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