Loading...
HomeMy WebLinkAboutEHPR-11-09-2619 (2).TIF A C THIS IS NOT A PERMIT Case # EHPR-1 1-09-2619 CATAWBA COUNTY HEALTH DEPARTMENT v ^C Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR HENRIETTA HUFFMAN HENRIETTA HUFFMAN 7183 RH RD 7183 RH RD HICKORY NC 28602 HICKORY NC 28602 NAME TO APPEAR ON PERMIT HENRIETTA HUFFMAN Pin#: 277002881546 SITE ADDRESS: 7183 RH RD, Hickory, NC DIRECTIONS: OLD SHELBY RD - TURN RIGHT ONTO HENRY RIVER RD - TURN LEFT ONTO RH RD - 2ND ON LEFT NAME of SUBDIVISION: HENRIETTA HUFFMAN Lot # 3 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 2.00 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 70 Bedrooms 3 Basement: No Water Using Fixtures in BasementNo No. in Family 3 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 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 Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well X Community 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 norrexpiring 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 property. Any representation by you of house or structure location should conform to applicable setbacks. Date: /-/d -el y Signature of Applicant or Agent '~(G 4e" An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE AMOUNT Side Existing Tank Check Fee 11/10/2009 $80.00 Rear 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 11/10/09 10:58 THIS IS NOT A PERMIT WLS # ~fe l I-~~ CATAWBA COUNTY HEALTH DEPARTMENT Application 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 Pe mit lYe/) 71'r §4 C - 2. Permit Requested By 1)r''i & ti G C ~T v)~~:ri, Business Phone 611.4 Address 7/~ j /Z f~GGc d I G IL'rL' r+•'L ZX G~ Home Phone S'ZA- -3Z f~ ~1G j~ 3. Property Owner Pvt 1- -e HA U - kr "L Business Phone WiA Address 2 /,C lee4" NC U L Home Phone eZo'' 32 5)-yy3,> 4. Name of Subdivision d- ~i C - Lot # 43 Section/Block/Phase Property Address 71~2 /LO~i i /wn-i HG Zkd~&O Z Directions to Property: A-' -,D e-4 U, /Zo -4'0 S)~ rV 1 L ,e v ez__ 1?- 61 Z7 5. Property Size: Square Feet Acres Date Platted/Recorded 27/0J_ 6. TYPE OF FACILITY: House Mobile Home X Dimension of Structure /YX -7Bedrooms* 2- *Any room that will be intended for sleeping at the time oi'construction or for future consideration should be rioted as a bedroom and countedon all applications. The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the peed for system size increase inthefuture. Basement: yes. no Water Using Fixtures in Basement: yes No. in Family j Whirlpool Tub yes id' Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units 41'A Total Number of Bedrooms 1/,4 DAY CARE: Number of Children /~4_ RESTAURANT: Seats WA Square Feet Dining AA~,4Square Feet Food stand/Meat Market Floor Space 414 TYPE OF BUSINESS:,0A Number of Employees Ist ,del 2nd A14 3rd OTHER: (Specify) _ 7. Do you anticipate any additions to Facility? Yes / o If so, describe: NA- 8. Has any grading, removal, or addition of soil been done to this property? Yes If so, describe: -4,fA 9. Are there easements/right-of ways recorded on this property? Yes N 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 Pen-nit must be issued with the Septic Permit.** H. 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. 1 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 THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.