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Home My WebLink AboutEHPR-10-09-1901 (2).TIF THIS IS NOT A PERMIT WLS CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct d Septic Repair ❑ Septic Expansion El Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I. Name to Appear on Permit 6- 14 /C-' b 2. Permit Requested By D t 0RCe 1 L d Business Phones- Sao - 070C Address ~-I 5 Ck q /-t51F X12 D h F2 /U~ly7-D , k)C o`~ S C Home Phone $a~ -X65 l! Il 45v1 3. PropertyOwner ~n t3011 L, /b L ~a d Sd2~ Business Phone Address PAC o ' a r~ X / 'c Al r c)7'e k C c7 5> 45 Home Phone a,9S4 o?Ci~g 4. Name of Subdivision S&/A/ -Cl~ Lot # Section/Block/Phase Property Address & t)(,)-~ EC )-i C> D d Directions to Property: 5. Property Size: Square Feet Acres oN S Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure `~5 Bedrooms* _ \m 60011 that will 1): II1t,2IldCd ~)I dCCpIII at l11C tnrlC 0 ~~11~1i'UCtIOII ~'I' i1 iWIII, CollsldZratloll X1' 'II'l be notcd as <f b~~~IY)olll all(l _~`11I11eU On all tt]~h~I~,ItIOl1S. l he ntlnlber ('i 1)"dlooms will he 0)111-11 111"'1 bvrnn1Tl-~ id'211lll icd 011 IIOnSC pfldns ;lti a "''loom at'~tll'; tilll~ OI bUlldln J)" I lllit 1'ssuancC I h15 nr1v pr,A,:11rthC IICCd lo! -)\A,111 S'Z-L' It 11111.11-C. Water Using Fixtures in Basement: yes/tj No. in Family Basement: yes/rlb Whirlpool Tub yes/iMjGallon 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 / If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / NZ:3 10. Is a public water supply available on or adjacent to the above property? No Check type that is available: [ ] Community well [ ] Semi-public well ounty/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 1 I . 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 0' l C Signature of Owner or Agent lsar-Le-v m-~w r'CA r ' 43 PAS 33 KATHY H JOHNSON • 1576-668 N ts-t6 w - ( ►00 0 I 6i ~ ~ 59 O ~ ST 35 0 0 FOLK -C- ( BLOCK .L- I SPRING ECHO t ` St'RlN6 ECHO PLAT BOOK 13 PAGE 33 PLAT BOOK 13 PAGE 33 fib Y 40! i 40' MIN, FRONT YARD ~ r - l i t ~t.J ~ I S is-t9 f tsa.o' ECHO DR. 60' R/W :t ~ NOTF_: MAP OFfAWN FROM 1dfFORMATION FOUND ON PLAT BOOK 0 PAGE 33 OF THE CATAWBA COUNTY REGISTRY. Q q L-13NO \ PROPERTY OF tc GEORGE HILTON LOT NOS, 56,57.36. 59 9 60 • BLOCK 'C' OF SPRING ECHO - PLAT BOOK 13 PAGE 33 a war-- t-.. 30• QRA WN BY: J.O.F RA TEa `SfP 19. 2009 FB v P2 ORAWN BY: JAWS 0. FERGUSON - P.O. BOX 433 - GRANITE FALLS. N.C. 28630 PARCEL' M' 36390034073 FILE C.ATAWBA COUNTY - IvEwTON TOWNSHIP NO. srarF, IMPROVEMENT PERMIT " ""y°""%..'Illy *CDP File Number 3 5 1 5, a.. Catawba County Public Health Department Environmental Health Division County ID Number: wLS2oo9-oos8o P.O Box 389, 100-A Southwest Blvd Evaluated For: NEW Newton NC 2$65$ PERMIT VALID UNTIL: 10/05/2014 Phone: (828)-465-8270 Fax: (828) 465-8276 *NOTE TO INSPECTIONS DIVISION: Building Permits cannot be issued with this Improvement Permit. Applicant: GEORGE HILTON Property Owner: EVERETTE DRUM Address: 2549 ASHFORD DR Address: 2361 MT OLIVE CHURCH RD City: NEWTON City: NEWTON State2ip: NC 28658 State2ip: NC 28658-822 Phone Phone# : Pro a Location & Site Information Address/Road Subdivision: SPRING ECHO Phase: Lot: 56-60 2003 ECHO DR NEWTON NC Directions Structure: SINGLE FAMILY HWY 10/ LT ON SIGMON DAIRY RD/ RT ON SHADY LN/ RT ON VILLA DR/ LT ON BARRINGER # of Bedrooms: 3 CIR/ LT ON ECHO DR/ LAST LOT ON RT **Newton # of People: Zoning *VVater Supply: PUBLIC System Specifications Initial System *Site Classification: PS Minimum Trench Depth: Inches Design Flow: 3 6 0 Maximum Trench Depth: a 4 Inches Soil Application Rate: Septic Tank: 1 0 0 . 3 Gallons *System Classification/Description: 1 -Piece: QYes *No TYPE III G. OTHER NON-CONY. TRENCH SYSTEMS Pump Required: QYes Q No VMay Be Required Pump Tank: 1 0 0 0 Gallons *Proposed System: 25% REDUCTION 1-Piece: QYes QNo Repair System Required: Yes O No O No, but has Available Space Repair System *Site Classification: PS LPP Minimum Trench Depth: Inches Soil Application Rate: 3 Maximum Trench Depth: a 0 Inches *System Classification/Description: Pump Required: ONes QNo Q May be Required TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION Pump Tank: 1 0 0 0 Gallons *Proposed System: OTHER Page 1 of 3 CDP File Number JJ I JL County ID Number: *Site Modifications ❑ Open Fill Sheet No grading Or construction activity, is allowed in areas designated for system and repair without approval of Health Department. *Permit Conditions The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. 