HomeMy WebLinkAboutEHPR-10-09-2416 (2).TIF
C THIS IS NOT A PERMIT Case # EHPR-10-09-2416
CATAWBA COUNTY HEALTH DEPARTMENT
Plan Review Application for Environmental Services
784 5M Environmental Health Plan Review - OSWP
APPLICANT ~OV1 NER CONTR"ACTON
JESSE HECTOR " EANDVESTCO INC
1381 GRAND'OAKS LN
HICKORY NC 28602
(828)855-3125
NAME TO APPEAR ON PERMIT JESSE HECTOR Pin#: 376302951008
SITE ADDRESS: 4214 CLEAWSPRING DR, Claremont, NC
DIRECTIONS: ROCK BARN RD/ RT OXFORD SCHOOL RD/ RD DEAL RD/ LEFT CROSSING CREEK DR/ LEFT CLEAR SPRING DR
NAME of SUBDIVISION: CROSSING CREEK Lot # 36 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres .58 Date Platted/Recorded
TYPE OF FACILITY: House Mobile Home X Dimension of Structure Bedrooms 3
Basement: No Water Using Fixtures in Basement:No No. in Family 2
Whirlpool Tub : Gal. Capacity:
MULTIPLE FAMILY RESIDENCE: Units 1.00-. Total Number of Bedrooms
DAYCARE: Number of Children
RESTAURANT: Seats Square Peet Dining Area Square Feet Foodstand/Meat Market Floor Space
TYPE OF BUSINESS: ;Number of Employees 1st 2nd 3rd
OTHER: (Specify)
Do you aniticipate any additions to Facility?
If so, describe:
Has any grading, removal, or addition of soil been done to this property?,
If so, describe
Are there easements/right-of-ways recorded on this property? uONE`;
Type of Water Supply: Individual Well X Carmhunity W'CII Municipal Semi-Public
I understand that this is a formal application for a well permit, Improvement permit or Authorization to Construct a ground absorption sewage disposal
system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on this property for
evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a result of this information is
transferable and may be eligible for a non-expiring date, but may be revoked if this information, site plans or intended use changes for the proposed facility.
A Well Permit and Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on roperty. Any repr on by you of house or structure
location should conform to applicable setbacks.
Date: iol4q /0 Signature of Applicant or Ag
A Environmental Health Specialist will contact you w' in 2 workin days of application date.
If you need further information or assistance please call 828-466-7291
AREA 2
(FOR OFFICE USE ONLY)
Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
Front 30 FEE NAME -DATE AMOUNT
Side 15 Exrsunt-4*'Tank Check l ee ~10/29i2u& $80.uu.
Rear 30 TOTAL FEES $80.00
Max Hght
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
10/29/09 12:23
J
THIS IS NOT A PERMIT W LS #
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑
Existing Tank Check ❑ New Well Permit E] Replacement Well ❑ Well Abandonment E]
1. Name to Appear on Permit
flu ~W__
2. Permit Requested By .J S 5' 11.51 C_7~_ V Business Phone )
Address e~ - ."lr Home Phone hJ 1 7~'~ /~ZS
3. Property Owner Business Phone
Address Home Phone
4. Name of Subdivision C rus sin e Lot # l~ Section/Block/Phase
Property Address 11:W-1- r
it tions to Pro erty: O C)A sc~ool
ros . ' L C a oY, Q,~~4 OE
e o
5. Property Size: Square Feet Acres Date Platted/Recorded
6. TYPE OF FACILITY e ~Dirnen-inn of Structure Bedrooms* _
it ill be iHt nded lbi ~l e`liiiw Hotnu»e of r,truc r i ,r n c,, ideration should be no[ ,i
*Anv room tl
il ,v'
bedroom and counted n all applic oy.rooms°idenliflA on house pian5,asaa
aUOns. I he num
bedrooti ,at the time of building panir issua i,c~_This ma, pl t1 .i,,.a iSy, nt size incrc<tse tl}e future:
Basement: yes no Water Using Fixtures in Basement: ye~ No. in Family __Q_
Whirlpool Tub ye, no 0/0 Gallon Capacity
MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms
DAY CARE: Number of Children
RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space
TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd
OTHER: (Specify)
7. Do you anticipate any additions to Facility? Yes &0
If so, describe:
8. Has any grading, removal, or addition of soil been done to this property? Yes / o
If so, describe:
9. Are there easements/right-of-ways recorded on this property? Yes /
10. Is a public water supply available on or adjacent to the above property? Yes / No
Check type that is available: [ ] Community well [ ] Semi-public well [ County/City/Township water line
**If No, a Well Permit must be issued with the Septic Permit.**
11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well
I understand that this is a formal application for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage
disposal system to serve the above described facility on this property and authorize Catawba County Health Department employees to go on
this property for evaluation purposes. I certify the above information to be correct and understand that an Improvement Permit issued as a
result of this information is valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well
Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An Authorization
to Construct issued by this department is valid for (5) five years from the date issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representation by you of house or
structure location should conform to applicable setbacks.
**IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MA TO THE OPE , T RE I AN ADDITIONAL CHARGE.**
Date I V V Signature of Owner or Agent
C ATAW A COUNT HgAkLTH DEPARTMENT
Telephone (704) 46~~ 70 TDD (704) 465-8200 3 2 1 8
Improve Permit Authorization to Construct Repair Permit Oper Permit ystem Type
r-
Owner/Agent f~/ ►h ti~ (;yes //1L _ ' Phone
Address Subdivision ►ee
Se tion/ k Ph se Lot#
Si e Directio
c
Facility House Mobile Home Business Other Tax Map # (0 Off- 9 / 00
Multi-family Other Zoning Approval # O D
# Bedrooms 3~ # Seats # Employees Application Rate t)., GPD Flow - -0
Hot Tub or Spa yes/(gPSpecial Fixtures 100. Repair Area e /no
Basement yes/6° Basement Plumbing yes/no Water Supply Private Well _K Public
+++~+aa+aa+a+aaataa+a+aa+aaaaa+a++aaaataaaaaaataaaaaa+aaaa+a+aaaaaaaaa+++aaaaaaaaaaaa+a+aataaaa
Type of System Trench K Bed Pump Pump/Panel Panel LPP Other
Tank Size Septic Tank Size (tl=-o Pump Tank Size
Nitrification Field Total Square Feet Depth of Stone 004- Bed Size
Trench Width 3 Total Length of All Trenches Number of Trenches .7
Individual Trench Length /00//00 Feet on center Maximum Trench Depth 36
Distance of Nearest Well % SU *DO NOT INSTALL WHEN WET*
aaa+aa+++aaa+aaaaaaaa+aaaa+a+aaaaaaaaaaa+aa+aaaaaaa++a++a+aa+taaaaa+++++aaaaaaaaaaaaa+aa+aaaaa+
Topo Z . Slope
Texture
Structure
- 0
Clay Min I ^ -
Soil Wetness
Soil Depth
Restric Hoz at-
Available space }cps/nol 1
Overall Class S PS U `
Comments 5 O
(
mob(I
r~
-
box j
10
CC,
**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS
SYSTEM WILL FUNCTION**
aaa++++aaaaaaaaaaa++++++a+aaa+++aaaaaa+aaaaaa+a+++a+aa+aa+aaa++a+a++aaaa+a+aaa+aa++aaa+aaaaaa++
*Improvement Permit has no expiration date and is transferable, but may be revoked if site
plans or intended use changes for the proposed facility An Authorization to Construct is
valid for (5) five years from date issued and is not transferable
Permit Date 7
Owner/Agent( Sanitar
Installed By Date Sanita i n
White Office Blue - Building Inspection Operation Permit Yellow Owner/Agent Green - Building Inspection Authorization to Construct
CATAWBA COUNTY PERMIT
Flo ZONING AUTHORIZATION (R)
Manufactured Home
P. 0.13°x 389 PERMIT NO: ZONR-10-09-2190
IOOA Soutlnecst Blvd APPLIED: 10/29/2009
Newton, North Carolina 28658 ISSUED: 10/29/2009
lc~ 4 SM Phone: 828-465-8380 EXPIRES: 04/27/2010
EAX: 828-465-8962
www.catawbacountync.gov
ARPL(CA NT ° OWNl~lz CONTRACTOR
JESSF 1-1FCT01: L;ANDVESTCO-INC
1381 GRAND OAKS LN
HICKORY NC 28602
PROPERTY ID4: 376302951008 CENSUS TRACT:
STREET ADDRESS: 4214 CLEAR SPRING DR, Claremont, NC LOT/1 36
PROJECT DESCRIPTION: 2009 SW MOBILE HOME 16 X 76 ***mobile home subdivision was created prior to EDO & had more than 3 lots with S\V
mobile homes (okay per,MiLc P.)
DIRECTIONS:
COMMENTS: 2009 SW MOBILE HOME-' 16 X-76 ***mobile home subdivision was created prior to EDO & had more than 3 lots with S "I
mobile homes (okay per Mike P)
FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS
100 YEAR FLOOD "ZONE PLAIN? No LAND OWNER:
FRONT: 30.00 SIDE: 15.00
FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 IZEAR: 30.00 SIDE' l:
VALUE: 0 CORNER: SIDE 2:
1. Before an inspection can be made by the Building Inspection 011-ice, the applicant most pull a string to designate the side and rear
property lines where the structure is being placed or constructed.
