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Home My WebLink AboutEHPR-3-10-4498.TIF ~A C THIS IS NOT A PERMIT Case # EHPR-3-10-4498 CATAWBA COUNTY HEALTH DEPARTMENT v Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP SEPTIC-MALFUNCTION APPLICANT OWNER CONTRACTOR MARIELA MOSQUERA MARIELA MOSQUERA 1150 LOBLOLLY LN 1 150 LOBLOLLY LN NEWTON NC 28658 NEWTON NC 28658 (828)291-6944 (828)291-6944 NAME TO APPEAR ON PERMIT MARIELA MOSQUERA Pin#: 372015636790 SITE ADDRESS: 1 150 N LOBLOLLY LN, Newton, NC DIRECTIONS: OLD CONOVER-STARTOWN RD - TURN RIGHT ONTO LOBLOLLY LANE - LAST HOUSE ON RIGHT (YELLOW HOUSE WITH A BASKETBALL GOAL) NAME of SUBDIVISION: WESTSIDE HILLS Lot # 5 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.479 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 29 X 57 Bedrooms 3 Basement: Yes Water Using Fixtures in Basement:No No. in Family 5 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 Community Well X 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 - 2 3 10 Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 orking days of a plicati "n 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 03/23/2010 $300.00 Rear TOTAL FEES $300.00 Max Hght I- I *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/23/10 16:42 THIS IS NOT A PERMIT wm# ~CHP/Q-3 -/Q - y c./ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair Septic Expansion El Existing Tank Check ❑ New Well Permit F] Replacement Well ❑ Well Abandonment ❑ I. Name to Appear on Permit _KU l 1 P AGl WSRiJ eO 2. Permit Requested By -1~~~cn4, lit k)" ZS( Bvsirress-Phone ECE 283 19., Address ar,5 d n hq ~nn p Ir AI r I t' 236259 Home Phone Rj P) .29 1 (o3 44 3. Property Owner 0 Sq Q Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address SO xellv Directions to Property: QA (.066VQr-`~ir~r~ntuY~ - gpjnq -tpti)rtr3,5 fir- p- n Stab( htffir_e, aettwu if) 4A~ 1,O'kt LQb oW\l I,cja.L,iA;ill h2. C)n Pi~tlnt hrgrt~ ~i~~ t -a+ Si cl, Q S e+cle;0' o ou 5. Property Size: Square Feet Acres 0-Lt 8 Date Platted/Recorded 6. TYPE OF FACILITY: HouseX Mobile Home-- Dimension of Structure ~ S Bedrooms* r - 'R .•4 1~~~room that ~~tll be intended S OF ,le piiiFL actlte time t . un tnict~idn or -forfuture cons~deratton should be noted as a i, in nn and`counte~ on all appheatx~3 sc I h~'number of b Broom «il] 14--c6 nfirn~ed b~ ruorns identified on house plans as a be i rom at the time-o£Gbutldmg_,Rer~ntt.isu nce TMs, may preti end ih need:for system side utc ease iti the future. Basement: yes no Water Using Fixtures in Basement: yes no No. in Family 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 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes 40 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 easetnents/right-of-ways recorded on this property? Yes / o 10. Is a public water supply available on or adjacent to the above properly. Ye / No Check type that is available: X 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 TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.** Date 03 -2-3 Signature of Owner or Agent Ct✓ i 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. Catawba Countv promotes and recommends the independent verification of any data contained on this map product by the user. The County 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 or consequential which arises or may arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3720-15-63-6790 1 inch = 60 feet Prepared for: ti 60 10 I ng 6829 100 P~ un 9a 56 0~ C~ un 3 35.35 w~;~ M so 3 2 0 125 01 2 35.35 X4 8744 ` 6790 160 7~5 60 160 i 7 8670 7517 ; 1-0 i o o -1 160 4593 160 E THIS IS NOT A LEGAL DOCUMENT Tue, March 23, 2010 04:16 PM 0 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3720-15-63-6790 Name: MOSQUERA MARIELA VALENCIA Name2: Address: 1150 LOBOLLY LN Address2: City: NEWTON State: NC Zip: 28658-9243 Account: 48646300 Calc Acreage: 0.48 Tax Map: 053N 05005 LRK: 32349 Deed Book: 2160 Deed Page: 1473 Subdivision Name: WESTSIDE HILLS Subdivision Block: E Lots: 5 Plat Book: 14 Plat Page: 37 Building Number: 1150 Street Name: LOBLOLLY LN Site Zip: 28658 Township: NEWTON Fire Code: City Code: NEWTON State Road: Total Bldgs Value: $73,000 Land Value: $12,600 Total Value: $85,600 Year Built: 1970 Year Remodeled: Last Sale Date: 7/23/1999 Last Sale Amount: $65,000 Neighborhood: 99 Watershed: Watershed Split: Voter Precinct: P34 E911 District: NEWTON Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: NEWTON Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: STARTOWN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011701 Census Block 2010: 2004 Small Area Plan: Agricultural District: Printed: Tue, March 23, 2010 04:16 PM CATAWBA COUNTY, NC 100-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Tuesday, March 23, 2010 18 4 Z sM www.catawbacountync.gov Plan Case: EHPR-3-10-4498 Invoice Number: INV-3-10-260718 Environmental Health Plan Review Invoice Date: 03/23/2010 Site Address: 1150 N LOBLOLLY LN, Newton, NC APPLICANT OWNER MARIELA MOSQUERA MARIELA MOSQUERA 1 150 LOBLOLLY LN 1150 LOBLOLLY LN NEWTON NC 28658 NEWTON NC 28658 (828)291-6944 (828)291-6944 Fee Name Fee Amount Authorization to Construct (Repair) Fee Adjustable $300.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/23/2010 Credit Card -1 $300.00 $0.00 Total Paid: $300.00 Payer: MARIELA MOSQUERA Total Due: $0.00 plan receipt;533tceI9-cl6a-4de2-hkt0 -73 a79R9fc5a2.;.rpt 03/23/2010 16:42