154 Beauchamp Rd Lot 5 N Q 1-1629
• C) 9 9# \\
I I \ R6
(Y Vicinit Ma
\ 7� not to scale
£PK
Al 0
EPK llJl_ AUc, \MP
\� S��NSj//�'73g6i� .`• �� O 6O PUBLOD - SR 1621
N18 '37„ - . . - IG fi�IGHT-OF-WAY
\EPK 9430. N 11.18'53'E\ 120.24' CP L4 CP L6 CP L7CP .
111.66' N 8'48'6"a CP CP
8 919 SF(/NS/DE R v� 105.10' L8 LIO CP N 9-32'33"E
9,005 SF �- CP LII CP LI3
_ (lNS/DE R/W) _AIR ' 155,27'
� .�.
9,002
SF.AYS/DERN 10.17-'9
4"
� .
�lR .11:794 SF./NS/EE Rey 307.07' P
LOTS z 1 n�
3.664 AC w m z U
TOTAL AREA(Typ LOT 4
v l z Z
I 2.388 AC �' O T3.
N i 2.235 ACN N LOT 2 v m
2.324 Ac
LOT 1 rt/ 966 q0
041
z
5731'
' 59"W 1 a 1.24'
91555' N/R 571T49-1TW
OFF N/R 57.31159 W N/R 1 0 LINE i A
300.92' 300.42' 57-31'59"W I � N/R II �
300.42' O 57'31'59"W EJ N O r� 5 400,5V E/P
New Iran Pins set at all new corners CONTROL
trJess ofiterWlse rated. CORNER I
This plat 15 subject to any basements,Agreements,or P51-' DEVELOPMENT C012,INC. NORTH
k4ilb-of-Wa45 of record prior to the date of th15 plat, DB"713,P&818 '
Which was not V15161e at the tame of the survey. P.B.9,P6.63 4 64
Total area- 13.577 Acres urs r�a Grid - SPc '83
��� Zany:RALINe LENCrtN vEa4aNu Referenced: NC
CzuiW wl 31.54' N 71197'91"W l
Reference%rvey: B12 30.40' N 35.36'12"E
Rabbit Farm,Phase II,Subdlvlswn flat flat Doric 06,Pq,72. 30.00' N 78.57'22°W
Dy Cazrski 5 rveyim Co.Vated March 18 of 1994- 65.44' N7'25'12"E
flat of 5rrvey fa-John H.Hoob,etal,Plat book 06,Pq.49. 30.03' N 79.25'21"W
Dy 6lzimki 5irveylnq Co,gated July 14 of 1992. 110.6], N 7.25'12"E
Plat of 5urvey f�or Alan Mork Trustee-fhorr�asN aiey Rssex Trust Plat Dcek O6,Pq.49. 48.05' N 8-15'54"e
Dy Vonalcl J.Moore,P,1-.5.bated November 14,2006. 36.51' N 9'17'42"E
30,01' N79.25'21"W
Plat of 5arvey for John H.Hooch,eW.Plat book 06,Pq,49, 92,29' N 9'17'42"E
Dy 6izhski 5urvgN Co.t7ated July 14 of 1992. 52.49-1 N 9149'43"e
LIZ 30,00' N79'25'21"W LEGEND
Davie County,NC Tax Parcel Report Thursday, October 13,2016
- °
201
193 i
145 f,A 187co
LXj
<) 179--UJ
154 107 113 121
O G 104 112
161-0 120
155-•CQ'
Q � i
2669 �? {,'� 147--.L
G
cot Q- •138 d:1
WARNING: THIS IS NOT A SURVEY
Parcel Information
formation
Parcel Number. F800000021 Township: Shady Grove
NCPIN Number: 5870652977 Municipality:
Account Number: 44960000 Census Tract: 37059-803
Listed Owner 1: LEAB BILLY MAX Voting Precinct: EAST SHADY GROVE
Mailing Address 1: 154 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: LOT 5 3.664AC MOCK S/D Fin:Response District: ADVANCE
Assessed Acreage: 3.39 Elementary School Zone: SHADY GROVE
Deed Date: 9/2004 Middle School Zone: WILLIAM ELLIS
Deed Book/Page: 2004EO245 Soil Types: GnB2
Plat Book: 0009 Flood Zone:
Plat Page: 233 Watershed Overlay: DAVIE COUNTY
Building Value: 339540.00 Outbuilding 8r Extra 7720.00
Freatures Value:
Land Value: 57120.00 Total Market Value: 404380.00
Total Assessed Value: 404380.00
9 tt� All data is provided as is without warranty or guarantee of any Idnd 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 webske shall hold harmless the
/-r County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�O p-C NC or arising out of the use or inability to use the GIS data provided by this website.
