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Home My WebLink AboutEHPR-2-10-4091.TIF THIS IS NOT A PERMIT Case # EHPR-2-10-4091 a CATAWBA COUNTY HEALTH DEPARTMENT v C;: ~C Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER ~d1VTRACTOR CHRISTOPHER HUITT American General Financial Services Inc. 5231 HUDSON CHAPEL RD 2725 Northwest BLVD 1 CATAWBA NC 28609- NEWTON NC 28658 (828)408-9790 828-464-6183 NAME TO APPEAR ON PERMIT CHRISTOPHER HUITT Pin#: 362910268390 SITE ADDRESS: 2763 BURNLEY RD, Newton, NC DIRECTIONS: HWY 10 W - TURN ONTO T14ORN RIDGE DR - TURN RIGHT ONTO BURNLEY RD - 2ND MOBILE HOME ON RIGHT NAME of SUBDIVISION: MILL CREEK SUBDIV Lot # 22 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.529 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 50 X 60 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 0 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 Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO 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 house or structure location should conform to applicable setbacks. Datebrt - -2 Z, Qvv a 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 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE _ AMOUNT Side Existing Tank Check Fee 02/26/2010 $80.00 Rear 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 02/26/10 14:53 THIS IS NOT A PERMIT ~PLSf -}/~/1 _Z cj~ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct El Septic Repair D Septic Expansion ❑ Existing Tank Check V] New Well Permit E] Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit (,kf is e.f Ottl 2. Permit Requested By SUrne~ Business Phone Address 5~3 i t a 1 /24-AJ,1 CV Home Phone 3. Property Owner C(, C unpr i Business Phone Address ofF~wPS blvd Pul n te, Home Phone 4. Name of Subdivision I 1, l ` r eel( Lot Section/Block/Phase Property Address 0-7 3 h Ivy Pd Directions to Property: ]LOW -V o(n r,ci-e- [;9,kfcy\ r r;gbf Dt 5. Property Size: Square Feet Acres !53, Date Platted/Recorded 6. TYPE OF FACILITY House Mobile Home Dimension of Structure Jr Bedrooms* * g = o 'Y t bum i t Any doom tl_iat~ ~l]` h~ intended for slee rn attne tirue of ~ ~nsiructl nor 1nr future consideration should be noted as_a bedroom antic oust on all apphc.ition>:'The number of be m, wtIlbe confirmed by rooms sdentified on house plans as a bedroom at_tlie thn 0 t l~iiildmg,permir 5suaz}ce This, may prevent tlicEneed,for system side increase m the future. Basement: yes/0 Water Using Fixtures in Basement: yes/C1 No. in Family V 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 Ist 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes N If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes 6'10'/ 10. Is a public water supply available on or adjacent to the above property? Yes 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 ANDIOR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.