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Home My WebLink AboutEHPR-2-10-4057.TIF A THIS IS NOT A PERMIT Case # EHPR-2-10-4057 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT - EXPANSION APPLICANT OWNER CONTRACTOR DAVID HATFIELD DAVID HATFIELD 1028 GRAPEVINE DR 1028 GRAPEVINE DR CATAWBA NC 28609 CATAWBA NC 28609 704-677-9491/ 828-241-3996 704-677-9491/ 828-241-3996 NAME TO APPEAR ON PERMIT DAVID HATFIELD Pin#: 470003025645 SITE ADDRESS: 1028 GRAPEVINE DR, Catawba, NC DIRECTIONS: SHERRILLS FORD RD/ EAST ON ISLAND DR/ 1/4 MILES TO GRAPEVINE DR ON RIGHT NAME of SUBDIVISION: Lot # 2 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 11.739 Date Platted[Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 30 X 76 Bedrooms 4 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 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? NONE Type of Water Supply: Individual Well X 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 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 prope Any~pr enta ou of house or structure location should conform ~`t}o applicable setbacks. Date: -Z~' /v Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working ay of application date. If you need further information or assistance please call 828-466-7291 AREA 1 (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/Expansion) Fee 02/25/2010 $275.00 Rear 30 Improvement Permit Fee 02/25/2010 $150.00 Max Hght TOTAL FEES $425.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 02/25/10 12:31 THIS IS NOT A PERMIT W LS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit 9 Authorization to Construct El Septic Repair ❑ Septic Expansion Existing Tank Check ❑ New Well Permit El Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit W04 W K15 p 2. Permit Requested By b4V Business Phone 704-677- 9%,, Address Q Home Phone lUb-ZQ-59%, 3. Property Owner Business Phone -Aw1b 0A7 JA Address .d Home Phone - Z8 60q 4. Name of Subdivision Lot # Section/Block/Phase Property Address Dir~eectiQtions to Pro erty: 4604 a-4440 9br- 1, 4 M99 720 MkiLf- ,Vg 5. Property Size: Square Feet ZZ3,0 Acres 14 Jr Date Platted/Recorded 6. TYPE OF FACILITY: House X_ Mobile Home Dimension of Structure 310-X 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 is uance. This may prevent the need for system size increase in the future. Basement: yes no Water Using Fixtures in Basement: yes 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 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: 4. Are there easements/right-of-ways recorded on this property? Yes / No ,hp 10. Is a public water supply available on or adjacent to the above property? Yes No ('ji W - 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.** I l. 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. 1 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 T E P P TY, H IS AN ADDITIONAL CHARGE." Date Z-z5" !0 Signature of Owner or Agent 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: 4700-03-02-5645 1 inch = 100 feet Prepared for: 1440.00 r X231 q ° 211'2 Plat' v - \34 Plat 33-5~'~ 0 ,~rL T ~Q Plat 58-12 19,01 21- J 99 9 02 ~j THIS IS NOT A LEGAL DOCUMENT Thursday, February 25, 2010 12:03 PM Poo T 05873 .***Op. Permit and/or Cert. Op. Required (Must be completed prior to final) CATAWBA COUNTY HEALTH DEPARTMENT (704) 465-8270 Lot Eval._4e:Lfmprove. Permit 4~epair Permit Cert. of Comp. Permit=-°''bper. Permit Owner/Agent pW V S- - ~ Phone Address ox .~i3 Subdivision C>.~T fA;9,po . ey -;Z, ~ Section/Block/Phase Lot# Lot Size %s Directions: dSi,~C,lLlel tc,.S- Fnn-D " ~/=T t~-T ,C 1) l: N L r~r7~G %S_ _ 'Pap, v, N P.P C )4)m 0.4 t-n i L e Facility:-House Mobile Home Business Other: Tax Map # Multi-family Other Zoning Approval # Zq4o oc~gQ Bedrooms 3 Seats Employees Application Rate GPD Flow Hot Tub or Spa yes~Special Fixtures 100% Repair Area yes/no REPAIR NOTICE: Basement yes Basement Plumbing ye . REPAIRS MUST BE WITHIN 30 DAYS OR Water Supply: Private/ Public DAYS FROM DATE OF PERMIT. Type of System: Trench rs Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank /060 Pump Tank Nitrification Field: Total Square Feet 906 Depth of Stone Bed Size Trench Width 3 e Total Length of All Trenches 3 00 Number of Trenches Individual Trench Length 7-5-1 7f-1 75-1 2-5-1- Feet on Ce ter ~ Maximum Trench Depth--2,v'!,- Distance of Nearest Well .SU Lot Evaluation Ap oved e o (Void After 24 months) 7* Topo 1..2 % Slope I Sketch of lot Evaluation S'te System Design Final Texture C!! s :KI Structure Clay Min. Soil Wetness Soil Depth ~V.~2, Restric. Hoz. at I YyS~ r - - ` _ Available space not Overall Class P Comments: I ' I n~ T; E'qi~ i~ 2 NGr~C 1WfA If -3 .4 Septic Tank Contractors I MUST contact the ( <<+ Sanitarian BEFORE changing permit. I'c c t 6 **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN THROUGH THE ISSUANCE-OF THIS PERMIT" Permit Date (Improvement Permit void after 60 months) Owner/Agent M~ Sanitarian _ I-- _ Installed By " Date 0-X2,-7_3 Sanitarian (Note any changes/information in red or by sketch on back) *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY. THERE******** IS AN ADDITIONAL $25 CHARGE. whito-nff;,.o ui„o_nlrln. Tncn. cmmn_ YR11nw-Owner/Agent Green-Bldg. InSD. I.P. CATAWBA COUNTY tqC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4700-03-02-5645 Name: HATFIELD DAVID Name2: HATFIELD PATRICIA Address: 1028 GRAPEVINE DR Address2: City: CATAWBA State: NC Zip: 28609-8244 Account: 101597 Calc Acreage: 11.74 Tax Map: 016 Y 03016B LRK: 300022 Deed Book: 2100 Deed Page: 1371 Subdivision Name: Subdivision Block: Lots: 2 Plat Book: 58 Plat Page: 125 Building Number: 1028 Street Name: GRAPEVINE DR Site Zip: 28609 Township: CATAWBA Fire Code: BANDY'S City Code: COUNTY State Road: Total Bldgs Value: $88,800 Land Value: $52,000 Total Value: $140,800 Year Built: 1995 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 128 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P21 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 1021 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Thursday, February 25, 2010 12:02 PM CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE F-; Newton, NC 28658- (828)465-8399 465-8399 Thursday, February 25, 2010 1842 sm www.catawbacountync.gov Plan Case: EHPR-2-10-4057 Invoice Number: INV-2-10-259885 Environmental Health Plan Review Invoice Date: 02/25/2010 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Authorization to Construct Fee Adjustable $275.00 (New/Expansion) Fee Total Fees Due: $425.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 02/25/2010 Cash -1 $425.00 $0.00 Total Paid: $425.00 Total Due: $0.00 plan imoice ;azf (lfct h-e3ea-lti> 1-31?'-922cc~ t09 }049~.Ipt 02/25/2010 12.30