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Home My WebLink AboutEHPR-2-10-3917.TIF ~A C THIS IS NOT A PERMIT Case # EHPR-2-10-3917 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 5M Environmental Health Plan Review - OSWP ABANDONMENT APPLICANT OWNER CONTRACTOR DANIEL HUFFMAN, EXECUTOR DANIEL HUFFMAN, EXECUTOR 1473 GUY BAKER RD 1473 GUY BAKER RD HICKORY NC 28601 HICKORY NC 28601 82 8-324-003 5 828-324-003 5 NAME TO APPEAR ON PERMIT DANIEL HUFFMAN, EXECUTOR Pin#: 373214343601 SITE ADDRESS: 1304 W 1ST ST, Hickory, NC DIRECTIONS: FROM CONOVER WEST ONIST ST (OLD HWY 70) PASS SECTION HOUSE RD/ IST BRICK HOUSE AFTER CANELLA HEATING & A/C ON RT NAME of SUBDIVISION: CLYDE HERMAN PROP Lot # PT 29&64 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.2 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: Water Using Fixtures in Basement: 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: 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 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 nor>-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. ilK- P, , ~ l-OL Date: Signature of Applicant or Agent f~ g An Environmental Health Specialist will contact you within 2 working days of appli tton 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 Rear TOTAL FEES Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 02/17/10 14:59 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 1. Name to Appear on Permit z6 ~ V /ff 11114W 2. Permit Requested By Ml~ ` , 6(6' 61rdl2 Business Phone 2e5 -32~-GD3~ Address /zl%3 G~&y (3A1 12,9, Cv~/Dt/~(i IV, G, }lv Home Phone T Business Phone 3. Property Owner i; 15- 11 E ~-rlq 5' Al, e" Home Phone Address / t~ /Si, 4. Name of Subdivision Lot # Section/Block/Phase Property Address G /S>; .Si lt/F J GCA/~(/Cc~% i ~~iG( Directions to Property: M Cd c CGS s` G S% S%' l W ~D D~ ~SGG~~//// S .20~ /ST ~2iz~G /~D715 /r~i C%~,t/,~t~/} /f`•r/l~ D~ fD A/G D 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House _ Mobile Home Dimension of Structure 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 may prevent the need for system size increase in the future. Basement: ee no Water Using Fixtures in Basement: ye 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: 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 No 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 wel County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: ~4 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 ~ /7 ~D~~ Signature of Owner or Agent - ~XEGU1~2 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel 19: 3732-14-34-3601 Name: HERMAN HENRY E ESTATE Name2: Address: PO BOX 4216 Address2: City: HICKORY State: NC Zip: 28603-4216 Account: 159752705 Calc Acreage: 1.2 Tax Map: 166H 05008 LRK: 56824 Deed Book: 2009E Deed Page: 0483 Subdivision Name: CLYDE HERMAN PROP Subdivision Block: A Lots: PT 29&64 24-28 Plat Book: 3 Plat Page: 28 Building Number: 1304 Street Name: 1ST ST W Site Zip: 28601 Township: HICKORY Fire Code: City Code: CONOVER State Road: 1007 Total Bldgs Value: $94,400 Land Value: $52,000 Total Value: $146,400 Year Built: 1936 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P28 E911 District: CONOVER Zoning: B-4 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: CONOVER Split Zoning Dist: N Split Zoning Dist(1):0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: WEBB A MURRAY Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010304 Census Block 2010: 2059 Small Area Plan: Agricultural District: Printed: Wednesday, February 17, 2010 02:49 PM Catawba County, North Carolina This map product was prepared from 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 anv 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 anv person or entity,. Legend Selected Parcel Number: 3732-14-34-3601 1 inch =111 feet Prepared for: cr, /119 2 ti. Y f ~f i t5y 6 Z 100 { 75 i e.,. 37.5 137.5 4 1 200 { ~nj 1 1 I 1 I + ~ 4 cry f 'i.38A { { r . 0750 42' 4i { 40{+ 39 l 8 37 36 ~5` 33 33 1 32 3 r30 2 W 4 28 { 27 i 26 1 25 24;`: 23 22 ti 21 2Cs { 19 { 18 17 { 16 15 . 14 13 ( 12 { 300 r } - L _ 1.20A,I - t 13671 t ?662?'' 4 { g6 09 70 71 + 72 {73 74 75 { 76 { _7.A. y y 80 4 81 82 59 60 { 61 62 { 63 { 65 /p1 1 52 + 53 54 { 55 56 57 ,tid + { { 4 { 1.53A 1502 { { lion) i { 4`. 37.5 TOWNSHIP _---r-=__ TOWNSHIP 5.01A 60 116. 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