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Home My WebLink AboutEHPR-3-10-4299.TIF A .C THIS IS NOT A PERMIT Case # EHPR-3-10-4299 CATAWBA COUNTY HEALTH DEPARTMENT a U - oeso Plan Review Application for Environmental Services 18142 sM Environmental Health Plan Review - OSWP&`M Q IMPROVEMENT I G Fejun' APPLICANT OWNER CONTRACTOR 'J'Q _5Q6- 31 SCOTT HOPKINS SCOTT HOPKINS DECKSCAPES INC 8830 HARBOR CIR 8830 HARBOR CIR 11166 TERRELL NC 28682 TERRELL NC 28682 DOWNS 203-312-0301 203-312-0301 PINEVILLE NC 28134- (704)587-9600 NAME TO APPEAR ON PERMIT SCOTT HOPKINS P1n#: 46160463$71 1 SITE ADDRESS: 8830 HARBOR CIR, Terrell, NC, DIRECTIONS: HWY 16 S/ LT ON HWY 150/ RT ON KISER ISLAND RD/ LT ON HARBOR CIR/ ON LT NAME of SUBDIVISION: B L, KISER MAP 2 Lot # 2 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.46 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 48X30' Bedrooms 2 Basement: No Water Using 'Fixtures in Basement:No No. in Family 2 Whirlpool Tub : GaI...Capacity:;. MULTIPLE FAMILY RESIDENCE: Units 1.00 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: 8X16'/ 12X167 IOX167-1 IXi 1' DECKS'ON REAWOF HOME Has any grading, removal, or addition of soil been'aone to this property? If so, describe 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 issuedrand is not transferable. t~ Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any r res oration by you of house or structure location should conform to applicable setbacks. Date: 3 -1 D _~o Signature of Applicant or Agent i An Environmental Health Specialist will contact you wit 'n 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side Improvement Permit Fee 03/10/2010 $150.00 Rear 30 TOTAL FEES Max Hght $150.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/10/10 15:37 Feb 22 10 03:15p Scott M Hopkins 203-312-0543 p.l //7A,{ D O N A L L E N S U R'Y E Y O RS , INC. ' A% 7 SOX 2e3 - NOOREOMLLE . N.C. 30148 (704) ees-7029 THIS IS TO CERTIFY THAT ON 7HE 18{h._ DAY OF MAY 8 4 uO THE PROPERTY SHOWN ON THIS PLAT, AND THAT THE TITLE ONES AND THE 1WALS ~~tf ARE SHOWN' HEREON. ~-BW614G c SIGNED err>i, DONAED Y,'} LLEN( RLS LAKE NORM"A, J % 7~ ~ ~ N21'48'00"W _ c C° aI LOT 2 rn 0 w y N ,V I W 1 b,. , LOT 3 2a_.. f v, U1 10 Q i i e v LO' - o O O C 6 0 N _ 11\7 3IO4r p OD 1D.0' 4a D. SIP, "r. b O Ln C d a.e ~S O 1MPOe Ppy, ea' I~ a }.,3 R w 'O% ,00'00L ore r' `t ^ \v 0 HARBOR CIRCLE (PAVED) RLW PHYSICAL SURVEY OF LOT 2 B.L. KISER PROPERTY NO. 2 SCALE °30 hl T1. CREEK NVSP., CATAWSA CO., N.C. - THE PROPERTY OF RANDY D. PENCE KATHY S. PENCE MAP RECORDED IN BOOK - 13 AT PAGE 18 _ DEED RECORDED IN BOOK PAGE TAX MAP NO: THIS IS NOT A PERMIT WI-S# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services I- IP F AC I- S.T. Rpr. r- S.T. Exp. (X Exist. S.T. Well Permit f Replacement Well 1. Name to Appear on Permit: 2. Permit Requested By: Deckscapes, Inc. Business Phone: 704-587-9600 Address: 11166 Downs Road, Pineville, NC 28134 Home Phone: 3. Property Owner: Scott Hopkins Business Phone: Address: 8830 Harbor Circle, Terrell, NC 28682 Home Phone: 203-312-0301 4. Name of Subdivision: Lot Section/Block/Phase: Property Address: 8830 Harbor Circle, Terrell, NC 28682 Directions to Property: 1 Property Size: Square Feet F- Acres 0.46 Date Platted/ Recorded House C' Mobile Home 6. TYPE OF FACILITY. Dimension of Structure d Bedrooms* "Any,room tha'twill bd intend"ed for sleeping authe time of construction or for future consideration"should be noted as°a'bed~oom and`counted on aU applications The number of-bedrooms will be'confrmed by rooms idenfffied on the h6use;plans as a bedroom at the,time of buNdmg permit issua_ nce E Thismay prevent the need for system size increas"e in the fiture Basement: C' Yes (<No Water Using Fixtures in Basement: C' Yes df '-No ~ No. in Family: i:__ Whirlpool Tub: Yes C' No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units F- Total Number of Bedrooms DAY CARE: