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Home My WebLink AboutEHPR-3-10-4302.TIF ~A C t THIS IS NOT A PERMIT Case # EHPR-3-10-4302 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 $M Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR DARRON MANN DARRON MANN DAT B CONSTRUCTION 2196 ST JOHNS CHURCH RD 2196 ST JOHNS CHURCH RD 3878 CONOVER NC 28613 CONOVER NC 28613 BOTTOM 828-464-3046 828-464-3046 CLAREMONT NC 28610 312-4077 (Doug) NAME TO APPEAR ON PERMIT DARRON MANN 151n ' ==2 $ SITE ADDRESS: 2196 NE ST JOHNS CHURCH RD, Conover, NC DIRECTIONS: 16N/ ST JOHN CHURCH RD/ 2ND HOUSE ON LE17T PASS ST JOHN CHURCH NAME of SUBDIVISION: DARROW + PATRICIA MANN Lot # A Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.179 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 64 X 35 Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:No No. in Family 2 Whirlpool Tub : Gal. 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 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: Has any grading, removal, or addition of soil been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE Type of Water Supply: Individual Well Community Well Municipal X 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: / / 0 / / 6 - Signature of Applicant or Agent e-") An E viromrtental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance 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 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 16:29 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit Gc row Mr-A^ 2. Permit Requested By D~t~l4y T^e~. Jr_ Business Phone 8a8- 3i;t^ Ho77 Address Home Phone 9.7 e' 3. Property Owner 0 a^ro w Nl c,. Business Phone Address 2 I p 6 S+• 'ohn`s Ck.,r ck RA La N,,-4r- Home Phone Say'~16N -3Gyb 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: c 10 a 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House I/ Mobile Home Dimension of Structure Bedrooms* *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 system size increase in the future. Basement yes io Water Using Fixtures in Basement: ye /no No. in Family Whirlpool Tub ye 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 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions Facility? ~Yd/ No If so, describe: r~ `r LX-N\ Cv V-e r(-- C, 8. Has any grading, removal, or addition of soil been done to this property? Ye No If so, describe: 9. Are there ease inents/right-of-ways recorded on this property? Yes No 10. Is a public water supply available on or adjacent to the above property? Ye No Check type that is available: [ ] Community well [ ] Semi-public well [L]-County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** It. 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 PROPERTY, THERE IS AN ADDITIONAL CHARGE." Date 3- 10-10 Signature of Owner or Agent Dca,'J" L-- 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. Catmvba County promotes and recommends the independent verification of anv 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 anv person or entity. Legend Selected Parcel Number: 3752-05-28-0248 1 inch = 60 feet Prepared for: 'f~•-RC g '7' l r - ~ r ~~ri~4.,~ fir ~ s~ 71 'flit delt Vwo 10 e. ~ y' ~r { 'L ~r~e -mow ~ 4i tg yj' fy ; I IC~ l"~f~'~~ 17, ,s=;s,. 121 ..84 f Y, -0248.. A CD . J F - N~'y+ ''1J_.y.T~ r~t b~ f "~+~w........¢~.^^.'*'+.r-av...+-~.~r•-^"'^°'~°ti.:..,.~,.w,.n.'~w~.....