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Home My WebLink AboutEHPR-2-10-3964.TIF A $ C THIS IS NOT A PERMIT Case # EHPR-2-10-3964 a CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 184 5M Environmental Health Plan Review - OSWP EXS_S YS TEM APPLICANT OWNER CONTRACTOR GUY CLIFFORD BAKER III GLADYS BAKER 1693 SKYHAWK LN PO BOX 702 CONOVER NC 28613- CONOVER NC 28613-0702 (828)312-8731 NAME TO APPEAR ON PERMIT GUY CLIFFORD BAKER III Pin#: 3743 1 1 566099 SITE ADDRESS: 1387 CESSNA LN 21, Conover, NC DIRECTIONS: HWY 16N/ LT C & B FARM RD/ LT CESSNA LANE/ TAILDRAGGERS MHP ON LF FOLLOW RD TO SKY KING MHP / LOT 21 ON LF AT END NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 12.079 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 70 Bedrooms Basement: No Water Using Fixtures in Basement:No No. in Family 4 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 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: L'- jq 11c) Signature of Applicant or Agent 6Z& CL'46"t'.s C-xn- 1'e"-, ~„-Y- An Environmental Health Specialist will contact you within 2 working days of application dam. 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 10 FEE NAME DATE AMOUNT Side 10 Existinp_ Tank Check Fee 02/19/2010 $80.00 Rear 10 TOTAL FEES Max Hght $80.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is. an additional $60 charge 02/19/10 12:28 A C ' THIS IS NOT A PERMIT Case # EHPR-2-10-3964 r Y T d CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR GLADYSBAKER GLADYSBAKER PO BOX 702 PO BOX 702 CONOVER NC 28613-0702 CONOVER NC 28613-0702 NAME TO APPEAR ON PERMIT GLADYS BAKER ~ ~ C( ~er. Pin#: 37431 1566099 SITE ADDRESS: 1387 CESSNA LN 21, Conover, NC ` .2 DIRECTIONS: HWY 16N/ LT C & B FARM RD/ LT CESSNA LANE/ TAILDRA~, O OLLOW RD TO SKY KING MHP / LOT 21 ON LF AT END NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 12.079 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 70 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 4 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: 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 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: _ Signature of Applicant or Agent f An nvironmental Health Specialist will contact you within 2 workin ays of application date. If you need further information or assistance please call 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) A\ p ~w ~i Zoning Approval: _/Yes No Zoning Approval 1O %U O Zoning Form A Minimum Setbacks Front 10 FEE NAME DATE AMOUNT Side 10 Existing Tank Check Fee 02/19/2010 $80.00 Rear 10 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 02/19/10 12:09 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 -4 Ake 2. Permit Requested By Business Phone $2-'E - z/ (o q Address iLpg3 Sk- lk&A,,.rk LaPr2 , Co,,,e-ve2 , N/ C. 2%cvi3 Home Phone ~s28~3~2- 8731 3. Property Owner G(46T a k>? r Business Phone Address 8n, r3ox 7o 2 C,.,ovef Home Phone 4. Name of Subdivision Skv k NU lM,o 6, le- l-n e 64,1<, Lot I Section/Block/Phase Property Address 1387 CP_5S;"p L✓ lVt Cor.jayev' Directions to Property: oiv C-t 13 fL ~e 55Nff Ll4NL' 6> CIND 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure t_4 X -7 U 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: yes/ _ Water Using Fixtures in Basement: yes~~ No. in Family Whirlpool Tub y s/rno 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 I 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 No If so, describe: v 9. Are there easements/right-of-ways recorded on this property? Yes / 1)o 10. Is a public water supply available on or adjacent to the above property? (S) / No Check type that is available: [ ] Community well [ ] Semi-public well [bounty/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 0 BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, TH E IS AN ADDITIONAL CHARGE.** Date 2 Signature of Owner or Agent Catawba County, North Carolina This mop product was prepared ji•om the Calawbo Count A'C. Geographic hiform(mon S- seem. N Cmmrba Coruvi~ has made substanlin/ efforts to ensm'e the accurnc>> of locution and labeling infornralion comained ou this mop. Calmrbn Counrn promotes mid recommenels the independent verification of mnv data contained on this map product by the user. A e Count vof Catmrba, its emplo-vees, agents and persmmel disclaim, and shall not be held liable for am and all clanutges, loss m liabilav, whether direct, indirect or consequential which arises or map orise from this map product or the it-se thereof hi' am persrnt or cntilu Legend Selected Parcel Number: 3743-11-56-6099 i inch = 200 feet Prepared Tor: t a t t i 1 I .n r ~ ' y ~ ~ ~ 4' •r~ `t 1.%/P' ~ ~ <l~ - . 12 10 ` !1 - - i 1 ' sT Ru;~ 1 _ _ rGR o' RP\ c y 61\"t I k F CA pypv _R J z i Ra r n N t ;a r THiS IS NOT A LEGAL DOCUMENT Friday, February 19, 2010 11:27 AINI1 C~~/: 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 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: 3743-11-56-6099 1 inch = 200 feet Prepared for: e ..v. y } A 1.4 x i r~ t r i' b J~ P ` a r R-20 z:' r N; , t ~ 'T" -fix r l ~ \OI A ~l C U -UOC UMl ~ I ~~a.