Number of Children F RESTAURANT: Seats Square Feet Dining Area F Square Feet Food Stand/Meat Market Floor Space F TYPE OF BUSINESS: No. of Employees 1st F 2nd F 3rd r-- OTHER : (Specify) 7. Do you anticipate any additions to Facility? C' Yes No If so describe Ke&,> f~ 4- t)- $V, t- 10 ` L6 4`i3y s4~? F-k-_ 8. Has any grading, removal, or addition of soil been done to this property? Yes CY-No If so describe 9. Are there easements/right-of-ways recorded on this property? C' Yes i„lo 10. Is a public water supply available on or adjacent to the above property? Yes Fy41 Check type that is available: I- Community Well F- Semi-public Well County/City/Township waterline i~ 11. Well Type Applying For: FUG Individual Well f- Community Well I- Semi-public Well F- Irrigation Well F- Geothermal Well 12. Monitoring Well Request:(- Yes (-No # of Wells: F_ Name of Site: I understand that this 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.- Date: _ lo~f o Signature of Owner or Agent: Print Form Catawba County, North Carolina N) This mol, product was prepared from dre' Colcmeha County. A'C, Geogrophic lnfbrnxnicnr.SlC'Ivln. calan'ho Comm, has mode suhslanlial (.'/fill Is to ensure' llhe accmnc'l• of locolion and lahchlig in/ornralion conlaincd on this ntnp. Caltnl•ha Colmm prornote's and reconmrends the indepellocnl neri/icaliun n% onv dltln corlloined on this map produel hp the rrser. %hc Cornrry of caltnrlm, ils emplorec's, (Weals nod persaunel disclaim, aml shall not lie held liable fiu' (1nv and all dailloges. loss or liol,ilily a he/ her direcl, inr/irecl or consequennnl a'pis'h arises or mat; arises f am Ibis map prnchrc'I or the use Ihevc,of h I ' arrr person or er,lih . Lcgc n d Selected Parcel Numher: 4616-04-63-8711 1 inch = 60 t•ect Prepared for: 1 t L 9983 fry? Q) c 41 c 766 ( cirp vcP" 77 X ~-',Jo 0 ~rtr 3 , 7~ 6 8 24 01 0 L o 0 ite 1AY .x.1'1 O •O O. 0 Goy C` .t: '4"H' N'% r_ 1 O E j t 711' v X25) pp 13~, t c~ ~~r i r sr • Wf r 45.3 4( Pla I a L ` ;i 8545 Q1 1 THIS IS N0 TA 1_EGA1, 1)0cUIMEN'1' \\ICdncsday, ~9arch 1(1, 2010 03:08 I','I O CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4616-04-63-8711 Name: HOPKINS SCOTT M Name2: HOPKINS NANCY A Address: 15 AMBER DR Address2: City: NEW FAIRFIELD State: CT Zip: 06812-3126 Account: 124636 Calc Acreage: 0.46 Tax Map: 018FX 01016 LRK: 19638 Deed Book: 1270 Deed Page: 1652 Subdivision Name: B L KISER MAP 2 Subdivision Block: Lots: 2 Plat Book: 13 Plat Page: 18 Building Number: 8830 Street Name: HARBOR CIR Site Zip: 28682 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $183,000 Land Value: $224,500 Total Value: $407,500 Year Built: 1978 Year Remodeled: 1983 Last Sale Date: 9/21/1999 Last Sale Amount: $264,000 Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split. NO P&Z Case Number: LOMA 3-24-1999;LOMA 12-17-1999 Census Tract 2010: 011502 Census Block 2010: 5025 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Wednesday, March 10, 2010 03:08 PM CATAWBA COUNTY HEALTH'DEPARTMENT; NEWTON,. NORTH.,CAROLINA COMPLETION; PERMIT:' FOR_ SEPTIC, TANKS ` .:PERMIT F C _ 251, DATE OWNER/7 l'IllGU /Z ADDRESS !~'r Cam' Q P /1~ BUILDING CONTRACTOR, SUBDIVISION t. LOCATION' LOT # LOT SIZE-- = BLOCK OR SECTION HOUSE ( MOBILE HOME BUSINESS OTHER ( ) FHA-VA LOAN. SEPTIC TANK: (SIZE GALS)` WATER SUPPLY i NO. BEDROOMS Z-NO,FIXTURES_ I - DIVIDUAL PUBLI GARBAGE DISPOSAL UNIT :YES ; (-0: ( IF WELL;,. TYPE. BORED DRILLED DUG AUTO- WASKHING* MACHINE YES (~NO-.( DISTANCE- FROM SEPT° TANK OR, NEAREST NITRIFICATION FIELD: SQ FT:. POLLUTION: FT. 1) NUMBER-OF > LINES SEPTIC TAN TN:.T LED. BY lL, Z). LENGTH AND, IDTH OF L ES PERMIT F E a BED SYSTEM CERTIFICATE -OF-.,COMPLETION BY b) TRENCH SYSTEM. C ) _ 3) DEPTH OF_STONE_IN LINES REMARKS; ADEQUATE', FALL .(GRADE) QN. l)-BUILDING (HOUSE) -SEWER LINE YES ( NO ) 2)' NITRITION LINES.. DATE-INSTALLED: YES NO SEPTIC TANK LAYOUT - a Pq 44 H , , HEALTH DEPARTMENT'COPY'