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Home My WebLink AboutEHPR-3-10-4386.TIF ~$A C THIS IS NOT A PERMIT Case # EHPR-3-10-4386 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR THOMAS WATTERS THOMAS WATTERS PHILLIPS HOME IMPROVEMENT 116 CONE COVE 116 CONE COVE 3427 HICKORY NC 28601 HICKORY NC 28601 34TH AV 828-322-8923 828-322-8923 HICKORY NC 28601- (828)256-5944 NAME TO APPEAR ON PERMIT THOMAS WATTERS FrinW.---3' ;TID;546'77 SITE ADDRESS: 116 NW CONE CT, Hickory, NC DIRECTIONS: SPRINGS RD TO SECTION HOUSE RD/ AT THE END OF SECTION HOUSE/ LAST PAVED ST ON RT NAME of SUBDIVISION: EDGEWOOD SUBDIV Lot # 2 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.009 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:Yes 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: 12 x 26' SUNROOM ADDITION "Conover Zoning and Setbacks 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? 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 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: - 2 Signature of Applicant or Agent Z~ An Environmental Health Specialist will contact you within 2 working days of application dat. 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 etbacks Front FEE NAME DATE AMOUNT Side ~,6- Improvement Permit Fee 03/16/2010 $150.00 Rear TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/16/10 13:18 Catawba County, North Carolina N 7hi.r map prnr(ucr was prepared fi'om the Calrnrbn Cnunn', rVC, Geographic /nfin'nrnlinn Srrtenr. Calan ha Connly has uncle substainial efforts to ensure the ocern'aQl of locollorr anc( lobelbrg b firrmaliorr carloined oar this map. Catawba County promotes allot recommends the inclependenl ver fcalion of anv c/alo contained an this mop product hr the rtser. 77re Comuv of Ccaawba, its emplovees. agents acrd personnel disclaim, and shall Rol be held liable f v- onv and all damo,es, loss nr liability, Whether direct, indirect nr consequential which arises or n+nv arise from this map product or the use therer f l>v am person or elrnh . Legend Selected Parcel Number: 3732-10-3i-4677 1 inch = 60 feet I Prepared for: nil I'd } 't'' d ,'r t - h wl M f ''r a . 1 J r..: 1 tt .fj •.tt eR~ ~'f r 1~6v ~4'f,`~„w~,~ ~rl; ~~'r« . j ~ • !.4'. r : P ~'3/' 'J! ' , ~ ~ r .c K.~h. v l is } f r ✓ ' rr!'`I~~Y -?•~'`4' iYfl"'ke f~ .*r } 4 f. -t~•yf~ f a 71 I r,~_ 71~ . 'r r ♦ +F'tr~RY.lt4•"'f ,f' 'M"~ il".i 1 l at .5 err t Y : e, r r 1} E` T J 14 ~A46 `7ti rya t L.3 dcJ 'h V1 S, ' •f -..r( 4 1`` f x;.R_. ~I 7~"~°, f } f,,+', lr1t yx d W, .r ' ~ r : f w r ~ K ~YS! ~ a~• ~ y r~ ti ~ ~e4 M'g'r' j~.= .45 s ~t,4 '/r t~,., r Y 4 r.J'i;tk7 1 60 rF , X fiV Plat-69-101 > P e ,r-~--- 73 fi ✓yt -~'l `'r t r . 1~ ~ ~I i I V, t _1 10 `.1 f Y 44 ~ THIS IS NOT A L.I GAL, DOCUiMEN'1' I y d Tuesday March 16, 2010 12:56 1'~1 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3732-10-35-4677 Name: iNATTERS THOMAS L Name2: WATTERS JO ANNE S Address: 400 CONE CT Address2: City: HICKORY State: NC Zip: 28601-8115 Account: 72342250 Calc Acreage: 1.01 Tax Map: 166H 12002 LRK: 56942 Deed Book: 1029 Deed Page: 0830 Subdivision Name: EDGEWOOD SUBDIV Subdivision Block: Lots: 2 Plat Book: 15 y Plat Page: 48 Building Number: 116 Street Name: CONE CT NW 1 Site Zip: 28601 Township: HICKORY Fire Code: City Code: CONOVER State Road: Total Bldgs Value: $103,100 Land Value: $16,700 Total Value: $119,800 Year Built: 1974 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P28 E911 District: CONOVER Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: CONOVER Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: WEBB A MURRAY Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010304 Census Block 2010: 2059 Small Area Plan: Agricultural District: Printed: Tuesday, March 16, 2010 12:15 PM THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT A plication for Environmental Services Improvement Permit Authorization to Construct ❑ Septic Repair El Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I. Name to Appear on Permit ~h; v~~nrYle _,J.(r, nf-0116ty): ✓1t 2. Permit Requested By 4QL)(~Ije Business Phone Address , r C a %,,Q Home Phone 3. Property Owner a. Business Phone Address / / 0n~ Home Phone 4. Name of Subdivision Lot # Z Section/Block/Phase Property Address o' ran i-en Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Z Bedrooms*--3_ *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 perm issuance. This may prevent the need for system size increase in the future. ,it Basement: ye /no Water Using Fixtures in Basement: y /nor No. in Family Z 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 1st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Ye No If so, describe: Q (Z X Z(v 8. Has any grading, removal, or ddition of soil been done to this property? Yes / o If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / o 10. Is a public water supply available on or adjacent to the above property? e / No Check type that is available: [ ] Community well [ ] Semi-public we 1 [ ] County/City/Township water line **If No, a Well Permit must be issued wi Septic Permit.** 11. Well Type Applying For: ndividual 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 2 - Ia Signature of Owner or Agent i