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Home My WebLink AboutEHPR-10-09-2423.TIF f 1! A THIS IS NOT A PERMIT Case # EHPR-10-09-2423 r y ` CATAWBA COUNTY HEALTH DEPARTMENT V 0~~: ~C Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - Septic Malfunction APPLICANT OWNER " CONTRACTOR SUE SMITH SUE SMITH 1470 OLD FARM DR 1470 OLD FARM DR HICKORY NC 28602 HICKORY NC 28602 828-485-4249 828-485-4249 NAME TO APPEAR ON PERMIT SUE SMITH Pin#: 279006374709 SITE ADDRESS: 1470 E OLD FARM DR, Hickory, NC DIRECTIONS: HWY 10 W - TURN RIGHT ONTO H WY 127 -TURN RIGHT ONTO VALLEY FIELD RD - TURN LEFT ONTO OLD FARM DR - 5TH HOUSE ON RIGHT NAME of SUBDIVISION: MEADOWBROOK VILLAGE PL 14-12 Lot # 38 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.46 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 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 1 st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well Community Well Municipal X 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: 1-0 \ Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further infonnation or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks FEE NAME DATE AMOUNT Front Side Authorization to Construct (Repair) F(10/29/2009 $300.00 Rear TOTAL FEES $300.00 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 14:49 f THIS IS NOT A PERMIT WAS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct El Septic Repair L Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit 2. Permit Requested By_ L k,y- e y Business Phone Address 1~o rogue SW \ tVC~(~ 02- Home Phone l 3. Property Owner S ')P S rn~ Business Phone W I Address C, Z134cSL Home Phone 4. Name of Subdivision 2AA ow \oK-\ `L \A-\Z- Lot #=3PL Section/Block/Phase Property Address \ 0 \ rwe, C' Z too2 Directio to Pr open : 66;,eAe /17 /0 5. Property Size: Square Feet JO Acres c, tilt Date Platted/Recorded ss d 6. TYPE OF FACILITY: House ✓ Mobile Home Dimension of Structure VO= Bedrooms* 3 *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 asa bedroom at the time of building pen-nit issuance. This may, prevent the need for system size increase in the future. Basement: yes/ on Water Using Fixtures in Basement: yesdiD No. in Family Whirlpool Tub'yes/6D Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units ~N 11i Total Number of Bedrooms DAY CARE: Number of Children hl t J\ RESTAURANT: Seats I A Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) \`1 ► 7. Do you anticipate any additions to Facility? Yes /(No If so, describe: j 8. Has any grading, removal, or addition of soil been done to this property? Yes9~N7 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 / No Check type that is available: [ ] Community well [ ] Semi-public well {-~-C-ounty/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 00) Signature of Owner or Agent ~c 2 2)0 - i_\2-0 l0 e) - ~'A \2C) Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catmvba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Calawba County promotes and recommends the independent verification ofau~v data contained on this map 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 j-om this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 1 inch = 60 feet Prepared for: CO p O f 4020 40 00 i 5 5918 200 200 CD CZ) CZ) J4910 39 C) ; 4 6817 j 200 200 J 1 ~ o J o L-J 4709 38 ° 3 5798 200 U 200 0o f 3699 37 0 2 5698 200 J 200 rn N O o j n ~ 36 00 ' THIS IS NOT A LEGAL DOCUMENT T' Thu, October 29, 2009 02:45 PM LO ! =00 f 4 Print Parcel Map and Report Page 1 of 2 l," j _ °i',``~► !i;~:~` r` ` -~I,I i~ Real Estate Search 100 4020 x ` 4910 .1898 1587 ~.f 0 c~ *-r 4709 5798 *-r 3"9 598 rJ •-f Parcel Summary Printed Map Scale 1 inch = 59ft Parcel ID: 279006374709 Parcel Address: 1470 OLD FARM DR, HICKORY Owner: BENTLEY NETTIE SUE Address: 1470 OLD FARM DR City: HICKORY Owner2: Address2: State/Zip: NC, 28602-5564 Building(s) Value: $76,000 Land Value: $14,400 Total Value: $90,400 DISCLAIMER: 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. http://www.gis.catawba.nc.us/website/Parcel/printMapandReport.asp?pinc=279006374709&paddr=1470%... 