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Home My WebLink AboutEHPR-12-09-2937.TIF A, C~ THIS IS NOT A PERMIT Case # EHPR-12-09-2937 r + CATAWBA COUNTY HEALTH DEPARTMENT a Plan Review Application for Environmental Services 1842 SA Environmental Health Plan Review - OSWP EXS SYSTEM APPLICANT OWNER CONTRACTOR MARILYN BUSS MARILYN BUSS WILSON CONSTRUCTION CO., INC, GLE 4645 CHARLOTTE ST 4645 CHARLOTTE ST CONOVER NC 28613 CONOVER NC 28613 828-322-1268 828-855-0811 828-855-0811 NAME TO APPEAR ON PERMIT MARILYN BUSS Pin#: 373305093548 SITE ADDRESS: 4645 CHARLOTTE ST. Conover, NC DIRECTIONS: HWY 321 N/ HWY 16 N/ LF COUNTY HOME RD/ RT CHARLOTTE ST/ GO TO DIRT RD IN CURVE NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.12 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 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: COVERED PORCH ON FRONT & REAR Has any grading, (t la1,X0i'AAit~Woffbifteen done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE 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. Date: / O / f D e/ 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 AREA2 (FOR OFFICE USE ONLY) Zoning Approval !Yes No Zoning Approval #:ZM r-- u-09- (N1r DO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Existin,2 Tank Check Fee 12/01/2009 $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 S60 charge 12/01/09 11:55 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct El Septic Repair ❑ Septic Expansion ❑ Existing Tank Check New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit 2. Permit Requested By Business Phone 72~ - 3 z-Z-(Z c,r' Address Home Phone 3. Property Owner IT~A,, /yK Ors Business Phone Address t C~d~ r~ l S h e w, v e' Home Phone F2-)- ~J 6 F// 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: 5. Property Size: Square Feet A /'Z- Acres Date Platted/Recorded 6. TYPE OF FACILITY: House L,," Mobile Horne 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 number of bedrooms will be confinned by rooms identified 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: yesko Water Using Fixtures in Basement: yesCio) No. in Family Whirlpool Tub yes 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? Ye / No If so, describe: /L d- 9 r (fin 8. Has any grading, removal, or addition of soil been done to this property? Yes / 0~ If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes /<10 10. Is a public water supply available on or adjacent to the above property? Yes 'wo 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: [ ] 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 infonnation, 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 /Z / ` Q Signature of Owner or Agent ~ ~ Catawba County, North Carolina This imp prochtcl was prepo'edtone the Catawba Coumr. X(', Gcogrophic ]nfiu'nralion SIwlcnv N Calau ha Counm has mode substantial efforts to east 'e fire occlcron of7ocofion and laheling mfol motion co:7imoed on this map. Catawba Couur promotes and recommends the independent rerilcotto)I o1 onr halo contained on flits mop produce hr the user The Coven' of Catou$o, its emplo'ees, ogems and personnel disclaim, cord .shall not be held liable Jut tutu and till damages, loss or liobilin', udrether thrice, indo ccl or cun.sequcutial n'hich orl.ses or men' onse from flits map product or the use thereof hr (till prison or eemn . Legend Selected Parcel Number: 3733-05-09-348 1 inch = 60 feet Prepared for: 153) 0 0 1.18A 3770 I/ j 08 NQ 1.12A t, ;548 r I ~Io - (395 ILLi THIS IS NOT A LEGAL DOCUNIE'NT -26 Tuesday, December 01, 2009 11:19 AM t I 00CATAWBA COUNTY HEALTH DEPARTMENT Jos d Telephone- X828) 465-8270 TFM1 • (818) 465-8200 WLS Improvement Pe i X AC_X Repair Pen t. O erapo Permit. System Type., Well Permit. Replacement Well Owner/Agent Phone Address Subdivision ctt n/Block/Phase ot# Lot Size _ Directions. Property Address_ Facility: