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518 Juney Beauchamp RdDavie Coanty. NC Tax Parcel Report 0 � i 4 Thursdav, September 29, 2016 WAlC1V11N(i: 11IN IN 1VU1' A NURVEY Parcel Information Parcel Number: E70000005202 Township: Farmington NCPIN Number: 5861521578 Municipality: Account Number: 82526654 Census Tract: 37059-803 Listed Owner 1: WHITEHEAD DAVID L Voting Precinct: SMITH GROVE Mailing Address 1: 518 JUNEY BEAUCHAMP ROAD Planning Jurisdiction: Davie County City: ADVANCE Zoning Class: DAVIE COUNTY R A,R-20 State: NC Zoning Overlay: DAVIE COUNTY QD Zip Code: 27006-0000 Voluntary Ag. District: No Legal Description: LOT 3 JAMES A MARTIN Fire Response District: SMITH GROVE Assessed Acreage: 4.76 Elementary School Zone: PINEBROOK Deed Date: 6/2006 Middle School Zone: NORTH DAVIE Deed Book / Page: 006690242 Soil Types: MrC2,GnB2 Plat Book: 0006 Flood Zone: Plat Page: 062 Watershed Overlay: DAVIE COUNTY Building Value: 217140.00 Outbuilding & Extra Freatures Value: 10730.00 Land Value: 71430.00 Total Market Value: 299300.00 Total Assessed Value: 299300.00 I,v n�U Nay Davie County, 1�T l� C All 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 or fitness 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. ki.4,f.f�,..:�{0tt. S� t a, �p,:.t" �'�"• + y� ".a F1.Rt '4�°� x�'i .t i .:r +t j�•/ ..i',.4 � f'' '�'6 'w iii `THORI;'q,TION No: Q 5 4 DAVIE COUNTYHEALTH DEPARTMENT ,v 0 •�� o ' c Environmental Health Section PROPERTY INFORMATION Permittee's P.O. Box 848 Name: Ao Mocksville, NC 27028 Subdivision Name: t Phone #: 704-634-8760 . Directions to property: jSl IF- ,�y„a., Section: Lot: ` AUTHORIZATION FOR WASTEWATERIV Tax Office PIN:#ta-7(2�_- - 77 SYSTEM CONSTRUCTION Road Name G �,u ip: **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) ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS.: ENVIRONMENTAL HEALTH SPECIALIST DATE ISSUED 'V 1 DAVIE COUNTY HEALTH DEPARI�NT � F � IMPROVEMENT AND OPERATIOkP RM' ITS PROPERTY INFORMATION � _�Ireiii e�s✓,r�✓, �,� 4 Nanl .._ Ayv' it f', ��- i Subdivision Name: Directions to property:"`t.. ��,. , .. Section: Lot: -`� IlNPROVEMENT q - - ,� PERMIT Tax Office PIN:#' Road Name' ,*s, . , f. „Zip. **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 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) t _ ***NOTICE*** THIS PERMIT IS SUBJECT TO REVOCATION IF SITE N 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 # BEDROOMS �_ # BATHS v.Z "� # OCCUPANTS t GARBAGE DISPOSALQDor No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFr # SEATS INDUSTRIAL WASTE; Yes or No LOT SIZES TYPE WATER SUPPLY \ A - DE$IGN WASTEWATER FLOW (GPD) 6� NEW SITE �- REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE' 6 p GAL. PUMP TANK GAL. TRENCH WIDTH 3 ROCK DEPTH �� LINEAR FA OTHER K - REQUIRED SITE MODIFIC47IONS/CONDITIONS: "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 (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY: I� X03 AUTHORIZATION NO.