r - DAVIE COUNTY ENVIRONMENTAL HEALTH 7-V--t0
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
OPERATION PERMIT
Account #: 990005532 Tax PIN/FH#: 5870-65-2977
Billed To: Billy MAX Leab Subdivision Into: Alan Mock Trust Lot#5
Reference Name: Max Leab LocalionlAddress: Beauchamp Rd-27006
Proposed Facility: Residence Property Size: 3.6 D,, L p
ATC Number: 5100 tG�GG(.{el1Q-dYl� !�'`
**NOTE**The issuance of this Operation Permit shall indicate the system described on the ATC 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.
System Type: S.T.Manufacturer Tank Date Tank Size !�
Pump Tank Size /?6b
System Installed By: rjp"111 e-s E.H.Specialist: ate: 211,1L
GPS Coordinate:
v1
{
DCHD 11/06(Revised)
DAVIE COUNTY ENVIRONMENTAL HEALTH n1�Q 7-II a
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax#(336)753-1680
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION
Account #: 990005532 Tax PIN/EH#: 5870-65-2977
Billed To: Billy MAX Leab Subdivision Info: Alan Mock Trust Lot#5
Reference Name: Max Leab LocationiAddress: Beauchamp Rd-27006
Proposed Facility: Residence Property Size: 3.6
ATC Number: 5100 Site Type: ❑kr ❑Repair ❑Expansion
**NOTE**This Authorization to Construct(ATC)MUST BE ISSUED by the Davie County Environmental
Health Section prior to issuance of any building permit(s),(in compliance with Article 11 of G.S.Chapter 130A
Wastewater Systems,Section.1900 Sewage Treatment and Disposal Systems). THIS AUTHORIZATION TO
CONSTRUCT IS VALID FOR A PERIOD OF FIVE YEARS. This ATC is subject to revocation if site plans,plat
or the intended use change.
Residential Specifications: #Bedrooms 4 #Bathrooms 3 #People X Basementffl�asement plumbing$-
Non-Residential Specifications: Facility Type #People #Seats
r Square Footage(or Dimensions of Facility)
Lot Size 3.4 0",e`' Type of Water Supply: e ounty/City ❑Well ❑Community Well
' U / Odo
System Specifications: ' Design Wastewater Flow(GPD) 4190 Tank Size %dy GAL.Pump Tank GAL.
Trench Width3 G Max.Trench Depth 3� Rock Depth_ Linear Ft. l I
Site Modifications/Conditions/Other: As stated in 15A NCAC 18A.1969(5)
accepted ys ems may 5150 De use
Contact the Davie County Environmental Health Section for final inspection of this system between
---4L-30-9:30a.m.on the day of installation. Telephone#(336)751-8760.
T poi is Q
4C. P.
toe'
h� q
10 �J
Environmental Health Specialist Date: v � ( C
DCHD 11/06(Revised)
r
Davie County Environmental Health
P.O.Box 848/210 Hospital Street
Mocksville,NC 27028
(336)753-6780/Fax(336)753-1680
IMPROVEMENT PERMIT
Account #: 990005532 Tax PIN/EH#: 5870-65-2977
Billed To: Billy MAX Leab Subdivision Info: Alan Mock Trust Lot#5
Address: 163 Valley Oaks Drive Location/Address: Beauchamp Rd-27006
City: Advance
Property Size: 3.6
Reference Name: Max Leab
Proposed Facility: Residence
**NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An
Authorization To Construct a wastewater system must be obtained from this office prior to the
construction/installation of a wastewater system or the issuance of a building permit(in compliance with
Article 11 of G.S. Chapter 130A,Wastewater Systems). This Improvement Permit is subject to
revocation if site plans,plat or the intended use change.
Permit Type: C?New ❑Repair ❑Expansion Permit Valid for: Years ❑No Expiration
Residential Specifications: #Bedrooms #Bathrooms 3 #People 1–Basement 2Vement plumbing Er—
Non-Residential Specifications: Facility Type #People #Seats
Square Footage(or Dimensions of Facility)
Design Flow(GPD): ZJ coo Type of Water Supply: County/City ❑Well ❑CommunityWell
Site Modifications/Permit Conditions: rAS Stated in 15A NCAC 16A.196,0(5)
accepted Systems may also 00 u50
S stem Type LTAR
Initial u
Repair
Site Plan
ol_ %A�
Environme al Health Specialist Date ly /� 1(6
i.p.11-06
�I LW R SITE EVALUATION/IMPROVEMENT PERMIT & ATC ,
D Davie County Environmental Health
P.O.Box 848/210 Hospital Street
JVN Mocksville,NC 27028
(336)753-6780/Fax(336)753-1680
�Tf PLN
pplicatiu tion/Improvement Permit ❑ Authorization To Construct(ATC) Both
ype ation: Wew System []Repair to Existing System ❑Expansion/Modification of Existing System or Facility
F*I*IMPORTANT***THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED
INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions.
