Loading...
HomeMy WebLinkAboutEHPR-2-10-3899.TIF A Cpl THIS IS NOT A PERMIT Case # EHPR-2-10-3899 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 $M Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR BRUCE BELVERD BRUCE BELVERD SAME AS OWNER 2747 CAMELOT DR 2747 CAMELOT DR NEWTON NC 28658 NEWTON NC 28658 828-850-1 145 828-850-1 145 NAME TO APPEAR ON PERMIT BRUCE BELVERD Pin#: 372114247166 SITE ADDRESS: 2747 CAMELOT DR, Newton, NC DIRECTIONS: RADIO STATION RD TO RT ON CONOVER-STARTOWN RD/ LT ON SETTLEMEYER BRIDGE RD/ RT ON STARTOWN/ RT ON CAMELOT NAME of SUBDIVISION: CAMELOT PHASE 2 Lot # 15-16 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.19 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:Yes 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 1 st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: 32 X 45' STORAGE BUILDING 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? 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 prop Y. Any repre tation by yo f house or structure location shoul co form to applicable setbacks. Dater 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 FEE NAME DATE AMOUNT Side 10 Front 0 Existin4 Tank Check Fee 02/16/2010 $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 02/16/10 16:45 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 CheckV New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit 'Bwe-p 3e I I)C:~Cd 2. Permit Requested By e e •e• Business Phone -il c Address ;274 C12 fm n ,r+o n, f6 - Home Phone 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/BlocklPhase Property Address ~2'~4'-J (Znnr At, (JCo Directions to Property: S aiio LL ) C( rn e In`+ i~ 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure ,3a2 1C 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 permi. issuance. This may prevent the need for system size-' crease in the future. Basement: Phio Water Using Fixtures in Basement: ye no No. in Family Z 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: 8. Has any grading, removal, or addition of soil been done to this property? Yes / o 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? 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 [ ] 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 T THE PR ERTY, TH E IS AN ADDITIONAL CHARGE" Date © _ Signature of Owner or Agent Catawba County, North Carolina This reap prochtci was prepared from the Colowbo Comm:, A'C, Geographic Information System. N Calarbo Count has made substamial efforts to ensure the acc nracv of localion and lobeling iti/brmaiion contained o1 this map. Catawba Couniv promotes and recommends the indepenclem verifrcalion of an_v data conjoined on this mop producl 1i ' v the user. The County of Coawba, ils emplovees, agents and personnel disclaim, and shall not be held liable for mro and till damages, loss or habilfrn, whether direct, indirect or consequential which arises or ma+ arise from Ihis map product or the use thereof by ai~v person or entity. Legend Selected Parcel Number: 3721-14-24-7166 1 inch = 60 feet Prepared for: f ~~j X~ ~ ♦ " `vim ~p 6a G t ~ - - 9 _ - 19 21 ~~p r - 6$ 36.9 0. 9237 00 x6.18 1 ~ `'G> 73 f l r .J ` A~J l V Plat 18-22i~(> 'gyp -t c- 57 Plat 17-289 X51 7 - 2 8 l f I - t~ 508 _ _ - , 2.38'4 2 UV17 THIS IS NOT A LEGAL DOCUMENT Tuesday, February 16, 2010 04:10 PN9 Catawba County, North Carolina zincIII, Ipill Uhh't11aS/llrTor,rl/ram111 l' rr,rhnC'ommh,W'.Gcogropldclnfinmalion.CISwIll C flhoIha ('(nO111 has mark sllhstollnal (Jforls la ensure /he ac(°n/*(Wr of/ocat io,I told lahllillg Into I lnat IUn conhnned on I/11s mop. Colmrhrr ('aunlr p) o Inolcs and recasnnends [Ile uuleprndclu reri/iconoo o/11111 it na conlainv(/ on Ihis In(rp /I'o,It,( I h1 the user. I he C omlh' of( 'ohn, ba. its cml/ _ evs, ng~~ls and p,'ecolm, / dls, Itoim. and shall not 1" held hahl,- for o11 rtnd dl 1,1111,1j,YS, h,.v,, or lklhllitr, n hethcr direr/. Ill, Ill, rrI nr ( I"II1 11, ollol it loch n 1s1, or 111, 1' (111.,111 nur tin c Ill,Ip It'I I m I nr the 10c th"I co/ hr (1nr/crsoo or 1111111 Ley Cntl Selected Parcel Number: 3721-14-24-7166 1 inch - 60 feet Prepared for: 3g.g7 f !f 5g ~A w{' '73 rh(, s ,W~ 4 ;oat T8~2~1^J~ 01- Plat, 17- R at 7. - 2 8 508T- 2.38A O 4f 6{ ~ 4 rl (`E~ ` Vb t r TIIIS IS NOTA 1,1?G,V, DOCUINIEN~"I~ 6 r 1'ucsda~, Fcbruar~~ 16, 20111111:11 1'.