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Home My WebLink AboutEHPR-11-09-2829 (2).TIF A .Cpl V. THIS IS NOT A PERMIT Case # EHPR-1 1-09-2829 r~ Q CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Ig~}2 SM Environmental Health Plan Review - OSWP EXS SYSTEM APPLICANT OWNER- CONTRACTOR STEPHEN' RINEHARDT LEE RINEHARDT (704)516-3834 NAME TO APPEAR ON PERMIT STEPHEN RINE14ARDT Pin#: 365916822695 SITE ADDRESS: 2057 WOODSTONE DR, Newton, NC DIRECTIONS: HWY 16S/ WOODSTONE DR ON RT JUST BEFORE FRIENDSHIP METHODIST CHURCH/ 1 ST DRIVE ON RT/ FOLLOW DRIVE ALL THE WAY BACK NAME of SUBDIVISION: Lot # 32 Section/Block/Phase PROPERTY SIZE: Square Feet Acres Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement: No. in Family 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: 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 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: 1 I k a Oct Signature of Applicant or Agent r An Environmental Health Specialist will contact you within ring days of application date. If you need further infonnation or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks FEE NAME DATE AMOUNT 30 Front Side 15 5 Existinu Tank Check Fee 11/20/2009 $80.00 Rear 30 TOTAL FEES S80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 1 1 /20/09 12:53 w 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 [t_ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit S7~/ e <lr 2. Permit Requested By - Business Phone Address % O Home Phone 70 4 l ~i ~>'y 3. Property Owner 1.1°_ d A ao'W7 Business Phone Address ~O SLecl S Tarr ILA r v t~ Home Phone 4. Name of Subdivision Lot # 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* 3 *Any room that will he 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 iclentified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: yes/ 10 Water Using Fixtures in Basement: yes/0 No. in Family Whirlpool Tub yes/C w 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 I st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes 1 d 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 property? Yes / 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 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 MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE" Date 2 / C) ' Signature of Owner or Agent Catawba County, North Carolina 1 his map product ivar prepared from the Calawba County. NC, Geographic h formolion St stem. Cnlawba Comm, has matte substantial effmis to ensure the accuser oflocatimr and lcrbelin;, information contained on this mop. Caiawba Counhv promoles and recauunendv the independent verification ofany darn cmuained on Ibis reap product by the user. The Comm, of Catawba, its employees, agents cord personnel disclaim, and shall mat be held liable for any and all damages, loss or liabililt, a helher direct, indirect or consequential which (riser or mm arise from this map producl or the use thereof by onv person or entily. Legend Selected Parcel Number: 3659-16-32-2695 1 inch = 60 feet 11.2 0(7 Prepared for: cos ~o C^ 4U ~ Y.j 1. A \ 695 63 C%5 S c- ~~I c ~C I I f; t t~; ; \ 2.34A \ THIS IS NOT A LEGAL DOCUNIENT Frich: , November 20, 2009 12:12 PSI 7 X17 7 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3659-16-82-2695 Name: RINEHARDT LEE ROY Name2: RINEHARDT JUDY A Address: 2055 WOODSTONE DR Address2: City: NEWTON State: NC Zip: 28658-9680 Account: 55282500 Calc Acreage: 1.92 Tax Map: 001AK 01032 LRK: 786 Deed Book: 1374 Deed Page: 0516 Subdivision Name: Subdivision Block: Lots: 32 Plat Book: 22 Plat Page: 101 Building Number: 2057 Street Name: WOODSTONE DR Site Zip: 28658 Township: CALDWELL Fire Code: BANDY'S City Code: COUNTY State Road: Total Bldgs Value: $700 Land Value: $26,000 Total Value: $26,700 Year Built: Year Remodeled: Last Sale Date: 9/111984 Last Sale Amount: $7,500 Neighborhood: 113 Watershed: Watershed Split: Voter Precinct: P20 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: RP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 1000 Small Area Plan: BALLS CREEK Agricultural District: PROXIMITY Printed: Friday, November 20, 2009 11:59 AM CATAWBA COUNTY, NC I00-A South West Blvd PLAN INVOICE Newton, NC 28658- (828)465-8399 Friday, November 20, 2009 1842 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2829 Invoice Number: I NV-1 1-09-257444 Environmental Health Plan Review Invoice Date: 11/20/2009 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/20/2009 Cash -1 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 nI ninvoice ;c &09eI-3c d-=lINc-hl37-Oedf0I2 Scc-1:.rp1 11/20/2009 13:19