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Home My WebLink AboutEHPR-12-09-3062.TIF A C THIS IS NOT A PERMIT Case # EHPR-12-09-3062 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR EDGAR BAKER EDGAR BAKER 4851 EMMA LOVE DR 4851 EMMA LOVE DR DENVER NC 28037 DENVER NC 28037 704-201-6469 704-201-6469 NAME TO APPEAR ON PERMIT EDGAR BAKER Pin#: 369604641886 SITE ADDRESS: 4851 EMMA LOVE DR, Denver, NC DIRECTIONS: 150E/ GRASSY CREEK/ LEFT LOVE POINT / RT EMMA LOVE DR/ I ST HOUSE ON RIGHT NAME of SUBDIVISION: LOVE POINT PHASE II Lot # 18 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.529 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 2 Basement: No Water Using Fixtures in Basement:No No. in Family 2 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: 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? NONE Type of Water Supply: Individual Well Community Well X 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: i) 7 Signature of Applicant or Agent . CAT- ' u n Environmental Health Specialist will contact you within 2 workin days of application date. If you need further information or assistance please call 828-466-7291 AREA I (FOR OFFICE USE ONLY) IIr Zoning Approval: ✓Yes No Zoning Approval # / V K ' L2 -0 5 -3J1(ODO Zoning Form A Minimum Setbacks AMOUNT Front 30 FEE NAME DATE Side 10 Existing Tank Check Fee 12/08/2009 $80.00 Rear 5 TOTAL FEES $80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 12/08/09 16:34 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 uO 2. Permit Requested By - - C C Business Phone /?0 q - 5ee-X--6 ~Z_C,, Address >VI V~ V-E , J I Home Phone Z_ - q $3 /~S 3. Property Owner C I-^ Business Phone Address L 1 Y5- / in Jq , c~ rv Home Phone 4. Name of Subdivision E' "D Lot # Section/Block/Phase Property Address O>J 0y l.- Directions to Property: L~ ^ l f /2b <D P . isg, V i 5. Property Size: Square Feet Acres -Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms* Z, *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 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 increase _in the futurc. Basement: yes/no Water Using Fixtures in Basement: yes/no 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 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes / No If so, describe: fl~"_T 8. Has any grading, removal, or addition of soil been done to this property? Yom/ No If so, describe: I O ,LQLS ce I v\_0 9. Are there easements/right-of-ways recorded on this property? Yes / No 10. Is a public water supply available on or adjacent to the above property? Yes / No Check type that is available: [y~ommunity 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 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 ivas prepared from the Catawba County, NC, Geographic Information System. N Catmvba 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 Catmvba, 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: 3696-04-64-1886 1 inch = 40 feet Prepared for: it: U r .6 C 199117 v 4C?4 t t ii r I 19 176//, 20\,/ THIS IS NOT A LEGAL DOCUMENT , Tuesday, December 08, 2009 04:11 PM i/3u ' CATAWBA COUNTY HEALTH DEPARTMENT N-0 6273 `Telephone (828) 465-8270 T PD (828) 465-8200 k-j Imp Print. Auth. to Const. Rpr Prmt. Opr Print. Sys Typet.4 Well Print. Well Rpr Prmt. Owner/Agent i= C~ rac, :y vim) ,at.12 v Phone - , > > i Address 9 ' t r,) 4'e \ LKJ Subdivision L..ye,c? c~ i ti U _ Section/Block/Phase Loth l k Lot Size S'-1 Directions 0 Q 7Z' Coy-cA (*,e-, b - Ccd Lone lit i ►r~ ; ~r w.-~„ i n d- &0 Facility- House Mobile Home c_ Business Multi-family Other' Tax Map or Pin Number 1 - C- X I - Other Zoning Approval # -L~-r?c7rZ Bedrooms a~ - # Seats N Employees Application Rate 4/ GPD Flow (a Hot Tub or Spa yes/Qo Special Fixtures Basement yes/09 100% Repair Area lno Basement Plumbing yes/ji~ Water Supply- Private Well Public Serm-Public Type of System Trench K Bed Pump Pump/Panel Panel LPP Other Septic Tank Size (.C . I Pump Tank Size Nitrification Field. Total Square Feet (c100 Depth of Stone I Z Bed Size Trench Width 3 (n Total Length of All Trenches a66 Number of Trenches 3 Trench Length to rl /tq~"7 /~,rj / Feet on Center _ Maximum Trench Depth 9 Distance of Nearest Well /6-6 *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo y % Slope Cl exture s iv Cl I Structure Clay Min. Soil Wetness Fs I Soil Depths Restric Hoz -at Available space es\ho Overall