HomeMy WebLinkAboutEHPR-9-10-7316.TIF •`4- C THIS IS NOT A PERMIT Case # EHPR 9 10 7316
• ic y 111
0 CATAWBA COUNTY HEALTH DEPARTMENT
Q 0 ' ' 4 Plan Review Application for Environmental Services
/842 5M Environmental Health Plan Review - OSWP
IMPROVEMENT
NAME TO APPEAR ON PERMIT
JOE GOOD
SITE ADDRESS: 60 PUTTERS VIEW LN, Maiden, NC Pin#: 364609166686
NAME of SUBDIVISION:PUTTERS VIEW Lot # 2 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 1.5
DIRECTIONS: HYW 321 SOUTH TO MAIDEN, LEFT AT LIGHT, 200 FT TURN RIGHT AT LIGHT ON TO SOUTH MAIN
AVE, 2 MILES ON LEFT SIDE
APPLICANT OWNER CONTRACTOR
JOE GOOD JOE GOOD
PO BOX 692 PO BOX 692
MAIDEN NC 28650 MAIDEN NC 28650
828 - 312 -0574 828 -312 -0574
PRIMARY CONTACT: Owner APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
EXISTING WATER SUPPLY IN USE: N/A
CALCULATED DESIGN FLOW: WELL TYPE:
Public water IS available for this property.
PUBLIC WATER TYPE AVAILABLE: County /City /Township Water
DESCRIBE WORK: SUBDIVSION OF PROPERTY
PROPOSED FUTURE ADDITIONS NONE
OR IMPROVEMENTS:
PROPERTY EASEMENTS: NO
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 2
PROJECT DESC: SINGLE FAMILY DWELLING
PROJECT DIMENSION: 30 X 40
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: L /` 1 D Signature of Applicant or Agent d r-4
An Environmental Health Specialist will contact you with 2 working days of a. • .tion date.
If you need further information or assistance please call 828 - 466 -7291
AREA1
09/14/10 13:07
CATAWBA COUNTY Case #
� �A 0 • ase EHPR - 9 - 10 - 7316
P ublic Health Department
d. ,1, ti
. Environmental Health Division - Plan Review Subdivision
d . 0 ; `c' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 2
/8.2 sm PIN#
364609166686
Applicant/Owner JOE GOOD, PO BOX 692, MAIDEN NC 28650
Site Address: 60 PUTTERS VIEW LN, Maiden, NC
Property Size: SF 15 ACRES
Directions: HYW 321 SOUTH TO MAIDEN, LEFT AT LIGHT, 200 FT TURN RIGHT AT LIGHT ON TO SOUTH MAIN AVE, 2
MILES ON LEFT SIDE
Minimum Setbacks
FEE NAME DATE AMOUNT BALANCE DUE
Front
Side Improvement Permit Fee __ 09/14/2010 $150.00 $0.00
Rear TOTAL FEES $150.00 $0.00
Side St
Max Hght
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
09/14/10 13:07
,av;A THIS IS NOT A PERMIT
' „ ? CATAWBA COUNTY HEALTH DEPARTMENT /', 3 Li
Q Application for Environmental Services Page 1
1 84 2 RJ
Improvement Permit ❑ Authorization to Construct V Septic Repair ❑ Septic Malfunction ❑
Septic Expansion ❑ New Well Permit ❑ Replacement Well n Well Abandonment n Well Repair ❑
ApplicatioA is for New Construction n Existing Facility
�Zc
Property Address T erS )/ZU L
) A Subdivision gu ,S i)
Lot # A Acres
Section/Block/Ph •
Driving Directions to Property , y �t // /�L ,, �19 - _ _111
i d1 /6 4- /10 t3'h- 1� ;5G 41.4-ii-t. /}Ul j
A- Asi..s leS Laa,4 -IOC s'1 -
Applicant Contact Information
Name !'r 6
Address , / Jkr /92 . - ..0 1 - , 4i4 2 /06._ 2f/se
Phone 4/4�',11.45" Cell Phone 3i,2 z -y
Owner Contact Information
Name
Address
Phone Cell Phone
Contractor Contact Information
Name
Address
Phone Cell Phone
WHO WILL BE THE PRIMARY CONTACT? lYOwner n Applicant ❑ Contractor
Description of Existing Structures on Site ivdAe.
# of Bedrooms *f if applicable
n I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION
(SEE COMBINED EVALUATION PROCEDUES)
Proposed Facility Type
❑ Primary Residence # of Bedrooms *t 3 Structure Dimensions 3 x L i a
Basement 1 Yes [3-N ro Basement Fixtures Yes 10 Number in Family 2
1 Accessory Structure(s) Describe
# of Bedrooms *t if applicable Structure Dimensions
Plumbing n Yes U No Describe Plumbing Needed
n Multi - Family Residence # Units #Bedrooms per Unit*t
Total # Bedrooms *t Structure Dimensions
n Food Service Specify Type
# Seats Floor Space - Entire Food Service Facility (Sq Ft)
# Employees per Shift # of Shifts Dining Area (Sq. Ft.)
THIS IS NOT A PERMIT
.
