Loading...
HomeMy WebLinkAboutEHPR-03-2016-23303.TIF .4 ° THIS IS NOT A PERMIT Case# EHPR-03-2016-23303 c7f Eta ti CATAWBA COUNTY HEALTH DEPARTMENT ,r PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES '� :- '} t /842 w Environmental Health Plan Review - OSWP ; n Tr or°- IMPROVEMENT Applicant DARRIN REID,2729 GETTYSBURG PL, CLAREMONT NC 28610 H:8284599699 C:828-312-5119 HOME:8284599699 Owner LOUISE HUFFMAN, 6760 GREEDY HWY, HICKORY NC 28602 NAME TO APPEAR ON PERMIT Louise Huffman SITE ADDRESS: 1557 GRAND OAKS LN, HICKORY NC 28602 PIN # 268901469961 NAME of SUBDIVISION: Lot# 2 Section/Block PROPERTY SIZE: Square Feet 130,680.00 Acres 3.00 DIRECTIONS: Hwy 127 South, Greedy Hwy, Right onto Grand Oaks Lane, 2 vacant lots on Left PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank GALLONS PER DAY: 360 WATER SUPPLY: Private Well DESCRIBE WORK: IP for Subdividing' SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? No Are there any easements or right-of-ways on this property? Yes Property Easements Description: Lot 2 Private easement APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: House OTHER DESCRIPTION: DESCRIPTION OF EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 1 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: House 30x40 #OF NEW BEDROOMS:: 3 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED? Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 03/02/2016 11:29 Page 1 of 4 ■q• CATAWBA COUNTY Case# EHPR-03-20 1 6-23303 T' G Public Health Department Subdivision -"f® L Q : ®� Environmental Health Division PIN# 268901469961 ' PO Box 389, I00-A Southwest Blvd,Newton.NC 28658 1:42 :v NAME ON PERMIT: ( LOUISE HUFFMAN),6760 GREEDY HWY, HICKORY NC 28602 ( Louise Huffman) Site Address: 1557 GRAND OAKS LN, HICKORY NC 28602 Property Size: Square Feet 130,680.00 Acres 3.00 Directions: Hwy 127 South, Greedy Hwy, Right onto Grand Oaks Lane, 2 vacant lots on Left Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand to•t I am solely responsible for the proper identification and labe}ing of all property lines and corners and making the site accessible -+ that� let mp ite evaluation can be performed. Date: 'Tj/Z//(e, Signature of Applicant or Agent n Environmental Health Specialist will contact you wi o, dais—of ng application date. If you need further information or assistance please call 828-466-7291 AREA2 y racirc `@i 15 ta4 ,1777 x i F cor n..t jp r z _ i `" r d t U.FEENAME��4 !al ` xE't, tl . ntrP,IcsDATE� aFEEAMOUNTit Improvement Permit Fee 03/02/2016 $150.00 r.E i s!° TOTAE:.ES ' r = au `a � tb t'9 4 °4k t; a l„p 61500 4y 0 n I.Fr;vi ,.0" l tt a /h c tr . n 1 4Nlit% A $Papgi -0 : ' • _+ 64.£ n A as II t t MILIiNIP . YVIy ii. 1348 In FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) F9-ehappbeation 03/02/2016 11:29 Page 2 of 4 C eTA� THIS IS NOT A PERMIT Cl ®COUNTY CATAWBA COUNTY HEALTH DEPARTMENT ie� N he • Application for Environmental Services Page 1 Improvement Permit Authorization to Construct n Septic Repair❑ Septic Malfunction n Septic Expansion n New Well Permit_ Replacement Well ❑ Well Abandonment n Well Repair n Existing System Inspection (Pre-Approval Required) n Application is for New Construction Existing Facility ❑ Property Address '�, Subdivision �DU/SG ✓Fim� ei QQ/LS L44 e - Lot# 2---* Acres Section/Block/Phase Driving Directions to Property sc Ea .0- 2689- o/- "fro - M/ NAME TO APPEAR ON PERMIT? Owner ❑ Applicant n Contractor Applicant Contact Informaation nn Name /)grii'� /�ge6 / Address 2729 /r-e)W�fev gm_e_e - Clarem a.vr AC 2v�g/ o Phone e2&- �f 55' i'G e�' Cell Phone 3) 2 , 57/7 ANOwner Contact Information Name As., Se 71,/vGe/nQ. 7`� �/ Address 6260 &rn-c4/ /7'yAMA /-kcho2 .4 Zff(po2- P h on e / 7 / Cell Phone Contractor Contact Information Name License # Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? n Owner �Ql,plicant n Contractor Description of Existing Structures on Site '' �� ei # of Bedrooms *t Structure Dimensions # of OccupantsC Basement n Yes ❑ No Basement Fixtures Yes n No — The Applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes', applicant must attach supporting documentation. ❑ Yes L Does the site contain any jurisdictional wetlands? C�' ❑ Yes RN-to Does the site contain any existing wastewater systems? ❑ Yes 2#110 Is any wastewater going to be generated on the site other than domestic sewage? ❑ Yes 124 Is the site subject to approval by any other public agency? es ❑ No Are there any easements or right of ways on this property? Describe Lb•r z Pa.va re- 5e, Existing water supply in use ✓Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** n Yes No If applying for an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s): (systems can be ranked in order of your eference) ✓❑ Accepted ❑ Alternative Conventional ❑ Innovative , ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT COU__ TYYY ,,,. -- CATAWBA COUNTY HEALTH DEPARTMENT „0„„.