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Home My WebLink AboutEHPR-11-09-2684.TIF ~A Cpl THIS IS NOT A PERMIT Case # EHPR-11-09-2684 CATAWBA COUNTY HEALTH DEPARTMENT v Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT - AUTH CONST APPLICANT OWNER CONTRACTOR JOSHUA GRANT JOSHUA GRANT PO BOX 245 PO BOX 245 MAIDEN NC 28650-0245 MAIDEN NC 28650-0245 NAME TO APPEAR ON PERMIT JOSHUA GRANT Pin#: 364716832648 SITE ADDRESS: 1797 WATER PLANT RD, Maiden, NC DIRECTIONS: 321S/ LEFT PROVIDENCE MILL RD/ DRIVEWAY ACROSS FROM DUKE POWER SUBSTATION (BETWEEN HOUSE # 4246 & 4234) NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 44.09 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 1 Basement: Yes Water Using Fixtures in Basement:Yes 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 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: 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? NONE Type of Water Supply: Individual Well Community Well Municipal Semi-Public X 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: (0 01=~ Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 wo mg days of application date. If you need further information or assistance plea e call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 40 FEE NAME DATE AMOUNT Side 12 Authorization to Construct Fee (New[. 11/12/2009 $150.00 Rear 30 Improvement Permit Fee 11/12/2009 $150.00 Max Hght TOTAL FEES $300.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/12/09 11:49 THIS IS NOT A PERMIT WLS# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services F IP j AC F_ S.T. Rpr. S.T. Exp. F_ Exist. S. T. F Well Permit r Replacement Well 1. Name to Appear on Permit: Josh Grant 2. Permit Requested By: Josh Grant Business Phone: (828) 446-6240 Address: PO Box 245, Maiden, NC 28650 Home Phone: (828) 428-1445 3. Property Owner: Josh Grant Business Phone: (828) 446-6240 Address: 1797 Water Plant Rd., Maiden, NC 28650 Home Phone: (828) 428-1445 4. Name of Subdivision: /j 1A Lot I Section/Block/Phase: F_ Fu 97 Water Plant Rd., Maiden, NC 28650 Property Address: Entire 44 acres is located at corner of Providence Mill Rd and Water Plant Rd in Maiden. Directions to Property: Access to house site is a gravel drive located between 4246 and 4234 Providence Mill Rd. This is between white frame house and a single-wide mobile home. The Duke Power substation on Providence Mill Rd. is directly across from the driveway. 5. Property Size: Square Feet F-Acres 144 Date Platted/Recorded 1961/1983 6. TYPE OF FACILITY: (o House Mobile Home Dimension of Structure 1056 sq ft Bedrooms*' *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 the house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increase in the future. Basement: (o Yes No Water Using Fixtures in Basement: Yes No No. in Family: 2 Whirlpool Tub: Yes (e No Gallon Capacity: - MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children IRESTAURANT: Seats Square Feet Dining Area P(+- Square Feet Food Stand/Meat Market Floor Space Y" TYPE OF BUSINESS: No. of Employees 1st ;Z- 2nd [~Z~r 3rd w(4 OTHER : (Specify) F /AjM 7. Do you anticipate any additions to Facility? Yes No If so describe I 8. Hat any grading, removal, or addition of soil been done to this property? C' Yes 1: No 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 