The URL can be used to link to this page

Home My WebLink AboutEHPR-11-09-2796.TIF ~~A C THIS IS NOT A PERMIT Case # EHPR-11-09-2796 ` CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR EARL LUTHER FULBRIGHT EARL LUTHER FULBRIGHT 3641 B & E ACRES LN 3641 B & E ACRES LN VALE NC 28168 VALE NC 28168 NAME TO APPEAR ON PERMIT EARL LUTHER FULBRIGHT Pin#: 360702551916 SITE ADDRESS: 3862 B & E ACRES LN, Vale, NC DIRECTIONS: HWY 10 W, RIGHT ON PLATEAU RD, LEFT ON SCHRONCE RD, JUST OVER 1 MILE, LEFT ON B&E ACRES LN, LEFT AT FORK IN RD. I ST DRIVEWAY ON RIGHT BETWEEN TWO ROCK PILLARS NAME of SUBDIVISION: Lot # 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.04 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 24 X 14 Bedrooms 2 Basement: No Water Using Fixtures in Basement:No No. in Family 1 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 annicipate 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 X Community Well 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. a Date: r ( (C'j - C-) ( Signature of Applicant or Agent 65~~,e An Environmental Health Specialist will contact you within 2 working day application date. If you need further information or assistance please call 828-466-7291 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 3 P FEE NAME DATE AMOUNT Side IS Improvement Permit Fee 11/19/2009 $150.00 Rear ?L~ TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional 560 charge 11/19/09 13:50 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I . Name to Appear on Permit 2. Permit Requested By SG Business Phone Address 3tetfl &k1+P0%LA Vole, Home Phone 3. Property Owner cae- Business Phone 5 - I 1 1 Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address ✓eS n Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House. A Mobile Home Dimension of Structur~ 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 dumber of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size increA5e in the future. Basement: ye Pyyes/c) Water Using Fixtures in Basement: yes/ or) No. in Family Whirlpool 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 &0) If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes No If so, describe: 9. Are there easements/right-of ways recorded on this property? Yes / o 10. Is a public water supply available on or adjacent to the above property? Yes 16 Check type that is available: [ ] Community well [ ] Semi-public well [ ] County/City/Township water line **If No, a Well Permit must b 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 1 o ( Signature of Owner or Agen c Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba Count) 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 ani, 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 aqv 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: 3607-02-55-1916 1 inch = 274 feet Prepared for: AE ' t l '.I Li j% f 4 7-33 s + t % % t, t l a I ~ ~ , + . i 9 1 t [ 4 ~ d j~ , s i t ~ 1 A&i t „ t t i t R=4 ai Nl' A t ~ t O I f l M1 . t = y r . 3,,5.5. c~ 76,32 Y l / I e , a + i a n 7r 24 , a I i z ~'4 ( i i 7 l v '(1 231 ,s PIat~4P-26 rR U f . l fr I + 741 0084i ~l THIS IS NOT A LEGAL DOCUMENT Thursday, November 19, 2009 01:22 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3607-02-55-1916 Name: FULBRIGHT EARL LUTHER Name2: FULBRIGHT BETTY J Address: 3641 B & E ACRES LANE Address2: City: VALE State: NC Zip: 28168-6778 Account: 22795760 Calc Acreage: 7.13 Tax Map: 010 J 01004 LRK: 9767 Deed Book: 1046 Deed Page: 0069 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 3862 Street Name: B & E ACRES LN Site Zip: 28168 Township: JACOBS FORK Fire Code: PROPST City Code: COUNTY State Road: 2028 Total Bldgs Value: $2,000 Land Value: $29,600 Total Value: $31,600 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 89 Watershed: Watershed Split: Voter Precinct: P3 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 4018 Small Area Plan: PLATEAU Agricultural District: Printed: Thursday, November 19, 2009 01:52 PM CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Thursday, November 19, 2009 1► 1$42 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2796 Invoice Number: INV-11-09-257395 Environmental Health Plan Review Invoice Date: 11/19/2009 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/19/2009 Check 2905 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 pl:mreeeipi;aRacfeal'-6R5t)-=thil2-baa) Rla~W;2 035c: ipt 11/19/2009 13:54