� OPERATION PERMIT BY: 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) APPLICATION FOR SITE EVALUATIONAMPROVEMENT PERMIT — Davie County Health Department Environmental Health Section D P. O. Box 848 SEPI 8 1996 Mocksville, NC 27028 (704)634-8760 ****IMPORTANT**** THIS APPLICATION CANNOT BE PROCESSED-JJNLESS 1 i' ALL THE REQUIRED INFORMATION IS PROVIDED. / 1. Name to be Billed (��%Jt/U (. / Awe Contact Person JW/41,14— Mailing Address f%f'C�C /Y 11,dIFS 7,619eiP- Home Phone 7 ' %7cf'/ City/State/Zip f"� l�11�14�[i 1V I? o� %�� Business Phone 2. Name on Permit/ATC if Different than Above Mailing Address City/State/Zip 3. Application For: 4. System to Serve: 5. If Residence: Erb—ishwasher 6. If Business/Other: # Commodes _ If Foodservice: 7. Type of water supply ❑ Site Evaluation R'Improvement Permit & ATC ❑ Both O'—House ❑ Mobile Home ❑ Business ❑ Industry ❑ Other # People Z-- # Bedrooms LI -111 # Bathrooms OIG—arbage Disposal ©Washing Machine ❑ Basement/Plumbing ❑ Basement/No Plumbing Specify type # Showers _ # Seats 0r'-C—ounty/City # People # Sinks # Urinals Estimated Water Usage (gallons per day) ❑ Well # Water Coolers ❑ Community 8. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes 5 --No If yes, what type? PROPERTY INFORMATION REQUIRED: *** IMPORTANT *** A PLAT OF THE PROPERTY MUST BE SUBMITTED WITH THIS APPLICATION. Property Dimensions: f.01 -19e6 f p Tax Office PIN: # Property Address: Road Name C�lS•r//z,t=.✓�/9,�'i /�+� City/Zip /i/i'Nfi�/C'•C If in Subdivision provide information, as follows: Name: Section: Lot #: WRITE DIRECTIONS (from Mocksville) TO PROPERTY: 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 L1 and owned by • (( `-'`o' C K to conduct all testing procedures as necessary to determine the site suitability. / DATE / F' 916 SIGNATURE Revised DCHD (06-96) 1 / � -�,"// -kms Sfo-f 6 Ict �-K. Lh �0 H9-19-9 6 DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME ADDRESS PROPOSED FACIILTY DATE EVALUATED r -�'� - � �3 PROPERTY SIZE �5- C� LOCATION OF SITE )4� w,r. �� Water Supply: On -Site Well _ Community Public Evaluation By: AugerBoring Pit Cut FACTORS 1 2 3 4 Landscape position S -S Sloe % R -16 HORIZON I DEPTH toll Texture group cl— Consistence Structure C� Mineralogy `A HORIZON II DEPTH Texture group Consistence k - Structure X Mineralogy1 ' 1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON -- SAPROLITE — --- CLASSIFICATION +5 LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: \�•S • EVALUATED BY: �`� VN LONG-TERM ACCE TANCE RAT* `�J OTHER(S) PRE 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 :lay loam- SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay I SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vc.-y 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 3C -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 DCHD (01-901 ■EMKO■ ■■NNE■ ■ENNEN ■MOMM■ ■■■NO■ ■■EME■ ■EMEM■ ■M■■■■ ■ommo■ ■ENNEN 0 713) INDEXED ON 5861 . 18 69B 6� 4.70 A 1578 ,s INDEXED ON 5861 . 15 _ INDEXED ON 5861 . 15 60 i' ppb vi m (353.77) (353.77) 2.15 A 3239 " 0 2.54 A U N 1223 ^ 310 435 w 30 69 INDEXED ON 5861 . 19 526 281 4 APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PER 11 f "v • • _ " � Davie County Health Department�a n� � �� • , Environmental Health Section A-�v� n ` P. O. Box 665 fb� • 1 Mocksville, NC 27028 Et1VIR0,.n,1FJ1TAL fA1tIIl C� V, 12 AA 1. Application/Permit Requested By n L /�", Mailing Address PO �n l I n� Home P one "t M y V a mi n o GD Business Phone Q O 2. Name on Permit if Different than Above 0 C 3. Application for: ;Aeneral Evaluation ank Installation Permit 4. System to Serve: K?14ouse ❑ Mobile Home ❑ Place of Public Assembly ❑ Business ❑ Industry ❑ Other ❑ Unknown 5. If house, mobile home: Subdivision Section Lot # No. of People No. of Bedrooms