Class S I Comments - I - _ - LA 1 I V X7 II I II Filter Required Riser required when tank is more than 6 f I b1~~ nJ+i inches deep. I ~(s 1 **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THEE O&M-A CE 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 poMon of the installation is put into use. The siting of the well b~f the Health Department staff is to provide protection from known possible sou es of contamination. No volume of water is guaranteed at any site by the Health Department. / Permit Date EHS Owner/A t Septic Tank Installed By 7 ' Date -p7 EHS Well Installed By Well rout AWell Head A roval Date Date Sample Collected Date of Results Results - _ - EHS White - Office Blue Building InMee[ion Ooeration Permit Yellow Owner/Agent Green - Building Inspection Authorization to Construct CATAWBA COUNTY PERMIT A ~o ZONING AUTHORIZATION (R) Accessory Structure Q`+ i~►~ 11. 0. Box 389 PERMIT NO: ZONIZ-12-09-3216 100A Southwest Blvd API'1,11AD: 12/08/2009 Newton. North Carolina 28658 ISSUED: 12/08/2009 SM Phone: 828-465-8380 EXPIRES: 06/06/2010 FAX: 828-465-8962 www.catawbacountync.goV APPLICANT OWNER CONTRACTOR EDGAR BAKER EDGAR BAKER 4851 EMMA LOVE DR 4851 EMMA LOVE DR DENVER NC 28037 DENVER NC 28037 PROPERTY ID9: 369604641886 CENSUS TRACT: STREET ADDRESS: 4851 EMMA LOVE DR, Denver, NC LOTH 18 PROJECT DESCRIPTION: PVT ACCESSORY BUILDING 14 X 24 DIRECTIONS: COMMENTS: PV'I* ACCESSORY BUILDING 14 X 24 IN REAR YARD AREA / MUST BE 5 FT FROM DWELLING UNIT FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 10.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 5.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Office, the applicant must pull a string to designate the side and rear property lilies where the structure is being placed or constructed. 2. Accessory structures shall only be located in side or rear yards. 3. Accessory structures shall not be attached in any Nvay to the principle structure. 4. Accessory structures shall only be used for private residential purposes. 5. Manufactured homes shall not be used as accessory structures. 6. Accessory st'uctures may not be used for living purposes. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 12/08/2009 $25.00 TOTAL FEES $25.00 The am lieant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct, and acknowledges that this iermit was issued on the basis of the information required herein. The applicant further acknowledges that any construction. alteration or addition which differs from this application shall he subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall beat the expense of the applicant. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the property. Issuance of this permit is not certification 01' such compliance and does not relieve Applicant of the duty to comply. "This Z_.onin- Authorization Permit shall expire six months from the date of issuance unless a building 1 N•mit is secured and remains active. APPLICA{ITNAMI, (PRINTED) APPLICANT SIGNATURE, ZONING APPROVED 13Y ZONING FEES ARE NON-REFUNDABLE COMPANY NAy,1E Page I of 1 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3696-04-64-1886 Name: BAKER EDGAR WAYNE Name2: Address: 4851 EMMA LOVE DR Address2: City: DENVER State: NC Zip: 28037-9646 Account: 119014 Calc Acreage: 0.53 Tax Map: 016CX 01018 LRK: 17428 Deed Book: 2159 Deed Page: 1665 Subdivision Name: LOVE POINT PHASE II Subdivision Block: Lots: 18 Plat Book: 22 Plat Page: 281 Building Number: 4851 Street Name: EMMA LOVE DR Site Zip: 28037 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $1,500 Land Value: $29,500 Total Value: $31,000 Year Built: Year Remodeled: Last Sale Date: 7/16/1999 Last Sale Amount: $29,000 Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-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: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 4059 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, December 08, 2009 03:59 PM CATAWBA COUNTY, NC I00-A South West Blvd PLAN INVOICE Newton, NC 28658- 0 (828)465-8399 Tuesday, December 8, 2009 j 84 Z sm www.catawbacountync.gov Plan Case: EHPR-12-09-3062 Invoice Number: INV-12-09-257864 Environmental Health Plan Review Invoice Date: 12/08/2009 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 12/08/2009 Credit Card -1 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 JIiI-41213-R>>d-71r,~txl2l05ch; rrt 12/08/2009 16:33