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HomeMy WebLinkAboutEHPR-2-12-14420.tif p'A C THIS IS NOT A PERMIT Case # EHPR -2 -12 -14420 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP J =a� IMPROVEMENT _ d NAME TO APPEAR ON PERMIT > NATHANAELCARR SITE ADDRESS: 5567 CREEK POINT DR, Hickory, NC Pin#: 3734 9 NAME of SUBDIVISION: CREEK POINT Lot # 19 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.75 DIRECTIONS: HWY 127 N/ RT ON CLONINGER MILL RD/ LT AT LIGHT ON SANDY RIDGE RD/ RT ON SNOW CREEK RD/ LT AT LIGHT ON SULPHUR SPRINGS RD/ RT ON WANDERING LN/ GO THRU CATAWBA SPRINGS/ RT ON CREEKPOINT/ LOT ON RT APPLICANT OWNER CONTRACTOR NATHANAEL CARR CRM MID - ATLANTIC PROPERTIES LLC CONTACT PERSON 12504 SMOKEY DR 303 PEACHTREE ST NE 36TH FL 64 LEEWARD PT LOOPTAYLORSVILLE HUDSON FL 34669- ATLANTA GA 30308 NC 28681- (727)857 -1482 (828)466 -5859 PRIMARY CONTACT: Contractor APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: 30 X 70 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 4 EXISTING WATER SUPPLY IN USE: Public Water CALCULATED DESIGN FLOW: 360 Public water IS available for this property. PUBLIC WATER TYPE AVAILABLE: County/City/Township Water DESCRIBE WORK: NEW SINGLE FAMILY DWELLING DESCRIPTION OF N/A EXISTING STRUCTURES ON SITE (IF ANY) * * * ** COMBINED FLAGGING AND SOIL EVALUATION * * * ** PROPERTY EASEMENTS: NO PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 4 PROJECT DESC: SINGLE FAMILY DWELLING/ SIT BUILT PROJECT DIMENSION: 30 X 70 BASEMENT? No BASEMENT FIXTURES? No 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 h e or structure location should conform to applicable setbacks. Date: i Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working clays of application date. If you need further information or assistance please call 828 - 466 -7291 AREA2 02/03/12 1 1:21 �gA CATAWBA COUNTY Case # G Public Health Department EHPR - - - 14420 Q Environmental Health Division - Plan Review Subdivision CREEK POINT �. PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 19 ` 1842 SM PIN# 373407684699 Applicant/Owner NATHANAEL CARR, 12504 SMOKEY DR, HUDSON FL 34669 - Site Address: 5567 CREEK POINT DR, Hickory, NC Property Size: SF 0.75 ACRES Directions: HWY 127 N/ RT ON CLONINGER MILL RD/ LT AT LIGHT ON SANDY RIDGE RD/ RT ON SNOW CREEK RD/ LT AT LIGHT ON SULPHUR SPRINGS RD/ RT ON WANDERING LN/ GO THRU CATAWBA SPRINGS/ RT ON CREEKPOINT/ LOT ON RT Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 02/03/2012 $150.00 TOTAL FEES $150.00 CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 02/03/12 1 12 THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 /84 Im Improvement Permit n Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre- Approval Required) ❑ Application is for New Construction Existing Facility ❑ Property Address C V 'Ce k etc , °t� Subdivision IV C ' F., L' [ Lot # Acres , 75 1 Sect ' onBlock /Phase / Driving Directions to Property 1 7 /�, }_ �„ ( o i L�� 0 r , ' a4 y V u' a W h• G r' ��C W a NAME TO APPEAR ON PERMIT? d Owner ❑ Applicant ❑ Contractor O Applicant Contact Information V Name W Address m i )-c , Phone S- Cell Phone y - 4- j-4 Q Owner Contact Information Name Address r; � c � � 171:: � G ,, i v' C �, = -r : • "' � ._ � y' > O Phone � 7 _ I if : Cell Phone V Contractor Contact Information Uj Name Address S G) . Z Phone 2 ". 