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Home My WebLink AboutEHPR-11-09-2840.TIF ySV~'A cUG THIS IS NOT A PERMIT Case # EHPR-11-09-2840 r -Z CATAWBA COUNTY HEALTH DEPARTMENT a Plan Review Application for Environmental Services Ig~}2 SM Environmental Health Plan Review - OSWP EXS_S YS TEM APPLICANT OWNER CONTRACTOR Roscoe John Whisnant Roscoe John Whisnant 1192 JV Parker RD 1192 JV Parker RD Hickory NC 28602 Hickory NC 28602 NAME TO APPEAR ON PERMIT Roscoe John Whisnant Pin#: 277004914281 SITE ADDRESS: 1 188 JV PARKER DR, Hickory, NC DIRECTIONS: 10 W/ RT 127/ LEFT GREEDY HWY / RT OLD SHELBY RD/ RT JV PARKER RD/ ON LEFT AT FENCE NAME of SUBDIVISION: Lot # 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.573 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 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 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? ROAD R 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. y presentation by o of house r structur location should conform to applicable setbacks, r- Date: ['00/ Oct Signature of Applicant or Agent A- - NJ An nvironmental Health Specialist will contact you within 2 /ecall rking days of application date. If you need further information or assistance ple 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval ecQ UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Existiru4 Tank Check Fee 11/20/2009 $80.00 Rear 30 TOTAL FEES 580.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 1 1 /20/09 14:3 l THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct El Septic Repair El Septic Expansion ❑ Existing Tank Check LILT New Well Permit Replacement Well ❑ W01 Abandonment E] ,i I . Name to Appear on Permit 2. Permit Requested By Business Phone Address L, c~ Home Phone 3. Property Owner -167k,\ Business PhonO e 4J 733 j Address Home Phone 4. Name of Subdivision I` Lot # ectio lock/Pha e Property Address I/Lid IV N4 Directions to Property:,- 1-7< !O 02 7 5. Property Size: Square Feet Acres 57 :v-c . Date Platted/Recorded. 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure X Bedrooms*- *Anv 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 ol'bedrooms will be confirmed by rooms identified on house plans as a bedroomlat the time of building permit iss ance. This rnav prevent the need for system size i6no so in the future. Basement: ye no Water Using Fixtures in Basement: ye No. inFamily Whirlpool Tub yes/ 60Gallon 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 / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes If so, describe: 9. Are there easements/right-of-ways recorded on this prope Yes 10. Is a public water supply available on or adjacent to the abov erty? Yes No Check type that is available: [ ] Community well [ ] Semi-public well [ County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For [;eA'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 T~Oy BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN .ADDITIONAL CHARGE." Date A- ~ ~ - ~ ( Signature of Owner or Agent Catawba County, North Carolina This map product was prepared fi om the Catawba Countv, 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 ofany 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: 2770-04-91-4281 1 inch = 150 feet Prepared for: 303.89 112 186.24 28.41 ^ 487.20 r,°' 276 64 ss L? 7 r ~ Plat 49 - 7 2 t~ry~ ❑ 8.02A 0304 12.06A 4281 El LO 00 a Ln N co t~ co co N 1 ?8 16 125.16 194-16 36.41 C 131.54 36.33 11'. R~ 329 3' ti 329 10 THIS IS NOT A LEGAL DOCUMENT Fri, November 20, 2009 02:00 PM J CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2770-04-91-4281 Name: WHISNANT ROSCOE JOHN Name2: WHISNANT SHELIA H Address: 1192 JV PARKER DR Address2: City: HICKORY State: NC Zip: 28602-9239 Account: 