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Home My WebLink AboutEHPR-3-10-4394.TIF BA C THIS IS NOT A PERMIT Case # EHPR-3-10-4394 CATAWBA COUNTY HEALTH DEPARTMENT v : = Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP SEPTIC MALFUNCTION APPLICANT OWNER CONTRACTOR STEVE HUNT STEVE HUNT 3121 NW 5TH ST PL 3121 NW 5TH ST PL HICKORY NC 28601 HICKORY NC 28601 828-324-2374 828-324-2374 NAME TO APPEAR ON PERMIT STEVE HUNT Pin#: 370411563035 SITE ADDRESS: 3121 S NW 5TH ST PL, Hickory, NC DIRECTIONS: H WY 127 N - TURN LEFT ONTO 29TH AV DR NW - TURN LEFT ONTO 5TI-I ST PL NW - 1 ST HOUSE ON RIGHT NAME of SUBDIVISION: JAMES A KELLER Lot # 1 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.46 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 30 X 52 Bedrooms 4 Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 3 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 1 st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this property? If so, describe NO Are there easements/right-of-ways recorded on this property? NO 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 prope Any representation by you house or structure location should conform applicable setbacks. Date: Signature of Applicant or Age t An En ironmental Health Specialist will contact you thin 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME DATE AMOUNT Side Authorization to Construct (Repair) Fee 03/16/2010 $425.00 Rear TOTAL FEES Max Hght $425.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/16/10 15:38 THIS IS NOT A PERMIT 4J? CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair 6--~Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit 2 e-ye- 0- H1. n 2. Permit Requested By O-D 'e ye. . f SGL 1 "-kn Business Phone&92-, ~V-7X& £ -1.570 Address -F-I a( S _ PL N W, kb'c cc) r cl N L Ct Home Phone M2- 3a~ - a~'7r 3. Property Owner A-4e1,P. + Sc ~ 14Lk rrf- Business Phoned,98-,~97- 7W EX- , 4'7 p Address .31AI 51`- f, L N , cko r (Q Home Phone M-Qg,8_ 4. Name of Subdivision a. Lot Section/Block/Phase Property Address • ( PU Nil Directions to Property: N i u r ion 99't-A-Vt Di - IV W .Sf- or) r 5. Property Size: Square Feet Acres lp Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure DKS.'L 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: ye ono Water Using Fixtures in Basement: ~se no No. in Family Whirlpool Tub yesco Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units N Total Number of Bedrooms DAY CARE: Number of Children NIA RESTAURANT: Seats I 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 / o 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? Yes / 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 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 PERMI HAS T BE REDESIGNED AND/OR RETRIPS MADE TO E PROPERTY, THERE IS AN A DI NAL CHARGE." f Date / 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. Catmvba County promotes and recommends the independent verification of any data contained on this map product by the user. The Comity of Catmvba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect m• consequential which arises m• mny arise fi-onr this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3704-11-56-3035 1 inch = 60 feet Prepared for: \1 <'3208 26 s° ~r)(0 - c6N 's~, 5233., 4B 25 \ Plat 56-12 1186 4126 ~5 00 4A Plat 56-12 X59 0 303-5 CO' ^ 7 7 7 6 p 7~s °7 ' '°cP ,49 %a ' 2983 156.00 o THIS IS NOT A LEGAL DOCUMENT Tue, March 16, 2010 03:20 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3704-11-56-3035 Name: HUNT STEVE OWEN Name2: HUNT SARAH Address: 3121 5TH ST PL NW Address2: City: HICKORY State: NC Zip: 28601-8053 Account: 34664580 Calc Acreage: 0.46 Tax Map: 190H 01016K LRK: 61213 Deed Book: 1779 Deed Page: 0361 Subdivision Name: JAMES A KELLER Subdivision Block: Lots: 1 Plat Book: 14 Plat Page: 94 Building Number: 3121 Street Name: 5TH ST PL NW Site Zip: 28601 Township: HICKORY Fire Code: HICKORY RURAL City Code: COUNTY State Road: 1360 Total Bldgs Value: $135,400 Land Value: $24,300 Total Value: $159,700 Year Built: 1973 Year Remodeled: Last Sale Date: 5/1/1992 Last Sale Amount: $99,500 Neighborhood: 28 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P36 E911 District: HICKORY Zoning: R-2 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: HICKORY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: HICKORY Elementary School: JENKINS Middle School: NORTHVIEW High School: HICKORY School Split: NO P&Z Case Number: Census Tract 2010: 010500 Census Block 2010: 1066 Small Area Plan: Agricultural District: Printed: Tue, March 16, 2010 03:20 PM A Cpl CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Q+ F--] Newton, NC 28658- 0 (828)465-8399 Tuesday, March 16, 2010 1$42 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4394 Invoice Number: INV-3-10-260497 Environmental Health Plan Review Invoice Date: 03/16/2010 Site Address: 3121 S NW 5TH ST PL, Hickory, NC APPLICANT OWNER STEVE HUNT STEVE HUNT 3121 NW 5TH ST PL 3121 NW 5TH ST PL HICKORY NC 28601 HICKORY NC 28601 828-324-2374 828-324-2374 Fee Name Fee Amount Authorization to Construct (Repair) Fee Adjustable $425.00 Total Fees Due: $425.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/16/2010 Credit Card -1 $425.00 $0.00 Total Paid: $425.00 Payer: SARAH HUNT Total Due: $0.00 plan receipt ; b3St2160f-a53o-41 23-8487-1 h)4- :261 Scd;.ipt 03/16/2010 15:37