1129 Beauchamp Rd Davie County,NC Tax Parcel Report Wednesday; February 15, 2017
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WARNING: THIS IS NOT A SURVEY
Parcel Information I
Parcel Number: E700000139 Township: Farmington
NCPIN Number: 5871221927 Municipality:
Account Number: 77960000 Census Tract: 37059-803
Listed Owner 1: WHITAKER ELSIE B Voting Precinct: SMITH GROVE
Mailing Address 1: 1129 BEAUCHAMP ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-7415 Voluntary Ag.District: No
Legal Description: 2.494 AC BEAUCHAMP RD Fire Response District: SMITH GROVE
Assessed Acreage: - 2.44 Elementary School Zone: SHADY GROVE
Deed Date: 9/1985 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 001280236 Soil Types: GnB2,GnC2
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 91610.00 Outbuilding&Extra 6000.00
Freatures Value:
Land Value: 44920.00 Total Market Value: 142530.00
Total Assessed Value: 142530.00
O uya�AAll 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
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County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
SOU N4 NC or arising out of the use or Inability to use the GIS data provided by this website.
.OPERATION PERMIT or ice se n v
s'"Rvt•
bavie County Health Department *CDP File Number 197085-1
f- 210 Hospital Street E7-000-00-139
P.O. Box 848 County ID Number,
Mocksville NC 27028 Evaluated For, REPAIR
Phone: 336-753-6780 Fax:336-753-1680 Township:
Applicant: Elsie Whitaker Property Owner: Elsie Whitaker
Address: 1129 Beauchamp Road Address: 1129 Beauchamp Road
City: Advance City: Advance
State2ip: NC 27006 State2ip: NC 27006
Phone#: Phone#:
Property Location & Site Information
Address/Road #: Subdivision: Phase: Lot:
1129 Beauchamp Road
Advance NC 27006 Directions
Structure: SINGLE FAMILY Hwy,158 right on Baltimore then left on Beauchamp
#of Bedrooms:
#of People:
*Water Supply: NIA
*System Classification/Description:
*IP Issued by. TYPE 11 A.CONY SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS)
*CA issued by: 2140-Nations,Robed Saprolite System? ()Yes QNo
Design Flow: 3 6 0 *Distribution Type: GRAVITY-SERIAL Pump Required?
()Yes QNo
Soil Application Rate: 0 - a 7 5 *Pre Treatment:
Drain field
r
on Field 1 3 0 9 Sq.ft. *System Type: INFILTRATOR QUICK 4 STANDARD
n Lines 3 Installer: Jamie Barnes
Total Trench Length: 3 a 7 ft. Certification#: 1018
Trench Spacing: _ 9 Inches O.C.
Feet O.C. 'EH S: 2140-Nations,Robert
Trench Width: — 3 ()Inches
( Date: 0 9 1 2 2 / 2 0 1 5
Aggregate Depth: inches
Minimum Trench Depth: 3 6
Inches
Minimum Soil Cover. a 4Inches Approval Status;
Maximum Trench Depth: 3 6 2"Approved0 Disapproved
Inches
Maximum Soil Cover: 2 4 Inches
COP File Number 197085 - 1 County ID Number: E7-0°o-Ml'9
Septic Tank
Manufacturer Lat.
Long:
STB:
Gallons:
Installer.
Date: Certification#:
*EHS:
'Filter Brand:
Date:
ST Marker. E] Yes ❑ No
Reinforced Tank: ❑ Yes ❑ No val Status
1 Piece Tank: ❑ Yes ❑ No ❑,Approved❑ Disapprovedif
Pump Tank
Manufacturer. Installer.
PT: Certification#:
Gallons: *EHS:
Date: f / Date:
RiserSealed ❑ Yes ❑ No
RiserHeght: ❑ Yes ❑ No (Min.6 in.) Approval Status
Reinforced Tank: ❑ Yes ❑ No p ApprovedD Disapproved
1 Piece Tank: ❑ Yes ❑ No
Supply Line
Pipe Size: inch diameter Installer.
