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HomeMy WebLinkAboutEHPR-11-09-2732 (2).TIF THIS IS NOT A PERMIT Case # EHPR-11-09-2732 ~ G a CATAWBA COUNTY HEALTH DEPARTMENT U :.p Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP REPAIR APPLICANT "OWNER CONTRACTOR JAVIER CHAVEZ JAVIER CHAVEZ 2079 REDBERRY LN 2079 REDBERRY LN CONOVER NC 28613 CONOVER NC 28613 828-455-5814 828-455-5814 NAME TO APPEAR ON PERMIT JAVIER CHAVEZ Pin#: 374308889407 SITE ADDRESS: 2079 REDBERRY LN, Conover, NC DIRECTIONS: 1-IWY 16 N/ LT ON C B FARM RD/ RT INTO STRAWBERRY FIELDS SUBD/ ROAD GOES IN A CIRCLE ON RT NAME of SUBDIVISION: STRAWBERRY FIELD PH 3 Lot # 90 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.409 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 5 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 lst 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? NO Type of Water Supply: Individual Well 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 nar from t date issued and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this pr y ~ pr s ntatioDby you o house ors cture location should conform to applicable setbacks. 1 w Date: ~ Signature of Applicant or Agent-- \ ~An Environmental Health Specialist will contact~yu within 2 ~leir~g ays 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 30 FEE NAME DATE AMOUNT Side 30 Authorization to Construct (Repair) F, 11/16/2069 $300.00 Rear 15 TOTAL FEES $300.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11 /16/09 14:30 Catawba County, North Carolina This map product was prepared from the Cotaieba Comm, NC, Geographic hrfortnalion Systcm. N Catam-ho Comav has mode suhstamial of orls to ensure the accuraci. of localiou caul labeling n fvillotlon caNaiued m? this mop. Cotowba Comm promolcs and 1 cconmtends the iudupendcnt ycrifiration ofany data cantnincd on this mop product by the user. The County ofCormcbo, its employees, agents and personal disclaim, cad shah nol be held liable for om and all damages, loss or hohility, inccther direct, inchrect of consequmliol which arises nr num arise fiom this ntap product or the axe tllereOj h any pencnn or entuy Legend Selected Parcel Number: 3743-03-33-9407 1 inch = 60 feet Prepared for p~ 7~ -.yQ Ul nU 1`-- 7 S 9A ~~~0° 7 662 88 8615 J 16) ~S9Q 82 0 613 c s 9~ ~h0 O° 7 78~ c~ 89 7557 7~s9~ 1 9565 7 9~ pQ) qp 7~ ~6 `S8 c~ 90 6s6) 09 ~ oh r 80 0 9407 ° .,lam 76s 91 79 - ° 8359 o o h ° 7`.? 1 7 p 92 8~~9 9 0° r ~g X906 '17 8301 7 0380 7ss`S0 p o° 76? S_ E o TfIIS IS NOT A LEGAL 1)0CUiIMF-NT p)~ Mondav, November 16, 2009 02:13 PNI b ~ 1~ THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services,-,/ Improvement Permit ❑ Authorization to Construct ❑ Septic Repair [ I Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit 2. Permit Requested By 7 Business Phone .53 Address X70 7~ 4! z-o,& e AllV cl- / - CoA/oV'--Z- Horne Phone 3. Property Owner 5i3.NE f►s 1.46 ye - Business Phone 8.28) S~__5-15 Sg-/f/'ee r Address Horne Phone 4. Name of Subdivision le~7 Lp Lot #(16_ Section/Block/Phase Property Address Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms* "Any room that yv~ill be intended for sleeping at the-time ofconstruction or for fntrn-c consideration should be noted as a bedroom and counted on all applications. The number ol~ bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of buildin- permit issuance. This may prevent the need for system size increase in the future. Basement: yes/no Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes/no 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 / No If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes / No 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 propertyZpes[ / No Check type that is available: [ ] Community well [ ] Semi-public Coun ty/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 pennit, 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 E T E 7! RTY, THERE IS AN- DITIONAL CHARGE.** Date / ~r /~o Signature of Owner or Agent CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3743-08-88-9407 Name:. CHAVEZ JAVIER Namd2: CHAVEZ NORMA I Address: 2079 REDBERRY LN Address2: City: CONOVER State: NC Zip: 28613-8140 Account: 159742125 Calc Acreage: 0.41 Tax Map: LRK: 402248 Deed Book: 2915 Deed Page: 0260 Subdivision Name: STRAWBERRY FIELD PH 3 Subdivision Block: Lots: 90 Plat Book: 46 Plat Page: 106 Building Number: 2079 Street Name: REDBERRY LN Site Zip: 28613 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Total Bldgs Value: $109,700 Land Value: $13,500 Total Value: $123,200 Year Built: 1999 Year Remodeled: Last Sale Date: 5/28/2008 Last Sale Amount: $132,500 Neighborhood: 69 Watershed: Watershed Split: Voter Precinct: P33 E911 District: COUNTY Zoning: R-20 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: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: R-407 Census Tract 2010: 010201 Census Block 2010: 2011 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Monday, November 16, 2009 02:18 PM