I^ No Check type that is available: r Community Well F- Semi-public Well r County/City/Township waterline 11. Well Type Applying For: I- Individual Well F- Community Well Semi-public Well F- Irrigation Well F- Geothermal Well _ 12. Monitoring Well Request: Yes (-No # of Wells: F_-Name of Site: I 1((4 I understand that this 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE Date: Signature of Owner or Agent: Print Form Print Parcel Map Page 1 of 2 Real C~C3~G~1Q Q~~QQ~~~~ ~CICC Estate Search r S ~ 9 YO O CZ, a J*f Wet1 'i Q l ~J VJs~1 d a 00 \Ilk r 2 o~ Parcel Summary Printed Map Scale 1 inch = 382ft Parcel ID: 364716832648 Parcel Address: 1797 WATER PLANT RD, MAIDEN Owner: GRANT JOSHUA Address: PO BOX 245 City: MAIDEN NATHAN 11 1 Owner2: GRANT AMANDA Address2: 11 State/Zip: NC, 28650-0245 CLINE Building(s) Value: Land Value: $165,900 Total Value: $165,900 http://www.gis.catawba.nc.us/website/Parcel/printMap.asp?pinc=364716832648&paddr= l 11/9/2009 Print Parcel Map Page 1 of 2 Rea 9 Estate Search fr~ Fj a o, F-L 0 H ~ ire Q W We-1T o a Parcel Summary Printed Map Scale 1 inch = 150ft Parcel ID: 364716832648 Parcel Address: 1797 WATER PLANT RD, MAIDEN Owner: GRANT JOSHUA Address: PO BOX 245 City: MAIDEN NATHAN Owner2: GRANT AMANDA Address2: State/Zip: NC, 28650-0245 CLINE Building(s) Value: Land Value: $165,900 Total Value: $165,900 http://www.gis.catawba.nc.us/website/Parcel/printMap.asp?pinc=364716832648&paddr= l 11/9/2009 Catawba County, North Carolina This map product was prepared from the Catawba County, A'C, Geographic Information Svstem. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling inforneation 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 at- 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: 3647-16-83-2648 1 inch = 400 feet Prepared for: AEFW,,/ h J I ~ \r ~~rtl' +c. ; ~ - J t^ j//j ~ r~( 1 ~/'+flr ~ / f ~ ~ tv~~t 1~ <i / ~ / ~7 71 Ttz! r Nk- ~ ~ J tom;, j ~ ; /~=~~,1 ~~t✓ i > THIS IS NOT A LEGAL DOCUMENT Thursday, November 12, 2009 11:01 AM r .n rl. n i., f ,il f 1 1 1 `3 \ \ `S`~~'`~ + j j ..r- jl \ 1 1 \ / / / / .1\ CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3647-16-83-2648 Name: GRANT JOSHUA NATHAN Name2: GRANT AMANDA CLINE Address: PO BOX 245 Address2: City: MAIDEN State: NC Zip: 28650-0245 Account: 200109 Calc Acreage: 44.09 Tax Map: 007 K 04014 LRK: 6980 Deed Book: 2664 Deed Page: 1881 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 1797 Street Name: WATER PLANT RD Site Zip: 28650 Township: CALDWELL Fire Code: City Code: MAIDEN State Road: Total Bldgs Value: Land Value: $165,900 Total Value: $165,900 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 113 Watershed: WS-11 Critical Area Watershed Split: YES Voter Precinct: P9 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: MAIDEN Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CONTACT SCHOOL DISTRICT Middle School: MAIDEN High School: MAIDEN School Split: YES P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 5006 Small Area Plan: Agricultural District: Printed: Thursday, November 12, 2009 11:02 AM Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba Conty has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect o- consequential which wises or may arise fron this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3647-16-83-2648 1 inch = 100 feet Prepared for: r: (211 - )U RAL MAIDEN t-- 599 5 i (227) `'k ~ ~ rj 4 1 j 4 a J / 5`f835 ~ ~W o~.._ CY) i 5722 s Nt (210 V 611 W ° o C) f ° ti 4 ('0 Z - 171.) t f 4`sQ 0 I Ri C' I ~700) C l ` 5.4 o I i T 700 004ti Sq 4 t ~ f THIS IS NOT A LEGAL DOCUMENT i Thursday, November 12, 2009 11:03 AM Lk p p e r L.