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Home My WebLink AboutEHPR-3-10-4494.TIF ~,A C THIS IS NOT A PERMIT Case # EHPR-3-10-4494 ti CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP 1842 sM EXS_SYSTEM APPLICANT OWNER CONTRACTOR PATRICIA HOWARD PATRICIA HOWARD SAME AS OWNER 4787 RIFLE RANGE RD 4787 RIFLE RANGE RD CONOVER NC 28613 CONOVER NC 28613 828-228-2096 828-228-2096 NAME TO APPEAR ON PERMIT PATRICIA HOWARD Pin#: 373420902830 SITE ADDRESS: 4787 RIFLE RANGE RD, Conover, NC DIRECTIONS: SPRINGS RD/ CORNER LOT SHOALS DR AND RIFLE RANGE NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.8 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure 35 X 80 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 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 Ist 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: 10 X 16' WOOD STORAGE BLDG IN REAR YARD 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 sho Id conform to applicable setbacks. Date: Signature of Applicant or Agent ~i 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 30 FEE NAME DATE AMOUNT Side 10 Existing Tank Check Fee 03/23/2010 $80.00 Rear 5 TOTAL FEES Max Hght $80.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/23/10 14:20 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Existing Tank Check LP1 1. Name to Appear on Permit 2. Permit Requested By f Business Phone aOq Address Home Phone 3. Property Owner Business Phone - Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: OVA- 5. Property Size: Square Feet Acres , Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure 5c:~ 6 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. Basement: ye ~ 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 to Facility? 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 o 10. Is a public water supply available on or adjacent to the above property?)/ No Check type that is available: [ ] Community well [ ] Semi-public wel [ ] 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 PER HAS TO BE REDESIGNED AND/OR RETRIPS MAD 0 THE PROPERTY THERE IS AN ADDITIONAL CHARGE.** Date Signature of Owner or Agent ~6~ CATAWBA COUNTY HEALTH DEPARTMENT Telephone: (704) 465-827 TDD: (704) 465-8200 0 1 1 1 - Improve. Permit Authorization to ConstructZgair Permit_Oper. Permit ystem. Type !I 4~ Owner/Agent Phone A J zl - Address d r-- Subdivision- Section/Block/Phase Lqt* Lot S' e Directions: ~ 9 1 Fa ility: House Mobile Home Business Other: Tax Map # - Multi-familyOther Zoning Approval # X dS &,0 ja # Bedrooms # Seats # Employees Application Rate GPD Flow -0 Hot Tub or Spa yes/no Special Fixtures 100°16 Repair Area e no Basement yes Basem Plumbing yes/no Water Supply: Private Well Public Type of System: Trench B*ed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank Size Aro o _ r- Pump Tank Size Nitrification Field: Total Square Feet Depth of Stone ~ Bed Size Trench Width / Total Length of All Trenches c) oo ` Number of Trenches Individual Trench Length/*4 /e !do 1 16-L/ / Feet on Center-2-!~ Maximum Trench Depth,. f/ Distance of Nearest Well /'Q`(J *DO NOT INSTALL WHEN WET* Topo Slope I r^ " Texture ' I i , Structure Clay Min. l "Soil Wetness FT Soil Depth Restric. Hoz. at " Available space /1144 /nol Overall Class S U i ~ Comments : I ( I I Sf ~(r( **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** w,r*,r*,rw,r*,r*,t+.**w**,t**,v,t,r,r*,r,r******,t,r*,r,r,r,tw*,t*,t***,►***,t*,w,w**,r,r**,►*,r*,t,rw,t,w**r.**,v,w,r,r,w*,r******w,►,r*r *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility. An Authorization to Construct is valid for (5) five years from ate issued and is not transferable. Permit Date O r Owner/Agent = L Sanitaria ~y- Installed By__ ,l~~,•„~~~..Y.~.~ _ Date, ~ Sanitariany~"_,,,~~•_ /.fyta~-r ~-5r White - Office Blue - Building Inspection Operation Permit Yellow - Owner/Agent Green - Building Inspection Authorization to Construct CATAWBA COUNTY PERMIT co ZONING AUTHORIZATION (R) Accessory Structure Qt, e~► ~ P. O. Box 389 PERMIT NO: ZONR-3-10-5692 100A Southwest Blvd APPLIED: 03/23/2010 Newton, North Carolina 28658 ISSUED: 03/23/2010 84 v SM Phone: 828-465-8380 EXPIRES: 09/19/2010 FAX: 828-465-8484 www.catawbacountync.gov APPLICANT OWNER CONTRACTOR PATRICIA HOWARD PATRICIA HOWARD SAME AS OWNER 4787 RIFLE RANGE RD 4787 RIFLE RANGE RD CONOVER NC 28613 CONOVER NC:28613 PROPERTY ID#: 373420902830, CENSUS TRACT: STREET ADDRESS: 4787 RIFLE RANGE RD, Conover, NC LOT# PROJECT DESCRIPTION: 10 X 16' WOOD STORAGE BUILDING DIRECTIONS: COMMENTS: 10 X 16' WOOD'STORAGE BUILDING IN REAR YARD 'LOOD ZONE? OWNER TYPE: Residential (Private);' REQUIRED SETBACKS 00 YEAR FLOOD ZONE PLAIN? No .LAND OWNER: FRONT: 30.00 SIDE: 10.00 -LOOD PLAIN, STRUCTURE? No MAX HEIGHT:. 45.00 REAR: 5.00 SIDE 1: -.VALUE: 4700 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Office, 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 03/23/2010 $25.00 TOTAL.FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was 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 deed 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 months from the date of issuance unless a building permit is secured and remains active. APPLICANT NAME (PRINTED) APPLICANT SIGNATURE ZONING APPROVED )BY ZONING FEES ARE NON-REFUNDABLE :OMPANY NAME rrmit 03/23/2010 14:14 Page I of I - Catawba County, North Carolina N This map product was prepared f om the Calmrba Co.... NC. Geographic Info rnialion Svslcm. Calmrba Cotnuy has made substantial efforts to ensure the accm.acp oflocatiot mid labeling information contained of this map. Calmrba Couniv promotes and reconnnends the independent verification q/ an' data contained on this map product b- v the user. The Contuv of Calmrba, its emplo"vees, agents and persomiel disclaim, and shall not be held liable for anv mid all damages, loss or liability:, irliether direct, indirect or consequential which arises or map arise from this map product or the use thereof big anv person or entif•. Legend Selected Parcel Number: 3734-20-90-2330 1 inch = 60 feet Prepared for: 1.27P; 4021 0987 o 28,30 ~o 32 2 07"51 ~o 1.01A 0961 3668 33 O TATS 62 1S NOT A LEGAL DOCUMENT Tuesday, March 23, 2010 01:33 PIM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3734-20-90-2830 Name: HOWARD TIMMY M Name2: HOWARD PATRICIA P Address: 4-787 RIFLE RANGE RD Address2: , City: CONOVER State: NC Zip: 28613-6716 Account: 159751257 Calc Acreage: 0.8 Tax Map: LRK: 401369 Deed Book: 2951 Deed Page: 1854 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 4787 Street Name: RIFLE RANGE RD Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY State Road: Total Bldgs Value: $138,500 Land Value: $12,900 Total Value: $151,400 y Year Built: 1997 ~1 1 Year Remodeled: Last Sale Date: 1/30/2009 Last Sale Amount: $135,000 Neighborhood: 67 Watershed: Watershed Split: ` Voter Precinct: P33 \ l \ E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: LYLE CREEK Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010202 Census Block 2010: 1009 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Tuesday, March 23, 2010 01:38 PM