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HomeMy WebLinkAboutEHPR-3-10-4424.TIF A THIS IS NOT A PERMIT Case # EHPR-3-10-4424 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR CARL LOWMAN JR CARL LOWMAN JR 4169 OLD CATAWBA RD 4169 OLD CATAWBA RD CLAREMONT NC 28610 CLAREMONT NC 28610 828-459-9130 828-459-9130 NAME TO APPEAR ON PERMIT CARL LOWMAN JR Pin#: 377218400361 SITE ADDRESS: 4169 OLD CATAWBA RD, Claremont, NC DIRECTIONS: 10E/ TO CATAWBA LEFT 6TH AV WILL CHANGE TO OLD CATAWBA RD/ GO 2.3 MILE HOUSE ON LEFT NAME of SUBDIVISION: FARMWOOD SUBDIV Lot g 13 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.08 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 50 X 24 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 4 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: ATTACHED GARAGE TO SIDE OF EXISTING DWELLING 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 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: 3'17- w Signature of Applicant or Agen C~~144~-)- r~' An Environmental Health Specialist will contact you within 2 w rki d of application date. If you need further information or assistance please 1 828-466-7291 AREA 2 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 74 FEE NAME DATE AMOUNT Side 15 Existing Tank Check Fee 03/17/2010 $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 03/17/10 17:22 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 P rmit a/- 2. Permit Requested By ('a,/, -49w,-~-)eil 3-r- Business Phone 2. Address Y/G h a Home Phone 3. Property Owner 5 w~ l _ Business Phone Address l iced r /Y C. Home Phone 4. Name of Subdivision m c~ Lot # Section/Block/Phase Property Address c44a PY ar~ind /1/C. Directions to Property: D xe; 141) 5. Property Size: Square Feet 1_0 K d- Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure 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 permit issuance. This may prevent the need for system size increase in the future., i Basement: yes 0 Water Using Fixtures in Basement: yes/ No. in Family 7 Whirlpool Tub yes io 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? es No If so, describe: Vc 8. Has any grading, removal, or addition of soil been done to this property? es No If so, describe: c-i (w d, 4~% Cp 5/a b- 9. Are there easeme /right-of-ways recorded on this property? Ye 10. Is a public water supply available on or adjacent to the above property? Yes / o 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 MADE RT HERE IS AN ADDITIONAL CHARGE.- Date 3` 17. 0 Signature of Owner or A e Catawba County, North Carolina N This map product tivas 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 County 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 entity. Legend Selected Parcel Number: 3772-18-40-0361 1 inch = 60 feet Prepared for: d1 1 i , 1 , , 85 -85 85 g5 I. 5A - _ Jl~ i _ 10A r% 0361 31'0 - -40 11 , 12~ 13 , 150 31 i u V t THIS IS NOT A LEGAL DOCUMENT Wednesday, March 17, 2010 04:09 PM CATAWBA COUNTY HEALTH DEPARTMENT PERMIT # NQ '2.53 COMPLETION PERMIT OWNER OR CONTRACTOR: DATE: /U7 ADDRESS: / vim PHONE: LOCATION Gam:/ ='i, t SUBDIVISION:LOT: !3 SECTION OR BLOCK: LOT SIZE: ago House ( ) Mobile Home Business ( ) Other ( ) Flow Rate: gpd Bedrooms: z Bathrooms: Special Fixtures: Other: Basement -es ( ) No (Fixture in basement-Yes No (c Garbage Disposal Unit: Yes ( ) No Water Supply: Private (c~-`Public ( ) TANK SIZE: /6,0, a gallons Distance from septic tank or nearest source of NITRIFICATION FIELD: pollution: ,S-76 Number o lines: 2 FINAL APPROVAL OF THIS SEPTIC TANK SYSTEM SHALL IN Length and width o lines NO WAY BE TAKEN AS A QUARANTEE THAT THE SYSTEM WILL (a) Bed System FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF (b) Trench System 36" x l.~{) TIME. or Trench Sys. 30" x DATE INSTALLED: _ lam Total Sq. Ft.Dept o Stone) " INSTALLED BY: REMARKS : SANITARIAN : ---SITE--AND SEPTIC TANK- LA= 1 I fir-- Gti r / 21T 5 I HEALTH DEPARTMENT COPY CATAWBA COUNTY PERMIT ZONING AUTHORIZATION (R) Accessory Structure ~y P. 0. Box 389 PERMIT NO: 70NR-3-10-5555 100A Southwest Blvd APPLILD: 03/17/2010 Newton. North Carolina 28658 ISSUED: 03/17/2010 18 4 SM Phone: 828-465-8380 EXPIRES: 09/13/2010 PAX: 828-465-8484 www.cataNabacountync.gov APPLICANT OWNER CONTRACTOR CARL LOWMAN JR CARL LOWMAN JR 4169 OLD CATAWBA RD 4169 OLD CATAWBA RD CLAREMONT NC 28610 CLAREMONT NC 28610 PROPERTY ID#: 377218400361 CENSUS TRACT: STREET ADDRESS: 4169 OLD CATAWBA RD, Claremont, NC LOT# 13 PROJECT DESCRIPTION: ADDITION OI' ATTACHED GARAGE TO EXISTING DWELLING / 24 X 40 DIREC'T'IONS: COMMENT'S: ADDITION OF ATTACHED GARAGE TO EXISTING DWELLING / 24 X 40 FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 74.