House Mobile Home Business Multi-family Other: Pin Number 3 ?3 o j 359 _ Other Zoning Approval # 63 75' # Bedrooms # Seats # Employees Application Rate 0, 3S GPD Flow Hot Tub or Spa yes/no Special Fixtures Basement yesfno 100% Repair Area no Basement Plumbing yes/no Water Supply: Private Well Public Semi-Public Type of System: 1Trench__e- Bed Pump Pump/Panel Panel LPP Other Septic Tank Size ! Pump Tank Site Nitrification Field: Total Square rFeet _ 37t) Depth of Stone Bed Size Trench Width Total Length of All Trenches 7 7 Number of Trenches Trench Length Feet on Center _ Maximum Trench Depth Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope Texture Structure Clay Min. ~b Soil Wetness _ n 1 Soil Depth Restric Hoz, at Available space yes/no I Overall Class S PS U J 3 X 7(l Comments. f df ol 1 I Filter Required Riser required when tank is more than 6 inches deep. J ,vlr 0 **NO GUARANTEE OR WARRANTY IS IMPLIED O MANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection f om wn possibl sources of contamination. No volume of water is guarantee at any site by the Health Department. E Permit Date Owner/Agent ? Septic Tank Insta ed By ! (/YI6~( Cy Date S Z/ EHS Well Installed By ell Gr Approval Date ~?-b Well Heap Approval D tc O Date Sample Collected Date of R ults Results EHS C. i 4111. White Office Yellow Owner/Agent Pink Building Inspection Author ion to Construct GIS Residential Assessment Report Page 1 of 2 Assessment Report - Catawba County, NC as of January 1st current year Property Assessment Information: Revaluation Date: January 1, 2007 Card 1 of 1 Next Previous Card Parcel Information: Owner Information: Parcel ID: 373305093548 Name: BUSS MARILYN Property Address: 4645 CHARLOTTE ST Name2: ROBINSON AMY M LRK (REID): 0063450 Address: 4645 CHARLOTTE ST Calculated Acreage: 1.12 City/State/Zip: CONOVER, NC 28613-8538 Assessment Information: Market Building(s) Value: $122,100 Market Land Value: $14,300 Total Market Value: $136,400 Use Total Value: Sales Data: Date Type Price Source Validity 11/5/2007 LAND + BLDG $112,500 BUYER FORECLOSURE 8/13/2007 LAND + BLDG $113,000 FEE FORECLOSURE 5/3/2004 LAND ONLY $22,000 FEE CHANGED AFT Property Factors: Topography Utilities Street or Road LEVEL WELL PAVED SEPTIC Building Permit Data: Issue Date Number Amount Purpose 5/18/2004 0401036 $99,400 NEW DWLG Notes: Note 1: TRUE MODULAR Dwelling Data: Style: MFG.HOME Story Height: 1 Attic: NONE Basement: CRAWL Bedrooms: 4 Total Rooms: 7 Full Baths: 2 Half Baths: Year Built: 2004 Year Remodeled: Exterior Walls: FRM/VINYL Ground Floor Living Area: 2052 Total Living Area: 2052* Fin. Basement Living Area: Basement recreation Area: Fireplace Stacks/Openings: / Metal Fireplace Stacks/Openings: / Heating: CENTRAL/AC Heating System: HEAT PUMP Fuel Type: ELECTRIC Last Update: 1/29/2009 OBY Misc, Improvements: Total OBY Value: http://www.gis.catawba.ne.us/website/Parcel/AssessmentReportRes.asp?key=3 73305093548&card=1 12/1/2009 GIS Residential Assessment Report Page 2 of 2 Q escrlptor/u,rea .:1Fr 20521 sgft B:V/ood Deck 36 sgft CAVood Deck. PEI 36 sgft 76 27 1 Fr 2052 B6 Footprnt_St_r_ucture_ Codes * The square footage of houses having excessive cathedral ceiling areas may exceed actual square footage. This is considered in the final reconciliation of value. Independent verification of all data in this report is recommended. DISCLAIMER: This map/report product was prepared from the Catawba County, NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends the independent verification of any data contained on this map/report 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/report product or the use thereof by any person or entity. http://www.gis.catawba.nc.us/website/Parcel/AssessmentReportRes.asp?key=373305093548&card=l 12/1/2009 CATAWI3A COUNTY PERMIT 1~A co ZONING AUTHORIZATION R Single Family Dwelling P. 0 i;ox 