-... s Y. , r 4' _ fie 121.79 a~ RD NE 7 712 P 3 420 10- 'i r 1 - 1 - y, March ~ 10 , T A LEGAL DOCUMENT Wednesda I'H1S IS NO 010 04:05 PM ` a CATAWI3A COUNTY PERMIT ~A Flo ZONING AUTHORIZATION R Addition P. 0. Box 389 PERMIT NO: ZONIZ-3-10-5335 IOOA Southwest Blvd APPI_,IID: 03/10/2010 Newton, North Carolina 28658 1SSUID: 03(10/2010 1 t~ 2 SM Phone: 828-465-8380 IXPIRIS: 09/06/2010 FAX: 828-465-8484 ww\v.catawbacountync.gov APPLICANT OWNER CONTRACTOR DARRON MANN DARRON MANN DAT B CONSTRUCTION 2196 ST JOHNS CHURCH RD 2196 ST JOHNS CHURCH RD 3878 BOTTOM LN CONOVER NC 28613 CONOVER NC 286 1') CLAREMONT NC 28610 PROPERTY ID#: 375205280248 CENSUS TRACT: STREET ADDRESS: 2196 NE ST JOHNS CHURCH RD, Conover, NC LOT# A PROJECT DESCRIPTION: ADDITION TO REAR OF EXISTING DWELLING / DINNING ROONt & UNCOVERED DECK DIRECTIONS: COMMENTS: ADDITION TO R1 AR OF EXISTING DWELLING / DINNING ROONI & UNCOVERED DECK FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SIDE I: VALUE: 16000 CORNER: SIDE 2: FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 03/10/2010 $25.00 TOTAL FEES $25.00 The am licant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was issued on the basis of the information required herein. The applicant further acknowledecs that any construction, alteration or addition which differs fi•om this application shall be subject to removal or alteration so as to bring said structure into Conlornuutcc with the specifications and standards of the Catawba County Ordinance. Such corrective action shall beat the expense of the applicant. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the properly. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. "This Zoning Authorization Permit shall expire six months from the date of issuance unless a buildi ermit is secured and remains active. r~)j ~ Q n APPLICANT NAMI' (PRINTED) APPLICANT SIGNATURE Z rING APPROVED 1W ZONING FEES ARE NON-REFUNDABLE COMPANY NAME ".r 03/10/2010 16:25 Pace 1 of I Catawba County, North Carolina FN 77iis nutp product was prepared from the Catawba Coma ' j;, AIC, Geographic Information System. Catolrba County has made substantial efforts to ensure the accurocv of location and labeling b formation co+vained on this mop. Catawba Comm, promotes and recommends the independent rerificotion of am; rain contained on this nap product by the user. The Comfy of Ccaa wbo, its emplovees, agents and personnel disclaim, cmd shall not be held liable for anv and oll damoges, loss or liability, whether direct, indirect or consequential which arises or men, arise from this map product or the use thereof big any person or emin•. Legend Selected Parcel Number: 37,52-05-23-0213 1 inch = 60 feet Prepared for: ' /291.35 73 Plat 67=97 - N - - - - - - - - - - - J 121.84 / V) N lay 1392 FO~248 - - 'r 00 L 177.3,53 121.79 '0 T RD NE (420) THIS IS NOT A I.,EGAL DOCUNIEN"r Wednesday, 11arch 10, 2010 04:0,5 Phi CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3752-05-28-0248 Name: MANN DARROW LEE Name2: MANN PATRICIA H Address: 2196 ST JOHNS CHURCH RD NE Address2: City: CONOVER State: NC Zip: 28613-8975 Account: 159745101 Calc Acreage: 1.18 Tax Map: 3200 00026 LRK: 67474 Deed Book: 2915 Deed Page: 0742 Subdivision Name: DARROW + PATRICIA MANN Subdivision Block: Lots: A Plat Book: 67 Plat Page: 97 Building Number: 2196 Street Name: ST JOHNS CHURCH RD NE Site Zip: 28613 Township: CLINES Fire Code: CONOVER RURAL City Code: COUNTY State Road: 1712 V~ Total Bldgs Value: $111,300 Land Value: $15,000 ` . Total Value: $126,300 Year Built: 1971 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P6 E911 District: CONOVER Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: NEWTON CONOVER Elementary School: SHUFORD Middle School: NEWTON CONOVER High School: NEWTON CONOVER School Split: NO P&Z Case Number: R-2004-14, R-489 Census Tract 2010: 010101 Census Block 2010: 2046 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: PROXIMITY Printed: Wednesday, March 10, 2010 04:03 PM