No. of Bathrooms 3 Dwelling Dimensions ' 6. If business, industry, place of public assembl , oth : Specify type No. of People Served No. of Commodes No. of Lavatories No. of Showers No. of Sinks No. of Urinals No. of Water Coolers Water Usage Figures 7. Type of water supply:ublic ❑ Private ` 8. Property Dimensions . r7 A- Sewage Disposal Contractor P-ga--sement/Plumbing ❑ Basement/No Plumbing Washing Machine s washer Q- arbage Disposal 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes P-Nv- If yes, what type? ❑ Community '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. Directions to Property: -t-�p� 4, L, \� Y"- d d -e d— n'e.C, vY, t�i'G12-f fo1C `�4 ✓n t 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. c__, �0 - a (a - 95e-Ia�l� - � DATE GNATURE CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. &2. I DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department tp enter upon above described property located in Davie County and owned by �"a ^ t3O l r Il b- e . I n VY\ PA S to conduct all testing procedures as necessary to determine said site's suitability for a ou d absorption sewage treatment and disposal system. DATE SI NATURE DCHD (1193) F y } DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/Site Evaluation NAME � /� � DATE EVALUATED 2L1 ADDRESS PROPERTY SIZE PROPOSED FACIILTY "ABC LOCATION OF SITE Water Supply: On -Site Well _ Community Public Evaluation By: Auger Boring Zef Pit Cut FACTORS 1 2 3 4 Landscape position 4 L —S Sloe 7. -</ HORIZON I DEPTH I Texture group I Consistence Structure MineralogX HORIZON II DEPTH f- 6 f Texture groupC L Consistence Structure Mineralogy,- / ,•/ HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: iJ LONG-TERM ACCEPTANCE RATE: REMARKS: DCHD (01-901 EVALUATED BY: l / OTHER(S) PRESENT: 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 :lay loam• SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- Vc.^y friable FR -Friable FI -Finn 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 3C --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 ■■■■.■..■■■..■■.■■■........■.■■....■■.■.■■.■.■SEEN■■./.■r! 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N.■■tl■. ..EE No 0 MEN no EMMOMMO MEMO .�.■...........■ .■..�:■,�i■■.NONE a ■■. .�1; ..■IEEE No ■E■ '.momom...0...OiM..■■....■■ .MMEMEMEMOMMEM No MEN EMEMMUMMIRIMMEM MEN MEMNEE EN.EE.N■I1MO/INE■■ rMEMO ■NEVE■/■/■N/E■E■E■■E■■■■E■■�H■■.....■EMMMEMM■■■■.■■ii.■li■N■■ ■.........Nutt.MNMME.E.■ENSUE■■■.■■■�.■■.■.■..■■E.■...■■�i■■i�..M■ ■■■■■//■■■■■■■E■■EEEENEEE■EEEEENN■E.E■ ■■NEEEEEEEEE■EEE■E�i/�u�EE.■ ■EOE.■.■..NEE.■.■NM....■■.._■......■■..........■..■■..■..■�i■E�■NE.■ I MESEE■■EEE■■EENN■■EEE■■EEEEEE■ ■.EEE.■O�.■■���:ii■SEEM■EEEE�E■M Daure Corrnly Neallir rDeparhnenl and Nome Aeall Ayr ency 210 HOSPITAL STREET I P.O. BOX 665 MOCKSVILLE. N.C. 27028 PHONE: (704) 634-5985 John Clack c/o Potts Realty Attn: Debbie Miller P. 0. Box 11 Advance, HC 27006 July' 19, 1995 Re: Site Evaluation Juney Beauchamp Road Dear Mr. Clack: As requested, a representative from this office visited the aforementioned site on July 18, 1995. Based upon the information provided on the application for site evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. If you have any questions, please feel free to contact this office. Sincerely, kuy. 2411a 4; Robert B. Hall, Jr., R.S. Environmental Health Section RH/wd Enclosure(s)