** n 4 , ~ Signature of Owner or Agent ts~c~Q~ , R Dat~~~/J 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 ofany 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: 3629-10-26-8390 1 inch = 60 feet Prepared for: • v ~ 1 >S S4 17S 00 00 7402 9443 o /4, i 21 L .00 C) l 33 9S o 8 90 11'V 22 rn _ r `1 t`~ Z 0-2$8 Ib 34 243.00 C~ i / Q) / ;8138 23 oti + 24 ~ 710T. THIS IS NOT A LEGAL DOCUMENT > Fri, February 26, 2010 02:37 PM i I9 rn CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3629-10-26-8390 Name: AMERICAN GENERAL FINANCIAL SERVICES INC Name2: Address: 2725 NORTHWEST BLVD STE 1 Address2: City: NEWTON State: NC Zip: 28658-3773 Account: 159744714 Calc Acreage: 0.53 Tax Map: 095N 02022 LRK: 43690 Deed Book: 2894 Deed Page: 0216 Subdivision Name: MILL CREEK SUBDIV Subdivision Block: Lots: 22 Plat Book: 22 Plat Page: 283 Building Number: 2763 Street Name: BURNLEY RD Site Zip: 28658 Township: NEWTON Fire Code: NEWTON RURAL City Code: COUNTY State Road: Total Bldgs Value: $75,100 Land Value: $9,400 Total Value: $84,500 Year Built: 1990 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 92 Watershed: Watershed Split: Voter Precinct: P34 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: ED-0 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: 2037 Small Area Plan: STARTOWN Agricultural District: Printed: Fri, February 26, 2010 02:37 PM CATAWBA COUNTY, NC 100-A South West Blvd Newton, NC 28658- (828)465-8399 PLAN RECEIPT Friday, February 26, 2010 184 2 sM www.catawbacountync.gov Plan Case: EHPR-2-10-4091 Invoice Number: INV-2-10-259929 Environmental Health Plan Review Invoice Date: 02/26/2010 Site Address: 2763 BURNLEY RD, Newton, NC APPLICANT OWNER CHRISTOPHER HUITT American General Financial Services Inc. 5231 HUDSON CHAPEL RD 2725 Northwest BLVD I CATAWBA NC 28609- NEWTON NC 28658 (828)408-9790 828-464-6183 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 02/26/2010 Cash -1 $80.00 $0.00 Total Paid: $80.00 Payer: CHRISTOPHER HUITT Total Due: $0.00 plan receipt ;03h 9~~_-a7~b-.1 t~i9-b3e2-c"~di~~iit~=162; rpt 02/26/2010 14:52 (Xouq uO golaXs eq zo pas uT uoT~eu~;o~uT/sa8tygga Aug ajON) UuTZUgTUSg, - , ,%•~"aisQ Ail PaiielsvI S crvu usTzelTurs jua8v/saunp (941000 09 zaliv PTOA gTazad q auanozdul) aIRG aTvuad ~wurww ~t+fa~~r~rw~c+~awaa~wc+c~ I I I I VIVID of 0 : squamoo '?i TI/ I S BNWI0 i TuiaA0 IOU/ a aasdS ajgvTTBAV V,~ ~S I qe •zOH •0Tzgsad 4adaQ T!OS S I ( ssaugam J !0S (y, i ~ 'UTji] AEI a d C7 C I ainaocugS I azngxaj, jeuid - usisaQ uajseS _ alTS uoTqunjsA3 aoi JO goaaxS I adolS Z odol (sgquOe hZ zalJV PTOA) ou/saL panozddV :00T1untegg lOZ jjaM IsaisaN ;o aouegsTQ 41daQ govazZ unuixsW zaaua0 Uo load QJ/ DY/0~ygEual youall jenptATPUI sayauazZ ;o zaqunN (fo sayouazs ITV JOdglaua7 jegoy g7P1!! gOUa3Z azTs pag avojS jo ygdaQ Q .Z gaa3 aisnbS jeaO,L :Piatd uOTlv0T;TxlTN xueZ dund Auey 011daS : azTS Xuu1, (A;ToadS) za4a0 ■alBAS Pa8 gouaz.L majs[S Jo add, ',LIN2IId oTiq d agEATzd •djddn$ zaluM 30 3.LVQ N0Hd SxVQ 80 SAVQ 0£ jok /sae auiqunjd guauas~ ~o~sae juauasve MULLIM 39 LSf1W SHIVd3H :30LWN 2IIVd3II saznjxi3 jsToadS OU/sae udS zo qn.L jo13 J : abed uoTgeoTjddV AOi3 QdO saaeojdu3 S-4sas ~ suoozpag oU/sae PazV zTedajl X001 za4-40 eiTus;-TginN # Oa/sae jenozddV Buiu0z :3agl0 ssauisng auog ajTgoW asnog :AgTjTaud uo ' c 57 - r ~ rJI -7 n :SUOT4Oa3iQ ants qoZ ltaO'I A00TH/UOT10aS uoisTAipgns ssasppV auogd r~ .n a n b quasy/=aur40 ITnzad UOTjajduo3 aT~Sd zTeda2I aTu=ad auauanosdal UO1junTwA3 lo-1 00 6 00 oN OLZB-s9 (tio't) 1JMW Yd3Q R171k/lm f o VsMVZVo -Add