Pipe Length: feet Certification#:
*ENS:
*Schedule:
Pressure Rated ❑ Yes ❑ No Date:
Approved fittings ❑ Yes ❑ No Approval Status
❑ Approved❑ Disapprovetl
Pump Requirement
FDosing
Type: Installer.
lume: — Gal Certification#:
Down: Inches *EHS'
*Chain:
Date:
Valves Accessible ❑ Yes ❑ NO
Flow Adjustment Valve ❑ Yes ❑ No
Check-valve ❑ Yes ❑ No Approval S#alas
PVC Unions ❑ Yes ❑ Nod=Approve ❑ Disapproved
Vent Hole ❑ Yes ❑ No
Anti-siphon Hole ❑ YeS ❑ NO
CDP File i Number 197085- 1 County ID Number: E7-000-M139
i Electric Equipment
N�EMA4X Box or Equivalent 0 Yes 0 No Installer
Box
I
ox 12 inches Above Grade 0 Yes 0 No
c
Certification#:
Boxj.I
ox Adj.To Pump Tank El Yes El No
Conduit Seated n yes 0 No *ENS:
Pump Manually Operable E] Yes 0 No Date:
*Activation Method:
Appra-�al Status
-1,
--
Ala an Audible El Yes 0 No
ApprovedDisapproved
Alarm Visible 0 Yes 1:1 NO
2140-Nations.Robed
*Operation Permit completed by: �01
Authorized State Age���� Date of Issue: 0 9 l 2 21 / 2 0 1 5
Owner/Applicant Signature:
This system has been installed in compliance with applicable NC General Statutes:Article 11, Chapter 130A, Rules for
Sewage Treatment and Disposal,-15A NCAC 18A .1900 et. Seq.,and all conditions of the Improvement Permit and
Construction Authorization.This property is served by a TYPE It A- sewage septic system.
Rule.1961 requires that a Type TYPE 11A. septic system meet the following criteria:
Minimum System Review By The Local Health Department: NIA
Management Entity: OWNER
Minimum System InspectioniMaintenance Frequency By Certified Operator:
WA
Reporting Frequency By Certified Operator: MIA
Rule .1961 requires that a Type IV and V septic systems designed fora home/business owner must maintain a valid contract
with a public management entity with a certified operator or a private certified operator for the life of the septic system.
Rule .1961 requires that Type VI septic systems designed fora home/business owner must maintain a valid contract with a
public management entity with a certified operator for the life of the septic system.
Rule. 1961 (2)(e)requires a contract shall be executed between the system owner and a management entity prior to the
issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the
system ownerand certified operator are the same. The contract shall require specific requirements for maintenance and
operation, responsibilities of the owner and systems operator,provisions that the contract shall be in effect for as long as the
system is in use,and other requirements for the continued proper performance of the system. It shall also be a condition of
the Operation Permit that subsequent owners of the systems execute such a contract.
@Hand Drawing 01mport Drawing
**Site Plan/Drawing attached.**
OPERATION PERMIT 197085 - 1
Davie County Health Department CDP File Number:
210 Hospital street E7-000-00-139
P.O. Box 848 County File Number:
Mocksville NC 27028 Date: ! /
4.J
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Drawing Drawing Type: Operation Permit Scale: O O A k
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CONSTRUCTION For Office Use Only,
AUTHORIZATION "CDP File Number, 197085-1
Davie County Health Department County ID Number:E7-000-M139
. � 210 Hospital Street Evaluated For.. REPAIR
P.O.B
ox 848 Township.