3/24/2009 J Print Parcel Map and Report Page 2 of 2 Parcel Report - Catawba County, NC Parcel Information: Owner Information: Parcel ID: 279006374709 Name: BENTLEY NETTIE SUE Parcel Address: 1470 OLD FARM DR Name2: City: HICKORY 28602 Address: 1470 OLD FARM DR LRK(REID) : 55339 Address2: Deed Book/Page: 1236/0889 Deed Image City: HICKORY Subdivision: MEADOWBROOK VILLAGE PL 14-12 State/Zip: NC 28602-5564 Lots: 38 Block: Last Sale: $29,500 on 7/1/1980 School Information: Plat Book/Page: 14/12 School District: COUNTY Calculated Acreage: 0.46 Elementary School: MOUNTAIN VIEW Tax Map: 163H 03019 Middle School: 3ACOBS FORK State Road: 1258 High School: FRED T FOARD Township: HICKORY Tax/Value Information: Tax Rates(pdf) Zoning Information: Municipal Tax District: COUNTY Zoning District: COUNTY Fire District: MOUNTAIN VIEW Zoningl: R-20 Tax Account Number: 4316750 Zoningl: Market Building(s) Value: $76,000 Zoning3: Market Land value: $14,400 Zoning Overlay: WP-O Market Total Value: $90,400 Small Area: MOUNTAIN VIEW Year Built/Remodeled: 1970 Split Zoning District 1/2: 0/0 Current Tax Bill 11zoning Agency Phone Numbers Miscellaneous: Voter Precinct: P24 Firm Panel Date: 9/5/2007 Building Code: HOUSE & LOT Firm Panel 37102790003 Building Permits for this parcel 2010 Census Tract: 011801 WaterShed: WS-III Protected Area 2010 Census Block: 2000 WaterShed Split: NO Parcel Report Data Descriptions DISCLAIMER: 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. http://www. gis.catawba.nc.us/website[Pareel/printMapandReport. asp?pinc=279006374709&paddr=1470%... 3/24/2009 ' J •GIS Residential Assessment Report Page 1 of 2 Assessment Report - Catawba County, NC as of January 1st current year Property Assessment Information: Revaluation Date: January 1, 2007 Card 1 of 1 Next Previous Card Parcel Information: Owner Information: Parcel ID: 279006374709 Name: BENTLEY NETTIE SUE Property Address: 1470 OLD FARM DR Name2: LRK (REID): 0055339 Address: 1470 OLD FARM DR Calculated Acreage: 0.46 City/State/Zip: HICKORY, NC 28602-5564 Assessment Information: Market Building(s) Value: $76,000 Market Land Value: $14,400 Total Market Value: $90,400 Use Total Value: Sales Data: Date Type Price Source Validity 7/1/1980 LAND + BLDG $29,500 BUYER VALID Property Factors: Topography Utilities Street or Road LEVEL PUBLIC WATER PAVED ROLLING SEPTIC Building Permit Data: Issue Date Number Amount Purpose Notes: Note 1: Dwelling Data: Style: CONVENTIONAL Story Height: 1 Attic: NONE Basement: CRAWL Bedrooms: 3 Total Rooms: 6 Full Baths: 1 Half Baths: Year Built: 1970 Year Remodeled: Exterior Walls: BRICK Ground Floor Living Area: 1050 Total Living Area: 1050* Fin. Basement Living Area: Basement recreation Area: Fireplace Stacks/Openings: / Metal Fireplace Stacks/Openings: / Heating: BASIC Heating System: ELECTRIC Fuel Type: ELECTRIC Last Update: 1/27/2009 OBY Misc. Improvements: Total OBY Value: http://www.gis.catawba.nc.us/website/Parcel/AssessmentReportRes.asp?key=279006374709&card=l 3/24/2009 GIS Residential Assessment Report Page 2 of 2 Descriptor/Area A:1 Ms 1050 sgft B: Carport 240 sgft C: FU B ' 42 60 sgft 5 rC 5 12 20 Car ort20 25 1 M s 25 1050 240 12 42 Footprint Structure Codes * The square footage of houses having excessive cathedral ceiling areas may exceed actual square footage. This is considered in the final reconciliation of value. Independent verification of all data in this report is recommended. DISCLAIMER: 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. http://www.gis.catawba.nc.us/website/Pareel/AssessmentReportRes.asp?key=279006374709&card=l 3/24/2009