110097 Calc Acreage: 12.06 Tax Map: LRK: 100717 Deed Book: 2254 Deed Page: 0501 Subdivision Name: Subdivision Block: Lots: 1 Plat Book: 49 Plat Page: 7 Building Number: 1192 Street Name: JV PARKER DR Site Zip: 28602 Township: BANDY'S Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: 1121 Total Bldgs Value: $146,400 Land Value: $50,100 Total Value: $196,500 Year Built: 1970 Year Remodeled: 2006 Last Sale Date: Last Sale Amount: Neighborhood: 78 Watershed: WS-III Protected Area Watershed Split: NO Voter Precinct: P24 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011801 Census Block 2010: 1020 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Fri, November 20, 2009 02:00 PM CATAWBA COUNTY HEALTH DEPARTMENT R~~Q NEWTON, NORTH CAROLINA i COMPLETION PERMIT FOR SEPTIC TANKS PERMIT N°- 0440 W DATE: OWNER hj[ 5na'a - ADDRESS BUILDING CONTRACTOR U8 IVJSION LOCATIONAuj - o Ott L - ^v i e /'sue LOT SIZE' BLOCK OR SECTION HOUSE ( ) MOBILE HOME ( BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE GALS) WATER SUPPLY: NO. BEDROOMS 2- NO FIXTURES I INDIVIDUAL V PUBLIC GARBAGE DISPUSAL UNIT:YES ( NO (X) IF WELL, TYPE: BORED DRILLED DUG AUTO WASHING MACHINE: Y (7~) NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: C1010 SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES SEPTIC TANK j5.~'TAL ED BY 2) LENGTH AND WIDT FFOF LINES X ~v a E Z E a BED SYSTEM CERTIFICATE LET. BY: b) TRENCH- SYSTEM ( ) 3) DEPTH OF STONE IN LINES REMA ADEQUATE FALL (GRADE) Obi : 1) BUILDING (HOUSE) SEWER LINE: YES (?C) NO ( ) 2) NITRIFICATION LINES: DATE INSTALLED: YES ) NO ( ) SEPT C ANK LAYOUT O ~ U d p4 ~ co w H ~ O WEALTH DEPARTMENT COPY CATAWBA COUNTY NC - Pardel Report Information Regarding Selected Parcel(s) Parcel ID: 2770-04-91-4281 Name: WHISNANT ROSCOE JOHN Name2: WHISNANT SHELIA H Address: 1192 JV PARKER DR Address2: City: HICKORY State: NC Zip: 28602-9239 Account: 110097 Calc Acreage: 12.06 Tax Map: LRK: 100717 Deed Book: 2254 Deed Page: 0501 Subdivision Name: Subdivision Block: Lots: 1 Plat Book: 49 Plat Page: 7 Building Number: 1192 Street Name: JV PARKER DR Site Zip: 28602 Township: BANDY'S Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: 1121 Total Bldgs Value: $146,400 Land Value: $50,100 Total Value: $196,500 Year Built: 1970 Year Remodeled: 2006 Last Sale Date: Last Sale Amount: Neighborhood: 78 Watershed: WS-III Protected Area Watershed Split: NO Voter Precinct: P24 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-0,WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1):0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011801 Census Block 2010: 1020 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Friday, November 20, 2009 02:21 PM Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this neap. Catawba County promotes and recommends the independent verification of any data contained on this map product by the user. The County of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise front this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 2770-04-91-4281 1 inch = 200 feet Prepared for: s / fl/ 3f3.d9 J 1 f t --(I \ b w1 .-T7 i 4E 7.2.3" h~ 3 Q2; 325 a s Vr " . __j 1 Plat;* - 71 ' 8..0~1)A 0304 4261 \ r / %X' 00 1N... ~ 7.118 \ f c 8.1 rr 1 _ 6 125 1 b'.,,~ r j~, ~ . a r`a,? I ; ~-1_/ 41 61' 33 325. 0 l s THIS IS NOT A LEGAL DOCUMENT Friday, November 20, 2009 02:21 PM A C~ CATAWBA COUNTY, NC I00-A South West Blvd PLAN INVOICE Newton, NC 28658- 0 (828)465-8399 Friday, November 20, 2009 j$ 4 Z sM wvvw.catawbacountync.gov Plan Case: EHPR-11-09-2840 Invoice Number: INV-11-09-257454 Environmental Health Plan Review Invoice Date: 11/20/2009 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS plan invoice t41235f6'-ihc4-4c3c-9dOR-b 6499362843}.rpt 11/20/2009 14:30