Mocksviile NC 27028 PERMIT VALID UNTIL:
Phone: 336-753-6780 Fax:336-753-1680 0 9 / a a / a 0 a 0
Applicant: Elsie Whitaker PropertyOwner. Elsie Whitaker
Address: 1129 Beauchamp Road Address: 1129 Beauchamp Road
City: Advance City: Advance
State/Zip: NC 27006 State0p: NC 27006
Phone#: Phone#:
Property Location & Site Information
rAddress/Road#: Subdivision: Phase: Lot:
1129 Beauchamp Road
Advance NC 27006 Directions
Structure: SINGLE FAMILY Hwy 158 right on Baltimore then left on Beauchamp
#of Bedrooms:
#of People:
"Water Supply: N/A
System Specifications
CFlowMinimum Trench Depth: a 4
:
Provisionally suitable Inches
Minimum Soil Cover. 1 a
QYes QNo Inches
3 6 0 Maximum Trench Depth: 3 6 Inches
Soil Application Rate: 0 a 7 5 Maximum Soil Cover: a 4 Inches
*System Classification/Description: *Distribution Type: GRAVITY-SERIAL
TYPE 11 A.CONV SYSTEM(SINGLE-FAMILY OR 480 GPD OR LESS) Septic Tank:
Gallons
*Proposed System: 25%REDUCTION 1-PIBCe: Oyes ONo
Pump Required: ;OYes ONo OMay Be Required
Nitrification Field 1 3 0 g Sq. ft. Pump Tank: Gallons
No..Drain Lines 4 1-Piece:QYes ONo
Total Trench Length: 3 a 7 ft. GPM vs— ft. TDH
Trench Spacing:. 9 @Feet O.C.inches O.C._ Dosing Volume: Gallons
Trench Width: Inches
3 _ Feet Grease Trap: LGallons
Aggregate Depth:
inches Pre Treatment: ONSF OTS-1TS-11SepticTank InstallerGrade Level Required: 01011 OMI
Dern 1 of 4
CDP File Number 197085- 1 County ID Number. E7-000-00-139
❑• Open Pump System Sheet
Repair System Required:OYes ONO ONO, but has Available Space
rDesign
System
Trench Spacing: 8Feet
Inches 0. .
ification: — O.C.
Trench Width: Inches
w: _ 8Fest
Soil Application Rate: Aggregate Depth: inches
.�
*System Classification/Description: Minimum Trench Depth: Inches
Minimum Soil Cover. Inches
Maximum Trench Depth:
*Proposed System: Inches
Maximum Soil Cover:
Nitrification Field Inches
Sq. ft.
No. Drain Lines "Distribution Type:
'Total Trench Length: Pump Required: OYes ONo OMay Be Required
Pre Treatment: ONSF OTS-1 OTS-II
*Site Modifications
No grading or construction activity is allowed in areas designated for system and repairwithout approval of Health Department.
*Permit Conditions
The issuance of this permit bythe Health Department in no wayguarantees the issuance of other permits.The permit holder
is responsible for checking with appropriate governing bodies in meeting their requirements. ;
This Authorization for wastewater System Construction shall be valid for a person equal to the period of validity of the ImprovementPermit not
to exceed fiveyears,and may be issued at the sametime the Improvement Permit Issued(NCGS 130A-336(11)}If the installatlon has not been
completed during the period of validity of the Construction Permit,the Information submitted in the application fora permit or Construction
Authorization is found to have been incorrect,falsified or changed,or the site is altered,the permit orConsbvction Authorization shall become
Invaiid,and may be suspended or revoked(.1937(g)).The person owning or controlling the system shall be responsible for assuring compliance
with the laws,rules,and permit conditions regarding system'location,Installation,operation,maintenance;monitoring,reporting and repair
(1938(b)).
Applicant/Legal Reps. Signature Required? Oyes ONO
Applicant/Legal Reps. Signature: Date:_
Issued By: _Date of Issue;
2140-Nations,Robert 0 9 / a a / a 0 1 5
Authorized State Age Malfunction Log OYes
@Hand Drawing Olmport Drawing
**Site Plan/Drawing attached.**
Page 2 of 3
,. CONSTRUCTION AUTHORIZATION
Davie County Health Department CDP File Number.
197085 - 1
`210 Hospital Street E7.000-00.139
P.O.Box Bas County File Number:
Mocksville NC 27028 Date: 0 9 / 2 a / .10 1 5
Qinch
Drawing Drawing Type: Construction Authorization Scale: . QBlock
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CONSTRUCTION AUTHORIZATION
Davie County Health Department
210 Hospital Street CDP File Number: 197085- 1
P.O.Box 848 E7.000.00.139
Mocksville NC 2702$ County File Number:
Date: .09 / 22 / 2 0 1 5
Click below to Import an image from an external location: Drawing Type:Construction Authorization , '
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