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Home My WebLink AboutEHPR-3-10-4560.TIF t ~~A Cpl THIS IS NOT A PERMIT Case # EHPR-3-10-4560 CATAWBA COUNTY HEALTH DEPARTMENT v ~i►~ Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - Septic Malfunction SEPTIC MALFUNCTION APPLICANT OWNER CONTRACTOR KENNETH MAYNARD SMITH KENNETH MAYNARD SMITH 4567 CHARLOTTE ST 4567 CHARLOTTE ST CONOVER NC 28613 CONOVER NC 28613 828-256-8395 828-256-8395 NAME TO APPEAR ON PERMIT KENNETH MAYNARD SMITH Pin#: 373305080794 SITE ADDRESS: 4534 FLINTWOOD DR, Conover, NC DIRECTIONS: SPRINGS RD/ RT SECTION HOUSE RD/ RT SIPE RD/ LF FLINTWOOD DR/ I ST DIRT ST ON LF/ FOLLOW DIRT RD/ SINGLE WIDE AT END NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.959 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 70 Bedrooms 2 No Water Using Fixtures in Basement:No No. in Family 4 Basement: 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: NONE 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 should conform to applicable setbacks. Date: V1 Signature of Applicant or Agent T 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 o Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 15 Authorization to Construct (Repair) Fee 03/29/2010 $300.00 Rear 30 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 03/29/10 10:27 r ~ A CATAWBA COUNTY Case # EHPR-3-10-4560 G Public Health Department Subdivision Environmental Health Division - Plan Review PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot# IH 2 B PIN# 373305080794 Applicant/Owner 4567 CHARLOTTE ST, CONOVER NC 28613 Site Address: 4534 FLINTWOOD DR, Conover, NC Property Size: SF 0.959 ACRES Directions: SPRINGS RD/ RT SECTION HOUSE RD/ RT SIPE RD/ LF FLINTWOOD DR/ 1 ST DIRT ST ON LF/ FOLLOW DIRT RD/ SINGLE WIDE AT END CATAWBA COUNTY, NC Environmental Health Boundaries 1 .p if y yJ1 {HICKORY p I /~~~4'0 1 ~ ~z -,yn>o NJ~>.. t L By Jo. `l: JOlGVIEyY 1 I ,yy~I f Bpi KfOHD ;4^h- ECONbVE EIF~B`- y / l oNavl=a qb i i - NENTON AREA 2//j / AREA 1 . ,1 / ~ Vii!/ e,•1 , _ MAItIxN~ ~ / / W* E E'p9wTM'.newnsa~ B6Yfn.W S Your application for Environmental Health (EH) services has been assigned to AREA 2 An Environmental Health Specialist (EHS) working in this area will contact you within two business days of receipt by the EH Division. If you are not contacted within this time, or if you would like to leave a message with an EHS, please call (828) 466-7291. Be sure to first state your case number from the top right corner of your application, and clearly state, your name, area number, and a number where you can be reached during normal business hours. 03/29/10 10:27 ~ v (,J 7j 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 Permit Vy~> Y) -1\(1 S m d 2. Permit Requested By `fir M~ Business Phone Address Home Phone 3. Property Owner e Y,n e~~j ~'1 Svc, Business Phone Z\'~ SI Address J(o C ~oJ~e, ~s :Y-) 'e. Zry 1~ Home Phone'vSZ`6-Z9)39 j 4. Name of Subdivision Lot # Section/Block/Phase Property Address ~t I-Q)'TV-40C, p R Directions to Property: w v~ . A 5c L1 (2~ - S~ vim' E2. u ,r, 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home--_ Dimension of Structure \ x 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: y no Water Using Fixtures in Basement: yes no _ No. in Family T > Whirlpool Tub yes/CI Gallon Capacity M' TIPLE AMILY RESIDENCES: Units Total Number of Bedrooms DA A Number of Children RESTA ANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE USW ESS: Number of Employees 1st 2nd 3rd OTH R: (S ~cify) 7. Do you anticipate any additions to Facility? Ye ~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 /No 1-~F> L\ t- 10. Is a public water supply available on or adjacent to the above property? Yes io 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.** -N W-e-H-T-y ~gr: [ ] Individual well [ ] Community well [ ] Semi-Public well I understand that this is a fonnal application for a well permit, Improvement Pen-nit 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 infonmation, 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, T E IS AN ADDITIONAL CHARGE.** Date _ - _6 Signature of Owner or Agent CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3733-05-08-0487 Name: SMgTH KENNETH MAYNARD Name2: SMITH NETTIE Address: 4567 CHARLOTTE ST Address2: City: CONOVER State: NC Zip: 28613-8537 Account: 64926010 Calc Acreage: 2.16 Tax Map: 2100 00010 LRK: 63375 Deed Book: 1176 Deed Page: 0976 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 4534 Street Name: FLINTWOOD DR Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code` COUNTY State Roaq: Total Bldg Value: $1,000 Land Value: $17,800 Total Value: $18,800 Year Built: Year Remodeled: Last Sale Date: 8/1/1978 Last Sale Amount: $4,000 Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P29 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: SNOW CREEK Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010303 Census Block 2010: 2002 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Friday, March 26, 2010 09:06 AM Display Search Layers Output o r DSO 1 3p ~ R (jool'~ 0794 s~ " y s 9.T3 1~T83 7 R 4.14A 1 7526 .03A - IN 3:565 m Qe s N; Plat 19-293 018 2! j L27 r 6 ~ 3472 '1 Identify from: CTOp-most layer> - _ CitySewer Location: 1,330,202.915 738,585,910 Feet '1 r a Field Value aa" 6 J o LENGTH 258.20905 3382 SIZE_ 8 PROJECT NO 0 290 ' OWNERSHIP STATUS INSTALLED y ° GRANT I ' 4 3292 j Capital-Fe INSTALLED 0 TYPE <null> 305 ;1330339.241 738534.024 Feet Catawba County, North Carolina N This map product was prepared from the Catawba Counni NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracv of location and labeling information contained on this map. Catawba Countypromotes and recommends the independent verification of any data contained on this map product by the user. The Count), of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for" any and all damages, loss m• liability, whether direct, indirect or consequential which arises or mnv arise fi"ont this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3733-05-08-0487 1 inch = 60 feet Prepared for: O N ~j P78) 973 I 7 uJ n c . o co ! C . R-20 2.16A to 048~ 1 ~ rn co 6 z_ cs~ ~PIN (580) 3335 F-1 5 1 t=i ~ C.fl THIS IS NOT A LEGAL DOCUMENT Friday, March 26, 2010 09:05 AM 7- -