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Home My WebLink AboutEHPR-2-10-3891.TIF ` A fig' . C THIS IS NOT A PERMIT Case # EHPR-2-10-3891 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR ROY CARSWELL ROY CARSWELL SAME AS OWNER 932 VILLAGE CIR 932 VILLAGE CIR HICKORY NC 28602 HICKORY NC 28602 828-733-4255 828-733-4255 NAME TO APPEAR ON PERMIT ROY CARSWELL Pin#: 279014343212 SITE ADDRESS: 932 VILLAGE CIR, Hickory, NC DIRECTIONS: HWY 127 S TO VILLAGE CIR/ LT ON VILLAGE CIR/ 100 FT ON RT NAME of SUBDIVISION: MORRIS SHARPE ESTATE Lot # PT 4 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.039 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 1 Basement: No Water Using Fixtures in BasementNo 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) ~ -t Q ~(2N'~a ~ d/Jn n Do you aniticipate any additions to Facility? ~w " U/tYJLX~ UL~,c(r uti `~v H'so, describe: 1 or 2 Bedroom home/ Existing concrete slab where barn used to be There was a 3 bedroom singlewide mobile home on lo[ approx 15 yearsWgo. r Has any grading, Yr8R69FV98 iY0n 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 representation by you of house or structure location should conform to applicable setbacks. Date:- 1) Signature of Applicant or Agent s of application date. An Environmental Health Specialist will contact you within 2 wo inV8-4466-7291 If you need further information or assistance please call AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks AMOUNT Front 30 FEE NAME DATE Side 15 Improvement Permit Fee 02/16/2010 $150.00 Rear 30 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 02/16/10 11:01 v r u..~ J L y > ; a v a ol Ci ~w.: W N J ' po N 1 F' a o ~c LLI E W c 3 0 f J m °-0 ° ~ O c o m t a W O 1 C• ,a In > M Y L z J OJ Q ~ N E0 ° rn LL ~ ~ ~ cn v n z ci a p\ _ OG U o ttA v v w = 0 F- v v v, O a N ~ J w # Q Z Z , : ~ o` N Q o O Lu -o 0 1 cc) x 2~ lo Q Z Z a~ m ~ S Cr` N • N z ^_--_•1I o ~k v) o U W t`- J > N o a 0 ° cq t m v = o o r U LL a) (L G Y Q > a 7. w L Q y„ A Q ° N a L N w y d o C Y LL C ; a> N p C C 'D W CL 0 F- nj Y ii fy - c~f 42 l 1 s i _ i J Not Us e, rte(//JJJ f f 2 : 0 f-d F 4. ~ S F i r E THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environment e. Services IP AC ST. Rpr. - S. T. Exp. Exist. S. T. Well Prmt. Replacement Well I . Name to Appear on Permit ! L,, J r A r~ Li f, 11 2. Permit Requested By er r II Business Phone Address , ; 0t 6 m 0Ai a )y C_ -2 t~-r3 Home Phone !32 SW 7 3 1 4' '2 S` 3. Property Owner o Business Phone Address 1.70 C9 k - ; m CL t~:J C. 2K e Home Phone IY2 SS 7 73 ~t 2 J ID A/ t r -L 4. Name of Subdivision Lot # Section/Block/Phase Property Address 2 e Directions to Property: 7 .So~~ h I C r;rc le- I4 O r✓ Ili ~f1~a -e Clre,/L° IOc~ ~f ~~+r, b F 5. Property Size: Square Feet Acres ,9,r/Jro x l Date Platted/Recorded 6. TYPE OF FACILITY: House ✓ Mobile Home Dimension of Structure goo $ Bedrooms* X11 7 *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 may prevent the need for system size increase in the future. Basement: yeso Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes r90 Gallon Capacity MULTIPLE FAMILY RESIDENCES: Unifs 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? Yes //No If so, describe: 8. Has any grading, removal, or addition of soil been done to this propert y? (Yes / No If so, describe: c~iL ~r~*~F L,OvP . /9/V ~ -e A 9. Are there easements/right-of-wags recorded on this property? Yes /T^ / 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: [ ] Individual well [ ] Community well [ ] Semi-Public well [ ] Irrigation well [ ] Geothermal well 12. Monitoring Well Request? Yes / No # of wells Name of Site 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. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE." Date 2- - .2- 0 0 Signature of Owner or Agent r • ~ C) M _ ~ r t i I 'W, p I ~ o + - ' h ~ ~ ~ . ` ~`J ~ ~ '~.n ~ ~ ~ ~ a, i i ~ ~ i ~ f --F-' ~ ~ ~ ';y1~ Ei T'T ~S 1 Catawba County, North Carolina This mop prodort was prepared fiom the Catawba Colin n', A'C, Geographic lnftnnmbm Srstent. N Camnrha Crmnt has made substanial el/iwis to ensure the accurar x. of lot ation and laheling in firnnation ra1)tained on this map. Catawba Comity prornnea and "Commends the inlepe10e1)1 rc•rifcation "fans data contained on this nmp product br the user. The Count o( Catawba, its emplosces, agents and pelsolnrel disclaim, nnl shall not he held liable lirr am and all dumogrs, loss m liability, it lrether direr t, indirect 1)r consequential which arises m mar to l) om this 11)(11, product or the use thereo(bs oin pemm or emit. Legend Selected Parcel Number: 2790-I4-34-3212 1 inch equals 60 feet Prepared for: w 2454 23 34 cr 39 216 - GS R• 2` 9 5216 1.04A , co r ) 212 00 i 1.6 2,C9 r THIS IS NOT A LEGAL DOCUMENT Thursday, November 13, 2008 12:50 IM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel 10: 2790-14-34-3212 Nelme: CARSW ELL ROY JAMES Name2: CARSWELL LOICE HICKS Address: PO BOX 165 Address2: City: MONTEZUMA State: NC Zip: 28653-0165 Account: 209452 Calc Acreage: 1.04 Tax Map: 175H 03039F LRK: 59346 Deed Book: 2815 Deed Page: 0535 Subdivision Name: MORRIS SHARPE ESTATE Subdivision Block: Lots: PT 4 Plat Book: 3 Plat Page: 144 Building Number: 932 Street Name: VILLAGE CIR Site Zip: 28602 Township: HICKORY Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: Total Bldgs Value: Land Value: $18,700 Total Value: $18,700 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 81 Watershed: WS-III Protected Area Watershed Split: NO Voter Precinct: P24 E911 District: COUNTY Matrix: Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: W P-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011801 Census Block 2010: 2000 Recorded Date: Lot Type: Small Area Plan: MOUNTAIN VIEW Printed: Thursday, November 13, 2008 12:50 PM