HomeMy WebLinkAboutEHPR-7-11-11646.TIF A
'� CATAWBA COUNTY
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u I"0 ,< P 0 Box 389-Newton,North Carolina 28658 -(828)465-8270-Fax(828)465-8276-TDD(828)465-8200
Ig 42 sm www.c.atawbacountvnc.gov/phealthiehmain.asp Public Health—Environmental Health Division
Application for a Waiver of Existing Wastewater System and Well Inspection
For Properties of Two Acres and Greater
ugso n Lav-4er4 (print your name) certify that I am the owner or authorized agent(owner's signed
authorization required)representing the owner of the property described as(property address and PIN):
\9,93 L-L-s c1c DP-We._ t ltc._ ,.5 cos E
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4,5,aitud al l Cur( PIN
By signing this waiver application,I acknowledge and certify the following:
• All proposed building and property line setbacks currently required by law or local zoning
ordinance can be met.
• The minimum required building setbacks from any component of the wastewater system,
designated repair area,or private water supply well can be met in accordance with the following
applicable North Carolina Laws and Administrative Codes:
o Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A .1900)
• Any building foundation 5 feet
• Any water line 10 feet
• Any swimming pool 15 feet
o Well Construction Standards(15A NCAC 02C). •
• Any building foundation 25 feet
• I,as the owner of thproperty described above,or as the owner's authorized agent accept full
responsibility for and all damage as a result of the proposed construction.
Applicant Signature c�- jeti�„ --/` Date b— `7— 1 O
v
Required attachments: .
• Plat of property or site plan(drawn to scale)showing all proposed and existing structures
• Copies of current applicable permits(septic system,well, zoning, etc.)
Waiver: Approved Denied
Comments MONA c 1\)L-CWc-- 'ram t ff✓a 0 c i•Pe `- -t
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Signature � .• Title(?. A- AC on,t+41J.. — Date 6I tl t 10
Notice to the Applicant:Approval of this waiver provides only an exemption for an existing wastewater system or well inspection. Any
deviation from the submitted site plan voids this waiver. All waiver applications shall be reviewed by the On-site Water Protection
Program Supervisor,or the Environmental Health Administrator. Please allow three business days for processing.
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CATAWBA COUNTY NC- Parcel Report
Information Regarding Selected Parcel(s) •
Parcel ID: 3648-08-88-8883
Name: ;.AMBERT JASON BENNARD
Name2:
Address: 1893 ELLICK DR
Address2:
City: NEWTON
State: NC
Zip: 28658-9015
Account: 159759504
Calc Acreage: 0.64
Tax Map:
LRK: 901935
Deed Book: 2343
Deed Page: 0582
Subdivision Name: BROOKRIDGE
Subdivision Block:
Lots: 65
Plat Book: 46
Plat Page: 87
Building Number: 1893
Street Name: ELLICK DR
Site Zip: 28658
Township: NEWTON
Fire Code: NEWTON RURAL
City Code: COUNTY
State Road:
Total Bldgs Value:$94,000 •
Land Value: $10,800
Total Value: $104,800
Year Built: 2002
Year Remodeled:
Last Sale Date: 2/27/2002
Last Sale Amount: $26,000 •
Neighborhood: 113 •
Watershed:
Watershed Split:
Voter Precinct: P32
E911 District: COUNTY
Zoning: R-40
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:TUTTLE
Middle School: MAIDEN
High School: MAIDEN
School Split: NO
P&Z Case Number:
Census Tract 2010: 011600
Census Block 2010: 1004
. Small Area Plan: BALLS CREEK
Agricultural District: PROXIMITY
Printed:Thursday, June 03, 2010 01:23 PM