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Home My WebLink AboutEHPR-12-09-2990.TIF 4'A s THIS IS NOT A PERMIT Case # EHPR-12-09-2990 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP 1842 sM IMPROVEMENT APPLICANT OWNER CONTRACTOR GEORGE ROBERT HUFFMAN GEORGE ROBERT HUFFMAN 2251 COUNTRY HOLLOW RD 2251 COUNTRY HOLLOW RD CONOVER NC 28613 CONOVER NC 28613 NAME TO APPEAR ON PERMIT GEORGE ROBERT HUFFMAN Pin#: 375313144626 SITE ADDRESS: 2251 COUNTRY HOLLOW RD, Conover, NC DIRECTIONS: HWY 16 N, TURN LEFT ON COUNTRY HOLLOWRD, HOUSE AT END OF ROAD NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres, (,p _ Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: Yes 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 1st 2nd 3rd OTHER: (Specify) Do you aniticipate 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? YES 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. 2 ~ Date: P4 1 J L y L 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 Front FEE NAME DATE AMOUNT Side Improvement Permit Fee 12/03/2009 $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 12/03/09 14:24 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 A New Well Permit ❑ Replacement Well ❑ Well Abandonment E] d~~ 1. Name to Appear on Permit 2. Permit Requested B 4evr c' e Zabel-l- ~-y► Business Phone it//A Address ~22S/ 6"(-4 Avly p//oar ~Dira4y L'v.~v✓P ~drG./~ Home Phone JL~-S!5 drvLL 3. Property Owner 6eo -h e', C4~ 1rirG, s-r Business Phone~~ r Address ZZ.;-% evNn 1-ti 17i'Vow 6d)iv✓er la'G,i? Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address ~5~ C_ ~nM~! Directions to Property: t/~,%h1v Y / G ,(/do M fir/mar • O~ ~c~/~ fry / //ovr/ 5. Property Size: Square Feet Acres - lodS Atr- Date Platted/Recorded 6. TYPE OF FACILITY: House X Mobile Home Dimension of Structure Z 7,X 4 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 house, plans as a bedroom at the time of building permit issuance. This mayprevent-the need for system size increase in the future. Basement: pyes/ o Water Using Fixtures in Basement: yes no No. in Family Whirlpool yes/no Gallon Capacity IV14 MULTIPLE FAMILY RESIDENCES: Units .,V4 Total Number of Bedrooms AJ / DAY CARE: Number of Children A114- RESTAURANT: Seats 464 Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: AA- Number of Employees 1 st & 2nd JVIA 3rd OTHER: (Specify) 7. Do you anticipate- apy additions to Facility? Yes / No If so, describe: N'4 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 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: N 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 Signature of Owner or Agent Catawba County, North Carolina This map product was preparedf oan the Catawba Countv, A'C, 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 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 from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3753-13-14-4626 1 inch = 300 feet Prepared for: O1J9 f SJBJ 11]8 _ O}88 COUNTRY nie n o HOLLOW RD ' ~ 9GJG ~v' ` C5✓ G, Q =c ~c ~ `ioes a7 0 / 0 ° 0 N r Z-, i / 5 0104 / ~O`` ,2lag r 1003 .O045W / l~ THIS IS NOT A LEGAL DOCUMENT Thu, October 29, 2009 03:19 PM A \.i,/> 7 CATAWBA COUNTY NC - F5arcel Report Information Regarding Selected Parcel(s) Parcel ID: 3753-13-14-4626 Name: HUFFMAN GEORGE ROBERT Name2: Address: 2251 COUNTRY HOLLOW RD Address2: City: CONOVER State: NC Zip: 28613-8448 Account: 159748980 Calc Acreage: 19.55 Tax Map: 2300 00029A LRK: 65817 Deed Book: 1649 Deed Page: 0762 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 2251 Street Name: COUNTRY HOLLOW RD Site Zip: 28613 Township: CLINES Fire Code: OXFORD City Code: COUNTY State Road: Total Bldgs Value: $224,700 Land Value: $49,100 Total Value: $273,800 Year Built: 1997 Year Remodeled: Last Sale Date: 1/1/1990 Last Sale Amount: $28,500 Neighborhood: 67 Watershed: Watershed Split: Voter Precinct: P27 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010201 Census Block 2010: 2017 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: PROXIMITY Printed: Thu, October 29, 2009 03:19 PM A Cp CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Thursday, December 3, 2009 84 sM www.catawbacountync.gov Plan Case: EHPR-12-09-2990 Invoice Number: INV-12-09-257723 Environmental Health Plan Review Invoice Date: 12/0312009 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 12/03/2009 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plan receipt 1706625a4-6dee-47a8-a757-9ebbbd7b8a52).rpt 12/03/2009 14:23 CATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465-8270 TDD: (704) 465-82001 5 2 Type Improve. Permit Authorization to Construct Repair PermitOper. Permit III-s- Owner/Agent Phone 6 L% / _i Subdivision Address C' /s C °vYV 1 zz~ Section/Block/Phase Lot# Lot Size Directions r 1Fac`lity: House_C,,,O' Mobile Home Business Other: Tax Map # Multi-family Other Zoning Approval # # Bedrooms # Seats # Employees Application Rate GPD Flow Hot Tub or S Special Fixtures 100% Repair Area yes/no Basement /no Basement Plumbinges/no Water Supply: Private Well_L,!!-~'Public Type of System: Trench 4111- Bed Pum~pPump/Panel Panel LPP Other Tank Size: Septic Tank Size eGC'~C~^Y) Pump Tank Size Nitrification Field: /Total Square FeetDepth of Stone Bed Size Trench Width Total Length of All Trenches Number of Trenches J Gy ' , Individual Trench Length Feet on Center Maximum Trench Depth ~i Distance of Nearest Well *DO NOT INSTALL WHEN WET* Topo _ ` % Slope Texture Structure Y r ell Clay Min. Soil Wetness / 1 f T r Soil Depth" M r Restric. Hoz. at ee/nol Available space Overall Class S ~U Comments : -Ck n/ I f 1 I I I **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improventent 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. Permit Date Owner/Agent Sanitarian Installed By Date Sanitariann~_ ,✓rn-.,__:, r(e White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct