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Home My WebLink AboutEHPR-3-10-4113.TIF THIS IS NOT A PERMIT Case # EHPR-3-10-4113 CATAWBA COUNTY HEALTH DEPARTMENT v ref ^C Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP Igr}2 sM REPAIR APPLICANT OWNER CONTRACTOR TREVIS GODWIN TREVIS GODWIN OAKWOOD HOMES #712 2331 SPRINGDALE DR 2331 SPRINGDALE DR 1265 NEWTON NC 28658 NEWTON NC 28658 HWY 70 W 828-238-8209 828-238-8209 NEWTON NC 28658 82-464-2662 NAME TO APPEAR ON PERMIT TREVIS GODWINir(~JSb~ SITE ADDRESS: 2331 SPRINGDALE DR, Newton; NC DIRECTIONS: 321 BY PASS/ HWY IQ/ LAST TURN TO SPRINGDALE RD AFTER 3RD RT/ LAST ON RT NAME of SUBDIVISION: SPRINGDALE Lot # 6A Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.34 Date Platted/Recorded TYPE OF FACILITY: House,---,.,. Mobile Home X Dimension of Structure Bedrooms 3 No. in Family Basement: Water llsing:Fixtures in Basement Whirlpool Tub : Gal Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 1 Total Number i1 Bedrooms -DAYCARE: Number of Children RESTAURANT: Seats Square-Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees I st 2nd 3rd OTHER: (Specify) , Do you aniticipate any additions to Facility? If so, describe: SEE EHPR-11-09-2924 FOR TANK CHECK FOR-STORAGE BLD 0' 1 1. MEGAN FOUND PROBLEM WITH SEPTIC TANK & DECK Has any grading,~~rQiNOaI;POYGac~altiD~io~6iFYil R~iic to this property? If so, describe' 1 Are there easements/right-of-ways recorded on this property. NA Type of Water Supply: Individual Well Community Well ` X`v'11~. s '111iilicipal 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 noir-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~ly you of house or structure location should conform to applicable setbacks: Date:Xg" Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 4ca ays of ap ication date. If you need further information or assistance ple8-466-71 AREA 2 (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 (Repair) Fee 03/02/2010 $300.00 Rear 30 TOTAL FEES 5300.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional S60 charge 03/02/10 10:02 THIS IS NOT A PERMIT WLS # CA AWBA COUN Y HEALTH DE ARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I . Name to Appear on Permit 046w °O--~) Aaw 2. Permit Requested By % Xd Business Phone Address 6 {~G✓`/ 7~1 SA-i Home Phone 3. Property Owner Business Phone n Address -7?y~ 3~2~.ynr ®~'r%_ ,/Y~='✓~~y,zV~ Home Phone_ 4. Name of Subdivision ~~✓r "/b- Lot # ection/Block/Phase Property Address y Directions to Prope r?~ / / / ✓ - 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House _ Mobile Home i nension of Structure Bedrooms* Any room that~~ill.bz in1C11,1Cd for sleepin~ .~ttheJjIne ofcon, ructi(~n W lor.future coi) ~idcration should be no,lcd as a` bedroom`arnd coUmted'on all applications. Thr ~dfh~~hi ill h~' ~,~nlirmed by rooms identified on .Iioiiplans as" i bediootrt'at the timC 0t building' pc,tmit iss(la,} ill, i _y_,>;. ~ilttlt 11':'J lui sys.1 i size iOno e in the.futut . Basemetoo Water Using Fixtures in Basement: ye No. in Family Whirlpool Tub yes/ o Gallon Capacity MULTIPLE FAMILY RESIDENCES: Unl 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 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes / If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes / No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Ye / No 10. Is a public water supply available o r adjacent to the above property? Yes No Check type that is available: ommunity 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 AND/OR RETRIPS MADE TO THE P 0 H RE IS AN ADDITIONAL CHARGE.** Date 3,16'1' Signature of Owner or Agent CATAWBA COUNTY Case # EHPR-11-09-2924 Subdivision S rin dale Public Health Department Environmental Health Division Section/Bl/Ph/Lot# b PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 3608-01-49-5879 I$ 2 w (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Applicant/Owner Trevis Godwin Site Address: 2331 Springdale Dr. Newton, NC Property Sipe: 0.34 acres Directions: EXISTING SYSTEM INSPECTION REPORT Site/System Diagram ld 0' FF RePat r o 4' arcq 1 - de ck- i s bc~~ ~ecG~vSe Q,x15#i Exis4inc~pru;,,~ield pV¢Y ~ne. SP iC,oy-~►t'~(~. M~ EZ ~ntk T~K `CS1e tc -~Yt?rck Q 1S~Q b~ 3 Wroom 1 kjVjAtt- -ike, neck a f pe- 5. u~~ aec(~ aka Se eM ; 5 S ee , f 0 Type of Facility: House Mobile Home #Bedrooms 3 Business Specify Other Specify Proposed Additions/Accessory Structure: 10x16 wood storage building Approved ❑ Not Approved ® Reason existing deck is over septic system Evidence of System Malfunction: YES ❑ NO ® System Type/Description Ila 2 2Z ~ p AUTHORIZED STATE ENT ATE NOT FOR LOAN APPROVAL CATAWBA. JO! ZLTR DEPARIIMENT Y~+ 3 4 8/1 rov egent. Permit Repair Permit Completion Permit Lot Evaluation Irv owner/Agent 4-7 Phone 77 Address Subdivisi Yee I 2 le a Sectio Bloc Lot # Lot Size Directions-. iu'-a-G4 777- Facility: House_ Mobile Home_ iness_ ; Other: Zoning Approval(j~y/no # Malt i-famil Other 100% Repair Area yes/no Bedrooms Baths _J_ Seats FVloyees GPD Flow . Application Rate Garbage Disposal Special Fixtures REPAIR NQ?Iim REPAIRS Mum BE wI'i aN 30 Basement yes/no Basement Plumbing yes/no DAYS OR DAYS FRONT DA7~ OF PERMIT. water Supply: Private Public Type of System: Trench System Other ( Specify ) Tank Size: Septic Tank f 0 e5pO Pu1TP Tank 101 or Nitrification Field~~ Total Square Feet 4'~ Depth of Stone~~ Bed Size Trench width 3h Total Length of All Trenches ~Q o Niunber of Trenches r Individual Trench Length~~ ZT Feet on Center Maxiiman Trench Depth CL Distance to Nearest Well Lot Evaluation: Approved Disapproved Sketch of Lot Evaluation Site - System Design -Final I 1 (b ~ (~lx' 3 X7s _lolr I ST v J Permit Date (Lot Evaluation and Improvement e t ' of 36 months) Owner/Agent ~i Sanitarian Installed By Date 4- 13-N Sanitar (Note.'any changed/ information in red or by ske n back) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz. S PS U Space S PS U Soil S PS U III Loans: Sandy Clay, Silt, Clay, Silty Clay .6-.4 IVA Clays: Sandy, Silty, Clay .4-.2 WHITE.- OFFICE COPY • YELLOW - OWNER/AGENT COPY CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID- 3608-01-49-5879 Name i , GODWIN TREVIS E N,ame2. Address 2331 SPRINGDALE DR Address2 City- NEWTON State NC Zip 28658-8795 Account: 159755957 Calc Acreage 0 34 Tax Map 002EJ 01053 LRK. 2245 Deed Book. 2988 Deed Page 1234 Subdivision Name SPRINGDALE Subdivision Block. D Lots 6A Plat Book. 44 Plat Page 179 Building Number 2331 Street Name SPRINGDALE DR Site Zip 28658 Township JACOBS FORK Fire Code PROPST City Code COUNTY State Road Total Bldgs Value $99,400 Land Value $10,000 Total Value $109,400 Year Built: 2009 Year Remodeled Last Sale Date 8/18/2009 Last Sale Amount: $102,500 Neighborhood 89 Watershed Watershed Split: Voter Precinct: P3 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 BLACKBURN Middle School JACOBS FORK High School FRED T FOARD School Split: NO P&Z Case Number- Census Tract 2010 011802 Census Block 2010 4000 Small Area Plan MOUNTAIN VIEW Agricultural District: PROXIMITY Printed Monday, November 30, 2009 11.04 AM j Catawba County, Forth Carolina This mop product was preporcd f nm the Cotowho Com m% NC Gcogieyphic hrfo moot. irclcm N Cuwau'ha County tins prude substantial c,/ffn is to ensure dre crcruracr of location noel lnbeling it forumrioo conlmned un this mop. Culnu'bu C omen promotes and rccommeo Ls the, nnle•pendent rerr%rcarron of run dam crnuutued nn /his map product by the user %he Cnmu)• (,f(. ulan•ho, its employees gQents and perswmel d,sclemn, (ml shall not be held Noble for am and oll domoL!vs, loss nr huhdm. whether do eft Inducer nt con.seyuc•nnol which orises or mur arise- finny this ,nap product or the n.se thereof bs 'InY person or Bunn' Legend Selected Parcel \'u m ber 3608-01-49-5879 1 inch = 60 feet Prepared for 1 r. v v 71 v z 5-02 _ 5n. 100 51: N, PHOE, 7 94 3 O 58 110 ~O 78'80 150 5-A Ln ° G) O ° 5799 150 r, 11 4,-A O 671 -n A THIS IS NOT A LFICIAL DOCUNI1'NT \klondap, i\'ovember 30. 2009 11 •01 AiNI i A