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Home My WebLink AboutEHPR-11-09-2850.TIF ATHIS IS NOT A PERMIT Case # EHPR-I 1-09-2850 ~ G CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR MILDRED MOORE BILLY LOVE A & D RESIDENTIAL BUILDERS PO BOX 672 CLAREMONT NC 28610 HILDEBRAN NC 28673- 828-459-2564 NAME TO APPEAR ON PERMIT MILDRED MOORE Pin#: 376107770724 SITE ADDRESS: 2485 GENELIA DR, Claremont, NC DIRECTIONS: FROM CLAREMONT/ RT ON DEPOT ST/ GO ACROSS TRACKS/ LFT ON OLD CATAWBA RD/ GO 7/10THS MILES/ CHARLOTTES CROSSING ON RT ON GENELIA/ ON RT NAME of SUBDIVISION: CHARLOTTES CROSSING Lot # 5 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 2 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 65 X 46 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No 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 Are there easements/right-of-ways recorded on this property? NO Type of Water Supply: Individual Well Community 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 representatio you of house or structure location should conform to applicable setbacks. Date: h/ _ ) 3- (0 4~V Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks FEE NAME DATE AMOUNT Front Side Improvement Permit Fee 11/23/2009 $150.00 Rear TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 1 1 /23/09 11:53 -yu THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit M Authorization to Construct [ Septic Repair ❑ Septic Expansion Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment F-] 1. Name to Appear on Permit ; d~_Z~~ 1 or C 2. Permit Requested By Yr Business Phone Address Home Phone Properly Owner o J l~ 204r4 a$'rirsiness Phone Address (D 3 Home Phone 4. Name of Subdivision Qr Lot #5 Section/Block/Phase Property Address a 4S S G e h e- I I a, r Ctrc rrrno r-t n o Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House X Mobile Home _ Dimension of Structure 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 numbcr of bedrooms will be confirmed by rooms identilied on 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: yesl~ Water Using Fixtures in Basement: yes no No. in Family Whirlpool Tub e no Gallon Capacity _ MULTIPLE FAMILY RESIDENCES: yn i ts n l a- Total Number of Bedrooms DAY CARE: Number of Children , RESTAURANT: Seats ti Q 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 No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes N 10. Is a public water supply available on or adjacent to the above property? Yes No Check type that is available: [ ] Community well [ ] Semi-public wel nJ+ County/City/Township water line **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 aground 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. 1 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 TTOjTHEPROPERTY, THERE IS AN ADDITIONAL CHARGE" Date - U Signature of Owner or Agent / h!k~ Catawba County, North Carolina This map product was prepared from the Catawba Comvy, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accurocv oflocation and labeling information contained on this map_ Catawba Comvy 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 far any and all damages, loss or liability, whether direct, indirect or consequential which arises or may arise f onn this map product or the use thereof by anv person or entity. Legend Selected Parcel Number: 3761-07-77-0724 1 inch = 60 feet Prepared for: 0-N V I Vi 12 t f 'x,985 x ; t ~ i 2. 7 0724 1 4 1 a Y~ C CAP r a t 2g3 • Q w THIS IS NOT A LEGAL DOCUMENT Monday, November 23, 2009 11:38 AM O~ CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3761-07-77-0724 Name: LOVE BILLY HARLAN Name2: Address: PO BOX 522 Address2: City: CONOVER State: NC Zip: 28613-0522 Account: 42722840 Calc Acreage: 2 Tax Map: LRK: 402390 Deed Book: 2342 Deed Page: 1893 Subdivision Name: CHARLOTTES CROSSING Subdivision Block: Lots: 5 Plat Book: 47 Plat Page: 137 Building Number: 2485 Street Name: GENELIA DR Site Zip: 28610 Township: CLINES Fire Code: City Code: CLAREMONT State Road: Total Bldgs Value: Land Value: $29,200 Total Value: $29,200 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 117 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P6 E911 District: COUNTY Zoning: R-1 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: CLAREMONT Split Zoning Dist: N Split Zoning Dist(1):0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CLAREMONT Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 011400 Census Block 2010: 2019 Small Area Plan: Agricultural District: Printed: Monday, November 23, 2009 11:39 AM CATAWBA COUNTY, NC I00-A South West Blvd PLAN INVOICE Newton, NC 28658- 0 (828)465-8399 Monday, November 23, 2009 1842 sm www.catawbacountync.gov Plan Case: EHPR-11-09-2850 Invoice Number: I NV-1 1-09-257482 Environmental Health Plan Review Invoice Date: 11/23/2009 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/23/2009 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 1,-,::mxwca:ol I,; Un;_~Ila--l6ab-b3?0 >591W)Oa~f,: r p 1 11/23/2009 11:59