498 Duke Whitaker RdDavie County, NC Tax Parcel Report Thursday, September 29, 2016
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161 All 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 Countys GIS website shall hold harmless the
County ofDavie, North Carolina, its agents, consultants, contractors oremployeesfrom any and A claims orcauses of action due to
NC or arising out of the use or inability to use the GIS data provided by this webske.
WARNING: THIS IS NOT A SURVEY
I
_ _ _ .Parcel Information
Parcel Number:
F200000020
Township:
Clarksville
NCPIN Number:
5801822502
Municipality:
Account Number:
82530662
Census Tract:
37059-801
Listed Owner 1:
KATREN STEVEN W
Voting Precinct:
CLARKSVILLE
Mailing Address 1:
117 BURKE STREET
Planning Jurisdiction:
Davie County
City: EAST HARTFORD
Zoning Class:
DAVIE COUNTY R -A
State:
CT
Zoning Overlay:
Zip Code:
06118-0000
Voluntary Ag. District:
No
Legal Description:
17.32 AC DUKE WHITTAKER
Fire Response District:
SHEFFIELD - CALAHALN
Assessed Acreage:
17.01
Elementary School Zone:
WILLIAM R DAME
Deed Date:
3/2009
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
007860949
Soil Types: MnC2,MnB2,MdD,ChA,MdE
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
59980.00
Outbuilding 8r Extra
Freatures Value:
6340.00
Land Value:
106490.00
Total Market Value:
172810.00
Total Assessed Value:
172810.00
161 All 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 Countys GIS website shall hold harmless the
County ofDavie, North Carolina, its agents, consultants, contractors oremployeesfrom any and A claims orcauses of action due to
NC or arising out of the use or inability to use the GIS data provided by this webske.
" r r DAVIE COUNTY . HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance With Article I I of G.S. Chapter 130a
Sanitary Sewage Systems Permit Number
Name C't�cr A ���\� .N�C�, w �� Dated - 1 N2 5798
(� LE U — V11 d C•1:
'�.
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by --�` `�` • ^- y `
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by
r I �
Certificate of CompletionDate
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
Subdivision Nam e�.!%at
CPA
Sec. or Block No.
Lot Size
�``' ```°House
`'f
Mobile Home _ Business Speculation
No. Bedrooms n
No. Baths
No. in Family -�-�
Garbage Disposal
YES ❑ NOvd
Specifications for System: -
Auto Dish Washer
YES [/ NO
❑
Auto Wash Machine
YES [p-,' NO
❑
c�
Type Water Supply__—
*This permit Void if sewage system described below is not installed within 5 years from date of issue.
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by --�` `�` • ^- y `
*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 day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
System Installed by
r I �
Certificate of CompletionDate
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
' APPLICATION. FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department ,s
R�
Environmental Health Section CEIVEO
fan
C`� I P. O. Box 665 3; 06
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone
1. Permit Requested By G�tDHjUV fV� ��%%7�✓Vr Business Phone
2. Address 501,13 001<9 WNUW&R"2 AVOW
3. Property Owner if Different than Above
Address
4. Permit To: a) Install.. Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Sec. Lot No.
5. System used to serve what type facility: Housed Mobile Home Business
Industry Other
b) Number of people -3
6. a} If house or mobile home, state size of home and number of rooms.
House Dimensions 2q X YL
Bed Rooms 2- Bath Rooms— Den w/Closet
b) If Business, Industry or Other, State: Number of persons served
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes Z urinals �–
lavatory
dishwasher
2
showers
sinks" %
garbage disposal
washing machine
8. a) Type water supply: Public Private Community
b) Has the water supply system been approved? YesX No
9. a) Property Dimensions 17+ /aGdwS
b) Land area designated to building site G1.
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve? ND
What type?
This is to certify that the information is correct to the best of my knowledge.
Date Owner Signafure
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
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*NOTE:
--*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 10 1989.
DCHD (6-82)
A
DAVIE COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH SECTION
SITE EVALUATION CONSENT FORM
1. Complete the form below and return to the Davie County Health Department.
2. Carefully follow the procedures as outlined in the enclosed "Information Bulletin."
NOTE: THE ABOVE MUST BE COMPLETED BEFORE A SANITARIAN WILL BE ABLE TO
BEGIN THE REQUESTED EVALUATION.
DETACH HERE AND RETURN TO: Davie County Health Department, Environmental
Health Section, P. O. Box 665, Mocksville, N.C. 27028
Davie County Health Department
Environmental Health Section
Site Evaluation Consent Form
LOCATION OF PROPERTY: DATE RECEIVED
(office use only)
yes no 1. 1 am the owner of the above described property.
yes no 2. 1 am not the owner of the above described property, however, I certify that I
have consent from owner to obtain a
owner's name
site evaluation by the Davie County Health Department for the purpose of
determining the suitability for a ground absorption sewage treatment and
disposal system.
yes no 3. 1 hereby give consent to the authorized representative of the Davie County
Health Department to enter upon the above described property and conduct all
testing procedures as necessary to determine its suitability for a ground
absorption sewage treatment and disposal system.
DATE SIGNATURE
DCHD (11 /84)
4. 1 hereby authorize the Davie County Health Department to release site
evaluation results from the above described property to the following:
A Owner only
Owners designated representative
...Anyone requesting results
Only those listed below
DATE SIGNATUR
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
R O. Box 665
Mocksville, N.C. 27028
SOIL/SITE EVALUATION
Name o_ XW\yyo 1 � . '(� Date a` �•1 �c1
Address S A X'C' 0- Lot Size
AR ARE
FAr.TnRC
ARF1 A 3 J ARFAIa\
1) Topography/ Landscape Position
S
P
P
PS
V
U
U
?) Soil Texture (12-36 in.) Sandy,
Loamy, Clayey, (note 2:1 Clay)
P
P
k
U
U
3) Soil Structure (12-36 in.)
Clayey Soils
�`PS)
b'
PS
U
U
U
1) Soil Depth (inches)
PS
P
PS
U
i) Soil Drainage: Internal
p
PS
PS
<�S
U
External
S
PS
(PS
i) Restrictive Horizons
Available Space
S
S
S
S
PS
U
U
U
U
1) Other (Specify)
S
PS
S
PS
U`
S
PS
S
PS
U
1) Site Classification
S
S
U—UNSUITABLE S—sDrTABL- ' PS—Pro )v sionally Suitable
Recommendations/ Com ments:
Described by Title �c�.so-`\���= Date
SITE DIAGRAM
DCHD (6.82)