APPLICANT INFORMATION
Name 9,,L.L,4 M01E Contact Person
Address D S Home Phone [a�q_ O
City/State/ZIP Pt Business Phone
Name on Permit/ATC if Different than Above
Mailing Address City/State/Zip
PROPERTY INFORMATION *Date House/Facility Corners Flagged LU
NOTE: A survey plat or site plan must accompany this application. Included: ❑ Site Plan ❑Plat(to scale)
(Permit is valid for 60 months with siteplan,no expiration with complete plat.)
Owner's Name R L L t N M O C K Phone Number 99P- 2_soy
Owner's Address_ 3.Qea041 q Oct e) City/State/Zip Y/)•C Z7ov (o
Property Address L3,2ac4G leh o ltd L6-66' City
Lot Size 3.4 /4cger,5 Tax PIN#
Subdivision Name(if applicable) 411?Al IYAX< ffil,fid IQ Section/Lot#
Directions To Site: y eT e� beh i_d ha✓ e- n P A Ilem Mack 6,1 e o✓h e✓ Rc-arAi tgnp
If the answer to any of the following questions is"Yes",supporting documentation must be attached:
Are there any existing wastewater systems on the site? _Yes L.-No
Does the site contain jurisdictional wetlands? _Yes _vNo
Are there any easements or right-of--ways on the site? Yes vNo
Is the site subject to approval by another public agency? _Yes ,/No .
Will wastewater other than domestic sewage be generated? Yes nqo
-IF RESIDENCE FILL OUT THE BOX BE OW
#F`People a #Bedrooms #Bathrooms 3 Garden Tub/Whirlpool ewes ❑No
Basement: V�'es ❑No Basement Plu bing: fl'i'es ❑No
IF NON-RESIDENCE FILL OUT THE BOX BELOW
Type of Facility/Business Total Square Footage of Building #People
# Sinks #Commodes # Showers #Urinals _
Estimated Water Usage(gallons per day) (Attach documentation of similar facility water consumption)
FOODSERVICE ONLY: # Seats
Type system requested: Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other
Water Supply Type: County/City Water ❑New Well ❑Existing Well ❑ Community Well
Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes R_1�0
If yes,what type?
This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand
that any permit(s)or ATC(s)issued hereafter are subject to suspension or revocation if the site is altered,the intended use
changes,or if the information submitted in this application is falsified or changed. I hereby grant right of entry to the Authorized
Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable
laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and corners and
I%ng and flaggtakin the house/facility location,proposed well location and the location of any other amenities.
tyl,� Z Site Revisit Charge
Property owner's or owner's legal representative signature
Date(s):
tJ�.k.e_4�, Zo n) Client Notification Date:
ate � � P EHS: _.
A► JUN l 6 2010
LJ v
Sign given ❑Yes ❑No ft Account# 2 flo
Revised 11/06 Invoice# -'51
3. 6 cR�S 15 ss
99S, 8agd
-�
203. 1,9L
Y
96 `
266,
� 1
r 1
9�- so i6l• 7j" ��s- 9s- . .
lei-
• F,�A-K�E�LQ1r4TY STRAjtON AT
IN%-AT BOOK
V M V
\ } SITE
H
VlGinit M
ERTj� I I U - not LO SODIC
_
ESR 4�ss O 11.1
sem. E EPK I C'S I r
NBBAUGHA
.. iJ 71.\\ M^
J Q 0 6o I�uBLIc
� ROAD - SR 1621
`�.�` � � EPK"le•z�,1„ .. .._..._ I N � RIGHT-OF-WAY
..
M L•
V3 •�� V 8919 Sf("s",R� 5 9L1 y8,.6.t uO
C
'" ,10ST p'
.WS/L1E R/IYJ Nl '• 155?/• LII m LIS
QVTROLGEO ACCESS '-�- _ 9.002 9r -- -• � .
- - ,.�" _INSI�R w - NIO•n•.Hnt �.
N 11.192 SF
_ )N 13'r f0'ANCLE / -.--.-- -. - GVS/DE RIW .SOT• ..
