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HomeMy WebLinkAboutEHPR-10-09-2416.TIF C THIS IS NOT A PERMIT Case # EHPR-10-09-2416 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 784 5M Environmental Health Plan Review - OSWP APPLICANT ~OV1 NER CONTR"ACTON JESSE HECTOR " EANDVESTCO INC 1381 GRAND'OAKS LN HICKORY NC 28602 (828)855-3125 NAME TO APPEAR ON PERMIT JESSE HECTOR Pin#: 376302951008 SITE ADDRESS: 4214 CLEAWSPRING DR, Claremont, NC DIRECTIONS: ROCK BARN RD/ RT OXFORD SCHOOL RD/ RD DEAL RD/ LEFT CROSSING CREEK DR/ LEFT CLEAR SPRING DR NAME of SUBDIVISION: CROSSING CREEK Lot # 36 Section/Block/Phase PROPERTY SIZE: Square Feet Acres .58 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 2 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00-. Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Peet 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? uONE`; Type of Water Supply: Individual Well X Carmhunity W'CII 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 roperty. Any repr on by you of house or structure location should conform to applicable setbacks. Date: iol4q /0 Signature of Applicant or Ag A Environmental Health Specialist will contact you w' in 2 workin days of application date. If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME -DATE AMOUNT Side 15 Exrsunt-4*'Tank Check l ee ~10/29i2u& $80.uu. 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 10/29/09 12:23 J THIS IS NOT A PERMIT W LS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit E] Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit flu ~W__ 2. Permit Requested By .J S 5' 11.51 C_7~_ V Business Phone ) Address e~ - ."lr Home Phone hJ 1 7~'~ /~ZS 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision C rus sin e Lot # l~ Section/Block/Phase Property Address 11:W-1- r it tions to Pro erty: O C)A sc~ool ros . ' L C a oY, Q,~~4 OE e o 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY e ~Dirnen-inn of Structure Bedrooms* _ it ill be iHt nded lbi ~l e`liiiw Hotnu»e of r,truc r i ,r n c,, ideration should be no[ ,i *Anv room tl il ,v' bedroom and counted n all applic oy.rooms°idenliflA on house pian5,asaa aUOns. I he num bedrooti ,at the time of building panir issua i,c~_This ma, pl t1 .i,,.a iSy, nt size incrc<tse tl}e future: Basement: yes no Water Using Fixtures in Basement: ye~ No. in Family __Q_ Whirlpool Tub ye, no 0/0 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 &0 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 / 10. Is a public water supply available on or adjacent to the above property? Yes / 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 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 MA TO THE OPE , T RE I AN ADDITIONAL CHARGE.** Date I V V Signature of Owner or Agent C ATAW A COUNT HgAkLTH DEPARTMENT Telephone (704) 46~~ 70 TDD (704) 465-8200 3 2 1 8 Improve Permit Authorization to Construct Repair Permit Oper Permit ystem Type r- Owner/Agent f~/ ►h ti~ (;yes //1L _ ' Phone Address Subdivision ►ee Se tion/ k Ph se Lot# Si e Directio c Facility House Mobile Home Business Other Tax Map # (0 Off- 9 / 00 Multi-family Other Zoning Approval # O D # Bedrooms 3~ # Seats # Employees Application Rate t)., GPD Flow - -0 Hot Tub or Spa yes/(gPSpecial Fixtures 100. Repair Area e /no Basement yes/6° Basement Plumbing yes/no Water Supply Private Well _K Public +++~+aa+aa+a+aaataa+a+aa+aaaaa+a++aaaataaaaaaataaaaaa+aaaa+a+aaaaaaaaa+++aaaaaaaaaaaa+a+aataaaa Type of System Trench K Bed Pump Pump/Panel Panel LPP Other Tank Size Septic Tank Size (tl=-o Pump Tank Size Nitrification Field Total Square Feet Depth of Stone 004- Bed Size Trench Width 3 Total Length of All Trenches Number of Trenches .7 Individual Trench Length /00//00 Feet on center Maximum Trench Depth 36 Distance of Nearest Well % SU *DO NOT INSTALL WHEN WET* aaa+aa+++aaa+aaaaaaaa+aaaa+a+aaaaaaaaaaa+aa+aaaaaaa++a++a+aa+taaaaa+++++aaaaaaaaaaaaa+aa+aaaaa+ Topo Z . Slope Texture Structure - 0 Clay Min I ^ - Soil Wetness Soil Depth Restric Hoz at- Available space }cps/nol 1 Overall Class S PS U ` Comments 5 O ( mob(I r~ - box j 10 CC, **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** aaa++++aaaaaaaaaaa++++++a+aaa+++aaaaaa+aaaaaa+a+++a+aa+aa+aaa++a+a++aaaa+a+aaa+aa++aaa+aaaaaa++ *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable Permit Date 7 Owner/Agent( Sanitar Installed By Date Sanita i n White Office Blue - Building Inspection Operation Permit Yellow Owner/Agent Green - Building Inspection Authorization