399 PERMIT NO: ZONR-12-09-3015 100A Southwest Blvd APPLIED: I?,'01-2009 Newton, North Carolina 28658 1SSl II;D: 12!01/2009 p 18 4 ~ SM Phone: 828-465-8390 FXPIRFS: 05/30/2010 Fn X : 829-465-3962 www.catawbacuuntync.goe APPLICANT OWNER CONTRACTOR MARILYN BUSS MARILYN BUSS WILSON CONSTRUCTION CO., INC. GLENT` 4645 CHARLOTTE ST 4645 CHARLOTTE ST 2442 S CENTER ST CONOVER NC 28613 CONOVER NC 28613 HICKORY NC 28602 PROPERTY ID#: 373305093548 CENSUS TRACT: STRFf:T ADDRESS: 4645 CHARLOTTE ST, Conover. NC I,OTN PROJECTDESCRIPTION: ADDING COVI'RED FRONT PORCI I FRONTS X REAR PORCI1 12 X 20 DIRECTIONS: COMMENTS: 1\DDING COV1:RIiD PORCI-I ON FRONT & RFAR / l0 X SON FRONT 12 X 20 ON 1\1i/\R FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRf:D SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDI`: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SID[: I: VALUE: 0 CORNER: SIDF 2: 1. Before an inspection can he made by the 13uiIdill g Inspection Office. the applicant must pull a string to desig nate the side and rear property lines where the structure is being placed or constructed. 2. 1Ionic shall be placed on the lot in harmonv with the site-built structures. or have the front door face the road fi-on ia-,c. FEE DESCRIPTION DATE FEE, AMOUNT ResidentialZ_oning Fee 12/01/2009 S25.00 TOTAL FEES 525.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Contpiliance are true and correct and achilowledaes that this permit was issued on the hasis of the information required herein. The applicant further acknowledges 11mt an -VConstruction. alteration or addition which differs from this application shall be subject to removal or alteration so as In bring said sUucture into confornrlace with the spccilications and standards of the CatdWha County /,oiling Ordinance. Such correctiyc action shall be at the cspcnse of the dpplicant. It is the responsibility- of Applicant to comply with all existing decd restrictions pertaining to the property. Issuance ofthis permit is not certilication of such compliance and does not relieve Applicant of the duly to comply. *This Zoning Authorization Permit shall expire six months from the date of issuance unless a building pel, it is secured and remains active. ,APPIJCANTNA,MF (PRINTED) nr I'I'1,IC~nN r sIGNnTURf; ZONING iAPPROVI?D BY C~rCr\ i, C J.: k6y` CF ZONING FEES ARE NON-REFUNDA1131,17 ~xx co~fPnNY Nn~\-11: Page I „l I Catawba County, North Carolina This map product was prepared from the Catawba Counrn, NC, Geographic Information System. N Catawba County hos made substantial efforts to ensure the accuracy of location and labeling information contained on this imp. Catawba County promotes and recommends the independem 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 Itabiliiy, 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: 3733-05-09-3548 1 inch = 60 feet Prepared for: y 2 1 'CIPA ry,,, 4 7. f ti-. F Ak' r ~3770 w~:t 1 L, p 12A.; i - "1 Ills IS NUI I EGAL DOCUNI I I Tuesday, December 01, 2009 11:19 1 :+~a'.k-.r_-:..:~ :,R~[~ ~-.ir!'Ct`.'9~"?fit .e~-"a:r.lirZ• n..:./ CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3733-05-09-3548 Name: BUSS MARILYN Name2: ROBINSON AMY M Address: 4645 CHARLOTTE ST Address2: City: CONOVER State: NC Zip: 28613-8538 Account: 159440000 Calc Acreage: 1.12 Tax Map: 2108 02008 LRK: 63450 Deed Book: 2874 Deed Page: 1378 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 4645 Street Name: CHARLOTTE ST Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: Total Bldgs Value: $122,100 Land Value: $14,300 Total Value: $136,400 Year Built: 2004 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P29 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: SNOW CREEK Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010303 Census Block 2010: 2004 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Tuesday, December 01, 2009 11:19 AM