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HomeMy WebLinkAboutEHPR-4-11-10705.TIF ��' p� THIS IS NOT A PERMIT Case # EHPR-4-11-10705 � � �� � CATAWBA COUNTY HEALTH DEPARTMENT v , a � "�' Plan Review Application for Environmental Services Environmental Health Plan flteview - OSWP 1 g SM Il�'P140!/EMEfVT - AUTH COIVST NAME TO APPEAR ON PERMIT `` B'a fS��. O il1@P SITE ADDRE : 2476 STARTOWN RD Newton, NC Pir,�: 372118425084 NAME of SUBDIVIS . Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 9.989 DIRECTIONS: STARTOWN RD/ LFT ON VALLEY VIEW DR/ 1ST HOUSE ON Right APPLICANT OWNER CONTRACTOR Travis Cromer Travis Cromer 2498 Startown RD 2498 Startown RD Newton NC 28658-8354 Newton NC 28658-8354 828-390-1725 82&390-1725 PRIMARY CONTACT: Owner APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: 360 Public water is **NOT*" available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: 2 Story Log Cabin ** Need engineer sealed drawings DESCRIPTION OF House burned ** using existing well EXISTING STRUCTURES ON SITE (IF ANY) PROPERTY EASEMENTS: none PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 3 PROJECT DESC: 50 x 50 PROJECT DIMENSION: New lo� cabin * nrevious house burn BASEMENT? No BASEMENT FIXTURES? 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 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: Signature of Applicant or Agent 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 1�R�L�2 *************�********�*****�**************�********�*******�*******�*****************************************�******* Ma9i191i1�19! SE�bBCkS: Front: 30 Side: 15 Rear: 30 Side St: Max Height: OS/27/11 12:56 �� � THIS IS NOT A PERMIT Case # EHPR-4-11-10705 � � CATAWBA COUNTY HEALTH DEPARTMENT U ,�''C Plan Review Application for Environmental Services 1842 5M Environmental Health Plan Review - OSWP � �L� i�c� IMPROVEMENT - AUTH CONST A. Q NAME TO APPEAR ON PERMIT Travis Cromer s�Te A��Ress: 2609 VALLEYVIEW DR, Newton, NC Pin#: 372118425084 NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 9.989 DIRECTIONS: STARTOWN RD/ LFT ON VALLEY VIEW DR/ 1 ST HOUSE ON Right APPLICANT OWNER � CONTRACTOR Travis Cromer Travis Cromer 2498 Startown RD 2498 Startown RD Newton NC 28658-8354 Newton NC 28658-8354 828-390-1725 82&390-1725 PRIMARY CONTACT: Owner APPLICATION FOR: New Construction DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is ""NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: 2 Story Log Cabin ** Need engineer sealed drawings DESCRIPTION OF House burned ** using existing well EXISTING STRUCTURES ON SITE (IF ANY) PR EA none PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New R ence # OF NEW BEDROOMS: ( 31 # OF STRUCTURE OCCUPANTS 3 PROJECT DESC: 50 x 50 � PROJECT DIMENSION: New loe cabin * nrevious house burn BASEMENT? No BASEMENT FIXTURES? No I understand that this is a formal application for a well permit, Improvemen 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 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: Signature of Applicant or Agent 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 AREA2 ���*********�***********************************************************************************************�********* Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height: OS/03/11 10:13