 In 1768 Fleming retired from medicine in Augusta County and moved southward with other settlers and built "Belle Mount" or "Belmont" on land his father-in-law gave him in the Roanoke Valley.These gifts, his medical practice, and his further investments in land individually and through the Loyal Company of Virginia eventually made Fleming wealthy.In 1769 he acquired his first indentured servant, and the following year Botetourt County was split from what had been the vast Augusta County.