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Home My WebLink AboutEHPR-11-09-2571.TIF n~ A THIS IS NOT A PERMIT Case # EHPR-11-09-2571 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP APNLICANT' OWNER CONTRACTOR RALPH CLINE ItACI'1 [ CLINL 223-1,MT. OLIVE CHURCH RD Q 2231 MT.,OLIVE CHURCH RD Q, NEWTON NC 28658 NEWTON NC 28658 828-461-0450 828-461-0450 NAME TO APPEAR ON PERMIT RALPH CLINE Pin#: 375013120999 SITE ADDRESS: 2231 MT OLIVE CHURCH RD, Newton, NC DIRECTIONS: HWY 10 E - TURN RIGHT ONTO MT. OLIVE CHURCH RD - 4TH HOUSE ON RIGHT NAME of SUBDIVISION: L Lot # Section/Block/Phase PROPERTY SIZE: Square ee Acres .709 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure X , Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 3 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units ;1.00 Total Number 6f Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area,Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees : I 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 Coinmuriity 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: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 w rking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE AMOUNT Side I ,istiruz Tank Check-Fee fl/062009 b80,UU Rear 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 1 1 /06/09 16:30 THIS IS NOT A PERMIT WLS # EL M-/1-047-2-?/ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check V New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Per it n h )F, G~ n C 2. Permit Requested By , _ Business Phone Address e+._ o Home Phone Fray' ~l 6 fir- 6 3 2-ij e-1 f = . G Business Phone f •Z~' 1 f~ /spy ,S G 3. Property Owner R0h Address s5 i Home Phone ,f a e4 - il 6,F- 63 ay 4. Name of Subdivision 4 J S /t Lot #Section/Block/Phase Property Address C'Hu r I >z w G Directions to roperty: - i - H OK Gt It ; dGld' G L,~?t'1 ff 5. Property Size: Square Feet AcregOa '709 Date Platted/Recorded es~i 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure °3a x _ j Bedrooms*_ any room tliat ill be intended for sleeping at the time of construction ~11 1' (11 Future coh,ld~ k[110ii would K, u,~t~'d bedroom and counted,on all applications. The ]Iu111hei ~~1~ 1n~ms will K~ cou(irw,c,l b~ i~-[tis identified 6n house piclw' as,Zl bedroom at the,timc of_6Basement rilt Is~i ncc„This iu:~. the r~cd [off ~-M 1uciease in the future: y Water Using Fixtures in Basement: ye no No. in Family 3 Whirlpool Tub ye /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 Ist 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? Ye / No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes Nw2F, 10. Is a public water supply available on or adjacent to the above propert/ ?N~ heck type that is available: Community well Semi-public ounty /City/Township water line C **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 TOT E PROPERTY, THERE IS AN ADDITIONAL CHARGE.** Date 6 ` d Signature of Owner or Agent N its u" 15 00, 1 \ 3 m~ - d \ m\ v v \ ~ 1 0. Q 1 1r cQ 288.63, l Total ! SIR 58.61" 1 N 50. 33, 38 ~ E \ \ y 230-02' \ cP 1 -Sjn - w` Lor .mac. 0.709 ACRE TO TAL az 'I v 0.15 AC. IN R/W i2 srr. " r 0.559 ACRE NET BRICK n 1 V ~ pWELLING ~ = o 49: GRA VEL DRIVE C FRAME .11.0' l GARAG , tO'/ r sH~ 02. .33,3e-1W 300.1 0 (To 275-00 ' S 50 ~z PP 1 \ PP o i Course Bearing Distance L-1 S 56°37'22" E 26.25' I L-2 S 50026'22" E 126.00' ( Total 1 G. Long L-3 S 45°11'22' E 43.30' 3 pg 174 L-4 S 39°26'22" E 25.00' L-5 N 09°33'53" W 19.64' L-6 S 46°00'49° E 125.01' L-7 N 390,26'22" W 25.001 i REVISED NOVEMBER 6, 2009 £ TO SHOW LOT /and LOT 2 1 'TING IRON PIPE Survey Plat for Famlly Subdivision IRON PIPE ER POLE Ralph E. & Sh erjy R. Cline 'HT OF WA Y IRON ?0D 22.31 Mt. Olive Church Rood, Newton NC, 28658 uny, t North Carolina LATER L/NE Newton Township, Catcwba Co' !N HOLE ' PIN 3750-13-12-0999 Drown By DK3 vTER POINT DS 2880 pg 1464 FF 1,31 pg 18 Date April 7, 2008 Scale 1 '~-50' D8 2907 pg. 298 DAVID s CLARK Da vi d S. Clark Surveyor 150 L - ZBZ ° 1920 32nd St. NE, Klckory, NC 28601 828-256-6400 C-1688 CATAWBA COUNTY, NC 100-A South West Blvd P /1 RECEIPT Newton, NC 28658- L.~'11 G (828)465-899 Friday, November 6, 2009 j84 Z sM www.catawbacountync.gov Plan Case: EHPR-11-09-2571 Invoice Number: INV-11-09-257080 Environmental Health Plan Review Invoice Date: 11/06/2009 Fee Name Fee Amount Existing Taiik Check Fee Fi^~~i $80.00' Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/06/2009 Credit Card -1 $80.00 $0.00. Total Paid: $80.00 Total Due: $0.00 planreceipt bdtic(;f.>r-I-39c9-11i~-a~.'_u=~t6feS>cdI+~69;.rpt 11/06/2009 16:30 Catawba County, North Carolina This map product was prepared fi om the Catawba County, NC, Geographic Information System. N Catawba Coun~v has made substantial efforts to ensure the accuracy of location and labeling information A contained on this map. Catawba County promotes and recommends the independent verification of anv 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: 3750-13-12-0999 1 inch = 125 feet Prepared for: 144y 1919 s ~.58A 9430 5450 o/ / i a s ~ oo~ / ~ i 9373 e 1.49A 270 s sCP 123E i i r~ rsOJ vs i 1 U v Doti /A,-~ 4 ' <"5000 099 ``i6J~ 50 \ 510, 2y9 4.81A 3672 052£; THIS IS NOT A LEGAL DOCUMENT Fri, November 06, 2009 03:54 PM /_w CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID.- 3750-13-12-0999 Name: CLINE RALPH E Name2: CLINE SHERRY R Address: 2231 MT OLIVE CHURCH RD Address2: City: NEWTON State: NC Zip: 28658-8221 Account: 159744661 Calc Acreage: 4.12 Tax Map: 063N 01006 LRK: 34988 Deed Book: 2907 Deed Page: 0298 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 2231 Street Name: MT OLIVE CHURCH RD Site Zip: 28658 Township: NEWTON Fire Code: NEWTON RURAL City Code: COUNTY State Road: Total Bldgs Value: $86,300 Land Value: $31,200 Total Value: $117,500 Year Built: 1934 Year Remodeled: Last Sale Date: 4/23/2008 Last Sale Amount: $76,000 Neighborhood: 117 Watershed: Watershed Split: Voter Precinct: P22 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011300 Census Block 2010: 3008 Small Area Plan: BALLS CREEK Agricultural District: Printed: Fri, November 06, 2009 03:54 PM