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HomeMy WebLinkAboutEHPR-11-09-2787 (2).TIF THIS IS NOT A PERMIT Case # EHPR-1 1-09-2787 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Ig~}Z $M Environmental Health Plan Review - OSWP EXS SYSTEM APPLICANT OWNER CONTRACTOR KENNETH PROPST KENNETH PROPST MERLIN D DETWEILER 5770 W NC HIGHWAY 10 5770 W NC HIGHWAY 10 HICKORY NC 28602 HICKORY NC 28602 HICKORY NC 28602 704-462-2160 mbdetweiler@att.net NAME TO APPEAR ON PERMIT KENNETH PROPST Pin#: 269918315288 SITE ADDRESS: 5770 W NC l0 HWY, I-Iickory, NC DIRECTIONS: I OW/ 2ND HOUSE PAST PROPST X RDS ON RIGHT NAME of SUBDIVISION: Lot g Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.87 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 89 X 30 Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:Yes 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 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: ATTACHED GARAGE W/ LAUNDRY ROOM / ENCLOSE EXISTING GARAGE / CHANGING TO FAMILY ROOM 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? NONE Type of Water Supply: Individual Well X Community Well Municipal X 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 property. Any representation by y of house or structure location should conform to applicable setbacks. Date: ( < <1 Signature of Applicant or Agent An nvironmental Health Specialist will contact you within ?work in- ays ap catio PTI If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval ✓Yes No "Zoning Approval fl 20h% F--1 ] - 0 --,74ADO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Existing Tank Check Fee 11/19/2009 $80.00 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 11/19/09 11:55 7 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit ?~~<<~r. 2. Permit Requested By R r° l,n PC t`w e. / e-- Business Phone Address dD 's 5 S t c ka Home Phone 3. Property Owner f< e e th Business Phone Address 5"170 i-/~y /o w N:ck~~ i Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address 57 76 r"-/,C, f~ w ~41 'z,~ «r Directions to Property: 7cu c, {Z ,2 e«5 e / 4 t l'tv ,c'S fi C,-c5 5 15 t< 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House i/ Mobile Home Dimension of Structure Bedrooms* 3 *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified onlhouse plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: Le no Water Using Fixtures in Basement: V/no No. in Family 3 Whirlpool Tub yes 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? es No If so, describe: dd t'1 Gu l.~~s~e C ~M >c.;,s £,r,s4 Cyr 8. Has any grading, removal, o addition of soil been done to this property? Yes ego) If so, describe: T 9. Are there easements/right-of-ways recorded on this property? Yes o 10. Is a public water supply available on or adjacent to the above prope ? 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 Pen-nit 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 THE PRO TY THE EIS ~ITIONAL CHARGE" f Date t'/ ~ Signature of Owner or Agent Catawba County, North Carolina This snap product was prepared fi om the Catawba Counh; NC. Geographic h fornuttio F7 SI'sleml. N Ccmawba Comar has made substantial eJJoris to ensure the accuracy of location crud labeling information contained on this map. Conrwha Comttr promotes ailed recommends the independent rerificatiar of am data contained on this map product hp the user. The Coooh ojCotorha, its empla Tees, agents and persomrel cliscloim, and sholl oot he held liable for any and oll damages, loss or liabilit . whether direct, indirect or comsequentiol which orises or mnP arise front this crop product or the use thereof bP onr persoo ar cotih'. Legend Selected Parcel Number: 2699-18-31-5288 1 inch = 60 feet Prepared for: 1.05h 4467 1.85A ?21 6492 CIO ~~3s J 52 THIS IS NOT A LEGAL DOCUMENT Thursday, November 19, 2009 11:29 ANI CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2699-18-31-5288 Name: PROPST KENNETH WILLIAM SR Name2: PROPST MARGARET FULBRIGHT Address: 5770 NC HIGHWAY 10 W Address2: City: HICKORY State: NC Zip: 28602-8180 Account: 53558260 Calc Acreage: 0.87 Tax Map: 001 J 07009 LRK: 371 Deed Book: 1127 Deed Page: 0162 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 5770 Street Name: W NC 10 HWY Site Zip: 28602 Township: JACOBS FORK Fire Code: PROPST City Code: COUNTY State Road: Total Bldgs Value: $89,700 Land Value: $11,100 Total Value: $100,800 Year Built: 1967 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 89 Watershed: WS-III Protected Area Watershed Split: YES Voter Precinct: P2 E911 District: COUNTY Zoning: R-20 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: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 2001 Small Area Plan: MOUNTAIN VIEW Agricultural District: PROXIMITY Printed: Thursday, November 19, 2009 11:29 AM CATAWBA COUNTY PERMIT c, ZONING AUTHORIZATION R Single Family Dwelling ~'~►w 1'. o. 13ox 389 PERMIT NO: ZONR-11-09-2769 100A Southwest Blvd APPLIED: 11/19/2009 Norton, North Carolina 28658 ISSUED: 11/19/2009 L,XPIRES 05/18/2010 1 ~ 4 Stet Phone: 828-465-8380 FAX: 828-465-8962 vrw~v.catavvbacountvnc.gov APPLICANT OWNER CONTRACTOR KENNETH PROPST KENNETH PROPST MERLIN D DETWEILER 5770 W NC HIGH WAY 10 5770 W NC HIGHWAY 10 1903 SIGMAN ST HICKORY NC 28602 HICKORY NC 28602 HICKORY NC 28602 PROPERTY ID9: 269918315288 CENSUS TRACT: STREET ADDRESS: 5770 W NC 10 HWY, Hickory, NC LOT# PROJECT DESCRIPTION: ADDING ATTACHED GARAGE W/ LAUNDRY CI IANGE EXISTING GARAGE INTO FAMILY R0010 DIRECTIONS: COMMENTS: ADDING ATTACI IED GARAGE W/ LAUNDRY 8; ENCLOSE EXISTING GARAGE? 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: 35.00 REAR: 30.00 SIDE I: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Off-ice, the applicant must pu11 a string to designate the side and rear property lines Where the structure is being placed or constructed. 2. Ilomc shall be placed on the lot in harmony With the site-built structures, or have tlhc front door face the road frontaec. FEE. DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 11/19/2009 $25.00 TOTAL FEES $25.00 The apmlicant hereby certifies that .ill information and attachments to this Certificate of Zoning Comniliance are true and correct and acknowled(us that this permit was issued on the basis of the information required herein. The applicant further acknoxxiedges that any construction. alteration or addition which diflers from this application shall be subject to removal or alteration so as to bring said structure into conlornrutce 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 (iced restrictions pertaining to the Property. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. **This Zoning Authorization Permit shall expire six months from dale of suance unless a bulldmg ermit is secured and remains active. APPLICANT NAIMF, (1'RIN"fFID) AI'PL,ICANT S ANA' J Z.AING APPROVED BY ZONING FEES ARE NON-REFUNDABLE COMPANY NAME Pace 1 of 1