D=,@ ACCESS EASEMENT i!zLts L�-. --- CLWTRCYLEO
(TM) !3'.IO'SNIXEApElI�
_ LOTS i ACCESS EASEMENT(T 1P) ,EASEMENT-A' r -•-�.-�.--
O v (T7.)
70TAL EA(TYp.) I
2388 Ac. LOT i
yl 2.235 Ac N LOT r 1
N u i F 3 yl 2324 Ac # LOT
I
2.966 Ap �� SID .
F
CCORNERM5.55• ' ST5I 59"W /R LLNE I -•S
5W.12 5T51'SA'W N/ Orr N
XJDAT 51.51' W _
CaW'rate of%-4 - N O f E 5 __ - 5Amr ' srpz9•W I.
L DwW J Mvo.aatdy Mar,tHs plaawm- Nlea bm P. tat.4 nw ramna 400sT
bail odor aN•aarvna+l f-C. 4d fw ar�,l) meas dfvrne mled. CQV7ROC
iibGY..iry.r.Ba b-d-Ir,t•aowNrd se 11„Plat b Mb)ed.to s Easana t,.Awoo-ts,A,
,K-m brdel I-paW Sam tdaantbl fwd PYft d-WaP d record R1>to tib dere d Nns plat. - PSC DEVELOPMENT DOR•Ill[„ NORTH -
n Dot As Pax NA d,.t By rA dPeaalm sildl was rot YnJde at Bm tme d tie slney. - DB Ails,Pei DID L I
rW.Jot d by L4&.d a rd depaleem b 1:10 fold raa 15.577 Aces Ltd fNNt PA.
.P6.63 a 64
UI.tUus piatrm prepred Waco A-wth&3.47-50 - Ltd uiwt1 r+tlnv9 - SPC 83
ma,mda. 0-C.b,2anrq:FA Referenced: Nc erid
Pafaru,af¢4l u 5151' NA*41'M"W
WYnesy IanLv asd L2 •A)AO .95'56'13"t
xt L� AD,ZOL>8. PA+*farm Pfwr q.SbdSsslm Pld.PW,Dmt Ob.Py.72. a S ,00 N 18.5r2T•w
By G¢mU SawyM la Dared Mardi 18 d 1994.
- L• 65. u1•z5'Il.t
4{ Plat d Sara Co Jd.'N.Nrnre.etd.P1at9ak 06.Py.49. t5 eo.os' N 19-a'a"w
I D411t.6 Srw1M C.Dated 161 N d 1992.
S� Ib 11061 N1'35'17'9
4 L34U l '. Plat d So..v Pc Ns Mai..Lurn•fh.--Mer•rcY Ease f-t PuLdui.06.P9.49. 0 n805 Ne'15'Sr'C IMaMraIB1>haltM wE6Y'awdKfbwslra bas bes MlrO
04 Dodd J. a,F13.Daod N-b.14.2006., Le ?651' N9'A'Y!"C m•N'•�e•
�0�• ••'Q�•'5432 NC Plat dSvl'sy fa.kt.N.P6n ,&A Plat Bat 06.PA.49. L9 50.0 N19's5'a"W S'06"L'^aNrollao¢sbNurrsWN.NoM CaWir,mtl ndria ht kn
ylD)MM�. ,vaumm bor 04G¢tdl +,o MC VD dW414d1997. LIO wN N9'111T't vbataria_ DamdDo*taYp. pa tpp..J11
• LM 52.N .9'19'15"C
AY dntaSa,>fe.n ra ad dbrsce..FbrlmsW awd u2 50.00•i N»•35'a"wiA/QJ
dnF sa ba abtetwd L4 WPIVM Labred Gd Fara• L.E6EW 7 r[ 0
Dodd J.Alma dl,a�Sawfv mai.)VNG,Gnt.r .ddCff.-0.99991022. an 93.94' .9'49'49"t 0 8iN •w - It
-wired Bn fdwM as ua TBAs u'19-35•a'•w •'tl
Ba,d >f�oka Fr¢pvalb mt6o6.W It MMA•Wad Fond P". Mea - 0 w Tr
y.»a..val thi caataa.sbdl.ntw � ®r3P ��..
d�g�ydt IaF3a1n P of� eel desL�m rot
tIo PENA a wa=flmd p 4
NYa,i'Izvld: �ila�a i Par .
PrWvW bmtia�ed naPrateated WaWshad Mea NR ..srlr••wf
C]B.frlat 9fP dot +re4 brated�a.dl ®vws wr.
