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Home My WebLink AboutEHPR-2-11-9565.TIF K A ` THIS IS NOT A PERMIT Case # EHPR - - 11 - 9565 III a CATAWBA COUNTY HEALTH DEPARTMENT \ ' s Plan Review Application for Environmental Services Environmental Health Plan Review - Accessory Structure \842 SM Rey iSed 2JgJi( IMPROVEMENT _ .V 4if{et CO . ,j NAME TO APPEAR ON PERMIT DEREK CRUMP SITE ADDRESS: 1827 KOOL PARK RD NE, Hickory, NC Pin#: 372409064347 NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.289 DIRECTIONS: FROM SANDY RIDGE RD TURN RT ONTO KOOK PARK RD/ SANDY RIDGE BAP CH IS ON RT / GAS STATION LF/ TAKE RT PASS CH/ TO 1.2 MILES TURN LF / CLUSTER OF MAIL DRIVE RIGHT BEFORE THEM/ LONG GRAVEL DR CIRCLES AROUND APPLICANT OWNER CONTRACTOR DEREK CRUMP DEREK CRUMP 1827 KOOL PARK RD 1827 KOOL PARK RD HICKORY NC 28601 HICKORY NC 28601 828 - 291 -6531 828 -291 -6531 PRIMARY CONTACT: Owner APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 50 X 32 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 1 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is **NOT ** available for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: NEW METAL STORAGE BLD 45' X 24' DESCRIPTION OF HOUSE / DETACHED GARAGE/ WELL HOUSE /TWO STORAGE BLD/ EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EASEMENTS: YES DRIVE WAY PROPOSED CONSTRUCTION ACCESSORY STRUCTURES DESCRIPTION: METAL STORAGE BLD 45' X 24' # OF NEW BEDROOMS: STRUCTURE DIMENSIONS: 24' X 45' ACC DWELLING? No PLUMBING? No # OF STRUCTURE OCCUPANTS: 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 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 ARE A2 Minimum Setbacks: Front: 40 Side: 5 Rear: 5 Side St: Max Height: 02/25/11 11:05 4 ,A . CATAWBA COUNTY Case # EHPR -2 -11 -9565 1 11� Public H Departm Subdivision Environmental ealth H ealth Division ent -Plan Review L) '' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 1842 w PIN# 372409064347 Applicant/Owner DEREK CRUMP, 1827 KOOL PARK RD, HICKORY NC 28601 Site Address: 1827 KOOL PARK RD NE, Hickory, NC Property Size: SF 1.289 ACRES Directions: FROM SANDY RIDGE RD TURN RT ONTO KOOK PARK RD/ SANDY RIDGE BAP CH IS ON RT / GAS STATION LF/ TAKE RT PASS CH/ TO 1.2 MILES TURN LF / CLUSTER OF MAIL DRIVE RIGHT BEFORE THEM/ LONG GRAVEL DR CIRCLES AROUND FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 02/23/2011 $150.00 $0.00 TOTAL FEES $150.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 02/25/11 11:05 -!.16,s; THIS IS NOT A PERMIT Case # EHPR - - 11 - 9565 E , i CATAWBA COUNTY HEALTH DEPARTMENT o 1 Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - Accessory Structure IMPROVEMENT NAME TO APPEAR ON PERMIT DEREK CRUMP SITE ADDRESS: 1827 KOOL PARK RD NE, Hickory, NC Pin#: 372409064347 NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.289 DIRECTIONS: FROM SANDY RIDGE RD TURN RT ONTO KOOK PARK RD/ SANDY RIDGE BAP CH IS ON RT / GAS STATION LF/ TAKE RT PASS CH/ TO 1.2 MILES TURN LF / CLUSTER OF MAIL DRIVE RIGHT BEFORE THEM/ LONG GRAVEL DR CIRCLES AROUND APPLICANT OWNER CONTRACTOR DEREK CRUMP DEREK CRUMP 1827 KOOL PARK RD 1827 KOOL PARK RD HICKORY NC 28601 HICKORY NC 28601 828 - 291 -6531 828 - 291 -6531 PRIMARY CONTACT: Owner APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 50 X 32 EXISTING FACILITY TYPE: Accessory Structure NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 1 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is * *NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: NEW METAL STORAGE BLD DESCRIPTION OF HOUSE / DETACHED GARAGE/ WELL HOUSE /TWO STORAGE BLD/ EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EASEMENTS: YES DRIVE WAY PROPOSED CONSTRUCTION ACCESSORY STRUCTURES DESCRIPTION: METAL STORAGE BLD # OF NEW BEDROOMS: STRUCTURE DIMENSIONS: 24' X 45' ACC DWELLING? No PLUMBING? No # OF STRUCTURE OCCUPANTS: 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: 2- Z �'� � Signature of Applicant or Agent e/ An Environmental Health Specialist will contact you within 2 working days of applic n date. If you need further information or assistance please call 828 -466 -7291 AREA2 Minimum Setbacks: Front: 40 Side: 5 Rear: 5 Side St: Max Height: 02/23/11 16:36 $A CATAWBA COUNTY Case # EHPR - - - 9565 .6,. Public Health Department Subdivision Aiwm a Environmental Health Division - Plan Review d " PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# / g . 