-e l1"e- 6 1 13- 11 o LQu►ndr~' U ~a}In room X LO _I T- 10 ,romo4S1gnlw 2 -5 --M„OOX~,~4~ ~o - N 2-8" x 6,_8" L N 1'-10 1'-9 . co I- U cn Clv4e f ° o X o 02 10 --p- - ► 2'-8-x6'-8- A ~ - 9~-$" 0~_O- v ~ w I MQs+.~~ X cco Se-E a cn 2'-8" x 6'-8" 9L, -3'_n" r 4'_R• :L 6-2" 5'-11 " ►r 6'-11 " - 5'-0" ~S~ GrQ(~'E C'G~i~ ~A.►te- I~R~oC.of„v~. ~''1~1'i 4Ja•-~. tom- la►..~ Zd. 48 "Lx36 „w - Shower v, w O N x x - -/0" 00 x 0 ~ n N N w o X N 'o O r^ N vl `1 .p 11,c~~n~ l~.r~►'n O N - j N N ~1 N 3'-0"x 6'-8" 9Lt 5'-2" -►.i---- 6f-10"- . 6f-10" 5f_2" No- Sh G' ~a,~-l- Fa~M 1-~m~.l.s.e. `f Z~ loc \9 9 -7 wa+CI PcaA.4 Zd. N\a,d.e,"tjc- 0g cD5o i i R~20 TOWN OF MAIDEN PLANNING DEPARTMENT ZONING PERMIT PHONE (828) 428-5000 FAX (828) 428-5017 TDD 1800-735-2962 TOWN OF MAIDEN, 113 W. MAIN ST., MAIDEN, NC 28650 ZONING PERMIT NUMBER: 60-2009 PIN# 364716832648 DATE: 11/12/09 OWNER TENANT/CONTRACTOR: JOSHUA GRANT BUSINESS NAME: PHONE: (828) 446-6240 PARCEL ADDRESS: 1797 Water Plant Rd. Maiden NC 28650 MAILING ADDRESS IF DIFFERENTTHAN ABOVE: P.O. BOX 245 MAIDEN. NC 28650 SUBDIVISION: AREA: 44.09 ZONING: R-20 & & WATER SHED: NO FLOODPLAIN: NO TOWN WATER: YES TOWN SEWER: NO USE (CHECK ALL THAT APPLY) PROPOSED USE: MOVE AN EXISTING HOUSE (528 SQFT) ONTO NEW FOUNDATION/BASEMENT INSTALL SEPTIC SYSTEM (OUTSIDE 200' REQUIRED CONNECTION) WATER LINE ALTER- ACCESSORY- CHANGE OF USE . DEMOLITION -ENLARGE- ERECT_ _ MOBILE HOME - NEW CONSTRUCTION X OCCUPANCY CHANGE _ REMODEL REPAIR_ SIGN- OTHER HVAC, Building, Foundation electric plumbing ZONING REQUIREMENTS SETBACK REQUIREMENTS: FRONT: 40' SIDE: 12' STREET SIDE: 15' REAR: 20% LOT DEPTH UP TO 30' ACCESSORY USE SETBACK: NOT PERMITTED IN FRONT YARD OR WITHIN 15' OF ANY STREET RIGHT-OF WAY OR 5' FROM LOT LINES. OTHER SETBACK REQUIREMENTS: 20% MAXIMUM IMPERVIOUS SURFACE BUILDING HEIGHT SHALL NOT EXCEED 35' UNLESS DEPTH OF FRONT AND SIDE YARD SETBACK IS INCREASED 1' FOR EVERY 2' IN BUILDING HEIGHT OR FRACTION THERE OF. THE ABOVE DESCRIBED PROPERTY HAS BEEN FOUND TO BE IN COMPLIANCE WITH THE TOWN OF MAIDEN ZONING ORDINANCE. !~~p5(n l -r j(\`~ IS HEREBY AUTHORIZED TO APPLY FOR APPROPRIATE BUILDING INSPECTIONS AND HEALTH DEPARTMENT PERMITS FOR SAID PROPERTY. SIGNATURE OF APPLICANT DATE -44rw - l//i'~ /p9 SIGNATURE OF ZONING ENF RCEMENT OFFICER DATE ALL PERMITS EXPIRE (6) MONTHS AFTER DATE OF ISSUANCE OR AFTER (1) ONE YEAR LAPS IN WORK. CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE rj Newton, NC 28658- 0 (828)465-8399 Thursday, November 12, 2009 184 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2684 Invoice Number: I NV-1 1-09-257205 Environmental Health Plan Review Invoice Date: 11/12/2009 Fee Name Fee Amount Authorization to Construct Fee Adjustable $150.00 (New/Expansion) Fee Improvement Permit Fee Fixed $150.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/12/2009 Credit Card -1 $300.00 $0.00 Total Paid: $300.00 Total Due: $0.00 plan im oicc;83aaa67c-53b6-124b-aoc4-67dc1:;07cadb;rpt 11/12/2009 11:53