- nd CuCdtq Setbada Per DaAe Co.Zonf41: p NRRD �L y4..r.,r
to> WErraLdea Para std M
C]C.Irhn d m eNatM Pam Mntnan
d Frmb 4ad:40' • ®NPK .IL.aw...,l
onf I Mnnun Sde wd:
C)D.7hetr, gaLtdra�m,N: M4wnm Pea 4a-d:25'
r o'-1 motor;
M.ea. ura.
i,.sto 0.NLLedt-,*BeIdda9xs4.Nt-oGote<A r1
o3e0ro0t-6W5sb2a-4a9d.49
-
A."W.A*-J W--awed dnhrb.q actNty. AM •+.+�I.
• _ 1I A P-N aUe,a 0--t-a,,Aed old dens-nred b4 NGDO.f. a
Pa.M f,W,ntm SdeM Dbtrlct Elgtre:,arire SSb-7v5-bh00.
• RelfsMasnLae - -
- Me!ofMiaorsu<a"vtaiaa SOMb P.I.N. '.e•1�ec +ho ad Dedr�.m t S-Y By,
ALAN MOCK,TRUSTEE Wa)�� Y+.I pig
N,- Donald J Moore
PiHNX1rXY„a P Prase dPwa pial ➢1a�Sfionll
.. Conratvr Baawmo RNd sw dcscrlvM brew ad latl<:1e)krek4 adTA 9b plmdfddafm ratEY tl/al,dr.V Pat bshdl ulndSNMN 1MRP➢15w •rdm[/gaa,Mee.fing - .
D.B.Ret Dr B
$ "'A ah ny(w)frm rants,nLN.1•.w.Mfw Lddrgfe,,ad dsdraled yf•r tatmndT„et YLsb d- 9� Y
• J MORl,.tNEL1Ubt7HMIX:CTRKST Ie.Aah;SJ suet!n.#aa.ra{s,psla.sorMfYtsbP4leapmae r eafaa•foraadM pJM www.CarolinaSurveyor.com
.s'FOd K.sK TafsaLNi f<f�v NorlMCardu+a rolcd•N .'(We)r.e4r lad w+k nkrcmnwlM�,IL�a P.R dx.,Of..W 1SY)SlMnlha wa Rp'( f Y(maMO,1Tt,0-
fl`` b A Ratio¢f Precision: uad,c.,,dDa�eCn.+up),.�><. 7..t��%r !(-LJ.o/ Pu•No.f Pna+le'lssl�vom E4L:C�.sJ�u��a
Sv:e r•-rm' bate tU/tYoB r>'xn ()•v C°P71^9'W0Ya1R oa••a1dJ.A4pL vt_s.t-ssezN
' DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT INFORMATION PROPERTY INFORMATION
Account #: 990005532 Tax PIN/EH#: 5870-65-297T.
Billed To: Billy MAX Leab Subdivision Info: Alan Mock Trust Lot#5
Reference Name: Max Leab Location/Address: Beauchamp Rd-27006��
Proposed Facility: Residence Property Size: 3.6 Date Evaluated:;
Water Supply: On-Site Well '`Community Public
Evaluation By: Auger Boring ./' Pit Cut
FACTORS 1 2 3 4 5 6 7
Landscape positions "
Slope%
HORIZON I DEPTH ?
Texture group [! " L
Consistence / 19 5
Structure . ''
-15 pe
Mineralogy -' V
HORIZON H DEPTH
Texture group 5: C'
Consistence
Structure
Mineralogy3
HORIZON III DEPTH
Texture group
Consistence
Structure " r'
Mineralo +
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE p, y
SITE CLASSIFICATION: EVALUATION BY. Pot �«�� ry t4
LONG-TERM ACCEPTANCE RATE: ��',` OTHER(S)PRESENT: >4
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-Silty a
SICL-Silty clay loam SIL-Silty loam CL-Clay loam SCL-Sandy clay loam
SC-Sandy clay SIC-Silty clay C-Clay
CONSIST+.N _E
141St -,
VFR-Very friable FR-Friable FI Firm VFI-Very firm EFI-Extremely firm
1'Yet
NS-Non sticky SS-.Slightly sticky S-Sticky VS -Very Sticky
NP-Nonplastic, SP-Slightly plastic P-Plastic VP-Very plastic
Structurei
SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineralogy
771::,,1,,,,��2��,,:1,Mixed-
Notes
ixed�
Horizon depth In inches f�
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)
TTAR -T.nna-term arrPntnnrp rate_ an]h1nv/ftp , TIr.T TT1 Ar 1AC /r%_____l�
/Qmp
32%
ti� °