632 Juney Beauchamp RdIt
Dayie County, NC
Tax Parcel Report 16 b,% Thursday. September 29, 2016
WAR1 IING: THIS 1S 1VUT A SURVEY
Parcel Information
Parcel Number:
E70000005705
Township:
Farmington
NCPIN Number:
5861619247
Municipality:
Account Number:
64868500
Census Tract:
37059-803
Listed Owner 1:
SHEETS CHARLES W
Voting Precinct:
SMITH GROVE
Mailing Address 1:
632 JUNIE BEAUCHAMP ROAD
Planning Jurisdiction:
Davie County
City: ADVANCE
Zoning Class: DAVIE COUNTY R-A,R-20,1-1
State:
NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code:
27006-0000
Voluntary Ag. District:
No
Legal Description:
13.63 AC JUNEY BEAUCHAMP
Fire Response District:
SMITH GROVE
Assessed Acreage:
13.58
Elementary School Zone:
SHADY GROVE,PINEBROOK
Deed Date:
11/2012
Middle School Zone:
NORTH DAVIE,WILLIAM ELLIS
Deed Book/ Page:
009080903
Soil Types: MrB2,EnB,ChA,MsB,Ur,WATER,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
53740.00
Outbuilding & Extra
Freatures Value:
19650.00
Land Value:
125170.00
Total Market Value:
198560.00
Total Assessed Value:
198560.00
9 e�FAll
Pp U'N�4
Davie County,
NC
data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
Implied warranties of merchantability orfitness for a particular use. All users of Davie County's 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
or arising out of the use or Inability to use the GIS data provided by this website.
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AUTH ILATION NO: 1003 DAVIE COUNTY HEALTH DEPARTMENT ! �� i
Environmental Health Section PROPERTY INFORMATION
- Permittee's P.O. Box 848
_Name: Mocksville,NC 27028 Subdivision Name:
r ` Phone #: 704-634-8760
Directions to property: Section: ' Lot:
V[� A&HORIZATION FOR
\' WASTEWATER
S SYSTEM CONSTRUCTION Tax Office PIN:#61 #
IRSRoad Name: r .
**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)
t ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION
IS.VALID FOR A PERIOD OF FIVE YEARS. '
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED
�..r� , i �•,,.-. -- w». w.yr.'. ,:sem , ti. _,. ,t _ _ _
"y
� ! ' 0 O 1 DAVIE COUNTY HEALTH DE� T NT
dei
r IMPROVEMENT AND OPERATION "PERMIITS PROPERTY INFORMATION
•9?
=dame: t+3 Subdivision Name:
Directions to property: Section: • � Lot:
hn .- ti R°* iPvWROVEMENT
r �5 �r.a.� PERMIT Tax Office PIN:#A
Road Name. Zi
**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 14 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems)
***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE
PLANS OR THE INTENDED USE CHANGE. YOUR WASTEWATER
ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE
INSTALLING THE SYSTEM.
RESIDENTIAL SPECIFICATION: BUILDING TYPE OW0- #BEDROOMS `� — # BATHS. '�L # OCCUPANTS GARBAGE DISPOSAL: &r No
COMMERCIAL SPECIFICATION: FACILITY TYPE ' 1 # PEOPLE F `• # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No
O�.T��o,
LOT SIZE 1 L�TYPE WATER SUPPLY DESIGN WASTEWATER FLOW (GPD) �� NEW SITE REPAIR SITE
SYSTEM SPECIFICATIONS: TANK SIZE bd� GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH LINEAR FT. �`
OTHER '�`�� 3t'.s 41� V ',, .1 "' �`c!—eT_`� �9.►
REQUIRED SITE MODIFICATIONS/CONDITIONS:
IMPROVEMENT PERMIT LAYOUT
t
I .,
"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 DA`Y�OF INSTALLATION. TELEPHONE # IS (704) 634-8760.
OPERATION PERMIT
AUTHORIZATION NO. J LLG�- OPERATION PERMIT BY:y,/ DATE:
"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 05/96 (Revised)
APPLICAYION FOR SITE EVALUATIONAMPROVEMENT
Davie County Health Department
Environmental Health Section
P.O. Box 848
Mocksville NC 27028 V I
6,
(704) 634-8760
M 1A
****IMPORTANT****
THIS APPLICATION CANNOT BE PROCh;
THE REQUIRED INFORMATION IS PROVIDED.
1. Name to be Billed—�tLC� 5' �'" 7' Contact Person '-5ZL- '► 2!..
Mailing Address 9G) :D,Z7 W ,S Home Phone 9/e�)
City/State/Zip AYC, .-''%/Gia' Business Phone CYlb - /e /4% - f�
2. Name on Permit/ATC if Different than Above :S7411" in.
Mailing Address
3. Application For: [ ] Site Evaluation
City/State/Zip
[ ] Improvement Permit & ATC
VBoth
4. System to Serve: [,House [ ] Mobile Home [ ] Business [ 1 Industry [ ] Other
5. If Residence: # People --y # Bedrooms # Bathrooms gk [Dishwasher [01"Garbage Disposal
[]'`Washing Machine [ ] Basement/Plumbing [ ] Basement/No Plumbing
6. If Business/Other: Specify type # People #Sinks # Commodes
# Showers # Urinals # Water Coolers
If Foodservice: # Seats Estimated Water Usage (gallons per day)
7. Type of water supply: [.-]'County/City [ ] Well [ ] Community
8. Do you anticipate additions or expansions of the facility this system is intended to serve? [ ] Yes V'Ro
If yes, what type?
EITHER A PLAT OR SITE PLAN
PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** AAX)AXOF THE PROPERTY MUST BE
y SUBMITTED WITH APPLICATION.
Property Dimensions: 11 7 Q- �t WRITE DIRECTIONS (from ocksville) TO PROPERTY:
r
Tax Office PIN: #.S -,T Ac 17' 112101' r ark 4o
Property Address: Road Name c l u n1 �!r _ r t2. e/�`�/�p�✓
City/zip Y 7'1 1 �n�-'�' -Ln Z%�—
If in Subdivision provide information, as follows:
Name: ;
i
Section: Lot #: 1 ;
This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) issued hereafter are
subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application is falsified or
changed. I, also, understand that I am responsible for all charges incurred from this application. 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 Sts / 179pz4 to conduct all testing procedures as necessary to determine the site suitability.
DATE 4P !27 SIGNATURE ;% =' W- t'�► ..�1 '
Revised DCHD (06-96)
THIS AREA MAY BE USED FOR I)RAWINC7 YOUR SITE PLAN:
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
APPLICANT'S NAME
PROPOSED FACILITY.�6ce.s� R
SUBDIVISION
Water Supply:
Evaluation Bytl-' _
On -Site Well
Auger Boring
Community
Pit
SECTION LOT
DATE EVALUATED r l
PROPERTY SIZE��
Public
Cut
FACTORS 1
2 3 4 5 6 7
Landscape position
Slope % -
j _3(1) o
HORIZON I DEPTH
Itt
Texture group
C—L—
Consistence
Structure
Mineralogy'
1
HORIZON II DEPTH
Texture group
Consistence
Structure
Mineralogy'.\
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS s
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE
SITE CLASSIFICATION: ?
LONG-TERM ACCEPTANCE RATE:
REMARKS:
DCHD (01-90)
EVALUATION BY: k�
OTHER(S) PRESENT: N c
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
Moist
VFR - Very 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
SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky
SBK - Subangular blocky PL - Platy PR - Prismatic
Mineralogy
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
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