1356 Beauchmap Rd Davie County,NC Tax Parcel Report 0' 1 l� Monday, September 26, 2016
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Parcel Infoation
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Parcel Number: E70000012707 Township: Farmington
NCPIN Number: 5861948872 Municipality:
Account Number: 8304707 Census Tract: 37059-803
Listed Owner 1: C&M FAMILY LTD PARTNERSHIP Voting Precinct: SMITH GROVE
Mailing Address 1: 180 GOLDEN BEAR LANE Planning Jurisdiction: Davie County
City: CLEMMONS Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27012 Voluntary Ag.District: No
Legal Description: 13.108 AC GUN CLUB RD Fire Response District: SMITH GROVE
Assessed Acreage: 12.16 Elementary School Zone: SHADY GROVE
Deed Date: 2/2015 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 009790241 Soil Types: MrC2,GnB2,GnC2,GaD,ChA,MsD
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 0.00 Outbuilding&Extra 4500.00
Freatures Value:
Land Value: 161500.00 Total Market Value: 166000.00
Total Assessed Value: 33680.00
I v 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 warrantles of merchantability or fitness for a particular use.All users of Davie Countys 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
�O p4; NC or arising out of the use or Inability to use the GIS data provided by this website.
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- • -i DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENT PERMIT and OPERATION PERMIT
IMPROVEMENT PERMIT
**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 138A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
NAME PROPERTY ADDRESS EQe�/Q'�71 J C L: DATE
LOCATION Q l
SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER
RESIDENTAL SPECIFICATION: BUILDING TYPE g BEDROOMS 7 t BATHS # OCCUPANTS GARBAGE DISPOSAL.:.Ye /6
COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No
LOT SIZE /GJl' TYPE WATER SUPPLY �_ DESIGN WASTEWATER FLOW (GPD) .1.D NEW SITE / REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE,&V GAL. PUMP TANK GAL. TRENCH WIDTH „ ROCK DEPTH ._ LINEAR FT. 3�d
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST
SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM.
IMPROVEMENT PERMIT BY
**CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN
8:30-9:30 A.M. OR 1:N-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT SYSTEM INSTALLED BY
r'
AUTHORIZATION NO. OPERATION PERMIT BY DATE lO Q
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE 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.
DCHD 10/95
\ .i �_�.la.rlt7ls '4 i- - a `•t rr r�,.. S ti r e, r.F: E_r-•-i �t_ ,. •46'
Davie County Health Departme'' 1117
ENVIRONMENTAL HEALTH SECTION
P.O. Box 665 (o
Mocksville, N.C. 27028
AUTHORIZATION FOR W 67MTER SYSTEM CONSTRUCTIOM
(Issued in compliance with Article 11 of
G.S. Chapter 13OA,.Wastewater Systems)
***This Authorization For Wastewater.System Construction must be issued by the Davie County Environmental Health Section prior.to`
issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building
(�nspections
Office when.applying for Building Permits.*** �RII R
NAME rS�'1 -i.l: �, �` �/'K/�y//7f'r' , DATE NQ j 19 5
1 �
NAME ON IMPROVEMENT PERMIT (If differen�t.than above)
SITE LOCATION Lam= � l�ti /�aECS 7i/��GL7Vt
COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM
**MICE*H THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS.
ENVIRO1lENTAL THH-'vMV LIS(''. SATE', j
, DCHD 10/95 _
a APPLICATION FOR SITE EVALUATION/IMPROVEMENTS P Q
L Davie County Health Department
Environmental Health Section MM — 4 1996
1 P. O. Box 665
tiA Mocksville, NC 27028
1. Application/Permit Requested By
Mailing Address /T� 3 3 Home Phone
a Business Phone
2. Name on Permit if Different than Above
3. Application for: ❑General Evaluation R(Septic Tank Installation Permit
4. System to Serve: ❑ House 10/Mobile Home ❑ Place of Public Assembly
❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot#
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
i
No. of Bedrooms PfWashing Machine
No. of Bathrooms �- Ga'Dishwasher
Dwelling Dimensions ❑ 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
2"
Public
Type of water supply: I� Public r Qclla,:�) ❑ Private ❑ Community
8. Property Dimensions Sewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes 2�`No
If yes,what type?
*NOTE: Improvements Permits shall be valid from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property: PROPERTY INFORMATION REQUIRED:
eL7L -
i A /TXG�o. Tax Office PIN: #
PROPERTY AbbRESS, as f o i l ows
IdOl
�� Road Name: Y �y�u�� „L� /�,
071 ocry�-R -/ Cit C'_. �?ZL-,
SUBMIT A PLAT WITH THIS APPLICATION.
Revisions effective October 1 , 1995.
-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.
-51 Z)ta'AfZ
,— DATE 0 SIGNAIVRE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
MUST CHECK ONE: e1. 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 -, czG SIGNA RE C��
DCHD"(1/93)
.20 (lo)
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67.88 Ac I :3
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9' 74 a
OZ
(3.62Ac)rrM 7.;i9
127.01
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10701 }
(362 Ac} ,� — n�
el 24 m 1.12Ac ~ ra +' 152,0 1
(3.62 Acj
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N2000
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231 r; 113 Ac
58. E 1070 4r+ ---.�'�" � :�� •�.
. ��'4�/�CS ♦'� ri,; � £','� ems`t � 79642
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144'
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80Ac< < �N
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' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ��L l DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE (Ltn
Water Supply: On-Site Well _ Community Public t'�
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L L
Sloe --
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
Texture groupG
Consistence r
Structure < /e' _5X.,e-
Mineralogy
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION 77 Jet;
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: 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-V+.-.-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
Mineralo¢y
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
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