436 Beauchamp Rd Davie C unty, NC Tax Parcel Report Monday, September 26, 2016
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WARNING: THIS IS NOT A SURVEY
. ...Parcel Information
Parcel Number: F800000O18 Township: Shady Grove
NCPIN Number: 5870675118 Municipality:
Account Number: 69660000 Census Tract: 37059-803
Listed Owner 1: SPAUGH ROBERT Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 436 BEAUCHAMP ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-A
State: NC Zoning Overlay:
Zip Code: 27006-7408 Voluntary Ag.District: No
Legal Description: 1.33 AC BEAUCHAMP RD Fire Response District: ADVANCE
Assessed Acreage: 1.18 Elementary School Zone: SHADY GROVE
Deed Date: 4/1979 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001070628 Soil Types: GnB2,GnC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 34180.00 Outbuilding&Extra 5740.00
Freatures Value:
Land Value: 31210.00 Total Market Value: 71130.00
Total Assessed Value: 71130.00
161
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NCounty of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
1. or arising out of the use or Inability to use the GIS data provided by this website.
DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE:Issued in Compliance With Article 11 of G.S.Chapter 130a
Sanitary Sewage Systems Permit Number
Name VLl a\0 Q`i✓� ��7 S\ cA, Date �' j b N2 603- 4-
Location
034-Location �1 % `?Y. Q)
r t- �= 1.•..� Cir. �_fi"� _�`�.M1., o� t� ! �-, t- -z�;�-v.+�+ l`,'�
Subdivision Name Lot No. ec. or Block No.
Lot Size ' `,- House Mobile Home _ Business Speculation
No. Bedrooms No. Baths No. in Family
Garbage Disposal YES ❑ NO ❑/ Specifications for S,- stem: _
Auto Dish Washer YES ❑ NO L✓J 1 U t� c� G t�). y^ - �"?�
Auto Wash Machine YES p-NO ❑
Type Water Supply ��T _-- �-. -.
*This permit Void if sewage system described below is not installed^within 5 years from date of issue.
This permit is subject to revocation if site-pians or the intended use change. ,
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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: System Installed by
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Certificate.of Completion Date hrm
'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. .
�✓ , , _� •APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT fp\
ar r� Davie County Health Department
Environmental Health Section
P. 0. Box 665
U V Mockoville, NC 27028
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1 . Application/Permit Requested By '
Mailing Address � 1141
J �f� 116 n�S
' Home Phone o� Business
P:,�.-`Na on Permit if Different than Above
Property Owner if Different than Above
4. Application/Permit For: 0 General Eva 1ua on t--S/Tank Installation
5. System to Serve: House Mobile Home (] Business
Industryu Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lot#
No. of People Dwelling Dimensions
No. o edrooms Basement/Plumbing
Noof Bathrooms Basement/No Plumbing
Washing Machine J Dishwasher 0 Garbage Disposal
7. If business, industry, 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
S. Type of water supply: C Public Private Q Community
9. Property Dimensions 6LC
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10. Sewage Disposal Contractor
11 . Do you anticipate additions/expansions of the facility this system is
intended to serve? 0 Yes k_"")
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 the
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
Date Sic/nature
Directions to Property: c�
� f An o .;�—
DCHD (10-89)
e _
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ��Q ����c� DATE EVALUATED L I
ADDRESS 7 "4M�_ PROPERTY SIZE
PROPOSED FACIILTY �`� ` ��� LOCATION OF SITE
Water Supply: On-Site Well ) Community Public
Evaluation By�t Auger Boringy Pit Cut
FACTORS 1 2 3 4
Landscape position S
Sloe %
HORIZON I DEPTH k
Texture group
Consistence - 1�
Structure R Q
Mineralogy \ \ 1.1 '.\
HORIZON II DEPTH a 6
Texture group 11-41 C
Consistence
Structure F3
Mineralogy �,1 '►
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS s S
RESTRICTIVE HORIZON �^ ^
SAPROLITE
CLASSIFICATION S
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: r� 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 fine
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
Mineralotty
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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V EN����P� 'e County Health Deparunent
Environmental Health Section
P.O.Box M
210 Hospital Street
Courier# 0940-06
Mocksville,NC 27028 .
Phone:(336)-753-6780 Fax:(336)753-1680
ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Rwootanection
Name: �010P.(' $c- Phone Number(33b) aqj-704/ (Home)
Mailing Address: y3I0 �e a u t�L�r...r Qd- (Work)
L+�1aac.e. �Ur �7n0!o
Detailed Directions To Site: Q REF lq w� 7.3 :w.le S --o tAo-y s G kGor rd. 2�1
12 Ga f� n.:l •+vrn t i2nto B¢d , rt,c,.,,a Ad R/3to on Ipwt
Property Address:_�3(P a c.`�a.•.� Q of.
Please Fill In The Following Information About The EMSTEVG Fscility:
Name System Installed Under: R A CP* 5Pc-.ti I� ,. Type Of Facility: r•«:.t��.
Date System Installed(Month/Dwe/Year): I1$9 pr Y1y 0 Number Of Bedrooms: 3 Number Of People:
Is The Facility Currently Vacant? Yes No If Yes,For How Long?
Any Known Problems? Yes No If Yes,Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: .s: ./-.c4 fV0 6'.4 A6..•.4 Number Of Bedrooms: 3 Number of People
Requested lay. 1v s- "A DateRequested:— �.. 5-(0
(Signature)
For Environmental Health Office Use Only
Approved Disapproved r /
Comments: ` �QI / y
1 a tt
67 ttW .5e.0 &e 4S
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Environmental Health Specialist , Date:
"The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee'
(extended or limited)that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check Money Order # Amount:S Date: !-
Paid By: 61V ff Received By:
Account#• 6 L119 Invoice#: 1176
4191M P, VnICN
j J
ie County Health Department
ronmental Health Section ' F
P.O. Box 848 P
210 Hospital StreetA _5
Courier# : 09-40-06
Mocksville, NC 27028 ,
Phone:(336)- 53-6 80 Fax:(336)-753-1680
ON-SITE WASTEWATER-CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnecti ____
Name: -p.,i' �:-'' Phone Number 3 to �[(Home)
Mailing Address: (Work)
Detailed Directions To Site: (! .Gtawh 74-41W r,'\I,A f 04 A 1A_1X01-°
&a�%c nm Rf te_4f ._5 . on a, U'oa 'will 055 ,
D k/ a M 0)7 40 I've al7d p
Property Address: —
go
Please Fill In The Following Information About The EXISTING Facility:
7"�x 5`�
Name System Installed Under: Type Of Facility:
Date System Installed(Month/Date/Year): Number Of Bedrooms: Number Of People:
Is The Facility Currently Vacant? es No If Yes,For How Long?
Any Known Problems? Yes o If Yes,Explain: l'
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: 1 % — Number Of Bedrooms: Number of People_
Requested By: Date Requested:
(Signature)
For Environmental Health Office Use Only
proved isapproved
Comments: fT
&q/'z oAd djv�'
Environmental Health Specialist Date: /27/20/0 '
*The signing of this form by the Environmental Health Staff A in rlo way intended,nor should be taken as a guarantee
(extended or limited)that the on-site wastewater system will function properly for any given period of time.
Paym nt: Cash Check Money Order # Amount:$ Date: ��
Paid By: Received B
Account#: 5s� - Invoice#: