The URL can be used to link to this page

Home My WebLink AboutEHPR-3-10-4489.TIF ~~A C THIS IS NOT A PERMIT Case # EHPR-3-10-4489 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP 1842 5M REPLACE WELL APPLICANT OWNER CONTRACTOR GRACE WHITENER GRACE WHITENER 8037 RIVER BEND RD 8037 RIVER BEND RD CLAREMONT NC 28610 CLAREMONT NC 28610 828-256-5325 828-256-5325 NAME TO APPEAR ON PERMIT GRACE WHITENER Pin#: 375501252165 SITE ADDRESS: 8037 RIVER BEND RD, Claremont, NC DIRECTIONS: HWY 16 N TUREN RIGHT ON RIVER BEND RD (AFTER PASSING OXFORD BAPTIST CHURCH) ABOUT 2/10 A MILE ON RIGHT NAME of SUBDIVISION: Lot# B Section/Block/Phase PROPERTY SIZE: Square Feet Acres 3.579 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 1 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 0.00 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: 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 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: -_'~'.;D ~U Signature of Applicant or Agent ~~✓/L~GIi/ An Environmental 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 FEE NAME DATE AMOUNT Side Well Permit & Inspection Fee 03/23/2010 $300.00 Rear TOTAL FEES $300.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/23/10 12:21 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Rep' El Septic Expansion El Existing Tank Check E] New Well Permit ❑ Replacement Well7" Well Abandonment El 1. Name to Appear on Permit 2. Permit Requested By Business Phone Address s C' /id Home Phone 3. Property Owner iI ti Zc ~~>rJ Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: X", V 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House 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 'ssuance. This may prevent the need for system size i crease in the future.. Basements yes/ha Water Using Fixtures in Basement: ye~/no No. in Family J, Whirlpool ~tlb 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 I st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes 15 If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes o If so, describe: - 9. Are there easements/right-of-ways recorded on this property? Yes %Nol A 10. Is a public water supply available on or adjacent to the above prope ~Yes / $ounty/City/Township Check type that is available: Community well Semi-public well [ water line **If No, a Well Permit must be ' ued 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 TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.- 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 accuracv 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 Catmrba, its emplovees, 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: 3755-01-25-2165 1 inch = 120 feet Prepared for: ° 444 45 200 10 200`---_-._; 139.22 (1.55 (170 RIVER (170) (35) (110) (605) 113.27 45 79,19 020), rv o co 0) ° W 3336 W CD --X I V1- cn A i 9342 N El A 149. 0392 48 151.01 78.9 B 9.12 6 PLAT 46-140 3.58A 2.41 A 2165 N ° tri co 9191 00 B _ 9F v ❑ 572 274.42 192 $•1 (t01b) THIS IS NOT A LEGAL DOCUMENT Tuesday, March 23, 2010 11:49 AM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3755-01-25-2165 Name: WHITENER GRACE H Name2: Address: 8037 RIVER BEND RD Address2: City: CLAREMONT State: NC Zip: 28610-8146 Account: 159748439 Calc Acreage: 3.58 Tax Map: LRK: 800291 Deed Book: 0655 Deed Page: 0492 Subdivision Name: Subdivision Block: Lots: B Plat Book: 38 Plat Page: 72 Building Number: 8037 cDw d Street Name: RIVER BEND RD Site Zip: 28610 ` l Q Township: CLINES T Fire Code: OXFORD City Code: COUNTY State Road: 1700 Total Bldgs Value: $89,000 Land Value: $26,800 Total Value: $115,800 Year Built: 1963 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 67 Watershed: WS-IV Protected Area Watershed Split: NO Voter Precinct: P27 E911 District: COUNTY Zoning: R-40 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: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010101 Census Block 2010: 1016 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: PROXIMITY Printed: Tuesday, March 23, 2010 11:49 AM CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT r. j Newton, NC 28658- 0 (828)465-8399 Tuesday, March 23, 2010 84 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4489 Invoice Number: INV-3-10-260700 Environmental Health Plan Review Invoice Date: 03/23/2010 Site Address: 8037 RIVER BEND RD, Claremont, NC APPLICANT OWNER GRACE WHITENER GRACE WHITENER 8037 RIVER BEND RD 8037 RIVER BEND RD CLAREMONT NC 28610 CLAREMONT NC 28610 828-256-5325 828-256-5325 Fee Name Fee Amount Well Permit & Inspection Fee Fixed $300.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/23/2010 Check 779 $300.00 $0.00 Total Paid: $300.00 Payer: GRACE WHITENER Total Due: $0.00 plan receipt ;'tcb556fd-fc7d--lied S6 ff-6c44{h;iax11l.rpf 03/23/2010 12:20