2 s, PIN# 372409064347 Applicant/Owner DEREK CRUMP, 1827 KOOL PARK RD, HICKORY NC 28601 Site Address: 1827 KOOL PARK RD NE, Hickory, NC Property Size: SF 1.289 ACRES Directions: FROM SANDY RIDGE RD TURN RT ONTO KOOK PARK RD/ SANDY RIDGE BAP CH IS ON RT / GAS STATION LF/ TAKE RT PASS CH/ TO 1.2 MILES TURN LF / CLUSTER OF MAIL DRIVE RIGHT BEFORE THEM/ LONG GRAVEL DR CIRCLES AROUND FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 02/23/2011 $150.00 TOTAL FEES $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 02/23/11 16:36 ' INFORMATION IN THIS SECTION MUST BE COMPLETED ❑ rn b d b aznroaz�groaz az a m e b ( �v °U .aO R z °o ag o p 9 o g °' s4 11 o O ❑ 0 ' ,o ' c y ° ° - - o , a y N f y ? `e m e O n moo y v e 3 0 0 [" .. • B °e m m O 0. y n p n 0 3 ,°, . ,"5, o ° c m g S R � a ti o a ^ a (� O r (? b < m N 2 3 a❑,, x t f i m g i r7,' 0 w o ; ,n x C ° 3 rt � CA B e a ¢ ° O € x c , x o 3 ' o �+ z 7 q O A N °' y" c � + o c m m m 7 o $ N v m i. a p F 2 f a n ;n O c Y o' ° x ;I m g R- o' ❑ 9 g i n a r O m 0 g o 3 o o g o a a 9 w ° a ° ❑ x ti < 0 t y7„ � S a.� h 3 0 w n , 3 m S 0- q O a `w' a. . m ^'1 ❑ < z 5 E ' z n g— A a °a ° Y p O ¢ O ° \ v ._ c ° o a K ^ R e o Ci7 O n `� ❑ � ao a n Q n 1 .. 3 ❑ � �" r rm t=1 m"� it °< g ❑ y > — — — a '4 . s' s A x ma > f C" ,' '' "C N g n n n .0 ° C m d a ° °— �^ z y $ :- c c. c x S' O ❑ CL7 ❑ m ■ X z T A co F It O H •p ik j p N 1 S. 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O ffi a a o e A C ' o = ' ° 3 y o. ❑ a a 3 S. 4. c n N o 1 ° n "" w CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3724 -09 -06 -4347 Name: CR'UMP DEREK C Name2: Address: 1827 KOOL PARK RD NE I �C® Address2: AU City: HICKORY State: NC Zip: 28601 -9223 Account: 159751073 Calc Acreage: 1.29 jv Tax Map: 226H 02008 b6t' LRK: 65373 Deed Book: 2952 Deed Page: 0001 Subdivision Name: Subdivision Block: Lots: Plat Book: /' Plat Page: / ° Building Number: 1827 (/ Street Name: KOOL PARK RD NE Site Zip: 28601 Township: HICKORY Fire Code: COUNTY STEPHENS /ae (/ � /N i/ j City Code: CO J PC State Road: 1400 Total Bldgs Value: $80,600 Land Value: $23,000 Total Value: $56,600 1-17 Year ar Built: 1956 ' Year Remodeled: Last Sale Date: Last Sale Amount: IC A Neighborhood: 58 G ''� Watershed: Watershed Split: ��7 / l Voter Precinct: P29 l E ' C r I t E911 District: HICKORY ( )t2\() Zoning: R-3 Zoning2: Zoning3: c Zoning Split: N Zoning Overlay: District: HICKORY Split Zoning Dist: N / iGcit� 4 Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 • School District: COUNTY /f / Elementary School: CLYDE CAMPBELL Middle School: ARNDT High School: ST STEPHENS School Split: NO P &Z Case Number: Census Tract 2010: 010302 Census Block 2010: 3000 Small Area Plan: Agricultural District: Printed: Wednesday, February 23, 2011 04:12 PM Catawba County, North Carolina ' N. This map product was prepared from the Catawba County, NC, Geographic information System. Catawba County has nude substantial efforts to ensure the accuracy of location and labeling information A 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 ariJes or may arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3724 -09 -06 -4347 1 inch = 60 feet Prepared for: \\\\- 5 7 .45 ., — _t90 9 V 764 .41 24.98 . 59.35 O' 1.10A 2450 Lo 1.29A N 434 to C 1 ED N J Q r' 70) . 225.16 474.11 (170) i 7 \ T -), 4149 T" THIS IS NOT A LEGAL DOCUMENT Wednesday, February 23, 2011 04:12 PM 2117 �" \�\ ! 1 �.i