2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage.
3. All manufactured homes must be underskirted before power can be connected.
4. Only one manufactured home shall be allowed per lot or parcel of land.
5. Home shall have either deck or porch with steps, located in the front of the home (minimum size shall measure at least 36 square feet).
FEE DESCRIPTION DATE: FEE AMOUNT
Residential Zoning Fee 10/29/2009 $25.00
TOTAL FEES S25.00
The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and
acknowledges that this permit was issued on the basis of the information required herein. The applicant further acknowledges that any construction,
alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the
specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant.
It is the responsibility of Applicant to comply with all existing decd restrictions pertaining to the property. Issuance of this permit is not ccoilication of
such compliance and does not relieve Applicant of the cluty-ts-c mply.
"This Zoning Authorization Permit shall expi •e six moat s fron he d e of issuance unless a building permit is secured and remains active.
e~sscJ J ,
APPLICANT NAME (PRINTED) TLICANT GNA URE ZONING APPROVED BY
ZONING FEES ARE NON-REFUNDABLE
CONIPANY NAME-
t~el'!n!t Page I of I
Catawba County, North Carolina
This map product was prepared j om the Cmawba Cotmm, ArC, Geographic h formation Surlem.
N Catmrha Comav has made substmrlial efforts to ensure the accuracy of locolion and labeling it formation
contained on this map. Ccnmrha Co1mm promoter and recommends the hrdependent verification of am?
data contained on (his mop product by 1he nser. The Comrh+ of Catawba, its employees, agents and
personnel disclaim, crmd shall nol he held liable for anv and all damages, loss or hahilim, whether direct, indirect
or consequential which arises or may arise from this map product or the use thereof by anv person or entity. Legend
Selected Parcel Number: 3763-02-95-1003
1 inch = 60 feet Prepared for:
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0312
65 --C. f LEAR 2201
(0
c)PRING
.24
D R 506
o'.~ s (1 -
6 17
. 64 .-J 19 tv
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~OL8
co 28.64 170.3
w 2~ k
45 CO
37 c c.n
7' 1 W
63.75
071
34, 19" %-3.# ,6 a-
1 cs 165
32.5
994- , 0 'rte NICnLE('~ qR 4
THIS IS NOT A LEGAL DOCUNIENT "Thursday, Octoli'r 29, 2009 11:52 ANI
CATAWBA COUNTY NC - Parcel Report
Information Regardinq Selected Parcel(s)
Parcel ID: 3763-02-95-1008
Name: LANDVESTCOINC
Name2:
Address: 1381 GRAND OAKS LANE
Address2:
City: HICKORY
State: NC
Zip: 28602-8800
Account: 40048840
Calc Acreage: 0.58
Tax Map: 2515 01036
LRK: 66929
Deed Book: 1631
Deed Page: 0537
Subdivision Name: CROSSING CREEK
Subdivision Block:
Lots: 36
Plat Book: 23
Plat Page: 248
Building Number: 4214
Street Name: CLEAR SPRING DR
Site Zip: 28610
Township: CLINES
Fire Code: OXFORD
City Code: COUNTY
State Road:
Total Bldgs Value:
Land Value: $11,200
Total Value: $11,200
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 67
Watershed: WS-IV Protected Area
Watershed Split: NO
Voter Precinct: P27
E911 District: COUNTY
Zoning: R-30
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay: DWMH-O,WP-O
Zoning District: COUNTY
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: OXFORD
Middle School: RIVER BEND
High School: BUNKER HILL
School Split: NO
P&Z Case Number:
Census Tract 2010: 010101
Census Block 2010: 3022
Small Area Plan: ST STEPHENS/OXFORD
Agricultural District:
Printed: Thursday, October 29, 2009 11:52 AM
i.
CATAWBA COUNTY, NC
100-A South West Blvd PLAN INVOICE
Q+ - Newton, NC 28658-
0 (828)465-8399 Thursday, October 29, 2009
j$4'Z sM www.catawbacountync.gov
Plan Case: EHPR-10-09-2416 Invoice Number: INV-10-09-256747
Environmental Health Plan Review Invoice Date: 10/29/2009
Fee Name Fee Amount
$80.00"
F Existing Tank.Check Fee Fixed
Total Fees Due: $80.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
10/29/2009 Cash -1 $80.00 $0.00
Total Paid: $80.00
Total Due: $0.00
plan invoice ;'!i9?dhd~-dad<t=18eb ~)Jhii-ceded 193dSb?;.ipt 10/29/2009 12:22