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Home My WebLink AboutEHPR-3-10-4238.TIF A THIS IS NOT A PERMIT Case # EHPR-3-10-4238 CATAWBA COUNTY HEALTH DEPARTMENT H Plan Review Application for Environmental Services I84 Sti, Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR JOHNNY HUFFMAN JOHNNY HUFFMAN 7140 GRIFFIN RD 7140 GRIFFIN RD NC 28602 NC 28602 NAME TO APPEAR ON PERMIT JOHNNY HUFFMAN Pin#: 277002883136 SITE ADDRESS: 7140 GRIFFIN RD, Hickory, NC DIRECTIONS: I-40 TO EXIT 119, TAKE HENRY RIVER RD APPROX 3 MILES TURN LEFT ONTO FRIFFIN RD (DIRT RD) GO TO THE END OF ROAD, RUN STRAIGHT TO HOME. NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.99 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 36X28 Bedrooms I Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 2 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 1 st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: YES, CARPORT 24X24 Has any grading, removal, or addition of soil been done to this property? If so, describe YES, DUG OUT BASEMENT Are there easements/right-of-ways recorded on this property? YES 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. Date: • I?. I D Signature of Applicant or Agent yr An Environmental Health Specialist will contact you it n 2 working s of applicatio date. If you need further information or assist e please call 828-466-7291 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 Existinp- Tank Check Fee 03/09/2010 $80.00 Rear 30 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 03/09/10 08:40 THIS IS NOT A PERMIT - ~N 3-w - 4a3(b CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ uthorization to Construct 11 Septic Repair El Septic Expansion ❑ Existing Tank Check [0 New Well Permit E] Replacement Well ❑ Well Abandonment 1. Name to Appear on Permit ~U 1 , h L--) 4 vI/k (I„t 2. Permit Requested By 'SA- M E Business Phone Address t 09 C-r 14 r j TZa -tt, o►- C, FTIe o Home Phone 3. Property Owner klc Business Phone Address Sd ►w~ Home Phone 4. Name of Subdivision Lot 4 Section/Block/Phase Property Address 1 `~o G,^% [ni !"7~ Lor NL-;sce~ L Directions to Property: - e e r Z~~ (1 a 3 4u T O ~ i TZA Q l~ 1' O 4z ~ art 01 [9-1 ° " 5. Property Size: Square Feet Acres l - (Act Date Platted/Recorded 6. TYPE OF FACILITY House Mobile Home Dimension of Structure 3ln x a b Bedrooms* L7 * An}'_ik u ~Jmtl it tll ht ~utc nrE }for sleeping ai fhe tune of construCt~ari'tir 1'oriutfire cons~tleration should be noted as a bedroom and ;counted on all applications The number of bedrooms ~Trllbac ml~rmed by rooms identified on house plans as `a bcdroomvat the ttme uL vutlding pertntt i uance Thistmay present the need for system size e- ease m the future: Basement: ve /no Water Using Fixtures in Basement: ye , No. in Family 1} 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 Facili , W.No If so, describe: 0- 8. Has any grading, remova , or addition of soil been done to this property. Ye / No If so, describe: oL)k Se e 9. Are there easetnents/right-of--ways recorded on this property. Yes No 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 AND/OR RETRIPS MAD TO PROPERTY, T TRE;MNAL CHARGE" Date ! 6 Q Signature of Owner or Agent Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Count), 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 arises or may arise from this map product or the use thereof by any person or entitv. Legend Selected Parcel Number: 2770-02-88-3136 1 inch = 60 feet Prepared for: 7 4 _70 76, 1.99A 3136 Plat 65-183 THIS IS NOT A LEGAL DOCUMENT Monday, March 08, 2010 09:10 AM5 1 Catawba County, North Carolina N This map product was prepared frmn the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this nap. Cataivba County promotes and recommends the independent verification of any data contained on this snap product by the user. The Count' of Catawba, its employees, agents and personnel disclaint, and shall not be held liable for anv 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 anv person or entity. Legend Selected Parcel Number: 2770-02-88-3136 1 inch = 60 feet Prepared for: V, Z f a , ~Y" ~ij'[t.! r• r}~kfl, 4 5~ t l u~~~~~.t~r 4 ~ ~•1~r ` sl=O ..r arl~ :"a `t I~' r \•~It'~ t a-, .a~ Fps .+.s .a• T , ~ ,Ch 1 y! .44'~~'~ ~ iYy 1, ra..~.. d_i• Y` ~ . * f fe rt Poo Aw- 99A t. • 3~ 3 41 r ; 6 ~.i : ; 'off . r r. '~'t~! •'i yy,.l `r ei, Xl t >3 , . g t:.; „v r *y , .x.77 ~ " ,,!.r~' • . i r r 3 • 1 Q~" . x y , THIS IS NOT A LEGAL DOCUMENT ('7 ~ `F Monday, March 08, 2010 09:32 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID.- 2770-02-88-3136 Name: HUFFMAN JOHNNY HARVEY Name2: Address: 7140 GRIFFIN RD Address2: City: HICKORY State: NC Zip: 28602-8533 Account: 33724000 Calc Acreage: 1.99 Tax Map: 177H 03005B LRK: 59617 Deed Book: 1911 Deed Page: 0369 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 7140 Street Name: GRIFFIN RD Site Zip: 28602 Township: HICKORY Fire Code: MOUNTAIN VIEW City Code: COUNTY State Road: 1002 Total Bldgs Value: Land Value: $10,100 Total Value: $10,100 Year Built: Year Remodeled: Last Sale Date: 12/1/1994 Last Sale Amount: $8,000 Neighborhood: 78 Watershed: Watershed Split: Voter Precinct: P24 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: MOUNTAIN VIEW Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011101 Census Block 2010: 2055 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Tuesday, March 09, 2010 08:13 AM ~4'A Cpl CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 2865588- - ~ 0 (828)465-8399 Tuesday, March 9, 2010 184 'L sM www.catawbacountync.gov Plan Case: EHPR-3-10-4238 Invoice Number: INV-3-10-260200 Environmental Health Plan Review Invoice Date: 03/09/2010 Site Address: 7140 GRIFFIN RD, Hickory, NC APPLICANT OWNER JOHNNY HUFFMAN JOHNNY HUFFMAN 7140 GRIFFIN RD 7140 GRIFFIN RD NC 28602 NC 28602 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 03/09/2010 Credit Card -1 $80.00 $0.00 Total Paid: $80.00 Payer: JOHNNY HUFFMAN Total Due: $0.00 plan receipt ; c~da~>~4?-I'3d3=16tf3-8=1a I -~~=IUc?c I'1bd 1 ;.ry~i 03/09/2010 08:34