--;;;;;—..., Application for Environmental Services Page 2 Proposed Facility Type ❑ Primary Residence New Residence I I Addition to Residence # of New Bedrooms *t Project Description w a- Z-0 c,1 s e, }74iFfiier,q-1 3/a Structure Dimensions /3v x 4a # of Occupants Basement ❑ Yes f No Basement Fixtures ❑ Yes n No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes n No Describe Plumbing Needed H Multi-Family Residence# Units #Bedrooms per Unit*t Total#Bedrooms *t Structure Dimensions _ Food Service Specify Type # Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) H Business Specific Type of Business Retail Floor Space #of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen [ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well ❑ Semi-Public Well n Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug n Unknown Well Repair Requested n Yes n No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on-site staff. *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 on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. T If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5) five years from the date issued and is not transferable; Improvement Pennits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. 1 I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Signature of Owner or Agent _AV"' Date 3/20y Printed Name of Owner or gent O✓i,A 2, e0 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 268901469961 Owner: HUFFMAN LOUISE M Parcel Address: 6760 GREEDY HWY Owner2: City: HICKORY, 28602 Address: 6760 GREEDY HWY LRK(REID): 1370 Address2: Deed Book/Page: 1212/0607 City: HICKORY Subdivision: State/Zip: NC 28602-9226 Lots/Block: / Last Sale: School Information: Plat Book/Page: School District: COUNTY Legal: Elementary School: BANOAK Calculated Acreage: 9.750 Middle School: JACOBS FORK Tax Map: 002 B 01031 High School: FRED T FOARD Township: BANDYS School Map State Road #: 1120 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: PROPST Zoningl: R-40 Building(s) Value: $30,000 Zoning2: Land Value: $57,500 Zoning3: Assessed Total Value: $87,500 Zoning Overlay: WP-O Year Built/Remodeled: 1963/ Small Area: MOUNTAIN VIEW Current Tax Bill Split Zoning Districts: / Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710268900J Building Details 2010 Census Block: 1020 WaterShed: WS-III Protected Area 2010 Census Tract: 011801 Voter Precinct: P24 Agricultural District: Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2015, Catawba County Government, North Carolina. All rights reserved. col r o 3 � oo o7 C-1 ctilvf oh Lin ttp://gis.cataw acountync.gov/nomap/parcel_report.php?key=268901469961&typ=P 3/2/2016 Catawba County Environmental Health a> ini j eq 51 $ - yq, •ir 1/4 K . , ... R Lt. z# 4O , '.*, .4:. 7e.i. b"'"''' m 9NN In ) ' 4 fg te . I.. i j.1 rp - r / t 7...........-------- , 75. •i . 111111104,41.6 11‘119 1 / / asp ._. � 778.60 GREEDY Hyyy —.- Parcel: 268901469961, 6760 GREEDY HWY 1in=150ft HICKORY, 28602 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 03/02/2016 YA CATAWBA COUNTY ," ire IOOA SOUTHWEST BLVD } NEWTON, NORTH CAROLINA 28658 RECEIPT r..,..,, , . , , U PHONE: 828.465.8399 / t°3? Wednesday, March 2, 2016 842 SM www.catawbacountync.gov PAYOR: REID, DARRIN PAYMENTS TRANSACTION NUMBER: TRC-630359-02-03-2016 PAYMENT DATE : 03/02/2016 PAYMENT TYPE: Check 8196 INVOICE NUMBER FEE NAME FEE AMOUNT 03-16-325764 Improvement Permit Fee $150.00 TOTAL PAYMENTS : $150.00 EHPR-03-2016-23303 CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP SITE ADDRESS: 1557 GRAND OAKS LN, HICKORY NC 28602 Applicant DARRIN REID, 2729 GETTYSBURG PL, CLAREMONT NC 28610 H:8284599699C:828-312-5119 ** NO PEOPLESOFT ACCOUNT ASSIGNED ** Owner LOUISE HUFFMAN,6760 GREEDY HWY. HICKORY NC 28602 receipt 03/02/2016 11:28 Page 1 of I