'All parts of septic system must be minimum: 50' from any individual well, 10' from property lines, 5' from home'Lines to be installed on contour' Do not grade, drive,or fill over system or repair area"Outlet plumbing from home will require specific placement to avoid pump' Lot has shallow depth to rock in certain areas and any significant grading in septic area may result in revocation of permit The Improvement Permit shall be valid for5 years from date of issue with a site plan (means a drawing not necessarily drawn to Sit- Dlan scale that shows the existing and proposed property lines with dimensions, the location of the facility and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no more than 60 feet, that includes: the specific location of the proposed facility O and appurtenances, the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that is accompanied by a site plan that Is drawn to scale). The Department and Local Health Department may Impose conditions on the issuance and may revoke the permits forfallure of the system to satisfythe conditions, the rules, orthis article. This permit Is subject to revocation if the site plan, plat, orintended use changes (NCGS 130A-335(f)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, installation, operation, maintenance, monitoring, reporting, and repair (.1938(b)). Applicant/Legal Reps. Signature Required? XYes ONO Applicant/Legal Reps. Signature: Date: 10 1 O ~7 Nc--O 7 *Issued By: 1810"Boyd, Jason Date of Issue:. 1 0/ 0 5/.2 0 0 9 Authorized State Agent: A-- OValid without Expiration? Hand Drawing OlmportDrawing **Site P lan/Drawing attached.** Total Time:(HH:MM) Hours Minutes Page 2 of 3 CDP. File Number: 35152 County File Number: WLS2009-00680 Drawing Type; Improvement Permit Date: 1 0 0 5/.2 0 0 9 1 Inch = 6 0 Scale: Q Block ft. Drawing QNIA r r 00 -h t 1b rc- 16 a ^0% OQ l~ /V\ 33 'T3 8 2c' ...1K -P o % r r - - Page 3 of 3 ti ZONING CLEARANCE PERMIT CITY OF NEWTON PLANNING DEPARTMENT P.O. BOX 550 (828)695-4305 Fax (828)465-7412 THIS PERMIT EXPIRES IN SIX MONTHS OR AFTER A ONE YEAR LAPSE IN WORK Project Address: SS Pin:, a p y~ T~ C. !t Project Description: Area Estimated Disturbed: D•~ (~Yzt~~ Cost: $ CCU Applicant: ._GCc)RrE- RIL'7(_)I~ Owner: soaby 1 Address: Address: , 06 x 3 j I City: N~ ~,Ird V State: aI Zip Code: a City: 1,~-Wr0 N State/.~'C Zip Code:a ~6 5(1 Phone: 32~_-J)u..0767 Fax: Phone: ~ao- s~ Zf •~~1~> Fax: Email: Email: ' I do hereby certify that the foregoing statements are accurate and correct to the best of my understanding and knowledge and that I agree to conform to all City Ordinances and Laws of the State of North Carolina regulating such work and any plans or specifications submitted. With my signature below I assume responsibility for all errors and omissions of the information provided or this application together with any plans and/or other documents associated with the Issuance of this Permit by the City of Newton. 1 Y Signature of Applicant: Date: 7 Type o Permit Needed: New Construction Sign Mobile Home Remodel. Accessory r Addition/alteration F- Service Change Structure Moving r. Demolition Change of Use Type of Use: ingle-Family Residential r Commercial Assembly Multi-Family Residential Industrial Non-Profit/Governmental Zoning District: K--2o Required Setbacks: Utilities Services: Overlay District: Front: U 0 Electricity: City of Newton F- Duke/ REMO (--SPI -Highway Corridor ~b Rear: `t Water: City of Newton F- Well (-SPI -Watershed Side: Sewer: City of Newton Septic Tank F Flood Plain Overlay St Pauls Overlay Side Street: Other Requirements: Buffers & Screening Required Stormwater Permit Required Grading Permit Required F- Watershed: WS-IV- P /W5-111 - C / WS-III - BW r Soil Erosion Permit Required Driveway Permit Required: City / NCDOT Flood Plain - As Built Survey Required Plan Review Required r Vested Rights Approval: Complete Application Received: Fee: $ 'D O Receipt '711 Signature of Approving Authority: Date: z(~O q NOTES: l Inspection Approval: Setback - Date: By: Final - Date: By: