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Home My WebLink AboutEHPR-11-09-2797 (2).TIF ~A C0~ THIS IS NOT A PERMIT Case # EHPR-11-09-2797 CATAWBA COUNTY HEALTH DEPARTMENT v ^C Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR RANDY McCLELLAN JAMLS 14UITT i,~ZS - q.ZS J 3&5 Yr_ DANIELS ST b( c~ ~ MAIDEN NC 28650 828-428-8218 NAME TO APPEAR ON PERMIT RANDY McCLELLAN Pin#: 364608878926 SITE ADDRESS: DANIELS ST, MAIDEN, NC DIRECTIONS: 321 S/ LT ON BOST NURSERY RD/ LT ON DANIELS/ LOT ON RT NAME of SUBDIVISION: Lot # 92-99 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 10.699 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 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: 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? N/A 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 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 you of house or structure location should conform to applicable setbacks. Date: Signature of Applicant orAgent 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 AREA1 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE AMOUNT Side Improvement Permit Fee 11/19/2009 $150.00 Rear TOTAL FEES $150.00 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 14:21 THIS IS NOT A PERMIT WLS # III q~() 6V CAYAuthorization COUNTY HEALTH DEPARTMENT ation for Environmental Services Improvement Permit to Construct El Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit 2. Permit Requested By /n `"G I c Business Phone Address /y%S~~tvr rK• S i Ivrr.•ld z, Home Phone 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision Lot # R?-6Q Section/Block/Phase Property Address Directions to Prope Z e; 5. Property Size: Square Feet Acres l L~- 7 A~ Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms*_ *Any roorn that w111 be intended for sleeping at the time of construction or for future cons deration should be noted is a bedroom and counted on all applications. The number of bedrooms will he confirmed by rooms identified on house plans as a bedroom at the [line of building permit issuance. This may prevent the need for system size increase in the future. Basement: yes/ Water Using Fixtures in Basement: yes/no No. in Family _3 Whirlpool Tub /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 / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes / o 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 propery. Pe No Check type that is available: [ ] Community well [ ] Semi-public w] County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** IL . Well Type Applying For: [ ndividual 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 Pen-nits 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 NA ~ n Signature of Owner or Agent i Catawba County, North Carolina This map product was prepared rom the Colawba Counh', NC Geographic lrfformcnion System. N Catawba County has made suhstantial eJJbiis to euarn e the accuracy of location and labeling information cootained on this map. Catawba County promotes and recommends the indepeodem verification ofaip data coolained on this map product by the user. A e County of Ccua,rha, its employees, ggem.s and personnel disclaim, nod shall flat he held liahle for om and all damages, loss or liability, ,ncc1her direct, indirect or consequential which arises or mcm arise from this mnp product or the use thereof bv am, person or erVim. Legend Selected Parcel Number: 3646-08-87-8926 1 inch = 225 feet Prepared for: 4 723 614'" 412 c+r < i N IN" l ` J' ``tea a92s f -13 I (By l•~\ , - THIS IS NOT A LEGAL DOCUIVIENT Thursday, November 19, 2009 01:52 PiVI CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel IQ: 3646-08-87-8926 Name:' HUITT JAMES ANDREW ~zs _ Z l Name2: HUITT BARBARA S 0 Address: 1805 E MAIDEN RD Address2: City: MAIDEN State: NC Zip: 28650-8525 Account: 29725500 Calc Acreage: 10.7 Tax Map: 010 K 05015D LRK: 9994 Deed Book: 1414 Deed Page: 0072 Subdivision Name: Subdivision Block: Lots: 92-99 Plat Book: 10 Plat Page: 42 Building Number: Street Name: DANIELS ST Site Zip: 28650 Township: CALDWELL Fire Code: MAIDEN RURAL City Code: COUNTY State Road: Total Bldgs Value: Land Value: $51,200 Total Value: $51,200 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 113 Watershed: WS-II Protected Area Watershed Split: NO Voter Precinct: P9 E911 District: MAIDEN Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: MAIDEN Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 5016 Small Area Plan: Agricultural District: Printed: Thursday, November 19, 2009 01:40 PM