The URL can be used to link to this page

Home My WebLink AboutEHPR-2-10-4059.TIF THIS IS NOT A PERMIT Case # EHPR-2-10-4059 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 ski Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT - - OWNER - CONTRACTOR- JENNIFER A TOWNSEND WALNUT GROVE LANE LLC PO BOX 2571 6090 TUCKBOROUGH RD HICKORY NC 28603- HICKORY NC 28601- (828)612-9141 NAME TO APPEAR ON PERMIT JENNIFER A TOWNSEND Pin#: 269910257759 SITE ADDRESS: 5845 WALNUT GROVE LN, Hickory, NC DIRECTIONS: HWY 127 S, CROSS JACOB FORK RIVER BRIDGE TO TOP OF HILL, LEFT ON WALNUT GROVE LN BESIDE JACOB FORK GALLERY, VEER RIGHT ABOUT 100 FT, BRICK WAREHOUSE ON RIGHT NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.36 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 0 Basement: No Water Using Fixtures in Basement:No No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 0.00 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 2.00 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: CHANGE OF USE FROM WAREHOUSE/MANUFACTURING TO POTTERY CLASSROOM Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO 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 property. Any representation by you of hou or structure location should conform to applicable setbacks. i Date: f~ Z 5 0 Signature of Applicant or Agent An Environmental Health Specialist will contact you withi 2,workitrig days of application date. If you need further information or assistanc4 ease 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 Improvement Permit Fee 02/25/2010 $150.00 Rear 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 02/25/10 13:15 THIS IS NOT A PERMIT WLS# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services IP AC ( S.T. Rpr. ( S.T. Exp. JX Exist. S. T. j Well Permit I- Replacement Well 1. Name to Appear on Permit: Walnut Grove Lane, LLC 2. Permit Requested By: Jennifer A. Townsend Business Phon828-612-9141 Address: [po Box 2571, Hickory, NC 28603 Home Phone: 828-294-1678 Roger Keith Townsend, Jennifer Arrowood Townsend 3. Property Owner: Business Phone: Po Box 2571, Hickory, NC 28603 Address: Home Phone: 4. Name of Subdivision: F- Lot Section/Block/Phase. 5845 Walnut Grove Lane, Hickory, NC 28602 Property Address. F- Directions to Property: HWY 127 South toward Propst's Crossroads. Cross Jacob Fork River bridge. At top of hill turn left on Walnut Grove Lane (beside. ldatq) Fir's v.~ , vQie-v" y-~r lv' zG~r, IOU W~'vc'kc-~-~c~ ~tY~V tsl' j ' SO h c_ ),V\. 5. Property Size: Square Feet 600o Acres 1.36 Date Platted/Recorded 6. TYPE OF FACILITY: House C` Mobile Home Dimension of Structure Bedrooms*F *Any room that will be intended for sleeping at the time of construction or for future consideration should be i .oted as a bedroom and counted on all applications. The number of bedrooms will be confirmed by rooms identified on the house plans as a bedroom tthetime of building permit issuance. This may prevent the need for system size increasein the future. Basement: C' Yes No Water Using Fixtures in Basement: C Yes (o No No. in Family: Whirlpool Tub: C' Yes (o No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units I Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats F-Square Feet Dining Area Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: Pottery/Art classrooms No. of Employees 1st Fseeattacb 2nd F~'f6H'v' V~ 3rd F OTHER: (Specify) 7. Do you anticipate any additions to Facility? C: Yes (-No If so describe additional 15 parking spaces 8. Has any grading, removal, or addition of soil been done to this property? Yes C: No If so describe , 9. Are there easements/right-of-ways recorded on this property? 