7 _ L Phone Z WHO WILL BE THE PRIMARY CONTACT? ❑ Owner Applicant ❑ Contractor Z Description of Existing Structures on Site _Q # of Bedrooms *t Structure Dimensions # of Occupants Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No Planned Future Additions or Improv // ements (Building Permit NOT requested at this time) O Describe LL. Proposed Future Structure Dime sions _30 X i O # of Bedrooms *t if applicable h ? Are there easements or right -of -ways recorded on this property ❑ Yes �o Describe Is a public water supply available on or adjacent to the above property" ' Yes No Check type available ❑ Community Well ❑ Semi - Public Well [ county/City/Township Water Line Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi - Public Well ❑ County/City/Township Water Line [r I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) A THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 I$42 , Proposed Facility Type [94 Residence 0" New Residence ❑ Addition to Residence # of New Bedrooms Project Description s ,w , _ �, ty, i (,;i ��r� i ��,� e Structure Dimensions ' 0 # of Occupants Basement El Yes o Basement Fixtures ❑ Yes ❑-No ❑ Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi- Family Residence # Units #Bedrooms per Unit* f Total # Bedrooms *t Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space - Entire Food Service Facility (Sq Ft) # Employees per Shift # of Shifts Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction /Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi - Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- site staff. *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 septic system size increase in the future. fIf structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. 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. W CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN W ADDITIONAL CHARGE (SEE FEE SCHEDULE) 4 1 understand that this is a formal application for Environmental Services and authorize Catawba County Environmental Health 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 V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the proposed facility. An Authoro'zation to Construct issued by this department is valid for Q0 (5) five years from the date issued and is not transferable Signature of Owner or Agent F .ra Printed Name of Owner or Agent Date r L o •�' s �� ok 1g5 5� 1111 fI -';rl jl l( 7 1 , l j O \, I / co 2' r 4699 i CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3734 -07 -68 -4699 Name: CRM MID - ATLANTIC PROPERTIES LLC Name2: Address: 303 PEACHTREE ST NE SUITE 3600 Address2: City: ATLANTA State: GA Zip: 30308 -3201 Account: 159767342 Calc Acreage: 0.75 Tax Map: LRK: 401664 Deed Book: 3055 Deed Page: 1910 Subdivision Name: CREEK POINT Subdivision Block: Lots: 19 Plat Book: 43 Plat Page: 64 Building Number: 5567 Street Name: CREEK POINT DR Site Zip: 28601 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: Total Bldgs Value: Land Value: $17,900 Total Value: $17,900 Year Built: Year Remodeled: Last Sale Date: 12/17/2010 Last Sale Amount: $12,000 Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P33 E911 District: COUNTY Zoning: R -20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SNOW CREEK Middle School: ARNDT High School: ST STEPHENS School Split: NO P &Z Case Number: Census Tract 2010: 010301 Census Block 2010: 1059 Small Area Plan: ST STEPHENS /OXFORD Agricultural District: Printed: Friday, February 03, 2012 10:48 AM CATAWBA COUNTY P.O. Box 389 100 -A South West Boulevard Newton, North Carolina 28658 -0389 rv� v http: / /www.catawbacouncync.gov Phone (828) 465 -8380 Fax (828) 465 -8484 Zoning Authorization Permit Application Applicant � � L's i eil CL / r Phone# R 20 - 4-Y;� Applicant's Fax # Applicant's E -mail • •` e n v16 Meli Gowl Applicant's Mailing Address 6 e r ✓ Ll, Yr u / G Property Owner Phone Property Owner's Mailing Address Parcel 911 Address PIN # Subdivision Name a nd Lot # Creek w. P, 1,4 it 4-t e/ y The proposed use for this building or land is �, 11 1 -e i e The building or land was previously used for /V List physical changes to building or land 'n yr� Business name if different from above / Applicant's Signature Date o z o Property