� ti _ CATAWBA COUNTY HEALTH DEPARTMENT
'O ' Application for Environmental Services Page 2
\84 ,M
n Business Retail Floor Space # of Employees per Shift
# of Shifts
n Other Facility Type Specify
If Daycare Specify Occupancy
Proposed Future Additions or Improvements Describe IQyte
Proposed Future Structure Dimensions # of Bedrooms *t if applicable
Are there easements or right -of -ways recorded on this property Yes L_fo
Describe
Is a public water supply available on or adjacent to the above property ** Yes n No
Check type available n Community Well n Semi - Public Wellounty /City /Township Water Line
Existing water supply in use Individual Well n Community Well n Semi - Public Well
n County /City /Township Water Line
Application for Well Construction /Abandonment /Repair
Proposed Well Type n Individual Well n Semi - Public Well n Community Well
Abandonment Type n Drilled Bored 1 1 Dug n Unknown
Well Repair Requested n Yes 1 1 No Describe
Calculated Design Flow t Additional information may be required to determine
design flow from certain facilities. This value will be determined during consultation with on -site staff.
*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 septic system size increase in the
future. tlf structure is plumbed but no bedrooms, calculated design flow is required.
** If No, a well permit must be issued with the Authorization to Construct.
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.
CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL
CHARGE (SEE FEE SCHEDULE)
1 understand that this is a formal application for Environmental Services and authorize Catawba County Environmental
Health employees to go on this property for evaluation purposes. 1 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 transferrable, 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
Signature of Owner or Agent
6° i
Printed Name of Owner or Agent (roe_ 6
Date e- - l�'
t_g,A Cp CA COUNTY, NC
� � ,� 100 -A South West Blvd
H Newton, NC 28658- PLAN RECEIPT
U ` l "" ���� ''' (828)465 Tuesday, September 14, 2010
18 4'1 sM www.catawbacountync.gov
Plan Case: EHPR -9 -10 -7316 Invoice Number: INV -9 -10- 266958
Environmental Health Plan Review Invoice Date: 09/14/2010
Site Address: 60 PUTTERS VIEW LN, Maiden, NC
APPLICANT OWNER CONTRACTOR
JOE GOOD JOE GOOD
PO BOX 692 PO BOX 692
MAIDEN NC 28650 MAIDEN NC 28650
828 - 312 -0574 828 -312 -0574
Fee Name Fee Amount
Improvement Permit Fee Fixed $150.00
Total Fees Due: $150.00
PAYMENTS
PAYER: JOEY GOOD
GOODS SIDING & WINDOWS INC
Date Pay Type Check Number Amount Paid Change
09/14/2010 Check 1977 $150.00 $0.00
Total Paid: $150.00
Total Due: $0.00
plan receipt 09/14/2010 13:06
CATAWBA COUNTY NC - Parcel Report
, Information Regarding Selected Parcel(s)
Parcel ID: 3646 -09 -16 -6686
Name: GOOD JOE K
Name2: GOOD TAMARA J
Address: PO BOX 692
Address2:
City: MAIDEN
State: NC
Zip: 28650 -0692
Account: 159759753
Cale Acreage: 10.63
Tax Map: 066N 02043B
LRK: 35887
Deed Book: 3009
Deed Page: 1082
Subdivision Name:
Subdivision Block:
Lots: 2
Plat Book: 51
Plat Page: 153
Building Number: 125
Street Name: GOLF COURSE RD
Site Zip: 28650
Township: NEWTON
Fire Code: MAIDEN RURAL
City Code: COUNTY
State Road: 2003
Total Bldgs Value:
Land Value: $54,300
Total Value: $54,300
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 113
Watershed:
Watershed Split:
Voter Precinct: P20
E911 District: MAIDEN
Zoning: R -20
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay:
Zoning District: MAIDEN
Split Zoning Dist: N
Split Zoning Dist(1): 0
Split Zoning Dist(2): 0
School District: COUNTY
Elementary School: MAIDEN
Middle School: MAIDEN
High School: MAIDEN
School Split: NO
P &Z Case Number:
Census Tract 2010: 011702
Census Block 2010: 5032
Small Area Plan:
Agricultural District:
Printed: Tuesday, September 14, 2010 12:14 PM
•
Catawba County, North Carolina
N This map product was prepared from the Catawba County, NC, Geographic Information System.
tion
Catawba County has made substantial efforts to ensure the accuracy of location and labeling informa
A contained on this map. Catawba County promotes and recommends the independent verification of any
data contained on this map product by the user. The County of Catawba, its employees, agents and
personnel disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect
or co which arises or may arise from this map product or the use thereof by any person or entity. Legend
Selected Parcel Number: 3646 -09 -16 -6686
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