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Home My WebLink AboutEHPR-9-10-7322.TIF 4Cp THIS IS NOT A PERMIT Case # EHPR -9 -10 -7322 �' �� CATAWBA COUNTY HEALTH DEPARTMENT w "`+ Plan Review Application for Environmental Services , 842 SM Environmental Health Plan Review - OSWP IMPROVEMENT NAME TO APPEAR ON PERMIT JOE GOOD SITE ADDRESS: 65 PUTTERS VIEW LN, Maiden, NC Pin#: 364609166686 NAME of SUBDIVISION:PUTTERS VIEW Lot # 5 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 2.528 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: SUBDIVISION OF PROPERTY PROPOSED FUTURE ADDITIONS NONE OR IMPROVEMENTS: PROPERTY EASEMENTS: NO PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? New Residence # OF NEW BEDROOMS: 2 # OF STRUCTURE OCCUPANTS: 3 PROJECT DESC: NEW SINGLE FAMILY DWELLING WITH ACCESSORY DWELLING PROJECT DIMENSION: 58 X 81 BASEMENT? No BASEMENT FIXTURES? No ACCESSORY STRUCTURES DESCRIPTION: ACC DWELL W/ KITCHEN, BATH & WASHER # OF NEW BEDROOMS: 1 STRUCTURE DIMENSIONS: 30 X51 ACC DWELLING? Yes PLUMBING? Yes KITCHEN, BATH & WASHER # OF STRUCTURE OCCUPANTS: 1 09/14/10 13:13 S BA CATAWBA COUNTY Case # EHPR -9 -10 -7322 • Public Health Department � Subdivision Environmental Health Division - Plan Review ® PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 Lot# 5 1 8.2 sw PIN# 364609166686 Applicant/Owner JOE GOOD, PO BOX 692, MAIDEN NC 28650 Site Address: 65 PUTTERS VIEW LN, Maiden, NC Property Size: SF 2.528 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 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 represen 'on by , o of house or structure location should conform to applicable setbacks. Date: 9- 1 y, /O Signature of Applicant or Agent „ ' G An Environmental Health Specialist will contact you wit 2 working days of appl . ation date. If you need further information or assistance please call 828 - 466 -7291 AREA1 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 13:13 Vi3A THIS IS NOT A PERMIT 327 d 1 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 1 /842 u+ Improvement Permit ❑ Authorization to Construct VI Septic Repair ❑ Septic Malfunction P1 Septic Expansion n New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Application is for New Construction Existing Facility Property Address d-5 k'2&, i 14/ Subdivision Pu -e `5 View Lot # .5 Acres , Section /Block/Phase Driving Directions to Property ) 3Z I c M ,.✓ / L - .4-7t Z) 2/c Applicant Contact Information Name /' Address , D 9� 1/1 re 4 C.� -vac AA/4 c Z,a7s Phone gam' _ C ,,, tl 0 Cell Phone off 3/2 -Q6 Owner Contact Information Name ' Address j r,d 69 s - - Phone 4/2f ,02s' Cell Phone y12-Ds- Contractor Contact Information r Name sAzit,e 4 WJte__ Address � Phone / Cell Phone WHO WILL BE THE PRIMARY CONTACT? ✓Owner n Applicant ❑ Contractor Description of Existing Structures on Site 4,2/ # of Bedrooms *t if applicable Tr I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALUATION PROCEDUES) Proposed Facility Type t� Primary Residence # of Bedrooms *t 4 ,2 Structure Dimensions $f X cP/ Basement ❑ Yes y'No Basement Fixtures Yes I✓4No Number in Family 3 yf Accessory Structure(s) Describe 94r•A9 # of Bedrooms *t if applicable j Structure Dimensions 30 1.5") 1 ft/IPA Plumbing Yes 1 No Describe Plumbing Needed 6 et ,( 4 tAdici cr Multi - Family Residence # Units #Bedrooms per Unit *t Total # Bedrooms *t Structure Dimensions ❑ 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 4 CATAWBA COUNTY HEALTH DEPARTMENT - Application for Environmental Services Page 2 \84 v� 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 /e. DI( Proposed Future Structure Dimensions # of Bedrooms *1' if applicable Are there easements or right -of -ways recorded on this property Yes [o Describe Is a public water supply available on or adjacent to the above property ** 7rY Yes n No Check type available n Community Well n Semi - Public Well 71County /City /Township Water Line Existing water supply in use P Individual Well n Community Well n Semi - Public Well n County /City /Township Water Line Application for Well Construction /Abandonment /Repair Proposed Well Type E Individual Well n Semi - Public Well n Community Well Abandonment Type n Drilled n Bored Dug n Unknown Well Repair Requested n Yes n 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. tIf 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) I 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. 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 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 7 s6),119 Printed Name of Owner or Agent - ,. 6O Date *g- `3 W .�4'A .Cp6. CATAWBA COUNTY, NC � �'° 100 -A South West Blvd Newton, NC 28658 PLAN RECEIPT U "'u 0 (828)465 Tuesday, September 14, 2010 /842 sM www.catawbacountync.gov Plan Case: EHPR -9 -10 -7322 Invoice Number: INV -9 -10- 266963 Environmental Health Plan Review Invoice Date: 09/14/2010 Site Address: 65 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 Chang( 09/14/2010 Check 1977 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plan receipt 09/14/2010 13:12 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 Calc 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 This map product was prepared from the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verificaon of any data co rained on this map product by the user. The County of Catmvba, its employees, agents ti and personnel disclaim, and shall not be held liable for any and all damages, loss o' liability, whether direct, indirect or consequential 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 1 inch = 225 feet Prepared for: 4416 5427 --J 6 21411 1x154 x 1 3281 1231N r 5928 „ 4 � 14111. 1k^41N ar I1 .,,, k rh 9 t x:' ;,�w,li 1{111 lwa ai I ,w, rt 3 .�.1?. .. fa a s p 'i y 1 ,µ � l �I y a `s i l l pl � '� ` III ”, .F,�' � s d! ul 4� I II upu � t �: " � 5 ," F �„^",� I V ^V: w '• '1Y IVI ,.s Mt , �Y.;''` " V! I`Il�l�l by >a 3 u' X1 1 h *' }" 1 4 1 '4 � t 4 : . 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