to Construct CATAWBA COUNTY PERMIT Flo ZONING AUTHORIZATION (R) Manufactured Home P. 0.13°x 389 PERMIT NO: ZONR-10-09-2190 IOOA Soutlnecst Blvd APPLIED: 10/29/2009 Newton, North Carolina 28658 ISSUED: 10/29/2009 lc~ 4 SM Phone: 828-465-8380 EXPIRES: 04/27/2010 EAX: 828-465-8962 www.catawbacountync.gov ARPL(CA NT ° OWNl~lz CONTRACTOR JESSF 1-1FCT01: L;ANDVESTCO-INC 1381 GRAND OAKS LN HICKORY NC 28602 PROPERTY ID4: 376302951008 CENSUS TRACT: STREET ADDRESS: 4214 CLEAR SPRING DR, Claremont, NC LOT/1 36 PROJECT DESCRIPTION: 2009 SW MOBILE HOME 16 X 76 ***mobile home subdivision was created prior to EDO & had more than 3 lots with S\V mobile homes (okay per,MiLc P.) DIRECTIONS: COMMENTS: 2009 SW MOBILE HOME-' 16 X-76 ***mobile home subdivision was created prior to EDO & had more than 3 lots with S "I mobile homes (okay per Mike P) 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: 45.00 IZEAR: 30.00 SIDE' l: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection 011-ice, the applicant most pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage. 3. All manufactured homes must be underskirted before power can be connected. 4. Only one manufactured home shall be allowed per lot or parcel of land. 5. Home shall have either deck or porch with steps, located in the front of the home (minimum size shall measure at least 36 square feet). FEE DESCRIPTION DATE: FEE AMOUNT Residential Zoning Fee 10/29/2009 $25.00 TOTAL FEES S25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was issued on the basis of the information required herein. The applicant further acknowledges that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance 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 decd restrictions pertaining to the property. Issuance of this permit is not ccoilication of such compliance and does not relieve Applicant of the cluty-ts-c mply. "This Zoning Authorization Permit shall expi •e six moat s fron he d e of issuance unless a building permit is secured and remains active. e~sscJ J , APPLICANT NAME (PRINTED) TLICANT GNA URE ZONING APPROVED BY ZONING FEES ARE NON-REFUNDABLE CONIPANY NAME- t~el'!n!t Page I of I Catawba County, North Carolina This map product was prepared j om the Cmawba Cotmm, ArC, Geographic h formation Surlem. N Catmrha Comav has made substmrlial efforts to ensure the accuracy of locolion and labeling it formation contained on this map. Ccnmrha Co1mm promoter and recommends the hrdependent verification of am? data contained on (his mop product by 1he nser. The Comrh+ of Catawba, its employees, agents and personnel disclaim, crmd shall nol he held liable for anv and all damages, loss or hahilim, whether direct, indirect or consequential which arises or may arise from this map product or the use thereof by anv person or entity. Legend Selected Parcel Number: 3763-02-95-1003 1 inch = 60 feet Prepared for: _t 0312 65 --C. f LEAR 2201 (0 c)PRING .24 D R 506 o'.~ s (1 - 6 17 . 64 .-J 19 tv ` G) ~OL8 co 28.64 170.3 w 2~ k 45 CO 37 c c.n 7' 1 W 63.75 071 34, 19" %-3.# ,6 a- 1 cs 165 32.5 994- , 0 'rte NICnLE('~ qR 4 THIS IS NOT A LEGAL DOCUNIENT "Thursday, Octoli'r 29, 2009 11:52 ANI CATAWBA COUNTY NC - Parcel Report Information Regardinq Selected Parcel(s) Parcel ID: 3763-02-95-1008 Name: LANDVESTCOINC Name2: Address: 1381 GRAND OAKS LANE Address2: City: HICKORY State: NC Zip: 28602-8800 Account: 40048840 Calc Acreage: 0.58 Tax Map: 2515 01036 LRK: 66929 Deed Book: 1631 Deed Page: 0537 Subdivision Name: CROSSING CREEK Subdivision Block: Lots: 36 Plat Book: 23 Plat Page: 248 Building Number: 4214 Street Name: CLEAR SPRING DR Site Zip: 28610 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Total Bldgs Value: Land Value: $11,200 Total Value: $11,200 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P27 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010101 Census Block 2010: 3022 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Thursday, October 29, 2009 11:52 AM i. CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE Q+ - Newton, NC 28658- 0 (828)465-8399 Thursday, October 29, 2009 j$4'Z sM www.catawbacountync.gov Plan Case: EHPR-10-09-2416 Invoice Number: INV-10-09-256747 Environmental Health Plan Review Invoice Date: 10/29/2009 Fee Name Fee Amount $80.00" F Existing Tank.Check Fee Fixed Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 10/29/2009 Cash -1 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 plan invoice ;'!i9?dhd~-dad<t=18eb ~)Jhii-ceded 193dSb?;.ipt 10/29/2009 12:22