The URL can be used to link to this page

Home My WebLink AboutEHPR-11-09-2448 (2).TIF ~A C THIS IS NOT A PERMIT Case # EHPR-1 1-09-2448 CATAWBA COUNTY HEALTH DEPARTMENT cv > Lao ^C Plan Review Application for Environmental Services 842 SM Environmental Health Plan Review - OSWP AI E CICANT OWtiC R CONTRACTOR ADRIAN.BALAN ADRIAN BALAN 6004 GLENWOOD PL CT- 6004 GLEN'WOOD PL CT HICKORY NC 28602 HICKORY NC 28602 828-962-6263 828-962-6263 NAME TO APPEAR ON PERMIT ADRIAN BALAN Pin#: 269905181809 SITE ADDRESS: 5946 WOODHALL, Hickory, NC DIRECTIONS: 321 S FROM HWY 70/ FOLLOW 127 S/ RT ON DEERFIELD LN/ CONTINUE ON FAWN TR/ LT ON SHIREBOURN/ RT ON BRANDYWINE/ LT ON WOODHALL/ ON LT NAME of SUBDIVISION: DEERFIELD SUBD Lot # 79 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.48 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 Basement: Yes Water Using Fixtures in Basement:Yes No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 4:00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet 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 properry? NO - . Type of Water Supply: Individual Well X Comirmility Well 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 this proper n representat ~-b you of house or structure location should conform to applicable setbacks. Date: 102- D Signature of Applicant or Agent _ A Environmental Health Specialist will contact you within 2 work ing..days-of-appfication date. If you need further infonnation=or assistance-ple. e 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 r Side IS Improverent P emit L:uc_ 1110 1'2009 Rear 30 TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 1 1 /02/09 08:44 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT A 'cation for Environmental Services Improvement Permit Authorization to Construct ❑ Septic Repair El Septic Expansion El Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit ADZ, AA AAA A 2. Permit Requested By 'IZ:Art "_bA%Lkrt Business Phone F18- 162--62-6-3 Address 6O0 \ ~~OCe C'7 r-40 6~D Home Phone 3. Property Owner Business Phone Address `^t"P A Home Phone 4. Name of Subdivision V- a Lot # -19 Section/Block/Phase ill Property Address Directions to Property: 5. Property Size: Square Feet Acres - Date Platted/Recorded 6. TYPE OF FACILITY: House Mnhile Home_ Dimension of Structure 6 c7 Bedrooms* *ism room that will be intended for slcepin" at the timeconstruction or;for l'utur~ r~11 1~idcration should be noted as a bedroom and counted on all applicatioins. The number of bedrooms will be contirni~-d h~ morns identified on, house plans ass' bcdro_ on%,at the time of~buildin peruni issuaiiCe Thi's may prevant;thc need 161--s "k_'111 -iSe i Ici-ease in -thefuture, Basement: yes no Water Using Fixtures in Basement: Ve /no~ No. in Family Whirlpool Tub yes/no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units 2. 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 No 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 / No 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: 1Xdividual 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 MADE TO T Y, TH DDITIONAL CHARGE" Date lllaz] 2-QD 9 Signature of Owner or Agent ~A Cpl CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE Q+ Newton, NC 28658- U 1®®®~ (828)465-8399 Monday, November 2, 2009 184 2 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2448 Invoice Number: INV-11-09-256809 Environmental Health Plan Review Invoice Date: 11/02/2009 Fee Name Fee Amount Improvement Permit Fae Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/02/2009 Credit Cartl -1 $150.00 $0.00. Total Paid: $150.00 Total Due: $0.00 plan invoii:c :,:hI-1 R -;tha0 497{l-6=! -6a 3'3=f ih 9;.rrt 11/02/2009 08:55 Catawba County, North Carolina This map prOdOCI Wos prepclred fi ant the Calcnrbo Coimfi, AIC, Geographic hrformalion Srclem. N Calmrha Comm- has mode substantial eff its to ensm-c the ac•curoct of location ood labeliltg infan'uurlion conlaimd oil this mop. Calowhel Comlly promotes and recommends the iodependenl verification ofony data conloined on this map product by the user. The Count 'v ofColauba, its employees, agents and persomlel disclaim, and sholl not be held liable for cum and all clnnroge.s, loss or liabilily, whelller direct, indirect or consequential which arises or mar orise from this mop product or the use thereof hr any person or enlinv. Legend Selected Parcel Number: 2699-05-13-1309 1 inch = 60 feet Prepared for` 85 _r. 360,86 r4 250-k6 20.0 t 79 F - r , r . V x 4 ~ r , l/r r t ' 4 t tl 04A f p f 3 i i 1.48A 99 809 r Y r a i V 1 ~ ~ ~a bF w ^ x pit 4M ~ 4 °a i 1 t z • P 1V , 59 83 , X63 7'-- ° 4 00 I'v 59.0 1.20h. `I'HIS 1S NOT A LEGAL DOCUiMENTy 1606 Monday, November 02, 2009 04:03 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2699-05-18-1809 Name' ABERNETHY AVERY MARK Name2: ABERNETHY GARY JAMES Address: 825 3RD AVE NW Address2: City: HICKORY State: NC Zip: 28601-4806 Account: 158792000 Calc Acreage: 1.48 Tax Map: 189H 09012 LRK: 61173 Deed Book: 2870 Deed Page: 0190 Subdivision Name: DEERFIELD SUBD Subdivision Block: Lots: 79 Plat Book: 20 Plat Page: 232 Building Number: 5946 Street Name: WOODHALL Site Zip: 28602 Township: HICKORY Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: Total Bldgs Value: Land Value: $24,900 Total Value: $24,900 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 82 Watershed: WS-III Protected Area Watershed Split: NO Voter Precinct: P24 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011801 Census Block 2010: 1027 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Monday, November 02, 2009 08:02 AM