'Yes VINo 10. Is a public water supply available on or adjacent to the above property? Yes (e No Check type that is available: I- Community Well Semi-public Well County/City/Township waterline 11. Well Type Applying For: F Individual Well Community Well I- Semi-public Well I- Irrigation Well F_ Geothermal Well 12. Monitoring Well Request:(- Yes (-No # of Wells: F- Name of Site: I understand that this 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE Date: 2/25/2010 Signature of Owner or Agent: C4'/ v Print Form ool~ 3;-~1770,V OCCUPANCY INFO SEPTIC TANK INSPECTION /APPROVAL WALNUT GROVE LANE, HICKORY, NC Pottery Classrooms: - 2 classes per 8 week session - Classes run 4 days per week - Classes run 9am - 12pm and 2pm - 5pm - Maximum 10 students per class - IInstructor Pottery Apprenticeship: Planned 6 months into program 9am - 5pm 4 students and 1 Instructor Pottery/Art Workshops: Lasting a weekend, max 7 hours per day - 6 per year, every 8-12 weeks Maximum 30 attendance and 2 artists/leaders TALLY: Regular classroom sessions: 21 people Regular classroom sessions with Apprenticeship: 26 people Weekend Workshops (not during classroom or apprenticeship times): 32 people 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 jar any and all damages, loss or liability, whether direct, indirect or consequential which arises or may mdse from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 2699-10-25-7759 1 inch = 60 feet Prepared for: 275.25 up 33,38 45 QQ 8072 X35 9.95 '9~ PAC `iir CO A -A CD 0 0) IT ~f 71~~d, i'at4 N ~ ~h ~ t ~i 1.36A-- -7759 CO 1> N V- ~1>2 4> THIS IS NOT A LEGAL DOCUMENT Thursday, February 25, 2010 12:50 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 2699-10-25-7759 Name: WALNUT GROVE LANE LLC Name2: Address: 6090 TUCKBOROUGH RD Address2: City: HICKORY State: NC Zip: 28601-8627 Account: 157966000 Calc Acreage: 1.36 Tax Map: 001 J 01001 F LRK: 186 Deed Book: 2861 Deed Page: 0165 Subdivision Name: Subdivision Block: Lots: Plat Book: 24 Plat Page: 195 Building Number: 5845 Street Name: WALNUT GROVE LN Site Zip: 28602 Township: JACOBS FORK Fire Code: PROPST City Code: COUNTY State Road: 127 Total Bldgs Value: $206,700 Land Value: $23,800 Total Value: $230,500 Year Built: 1990 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 89 Watershed: WS-III Protected Area Watershed Split: NO Voter Precinct: P3 E911 District: COUNTY Zoning: RC Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BANOAK Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: R-297 Census Tract 2010: 011802 Census Block 2010: 3000 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Thursday, February 25, 2010 12:50 PM V .POS - Transaction Receipt Page 1 of 1 Transaction Receipt Catawba County, NC Catawba County Permit Center 100 A SW Blvd Newton, NC 28658 828-4658404 02/25/2010 01:13PM Catawba022510131246123Eng 28830859 EHPR-2-10-4059 JENNIFER A TOWNSEND 1 N/A TOWNSEND/JENNIFER null null ************0257 Authorization and Capture Amount: $150.00 Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember's agreement with the issuer. Signature y" J click here to continue. https://www.velocitypayment.com/admin/catawbacountync/vpos/942/transactions/receipt/?... 2/25/2010 A. C0~ CATAWBA COUNTY, NC I00-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Thursday, February 25, 2010 j84'L sM www.catawbacountync.gov Plan Case: EHPR-2-10-4059 Invoice Number: INV-2-10-259888 Environmental Health Plan Review Invoice Date: 02/25/2010 Site Address: 5845 WALNUT GROVE LN, Hickory, NC APPLICANT OWNER JENNIFER A TOWNSEND WALNUT GROVE LANE LLC PO BOX 2571 6090 TUCKBOROUGH RD HICKORY NC 28603- HICKORY NC 28601- (828)612-9141 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 02/25/2010 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Payer: ANGELA TOWNSEND Total Due: $0.00 plan receipt ; 8af,13e05-04 is-11 a4-0363-bfe I da_i55291).rpt 02/25/2010 13:15