Owner's Signature Date Applications for a non - residential development requires complete application along with submittal of 2 - (18 inch x 24 inch), 1- (8 inch x 11 inch) and a .PDF file of the development plan if available All information contained in Chart 2.1 of the Procedures Manual is to be included on the submitted plan. If the lot is not a lot of record, sufficient data must be provided to detail that the lot is a legally approved lot. When two or more lots are proposed for one zoning authorization permit, a recorded deed must be submitted combining the lots into one zoning lot The zoning authorization permit must include necessary information for the planning director to make a determination that the request is in compliance with the Unified Development Ordinance. Zoning authorization permits expire six months from the date of issuance unless a valid building permit has been issued for the work authorized by the zoning authorization permit. When a building permit expires, the zoning authorization permit shall also automatically expire. I (We) have read and understand and agree to abide by the Catawba County Unified Development Ordinance as it pertains to the development of the . I (We) certify that: 1 am (We are) the owner(s) of the property described hereon, which property is located within the jurisdiction of Catawba County, that I (We) agree to complete all improvements as contained on the submitted and approved development plan by (date). i Applicant's Signature !/ rwr Application Date _ L L ' 2 Pagel of 2 Land Public Report 6667 CREEKPOINT DR MLS #: 9562188 Asking Price: $11,500 City, State: Hickory Lakefront: No State,Zip: NC , 28601 Approx # of Acres: 0.75 County: Catawba Manufactured Hm Allowed: I Subdivision: Creek Point Modular Home Allowed(Y /N): Area: Hickory N.E. Divisible: No f Sub -Type: Residential Tax Value: 17900 Zoning: R -20 Min SgFt Req'd: 1 -story 1200 Lot Dimen: Dock Allowed (Y /N): NO Features: Acceptable Financing: Other /Unkn Association Fee Includes: None Buildings: None Exterior Misc: None Lot Description: Partially Cleared Restrictions: Manufactured Hme Not Alwd, Modular Allowed, Square Feet Road Frontage: City Street Utilities Available: Cable Available, Other/Unknown Water /Sewer: Public Water At Street HOA: No Waterfront: None Elementary School: Snow Creek Middle School: Arndt High School: St. Stephe Remarks: Great building lot available in small subdivision close to Catawba Springs. Partially cleared and gently sloping is suitable for a basemer Stick built or modular homes allowed & 3/4 of an acre will provide a great yard! Directions: 127 N, right on Cloninger Mill Rd, left @ light onto Sandy Ridge, right onto Snow Creek, left @ light onto Sulphur Springs, r Wandering Ln, go through Catawba Springs, right on Creek Point, Lot on right. Prepared for you by: Miguel Pico Phone: HP: (828) 413 -9673 http : // cat. paragonrels .com /publink/Report.aspx ?outputtype= HTML &GUID= f8efa6d4- 162b -... 2/2/2012 4,A Cp CATAWBA COUNTY, NC 100 -A South West Blvd PLAN RECEIPT i--] Newton, NC 28658- 0 (828)465 -8399 Friday, February 3, 2012 18 it Z SM www.catawbacountync.gov Plan Case: EHPR -2 -12 -14420 Invoice Number: INV -2 -12- 283314 Environmental Health Plan Review Invoice Date: 02/03/2012 Site Address: 5567 CREEK POINT DR, Hickory, NC APPLICANT OWNER CONTRACTOR NATHANAEL CARR CRM MID - ATLANTIC PROPERTIES CONTACT PERSON 12504 SMOKEY DR LLC 64 HUDSON FL 34669- 303 NE PEACHTREE ST 36TH FL LEEWARD PT (727)857 -1482 ATLANTA GA 30308 TAYLORSVILLE NC 28681- (828)466 -5859 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS PAYER: WESLEY CHURCH CONTACT PERSON Date Pay Type Check Number Amount Paid Change 02/03/2012 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plan receipt 02/03/2012 11:22