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Home My WebLink AboutEHPR-10-09-2339 (2).TIF THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT A lication for Environmental Services Improvement Permit Authorization to Construct El Septic Repair El Septic Expansion El Existing Tank Check E] New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit Zldi/~ Y PAX16NSA 2. Permit Requested By _ Business Phone Address 6" / 7 ' 214 weP%50Z, ^A-1. Home Phone ezP Z~ 6- 9`1 3. Property Owner e /Pt /-T Y. (ZoOiLi C,u l; fZ Business Phone Address a / nur4 r° e dZ i4 (10. Caro ter- NC • Home Phone4Z 2 SV _ 7 5//j 4. Name of Subdivision S r_- -[:/L 1:= 7i1iG~ Lot # ( Section/Block/Phase Property Address • Directions to Property: cl tv G C o /4 aeo / rvt/6 T14 /:-v u/Z/L 6GA.,17-v tiWXG~O cJ29 P 5. Property Size: Square Feet J. rg a Acres Date Platted/Re' orded 6. TYPE OF FACILITY: House obill" Home Dimension of StructNe Bedrooms* *Any room onnallndedli at onspThea~umber~of bed oo swconstruction or for future co sideration should be noted a~ a bedroom and that pp will be continued by rooms identified on house plansas a bedroom at the time of building permit issuance: This may pre ent the need for system 5izeNncrease_in the future. Basement: yes Water Usi~ Fixtures in Basement: yes o No. in Family i Whirlpool Tub/yes/allon Capacity MULTIPLE FAMILY R•~SIDENCES,/ 1iiits Total umber of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats 1 Square Feet DiningNArea -Square F et Food stand/Meat Market Flo • r Space TYPE OF BUSINESS: N tuber of Emplo es 1st 2nd / 3rd OTHER: (Specify) 7. Do you anticipate any additions to Fa ility? Yes / No If so, describe: S-Cw.v~ L✓i= !/u 8. Ha any grading, removal, or~addition tof soil been done tq this property? Yes If so, scribe: \ I 9. Are ther easements/right-of-trays recorded on this propelrty? Yes o' % 10. Is a public eater supply available on or adjacent to the above property? Ye~ Check type at is available: [ Community well [ Semi-public well [ ] County/City/Township water line **If No, a We] en-nit must be 'sued witlithe Septi ermit.** 11. Well Type Apply For: [ ividual wel [ ] Community well [ ] Semi-Public well I understand that this is a formal applica 'on for a well permit, Improvement Permit or Authorization to Construct a ground absorption sewage disposal system to serve the abo e descr bed facility on this property and authorize Catawba County Health Department employees to go on this property for evaluation purpos c.II 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 Signature of Owner or Agent =14 dv~ Catawba County, North Carolina This map product was preparedfrom the Catmvba County, NC, Geographic Information System. N Catmvba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catmvba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catmvba, its employees, agents and personnel disclaim, and shall not be held liable for anv and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise fron this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3745-16-74-6832 1 inch = 60 feet Prepared for: c MEMO,,, j~ X1.3 / / / Ile / 00 "C5 13 ! CIO Q; / -.6832 I yo 00 01 U) 1~ . /Lam,' THIS IS NOT A LEGAL DOCUMENT Monday, October 26, 2009 10:18 AM /►Q CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3745-16-74-6832 Name: RODRIQUEZ LIDIA Name2: Address: 48 NW 41ST ST Address2: City: MIAMI State: FL Zip: 33127-2806 Account: 144916 Calc Acreage: 0.85 Tax Map: LRK: 401944 Deed Book: 2239 Deed Page: 0102 Subdivision Name: ST PETERS ESTATES Subdivision Block: Lots: 27 Plat Book: 44 Plat Page: 73 Building Number: 6172 Street Name: NAKED CREEK RD Site Zip: 28613 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Total Bldgs Value: $67,300 Land Value: $17,000 Total Value: $84,300 Year Built: 2001 Year Remodeled: Last Sale Date: 12/5/2000 Last Sale Amount: $18,000 Neighborhood: 67 Watershed: Watershed Split: Voter Precinct: P33 E911 District: COUNTY Matrix: Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-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: 010201 Census Block 2010: 1015 Recorded Date: Small Area Plan: ST STEPHENS/OXFORD Printed: Mon, October 26, 2009 10:28 AM