No. of People Dwelling Dimensions a No. of Bedrooms I Basement/Plumbing No. of Bathrooms o? ` Basement/No Plumbing Washing Machine J Dishwasher 0 Garbage Disposal 7. If business, industry, other: Specify type 16/Y � No. of People Served No. of Sinks No. of Commodes No. of Urinals No. of Lavatories No. of Water Coolers No. of Showers 8. Type of water supply: X Public 0 Private 0 Community 9. Property Dimensions 6 10. Sewage Disposal Contractor 5�.�36/yAO- Ip 7-=FlP 11 . Do you anticipate additions/expansions of the facility this system is intended to serve? 0 Yes XNo If yes, what type? *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. This is to certify that the information provided is correct to triEe best of my knowledge, and I understand I am responsible for all charges incurred from this application. 5Z- a9- 90 Date Signature Directions to Property : �s 1 DCHD (10-89) t DAVIE COUNTY HEALTH DEPARTMENT ENVIRONMENTAL HEALTH SECTION SITE EVALUATION CONSENT FORM 1. Complete the form below and return to the Davie County Health Department. 2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin." NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO BEGIN THE REQUESTED EVALUATION. DETACH HERE AND RETURN TO: Davie County Health Department, Environmental Health Section, P. O. Box 665, Mocksville, N.C. 27028 Davie County Health Department Environmental Health Section Site Evaluation Consent Form LOCATION OF PROPERTY: �Q.,� DATE RECEIVED meq/. ��'3 'r/�y (office use only) yes no 1. 1 am the owner of the above described property. yes no 2. 1 am not the owner of the above described —property, however, I certify that I have consent from �L o ('� l� '�NK I owner to obtain a owner's name site evaluation by the Davie County Health Department for the purpose of determining the suitability for a ground absorption sewage treatment and disposal system. yes no 3. 1 hereby give consent to the authorized representative of the Davie County Health Department to enter upon the above described property and conduct all testing procedures as necessary to determine its suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE 4. 1 hereby authorize the Davie County Health Department to release site evaluation results from the above described property to the following: — Owner only Owners designated representative Anyone requesting results Only those listed below DATE SIGNATURE DCHD(11/84) t,. w DAVIE COUNTY HEALTH DEPARTMENT j Environmental Health Section p� Soil/Site Evaluation p NAME 1 \ sem. �.� ? DATE EVALUATED ADDRESS s A �Q PROPERTY SIZE C PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By-(','4_V-%L-Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position eL45' Sloe Z HORIZON I DEPTH Texture grou _ C. Consistence F Structure IK Mineralogy }o\ ' t I ' HORIZON II DEPTH LL CL 40 Texture group C_�_ t__ Consistence F Structure Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS $S S RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION E�FK LONG-TERM ACCEPTANCE PLATE - uc0 -yE) SITE CLASSIFICATION: �C .S EVALUATED BY: LONG-TERM ACCEPTANCE RATE: �'� 1 �� OTHER(S) PRESENT: 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 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(01-901