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1145 Beauchamp Rd (2) 3avie County, NC Tax Parcel Report , `� Monday, September 26, 201t 1222 ' ; 4. --- �' 11210 142 1162 I 137-- 1136. 37--1136. I 132 e , r~- 129--O 12 21 -~�-- ��CI' 1 J1126 �: 1120 0 Q 12-2 J 1163 p�t�7 i �r 119- 1145! l; I , .�" .� 109 " 112 Z 1129 ii `��- `�-r--r, q --106 -- �10871 104 150 114 - 1123 1121 ; 128 5 t ------------------_...................._182..-.._....._.._ -------------- -- ----......_............___....-.............---....._......... - ....-._..........-._..._ .......... 140...........E.------- _ WARNING: THIS IS NOT A SURVEY Parcel Information Parcel Number: E70000013912 Township: Farmington NCPIN Number: 5871129938 Municipality: Account Number: 8304976 Census Tract: 37059-803 Listed Owner 1: WILLIAMS PHILLIP G Voting Precinct: SMITH GROVE Mailing Address 1: 1222 BEAUCHAMP ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006 Voluntary Ag.District: No Legal Description: 2.506 AC LOT 2 J WHITAKER Fire Response District: SMITH GROVE Assessed Acreage: 2.51 Elementary School Zone: SHADY GROVE Deed Date: 1/2015 Middle School Zone: WILLIAM ELLIS Deed Book/Page: 009770694 Soil Types: GnB2,GnC2,ChA Plat Book: 12 Flood Zone: Plat Page: 004 Watershed Overlay: DAVIE COUNTY Building Value: 152680.00 Outbuilding&Extra 0.00 Freatures Value: Land Value: 44430.00 Total Market Value: 197110.00 Total Assessed Value: 197110.00 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 Davis,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to 9 ul -� NC or arising out of the use or Inability to use the GIS data provided by this website. s 'a fY °kYy'�`'z--"it l��lt:`c:,w W''�°f•! L. '. .� �+'t'Lw. 'F; .. . .• ��IjO�11�l� AUTtIORIZATION NO: .00. DAVIE COUNTY HEALTH DEPARTMENT. Environmental Health Section PROPERTY INFORMATION # Permtttee's` P.O.Box 848 Name: Mocksville,NC 27028 Subdivision Name: Phone#:704-634-8760 Directions to property: 15 f/,y~� Section: Lot: AUTHORIZATION FOR WASTEWATER TEM CONSTRUCTION Tax Office PIN:# I{11 es � SbeawhaYYI R('�'v Road'Name: .**NOTE**This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health'Section prior to issuance of any Building Permits.This Fonr/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article 1 I of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems) ***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. ENVIRONMENTAL HEALTH PECIALIST DATE ISSUED DAVIE COUNTY-HEALTH DEPARTMENT ` *; s.. .'•_ 'r`' IMPROVEMENT AND OPERATION PERMITS PROPERTY INFORMATION { rYeri itie�'s' Name: '=y .��y/✓t I ! j"'" "Subdivision Name:'y k' r Directions to property ';+'� f , � �_ r Section: Lot: 1 IMPROVEMENT PERMIT Tax Office PIN:#. r t- T WY C1C6')a 01� 12C Road Name. **NOTE**This Improvement Permit DOES NOT authorize the construction or installation 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) =° ***NOTICE***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE.YOUR WASTEWATER ENVIRONMENTAL HEALTH SPECIALIST - DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.. RESIDENTIAL SPECIFICATION:BUILDING TYPE #BEDROOMS �C' #BATHS_ #OCCUPANTS GARBAGE DISPOSAL:Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLE/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No LOT SIZE_ TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) + NEW SITE 1/ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE/�&—GAL. PUMP TANK GAL. TRENCH WIDTH, � ROCK DEPTH LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT ,...... F **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M.OR 1:00-1:30 P.M.ON THE DAY OF INSTALLATION.TELEPHONE#IS(704)634-8760. - OPERATION PERMITJ. N N 11 I� H Rtea� S M INSTALLED BY: l ol U l � S nye` �t AUTHORIZATION NO. �7l/� OPERATION PERMIT BY: DATE: y�Y **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THA E SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE El 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. DCHD 05/96(Revised): Offl--< ,,©d AP LICATION FOR SITE EVALUATION/IMPROVEMENTS PERM D Q U J Davie mHealth Department �Envirjnmeytal Health section UUL 2 4 X995 J . O. Box 665 ocksville, NC 27028 EtJVIRDO 11E('ATU HEAUH 1. Application/Permit Requested By L Mailing Address 116-S ice/ • Home Phone rpt Lm,uC4. a`�.C- ��i Business Phone 2. Name on Permit if Different than Above �/ 3. Application for: U General Evaluation ❑Septic Tank Installation Permit 4. System to Serve: C]"'House ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home:Subdivision Section Lot # ❑ Basement/Plumbing No. of People �asement/No Plumbing No. of Bedrooms 3 ErWashing Machine No. of Bathrooms 12- u uishwasher Dwelling Dimensions 60 7D 160 ❑ Garbage Disposal 6. If business, industry, place of public assembly, other: Specify type No.of People Served No. of Sinks No. of Commodes No. of Urinals No.of Lavatories No. of Water Coolers No. of Showers Water Usage Figures 7. Type of water supply: Erublic ❑ Private )I ❑ Community 8. Property Dimensions & ¢ Sewage Disposal Contractor �✓/'✓��f 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes B No 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. Directions to Property: This is to certify that the information provided is correct to the best of my knowledge,and I understand I am responsible for all charges incurred from this application. 'Piz/, /�g� 2 DA E SIGNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1l�1'I OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box#2,the rest of this form MUST be completed by the owner or a person authorized by the owner: 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 said site's suitability for a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD'(1/93) •.^ DAVIE COUNTY HEALTH DEPARTMENT ` Environmental Health Section Soil/Site Evaluation NAME` �.LJ//� YIYL!'d DATE EVALUATED ADDRESS PROPERTY SIZE PROPOSED FACIILTY LOCATION OF SITE Water Supply: On-Site Well Community Public Evaluation By: Auger Boring 6e— Pit Cut FACTORS 1 1 2 3 4 Landscape position Slope Z HORIZON I DEPTH Texture groupL Consistence Structure Mineralogy HORIZON II DEPTH r• Texture group Consistence Structure 7,4/ ir Mineralogy HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION 717 LONG-TERM ACCEPTANCE RATE , SITE CLASSIFICATION: _ EVALUATED BY: Zl d LONG-TERM ACCEPTANCE RATE: J y 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 :lay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam SC-Sandy clay SIC-Silty clay C-Clay CONSISTENCE Moist VFR-Vc.-y 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 .3C--Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky SBK-Subangular blocky PL-Platy PR-Prismatic Mineraloay 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 ■■■.■.■■MONO■■.em■..■■■nm/■.nS....nn/N . .■.■n■■.■■ ■ ■....■■...... 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Whitaker 1163 Beauchamp Rd. Advance, NC 27006 Re: Site Evaluation Beauchamp Road/1+ Acre Tract Dear Mr. Whitaker: As requested, a representative from this office visited the aforementioned site on July 27, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, Robert B. Hall, Jr. , R.S. Environmental Health Section RH/wd Enclosure(s) i