~l CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID-. 3721-14-24-7166 Name: BELVERD BRUCE Name2: BELVERD BRENDA CRAWFORD Address: 2747 CAMELOT DRIVE Address2: City: NEWTON State: NC Zip: 28658-8358 Account: 208186 Calc Acreage: 1.19 Tax Map: 130H 09007 LRK: 47755 Deed Book: 2799 Deed Page: 1714 Subdivision Name: CAMELOT PHASE 2 Subdivision Block: Lots: 15-16 Plat Book: 18 Plat Page: 221 Building Number: 2747 Street Name: CAMELOT DR Site Zip: 28658 Township: HICKORY Fire Code: HICKORY RURAL City Code: COUNTY State Road: Total Bldgs Value: $349,100 Land Value: $25,800 Total Value: $374,900 Year Built: 1986 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 92 Watershed: Watershed Split: Voter Precinct: P35 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: STARTOWN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011701 Census Block 2010: 1026 Small Area Plan: STARTOWN Agricultural District: Printed: Tuesday, February 16, 2010 04:10 PM CATAWBA COUNTY HEALTH DEPARTMENT NEWTON, NORTH CAROLINA COMPLETION PERMIT FOR SEPTIC TANKS PEFitlt No Q DATE : -2?kv /J., /7F7 OWNER ADDRESS BUILDING CONTRACTOR s~1~.,~ SUBDIVISION ~Q LOCATION 0166 _,r/0 -LOT # LOT SIZE BLOCK OR SECTION - HOUSE. MOBILE HOME ( ) BUSINESS ( ) OTHER ( ) FHA-VA LOAN ( ) SEPTIC TANK: (SIZE 1.00 GALS) WATER SUPPLY: NO. BEDROOMS _3 NO FIXTURES 3 INDIVIDUAL PUBLIC GARBAGE DISPOSAL UNIT:YES (-_730 ( ) IF WELL, TYPE: $~RED DRILLED DUG AUTO WASHING MACHINE: YES NO ( ) DISTANCE FROM SEPTIC TANK OR NEAREST NITRIFICATION FIELD: 09'i SQ.FT. POLLUTION: FT. 1) NUMBER OF LINES SEPTIC TANK INSTALLED BY: 2) LENGTH-AND WIDTH N 4- 57 =1 EE pooa - a)-BED SYSTEM CER'"IFI ATE OF COMPLETION b) TRENCH SYSTEM ( ) 3) DEPTH OF STONE IN LINES--12 RE ADEQUATE FALL (GRADE) ON: . 1) BUILDING (HOUSE) SEWER LINE: -10 ' YES NO ( ) - / 2) NITRIFICATION LINES : -DATE INSTALLED: YES ( ) NO ( ) SEPTIC TANK LAYOUT H _ d rX4 / H O H O HEALTH DEPARTMENT COPY N0. ~q0 FEE ..PERMIT VOID AFTER 36 MONTHS PERMIT PATAWBA COUNTY HEALTH DEPARTMENT C/` IMP OVEMENT PERMIT OR CONTRACTOR: DATE: ADDRESS : PHONE Ij) LOCATION: SUBDIVISION: LOT ~ -,)V/SECTION OR BLOCK: LOT SIZE: Notified to. heck with Zoning Yes ( ) No ( ) Zoning Approval # ( ) House ( Mobile Home Business Other F w Rate: gPd ( ) Other: Bedrooms: Bathr s: Special Fixtures: Basement - Yes ( ) Pump System Yes( ) No No ( ) F tures in Basement - Yes No ( ° No ( ) Water Supply: Private ( ) Public ( ) Garbage Disposal U 't es 1 TANK SIZE: gallons Comments/Special Instructions: NITRIFICATION FIELD: Number of Lines Length and width of Lines System must be installed as shown. Any (a) Bed System changes will be made only with prior Health (b) Trench System 36 X Department approval. If unforeseen problems or Trench System 30" X arise during installation, contractor must call _Health-Department_--_____------ g _ T1ep1_gf ~QIl~__/ Total Square Foota e CERTIFY T VE VIEWED AND AGREE TO E P V S NS ON S PE i Owner gent San' rian Final approval of this septic tank system shall in way.be taken as a guarantee that the system will function satisfactorily for any given period of time._ SITE AND SEPTIC TANK LAN i fail l ~ 1 D 1 Health Department.Copy of -:'roup Soil ..Texture Class Application Rate Site Factor: Slope and Landscape Position SPS - U Sandy Clay Soil Drainage S - PS - U S - PS - U III Fine Silt Loam 0.6-0.4 Soil Depth Loams Clay Loam Restrictive Horizon S - PS - U S - PS - U Silty Clay Available Space Other S - PS - U Sandy Clay (Specify) _ Silty Clay 0.4-0.2 Soil Characteristics: S - PS - U Iva Clays Clay Repair Area Required: Yes ( ) No ( ) *Bed systems are allowed only in soil G;oun III.