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: 1. Bef'ore an inspection can be made by the Building Inspection Off ice, the applicant must pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. Accessory structures shall only be located in side or rear yards. 3. Accessory structures shall not be attached in any way to the principle stRucture. 4. Accessory structures shall only be used for private residential purposes. 5. Manufactured homes shall not be used as accessory structures. 6. Accessory structures may not be used for living purposes. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 03/17/2010 $25.00 TOTAL FEES S25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit ivas issued on the basis of the information required herein. The applicant further acknowledges that any construction. alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply with all existing decd restrictions pertaining to the property. 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 onths from the dale-Of issuance unless a build'ng pert it is secured and remains active. J / APPLICANTNAiME(PRINTED) APPLI I I, AhUftl- Z&AINGAPPROVED13Y *****ZONING FEES ARE NON-REFUNDABLE CONIPANY NAiv1F. 03/17/2010 17:28 I'a;c 1 of I Catawba County, North Carolina N This mop product was prepared fi-om the Calamba County, NC, Geographic Information System. Calmrba County hos made substoolinl efforts to ensure the accurocy of location ood Iohelbug o formation contained on this map. Calmrbn Cotuuy promoles old recommends the independent rerificathm ofant' dola couloined on this mop produce by the user. l he Cooney of Cala,rbo, its employees, agews out persomel disclaim, and shall not be held liable fn- airy and all clanuages, loss or liability, whether direct, indirect or consequentinl which arises or nroy arise front this mop product or the use thereof ern any person or enlity. Legend Selected Parcel Number: 3772-13-40-0361 1 inch = 60 feet Prepared for 2)7yv 85 85 85 i -4J ~L~hL C9 ~v77o1~ D IV o 1 v I O 1.05A 1.08A -Op 1.10A 0 0361 -______931I -2310 12 13 ( r 14 180 140.12 150 3 59 ' 60 THIS iS NOT A LEGAL DOCUMENT Wednesday, Nlarch 17, 2010 04:10 PNI Iv , CATAV4BA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3772-18-40-0361 Name: LOWMAN CARL J JR Name2: LOWMAN LESA R Address: 4169 OLD CATAWBA RD Address2: City: CLAREMONT State: NC Zip: 28610-9616 Account: 112983 Calc Acreage: 1.08 Tax Map: 020AY 01013 LRK: 20870 Deed Book: 2140 Deed Page: 0816 Subdivision Name: FARMWOOD SUBDIV Subdivision Block: Lots: 13 Plat Book: 19 Plat Page: 314 Building Number: 4169 Street Name: OLD CATAWBA RD Site Zip: 28610 Township: CATAWBA Fire Code: CLAREMONT RURAL City Code: COUNTY State Road: Total Bldgs Value: $60,700 Land Value: $12,500 Total Value: $73,200 Year Built: 1993 Year Remodeled: Last Sale Date: 3/1/1999 Last Sale Amount: $54,000 Neighborhood: 126 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P5 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-O,WP-0 Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1):0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: CATAWBA Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 011400 Census Block 2010: 2053 Small Area Plan: CATAWBA Agricultural District: PROXIMITY Printed: Wednesday, March 17, 2010 04:09 PM A CATA"A COUNTY, NC 100-A South West Blvd PLAN INVOICE Newton, NC 28658- v (828)465-8399 Wednesday, March 17, 2010 O 184 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4424 Invoice Number: INV-3-10-260562 Environmental Health Plan Review Invoice Date: 03/17/2010 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 03/17/2010 Check 2058 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 pl,ininvoice;dd3a( dc-7b~1=461~c-fii~G-IOQIS-+18r,+2;.rin 03/17/2010 17:22