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Home My WebLink AboutEHPR-4-11-10401.TIF ��' C p G TffiS IS NOT A PERMIT Case # EHPR-4-1 1-10401 �' � CATAWBA COUNTY HEALTH DEPARTMENT c�.� ; S;� �`4' Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP �'i�tc� � J� � � t AUTH CONST p �� (l�rp�� NAME TO APPEAR ON PERMIT HOPE DIXON COOPER SITE ADDRESS: 3610 gt11 ST CT NW Hickory, NC Pin#: 370407582793 NAME of SUBDIVISION:ACADEMY ACRES Lot # ( Section/Block/Phase PROPERTY SIZE: Square Peet Acres 0.5( DIRECTIONS: HWY 127N/ LT ON 29TI-I AV DRNW/ TURNS INT06TH ST DRNW/ LT ON 36TH STNW/ RT ON 8TH ST CT N W PLICANT OWNER CONTRACTOR HOPE DIXON COOPER DONALD HEFNER 404 MAPLE ST 204 8TH AV DR NW MURFREESBORO NC 27855-21 HICKORY NC 228601 (252)398-3735 PRIMARY CONTACT: APPUCATtON FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Public Water CALCULATED DESIGN FLOW: Public water IS availa for this property. PUBLIC WATER TYPE AVAILABLE: County/Ciry/Township Wa DESCRIBE WORK: SINGLE FAMILY MODULAR DWELLING PROPOSED FUTURE ADDITIONS GARAGE OR CARPORT OR IMPROVEMENTS: PROPERTY EASEMENTS: NA PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 6 PROJECT DESC: SINGLE FAMILY MODULAR DWELLING PROJECT DIMENSION: 60X40 BASEMENT? No BASEMENTFIXTURES? No 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 norrexpiring 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 transferab{e. 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 conPorm to applicable setbacks. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 warking days of application date. If you need further information or assistance please call 828-466-7291 AREA2 *********�************************************************************************************************************ Minimum Setbacks Front: 20 Side: 10 Rear: 25 Side St:10 Max Height: 04/18/ll 11:02 CATAWBA COUNTY NC - Parcel Report Information Regarding`5�1�°cted Parcel(s) ParcellD: 3704-07-58-2793 Name: COOPER HOPE DIXON Name2: FULLER FAITH DIXON Address: 404 MAPLE ST Address2: City: MURFREESBORO State: NC Zip: 27855-2100 Account: 159769445 Calc Acreage: 0.56 Tax Map: 194H 01064 LRK: 61684 Deed Book: 3071 Deed Page: 0484 Subdivision Name: ACADEMY ACRES Subdivision Block: B Lots: 6 Plat Book: 16 Plat Page: 39 Building Number: 3610 Street Name: 8TH ST CT NW Site Zip: 28601 Township: HICKORY Fire Code: HICKORY RURAL City Code: COUNTY State Road: 1321 Total Bldgs Value: Land Value: $28,900 Total Value: $28,900 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 3 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P39 E911 District: HICKORY Zoning: R-2 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: HICKORY Split Zoning Dist: N SplitZoning Dist(1): 0 Split Zoning Dist(2): 0 School District: HICKORY Elementary School: JENKINS Middle School: NORTHVIEW High School: HICKORY School Split: NO P&Z Case Number: Census Tract 2010: 010500 Census Block 2010: 1032 Small Area Plan: Agricultural District: Printed: Monday, April 18, 2011 11:02 AM CA'�AWBA COiJN1'Y Case # IMPV-3-i 1-16048 Public Healtli Aepartrnent Subdivision �" � Environmental Heaith Division ACADEMY ACRES PO Box 389, lOQA Southwest Blvd, Newton, NC 28658 Lot # 6 +� PM# 370407582793 ApplicanUOwner DIANE DIXON /� DONALD HEFNER �I�PI� - ` - ll � Q7�S Site Address: 3610 8TH ST CT NW, HICKORY, NC Property Size: SF 4� ACRES Dtrections: 127N/ LEFT 29TH AVE DR NW/ TURNS INTO 6TH ST DR NW/ LEFT 36TH ST NW/ RT 8TH ST CT NW Improvement Permit � � � Facllity p�mary Residence �. Pertnit Category: New Septic Bedrooms 3 —' � WATER SUPPLY: Public Water Basement? No Basement Piumbing? No ----------------------------------------------------------------------------------------------------------------•----------------------------------------------------------------- IMTIAL SYSTEM SPECIFICATIONS ------------------------------------------------------------------------------------------------------------------------------------=--------------------------------------------- Permit Valid: Expires In Five Years: X No Expiration: Projected Daily Flow 360 9•P•d Proposed Wastewater System: 25% REDUCTION Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS Permit Condit�ons: Lot to be cleared and house site restaked before AC is sissued. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- REPAIIt SYSTEM SPECIFICATIONS ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Repair System Required? Required Proposed Wastewater System: 50% REDUCTION Type: IIIE _ ppgpS GRAVITY DOSED SYSTEM PUMP *MAY BE* REOUIRED Landscaping or other ske alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not ADproved, and may result in failure to approve the inkial system installation, o r t h e s uspensioNrevocation of existing pertnits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catswba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement Permit is aot affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'L.aws and Rules ior Sewaee Treat nt and Dl}�osal Svstems' (15A NCAC 18A .1900). Neit6er Catawba County nor the Eoviroamental Healtb Specialist warrants that t6e septic tank system will continue to function satisfactorily Susa Bumgarner 03/15/2011 AUTHORIZED STATE AGENT APPROVAL DATE Permit E�iration Date: 03/13/2016 No grading or construction activity is allowed in areas designated for system and repair without approva! of the Health Department. 03/15/11 15:57 2(111-0421 16:46 CRPOTE 7044830182» 1 828 465 8276 P 1�z '_ t � .— _ _ �,; •_ �.� Capote Builders C) ��,��1 E �j.� �� 8� Development Co_ ��a�� 5426 Capote Road Maiden. 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