~~~~~~ rtd~t Fcl)i u:u c~ 19,_'llI II 11.26 AM / ~'_a zY v 4 CATAWBA COUNT 1EALTH DEPARTMENT NO 6320 Telephone (828) 4b:)- 270 TOD (828) 465-82 Imp Prmt. Auth. to Const. Rpr Prmt. Opr Prmt. Sys Type Well Print. Well Rpr Prmt. Owner/Agent ~rro K Q Phone C Address Q~ o yc `7(? C 0 .'1e t J Q r Subdivision 1. Section/Block/Phase , L Lot Size -~-,-r a Directions LT C- Z 1 2 5 5 t-, L C, v% 1 -1; 9 Facility- House Mobile Home Business Multi-family Other- Tax Map or Pin Number . - - - O Other Zoning A~,proval # 601 # Bedrooms # Seats # Employees Application Rate -ZIP 5 GPD Flow 3 6 c> Hot Tub or Spa yes/ 0pe 'al Fixtures Basement yes/i~ 100% Repair Are e o Basement Plumbing yes/t 0 Water Supply- Private Well Public Semi-Public Type of System- Tr n ~ Bed Pump Pump/Panel Panel LPP Other l Septic Tank Size 00 Pump Tank Size Nitrification Field. Total Square Feet I OX $ Depth of Stone Bed Size Trench Width Total Length of All Trenches 3~0~, Number of Trenches Trench Length ) ~tl-ffq/ Feet on Center Maximum Trench Depth 36 Distance of Nearest Well *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo % Slope li Q55hC" L C. h Q, Texture 5 1 .Structure ( 30 p`iQ Clay Mine Soil Wetness Soil Depth q Restric Hoz at -0" ti q Available space (ej/no I M Overall Class S 111~'U i ~D 0 `n Comments r-as Try ,A, p~oWemSj -3 b`\ Tf-e 'c ~ X60 °1G ('e~G-~r' GGhu N Filter Required Riser required when tIrd ank is more than 6 inches deep. I t- r= e **NO GUARANTEE OR WARRANTY IS IMPLIED IS 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 portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guarantee at an site by the Health Department. Permit Date - `1 EHS Owner/Agen Septic Tank Installed By Date EHS ell Installed By Well Grout App va Date Well Head Appr val Date Date Sample Collected Date of Results Results EHS White Office Blue Buildine Inspection ODeration Permit Yellow Owner/Aeent Green Building Inspection Authorization to Construct CATAWBA COUNTY PERMIT ~A co ZONING AUTHORIZATION (R) Manufactured Home ~qp, P. o. B°` 339 PERMIT NO: ZONR-2-10-4838 100A Southwest Blvd APPLIED: 02/19/2010 J Newton, North Carolina 28658 ISSUED: 02/1 912 0 1 0 SM Phone: 828-465-8380 EXPIRES: 03/18/2010 PAX: 828-465-8484 Nvww.catawhacountlmc.gov APPLICANT OWNER CONTRACTOR GLADYSBAKER GLADYSBAKER PO BOX 702 PO BOX 702 CONOVER NC 28613-0702 CONOVER NC 28613-0702 PROPERTY ID#: 37431 1566099 CENSUS TRACT: STREET ADDRESS: 1387 CESSNA LN 21, Conover, NC LOT# PROJECT DESCRIPTION: SW MOBILE HOME / Must meet County Appearance Criteria and each manufactured home space shall be provided at one door location with a concrete pad or a treated wooden deck of a minimum of 100 square lect. Which shall be connected to the parking area by an impermeable walkway. DIRECTIONS: COMMENTS: SW MOBILE HOME 14 X 70 / Must meet County Appearance Criteria and each manufactured home space shall be provided at one door location with a concrete pad or a treated wooden deck of a minimum of 100 square Icct. which shall be connected to the parking area by an impermeable walkway. FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 10.00 SIDE: 10.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 10.00 SIDE I: 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 lines where the structure is being placed or constructed. 2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage. 3. All manufactured homes must he underskirtcd before power can be connected. 4. Only one manufactured home shall be allowed per lot or parcel of land. 5. Home shall have either deck or porch with steps, located in the front of the home (minimum sire shall measure at least 36 square feet). FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Pee 02/19/2010 $25.00 TOTAL FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Coil] pilialice are true and correct, and acknowledues that this icrmit was issued on the basis of the information required herein. The applicant further acknowled-cs 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 ccrtifiaition ol' 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 buildin peri nit is secured and remains active. .1 Al - APPLICANT NAME (I'RINTED) APPLIC) SI ,NATURE ZONING AiTROVED BY "ZONING FEES ARE NON-REFUNDABLE CON,IPANY NAME 02/19/2010 12:08 Page I of I ~g'p' C~~ ^ • CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE Q+ F-] Newton, NC 28658- (828)465-8399 465-8399 Friday, February 19, 2010 184 2 sM www.catawbacountyiic.gov Plan Case: EHPR-2-10-3964 Invoice Number: INV-2-10-259743 Environmental Health Plan Review Invoice Date: 02/19/2010 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 02/19/2010 Check 1808 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 phn invoice : cb5ccabd-r-10-4345 1)bb I - 31;02756e2;()c; .rpt 02/19/2010 12:10