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/ l
THIS IS NOT A PERMIT Case # EHPR-2-10-3735
CATAWBA COUNTY HEALTH DEPARTMENT
v Plan Review Application for Environmental Services
Ig~}2 SM Environmental Health Plan Review - OSWP
EXPANSION
APPLICANT OWNER CONTRACTOR
Mary Flandreau Mary Flandreau
1862 Adam ST 1862 Adam ST
Conover NC 28613 Conover NC 28613
NAME TO APPEAR ON PERMIT Mary Flandreau Pir►#: 373205174713
SITE ADDRESS: 1862 ADAM ST, Conover, NC
DIRECTIONS: 321N/ TO OLD HWY 70/ LEFT HWY 70 / RT SECTION HOUSE RD/ CROSS CREEK / AT TOP OF HILL / LEFT ADAM
ST/ CROSS CREEK / AT TOP OF HILL HOUSE ON RIGHT
NAME of SUBDIVISION: GROVER HERMAN 3732 Lot # 8 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.469 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure 60 X 40 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: ADDING MASTER BEDROOM & BATHROOM & EXTEND GARAGE
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. j~ /
Date: 1 I P Signature of Applicant or Agent lJ "j/
r-
An Environmental Health Specialist will contact you within 2 working hays 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 30 FEE NAME DATE AMOUNT
Side 15 Authorization to Construct Fee (New[-02/04/2010 $150.00
Rear .30 Improvement Permit Fee 02/04/2010 $150.00
Max Hght
TOTAL FEES $300.00
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
02/04/10 15:19
THIS IS NOT A PERMIT WLS #
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion
Existing Tank Check ❑ New Well Permit E] Replacement Well ❑ Well Abandonment ❑
1. Name to Appear on Permit A2 KATN ZW F Ail
2. Permit Requested By RAC-4 b, W'Afa I -y- Business Phone - 2
Address °1"~ o VJ'~ZP D4- W (Cum w C ?3602/ Home Phone 9 2 S`IZ-
3. PropertyOwner N\Rizq if4as1Z1N6 FLAN1 R6AU Business Phone
Address i ~ (Ozl ADi1YV1 S7. CaKWr.R I -w- 2,9(oi 3 Home Phone
4, Name of Subdivision G Uyw yFRtv1AN Lot # _ Section/Block/Phase d Il P 27
Property Address 6 DiAyn S'l,
Directions to Property: 321 I~u3tNEss y4opgk-t -To W 70 UFT or,) GU 70 To ~16t1Z ON SECT'10~4 400%
CROSS Ckt;C'~-, N-1 TOP nt: NtLL L-E1-f o►J+o NbAm 5T Gass CP,6y Nf Tap aF NILL,
Ou% oN R►6N
5. Property Size Square Feet -~--Acres O ~7 Date Platted/Recorded
6. TYPE OF FACILITY House ✓ Mobile Home Dimension of Structure Bedrooms* -3
* ~fii' aTM ~ :F$• a~ '15Fr frM^. r' gY71 &.„A.,'~ f - ~ e7~;K- 41^ -14a .r
An} room that~tll<<o„ttief coed foi tsleepingte tune„,of constrchott orf ,rh5tte;ciyiSsYderatibli"should be noted as a
-r +i TLRljl~i~}yC;T ~.r" _I YY r t',FS 'Tt u~' t bedroom and cvunt~d onr +ll appl~cationS,'IhenutisYxof betltoomsy+ll hePu51Sc1 by roomsadentified on house plansasa
bedrooin at the ttpne o,,bSldtng,ermuISsuan rn. r 1na~ 1~zeitentVthe~rteedor;~?stem sl increase m the future:
Basement: yes to Water Using Fixtures in Basement: yes%no No. in Family
Whirlpool Tub yeso 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 1st 2nd 3rd
OTHER: (Specify)
7, Do you anticipate any additions to Facility? Yes / No
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 property? Yes Ai'
10. Is a public water supply available on or adjacent to the above property? es 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: [ ] Individual well [ ] Community well [ J 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 2 Signature of Owner or Agent ~WM.4 ,
Catawba County, North Carolina
This map product was prepared front 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 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: 3732-05-17-4713
1 inch = 60 feet Prepared for:
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k 'THIS IS NOT A LEGAL DOCUMENT Tue, February 02, 2010 01:22 PM
CATAWBA COUNTY PERMIT
~A co ZONING AUTHORIZATION (R)
Addition
P. 0. Box 389 PERMIT NO: ZONR-2-10-4485
U ®®So 100A Southwest Blvd APPLIED: 02/04/2010
Newton, North Carolina 28658 ISSUED: 02/04/2010
1 4 v SM Phone: 828-465-8380 EXPIRES: 08/03/2010
FAX: 828-465-8484
www.catawbacountync.gov
APPLICANT OWNER CONTRACTOR
Mary Flandreau Mary Flandreau
1862 Adam ST 1862 Adam ST
Conover NC 28613 Conover NC 28613
PROPERTY ID#: 373205174713 CENSUS TRACT:
STREET ADDRESS: 1862 ADAM ST, Conover, NC LOT# 8
PROJECT DESCRIPTION: ADDITION TO EXISTING DWELLING / NEW MASTER BEDROOM, BATHROOM & EXPAND EXISTING GARAGE
DIRECTIONS:
COMMENTS: ADDITION TO EXISTING DWELLING / MASTER BEDROOM, BATHROOM & EXTEND EXISTING GARAGE
This lot appears to be a double frontage lot on Adam and Lester. However based on documentation provided by the applicant's
attorney, what shows as an unimproved right-of-way (Labeled as Lester) is actually a strip of land. This means that the setback
from that strip (labeled as Lester) is the 15' side setback requirement. If there are any questions contact Mike Poston.
FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS
100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00
FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: SIDE 1:
VALUE: 0 CORNER: SIDE 2:
FEE DESCRIPTION DATE FEE AMOUNT
Residential Zoning Fee 02/04/2010 $25.00
TOTAL FEES $25.00
The applicant hereby certifies that all information and attachments to this Certificate of Zoning ompiliance are true and correct and
acknowledges that this permit 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 be 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 be at 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 of
such compliance and does not relieve Applicant of the duty to comply.
**This Zoning Authorization Permit shall expire six months from the date of issuance unless a building-permit is secured and remains active.
n
b4_0
/aA GclA~2~l~~
APPLICANT i AME (PRINTED) APPLICANT SI NATURE ZON G APPROVED BY
ZONING FEES ARE NON-REFUNDABLE
COMPANY NAME
i rmii 02/04/2010 15:12 Page I of I
CATAWBA COUNTY, NC
100-A South West Blvd PLAN INVOICE
1' a Newton, NC 28658-
0 0 (828)465-8399 Thursday, February 4, 2010
1842 sM www.catawbacountync.gov
Plan Case: EHPR-2-10-3735 Invoice Number: INV-2-10-259326
Environmental Health Plan Review Invoice Date: 02/04/2010
Fee Name Fee Amount
Authorization to Construct Fee Adjustable $150.00
(New/Expansion) Fee
Improvement Permit Fee Fixed $150.00
Total Fees Due: $300.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
02/04/2010 Check 2596 $300.00 $0.00
Total Paid: $300.00
Total Due: $0.00
planinxoiu-;55c', 6(10-90aI-1121-b~h8-t15h(t_;53c1CI5I;,rpt 02/04/2010 15:18
Julia English
From: Megen McBride
Sent: Wednesday, February 24, 2010 1:39 PM
To: Julia English
Subject: -3735 1862 Adam St.
Julia,
Please print this email and attach it to the case.
Thanks, MM
Megen McBride, RS
Environmental Health Specialist
Catawba County Public Health
(828) 310-3079
rnmcb+'idelii~cataicbacountync.
From: Mike Cash
Sent: Wed 2/24/2010 10:56 AM
To: Megen McBride
Subject: Re: 1862 adam st.
Yes. He has provided enough information to confirm that the original structure was a 3BR.
Original Message
From: Megen McBride
To: Mike Cash
Sent: Wed Feb 24 10:51:35 2010
Subject: Re: 1862 adam st.
Ok. Just to confirm though, we are satisfied that the existing system is ok for 3 bedrooms?
Original Message
From: Mike Cash
To: Megen McBride
Sent: Wed Feb 24 10:3220 2010
Subject: Re: 1862 adam st.
You are correct that the IP will be adequate. He will get a credit foir the AC fee. Thanks
Original Message
From: Megen McBride
To: Mike Cash
Sent: Wed Feb 24 10:15:08 2010
Subject: 1862 adam st.
Mike,
Quick question about this... application EHPR-2-10-3735. You spoke to Susan about this last week, I'm actually going to be the one
issuing the permit and I just wanted to confirm some things.
They had applied for an expansion to go from 2 to 3 bedrooms. I think you may have spoken to the builder, Tracy Warlick, who
produced some evidence that the existing system was ok for three bedrooms? This leaves me to designate repair- which I have done.
He applied for an IP/AC but since he won't need to install additional drainfield, do 1 still need to issue the AC? Seems like maybe just
an IP will do. Let me know what you think
Thanks
1