359 Beauchamp Rd Davie County,NC Tax Parcel Report �� Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
- w Parcel Information
Parcel Number: F80000002801 Township: Shady Grove
NCPIN Number: 5870568617 Municipality:
Account Number: 33317000 Census Tract: 37059-803
Listed Owner 1: HARTMAN EDDIE H Voting Precinct: WEST SHADY GROVE
Mailing Address 1: 359 BEAUCHAMP ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R A
State: NC Zoning Overlay:
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 1.258 AC BEAUCHAMP RD Fire Response District: ADVANCE
Assessed Acreage: 1.25 Elementary School Zone: SHADY GROVE
Deed Date: 1/1995 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001780020 Soil Types: GnB2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 156990.00 Outbuilding&Extra 5450.00
Freatures Value:
Land Value: 32760.00 Total Market Value: 195200.00
Total Assessed Value: 195200.00
161 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 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
NC or arising out of the use or Inability to use the GIS data provided by this webs@e.
's DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section PR PERTY INFORMATION
- yam. a P.O. Boz 848
Directions'to'propertys r f 1. '/,c�-;! Mocksville,NC 27028 Subdivision Name:
Phone#:336-751-8760
<r Section: Lot:
AUTHORIZATION FOR
WASTEWATER Tax Office PIN:#
SYSTEM CONSTRUCTION -
AUTHORIZATION NO: A Road Na �. c�a<.tc�►-�{� Zip:�0 6
**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 Form/Authorization Number should be presented to the Davie County Building Inspections
Office when applying for Building Permits.
(In compliance with Article 11 of G.S.Chapter 130A,Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems)
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***NOTICE***THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS VALID FOR A PERIOD OF FIVE YEARS.
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
RESIDENTIAL SPECIFICATION:BUILDING TYPE. #BEDROOMS #BATHS #OCCUPANTS GARBAGE DISPOSAL:Yes or No
COMMERCIAL SPECIFICATION: FACILITY TYPE #PEOPLE #PEOPLF/SHIFT #SEATS INDUSTRIAL WASTE:Yes or No
LOT SIZE TYPE WATER SUPPLY DESIGN WASTEWATER FLOW(GPD) ��a V NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH—`M ROCK DEPTH--�= INEAR FT.
,
OTHER
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
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**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 (336)751-8760.
OPERATION PERMIT
SYSTEM INSTALLED BY: lC "
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AUTHORIZATION N��� PERATION PERMIT BY: DATE:
**THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE
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.
DC HD 07/02(Revised
2/76 9
DAVIE COUNTY ENVIRONMENTAL HEALTH SECTION
APPLICATION FOR IMPROVEMENT PERMIT(REPAIR)
NAME �—" RZ% Yv\ A nJ PHONE NUMBER -/ � g "�3 -_21
ADDRESS �5 9 �e2, Lclxa_ .- 4 __P-01 SUBDIVISION NAME
Rd- 0 0-"r\cC— LOT #
DIRECTIONS TO SITE 8- �"'�-� ' n"w-'� rte`Ss
d��� G` - ,,{ 4t J C(✓1 CJo S ��c S e r• - S
DATE SYSTEM INSTALLED '6- NAME SYSTEM INSTALLED UNDERc�,� �RrM�n
TYPE FACILITY NUMBER BEDROOMS NUMBER PEOPLE SERVED 7
TYPE WATER SUPPLY L �/ / SPECIFY PROBLEM OCCURRING e e d 4� , L--
1bo
DATE REQUESTED S INFORMATION TAKEN BY 1�
This is to certify that the information provided is correct to the best of my knowledge,and th unde tand I s nsible for all charges incurred from this application.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
Rev.t/93
✓� DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c.
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Permit Number
Name C/ �/�'1 Date �U
Location ��
SZ� 0:/a
Subdivision Name Lot No. Sec. or Block No.
Lot Size/ O House Mobile Home � ,Business Speculation
No. Bedrooms_ g2n�. No. Baths No. in Family
Garbage Disposal YES C] NO �� Sp ifications for ste
Auto Dish Washer YES ❑ NO ❑ ��j
Auto Wash Machine YES ❑ NO ❑ i�
Type Water Supply /—,lt� �� _ �l� 3
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
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Improvements 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 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: Syste nstalled by
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elf ae
Certificate of Completion �`r' Date r/ �'v
*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.