- Date 10- v7 Signature of Owner or Agent nN , a X Y~~(~1~1-, (Tie Line ON 5/8" EXISTING IRON ROD S63006'21' Y = 214838.631 METERS - WS X = 389614.708 METERS 13-8.61 ELEV = 372.171 METERS , CSF = 0.99984497 GROUND COORDINATE _ 9°16 035'56Il X136 N69012'46"E Ul) / 12 1/2" EXISTING 48.03' r`~e `v Q7 '-IRON ROD RAILROAD j PP p3~j56 ° 24" RCP SPIKE SET INiN~2 aerla vie W G 'ME 1a~/_-~oFSR112s it s 5\ 8~.5back/ l 1 399 ~ 1/2" IRON I / RAILROAD to ROD SET j POOI / a SPIKE SET IN 035 ' 1/2" IRON I iCJ SCOC`1 ® \1 '-OF SR 1125 CENTERLINE `v12 2Q Q~' i~N ROD SET Asphalt 5~~9KNo\~se ~2 Q tbackU~ PJr ®Weli C ` PP So' Se Nome O House \ MobUe 3/4" EXISTINI • Metal ar3 9e IRON PIPE 1" EXISTING \ Carport 'ul( e \ G PP IRON PIPE \M to I PO N\ j v .dp Wood hear. ' i `'OO Playhouse I d\. \5 i l e tii~. I EXISTING.I1 er I n.F\ r ul.- I tback~\n 1 -IRON ROD 1, j 1.,~e i' 1 !(NOT USED) I r -vl i PP , I \ a ~tG, (n. c~, r_Wood Frame PP I House i yiN 0'A fog 2atr/ !.f)I PP Wood Ira Nla WO W ..IZC'.vv~ 1 p Shed II i~ e trs V~ n r C 1 -i '-r H I N S co re j i I ti r? \ \ ^I M /PP Q-11,1:11 0 Uj ! rV I 1/2" IRON ROD SET 1 2 CO j.c (p ^ j 1 ~ r p PERSIMMON TREE NEW CORNER j u 3 Ifj per- 5th Corner j 12 \D p j /I D.B. 575, Pg. 265, ' I~ 2 0 J '~B 129 li 1 ir7 I ~1 IQ ~O B S) z 'O9 i 1 3/4" SQUARE PIPE • O e ' S P9 ~6S 4gd I I (Tie Line) • 6l v, Sera oDe1 . / S73026'34"E a' 3~ 5~ tit 194.33' 1/2" IRC kRRY DEAN CHURCH ,.1 I vlQ1I I ~j~(o.~~~ ~V~OOr RODSEI eed Book 2014, Page 793 Plat Book 61, Page 147 Plat Book 41, Page 129 ac~V G liFh cPi V _ Seen Gq' OF r Q1 Setback \me , P 1/2" IRON ROD SET PP 2° -NEW CORNER JOHNNY H. HUFFMAN 1/2" IRON ROD SET Deed Book 1911, Page 369 NEW CORNER N , N ~ 1/2" EXISTING IRON ROD • I i I + ~ I ` i I I ~ I ~ ` A Cp CATAWBA COUNTY, NC 100-A south West Blvd PLAN RECEIPT C r-j Newton, NC 28658- U (828)465-8399 Tuesday, November 10, 2009 jg 4 Z sM www.catawbacountync.gov Plan Case: EHPR-11-09-2619 Invoice Number: INV-11-09-257133 Environmental Health Plan Review Invoice Date: 11/10/2009 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/10/2009 Check 8520 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 pl;ui rccci~t ; i2'cRf.>~-~ti'?_-!'b9-8 4Y'-F~h:rii~RU3e; r4t 11/10/2009 10'.58 Catawba County, North Carolina This map product was prepared from the Catawba County, A1C, Geographic Information System. N Calmvba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of anv data contained on this map product by the user. The Countv of Catawba, its employees, agents and personnel disclaim, and shall not be held liable jar any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise fi-om this map product or the use thereof by anv person or entity. Legend Selected Parcel Number: 2770-02-88-1546 1 inch = 200 feet Prepared for: 19~' ` n' ci 8 v N 113' ~3gAA r; Cn 0943' 1~b~ Plat 64-56c'? o Ln 1.01A N o° 1AA12LA1 m 06 8875 N 1~3 N Plat 68-100 m ~J 4718 m _ `I 1561 J ~ 1 U') r G (502) } 4.78A Q~~ \ 149.63 RD 6625 (190) 8) 11.93A 1546 7.35 f N r " -j 1.96A 1.35A 5314 N 6333 2 1 26A p3 9 Plat IA.47 2.09A 1.50A o 3136 X116 155.32 107.04 Plat 65-183 260.35 2s 5947- 7 o 7 v ~ Ou: 41.33 94 S4 41 9 i ~a 487,90 7 THIS IS NOT A LEGAL DOCUMENT Tue, November 10, 2009 10:32 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2770-02-88-1546 Name: HUFFMAN HENRIETTA O Name2: Address: 7183 RH RD Address2: City: HICKORY State: NC Zip: 28602-8594 Account: 159755694 Calc Acreage: 11.93 Tax Map: 177H 03028 LRK: 600895 Deed Book: 2991 Deed Page: 1237 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 7183 Street Name: RH RD Site Zip: 28602 Township: HICKORY Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: 1125 Total Bldgs Value: $108,400 Land Value: $63,700 Total Value: $172,100 Year Built: 1958 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 78 Watershed: Watershed Split: Voter Precinct: P24 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: 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: 011101 Census Block 2010: 2055 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Tue, November 10, 2009 10:33 AM