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Home My WebLink AboutEHPR-11-09-2475.TIF A C THIS IS NOT A PERMIT Case # EHPR-11-09-2475 k - ,v CATAWBA COUNTY HEALTH DEPARTMENT p at Plan Review Application for Environmental Services 1 _ 1 SM Environmental Health Plan Review - OSWP APRLIC ANT 'OWNER'( ONTRACTOR KELLY NASH KELLY MASH 3258 W-IKE RD - 3-159 WIKE RD CATAWBA NC 28609-835.8 CATAWBA NC 28609-8358 828-241-4802 828-241-4802 NAME TO APPEAR ON PERMIT KELLY NASH Pin#: 377110360084 SITE ADDRESS: 2262 HEWITT RD, Claremont, NC DIRECTIONS: HWY 10 E - TURN LEFT ONTO HEWITT RD - AT END OF ROAD AT CUL-DE-SAC NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 15 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 0 Basement: 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 Ist 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 NO Are there easements/right-of-ways recorded on this property?- NO - - Type of Water Supply: Individual Well X Communiti' Wc)I 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: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 rking days of application date. If you need further information or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME _ DATE„._ AMOtINT Side well`Pe rt" liisuc~'tiun l'ee tl/02/200N T3-60.w 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 1 1 /02/09 15:40 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Constr t Septic Repair ❑ Septic Expansion F] Existing Tank Check E] New Well Permit Replacement Well ❑ Well Abandonment ❑ I. Name to Appear on Permit /Y/- , ~r Z WCS- 2. Permit Requested By AI,-. . IVvrl Business Phone Address Gf7 ` Q ac~St Home Phone 3. Property Owner / l L ./!fit Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Z,Z6a Directions to Property: W O o v _r . 5. Property Size: Square Feet Acres / Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms* Ativ Onl thJl 11 be lnlended ~UII1, ' 'It ,the tllll" (1I Il , iLlCtlo]l ~~I I~~f ILII!II~ ~~illSI~l'l~11 oll should be not.2d ,i- u ~~dCOOnl~and ~,,m icd,on all tppli t],III,. 11l~ numbs[ ~Il hcdi Ii _S will h.' 1l1_11 111''d h, I~~~~I11~ I~I~II'lfled 0u hoLise plans h_droom it th Lil of building heii i;o I-u1lik2C This 1 CI hi n%th~ hl".d lul in the future. Basement: yes/no Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes/no 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 / No If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes /(1757' If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes 41T3> 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 Pen-nit 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 1S AN ADDITIONAL CHARGE.** Date (~-0g Signature of Owner or Agent `t'om Catawba County, North Carolina This map product was prepared from the Catawba County NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any 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 from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 1 inch = 325 feet Prepared for: J / t ~ ~6 ~.~~Z 'F ! !r .5--~-/s'r/~/' ~ 'mot ~ 1 ~ i 'i f yy ~r ~r ✓~J ~ ~r ~ ~ r/ r i t i /t rte, j~~,'~-.~r •x / ~ .^~s r~r ''yY - ; ! ;r ' Yl,~t,~'` 1~j J'•~~ P// , t~ ~i ,Y j;, rr.,-r .v~T v r i j . f• l~11Y''/Y •l /~~~J~ ~ ~ Q~ YI Y~f ~~t ~ ~ 'f .pry riyr r r / ~ St 1 1* W t y {mot ' f 5 , i R-40 a,.r R-40 THIS IS NOT A LEGAL DOCUMENT Monday, November 02, 2009 03:01 PM L, Catawba County, !North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this ntap 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 front this map product or the use thereof by anv person or entity. Legend Selected Parcel Number: 3771-10-36-0084 1 inch = 200 feet Prepared for: M cLIN GREEK RURAL \G~ 5 ~ o`er i g X900) bat (182, I 3 3.93A A 0656 t 3 se laoo) 3.30A m 14 17 SG tats -i 12 71 A 37 34 3471 37A9 49~ THIS IS NOT A LEGAL DOCUMENT 3a Mon, November 02, 2009 03:28 PM V, 1 l CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3771-10-36-0084 Name: NASH KELLY LEE Name2: NASH KERRI LYN Address: 3258 WIKE RD Address2: City: CATAWBA State: NC Zip: 28609-8358 Account: 49436800 Calc Acreage: 15 Tax Map: 021 Y 01069 LRK: 21452 Deed Book: 2487 Deed Page: 0437 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 2262 Street Name: HEWITT RD Site Zip: 28610 Township: CATAWBA Fire Code: CATAWBA RURAL City Code: COUNTY State Road: 1725. Total Bldgs Value: $18,200 Land Value: $57,200 Total Value: $75,400 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 126 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P5 E911 District: COUNTY Zoning: R-2 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011400 Census Block 2010: 4002 Small Area Plan: CATAWBA Agricultural District: PROXIMITY Printed: Mon, November 02, 2009 03:28 PM r, 4'A CD CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0, (828)465-8399 Monday, November 2, 2009 184 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2475 Invoice Number: INV-11-09-256855 Environmental Health Plan Review Invoice Date: 11/02/2009 Fee Name Fee Amount Well Permit & Inspection Fee FiAed $300.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 1110212009 Cheek 3734 a300.00 , $0.00, Total Paid: $300.00 Total Due: $0.00 plan reccipt;h3albd9=1 ~Qch=lb3h-9lilti9hiz)O2calFiJcs.rpr 11/02/2009 15:39