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Home My WebLink AboutEHPR-11-09-2924 (2).TIF Case # EHPR-11-09-2924 CATAWBA COUN'T'Y Subdivision S pin dale Public Health Department Environmental Health Division Section/Bl/Ph/Lot# 6 PO Box 389, 100A Southwest Blvd, Newton NC 28658 PIN# 3608-01-49-5879 (828) 465-8270 Fax (828) 465-8276 TDD (828) 465-8200 Applicant/Owner Trevis Godwin Site Address: 2331 Springdale Dr. Newton, NC Pro rt Size: 0.34 acres Directions: EXISTING SYSTEM INSPECTION REPORT Site/System Diagram Fr~G1(7S~ ~ePa►r Q P~f s ~ ~t5 ~-qn~ C~eC~ ~ IS d,e.n t(~ bF~ l~eccurse ~4~ exi ~ K deck i 5 Exis~inc~ p~~~~ield 0~¢Y l~~ SQ iC, c~1Y ~ZIA. sa,nk TK Pot tt~( -~V 2~+Gtn Q1S~Q bC 3 lroorv. +Jylc~(►. -tie. Neck Svo« P0,515. Home- 1W red vi v e- SfA P lG. W voen P~ I a 0 Ip~ Type of Facility: House Mobilc Home #Bedrooms 3 Business Specify Other Specify Proposed Additions/Accessory Structure: 10x16 wood storage building. Approved ❑ Not Approved ® Reason existing deck is over septic system Evidence of System Malfunction: YES ❑ NO ® System Type/Description lIa 2,122, I o AUTHORIZED STATE AGENT ATE NOT FOR LOAN APPROVAL \ l THIS IS NOT A PERMIT Case # EHPR-11-09-2924 CATAWBA COUNTY HEALTH DEPARTMENT v..~ Plan Review Application for Environmental Services 1842 s Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR TREVIS GODWIN TREVIS GODWIN 2331 SPRINGDALE DR 2331 SPRINGDALE DR NEWTON NC 28658 NEWTON NC 28658 828-238-8209 828-238-8209 NAME TO APPEAR ON PERMIT TREVIS GODWIN Pin#: 360801495879 SITE ADDRESS: 2331 SPRINGDALE DR, Newton, NC DIRECTIONS: HWY 10 TO SPRINGDALE SUBD/ TURN RT ON SPRINGDALE DR/ LOT 6A ON LEFT NAME of SUBDIVISION: SPRINGDALE Lot # 6A Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.34 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 3 Basement: Water Using Fixtures in Basement: No. in Family Whirlpool "Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: 10 X 16' WOOD STORAGE BLDG Has any grading, removal, or addition of soil been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NA Type of Water Supply: Individual Well Community Well X Municipal Semi-Public 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. ~ J Date: I I - 3 1~ - o Signature of Applicant or Agent 4L, 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 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks FEE NAME DATE AMOUNT Front 30 Side 10 Existing Tank Check Fee 11/30/2009 $80.00 Rear 5 TOTAL FEES $80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 4pTeiKe" I I)3e10q- on 6l d lpeiettsh)rAe/ u4I 01/0),n 11/30/09 11:38 -p jec-)4e Pi-% C41POf ! CATAHIDA. DEPARSMENP v[Jx Lot Evaluation Itr>pro nt . Permit Repair Permit Completion Permit 34 Owner/Agent ~a Phone Address 4~& -i f Subdivisi a Sectio Bloc d t # Lot Size Directions: ize Facility: House_ Mobile Home iness ; Other: Zoning Approval ye /no # Multi-frd: _ Other 100% Repair Area yes/no Bedroatts Baths__ Seats Ehiployees GPD Flow . Application Rate Garbage Disposal Special Fixtures REPAIR NDPICE: REPAIRS MUST BE WITHIN 30 Basement yes/no Basement Plumbing s/no ; DAYS OR DAYS FROM DA7E OF PERMIT. Water Supply: Private Public Type of System: Trench System Other (Specify) Tank Size: Septic Tank Pump Tank Nitrification Field`r Total Square Feet 4vp Depth of Stone__ZL_ Bed Size Trench Width 3. Total Length of All Trenches :30 cvNumber of Trenches ~ Individual Trench Length Feet on Center '~.~Z7" Q Maxim= Trench Depth le Distance to Nearest Well Lot Evaluation: Approved Disapproved Sketch of Lot Evaluation Site - System Design - Final I 1 [b 1 3rX 7S ,~a~~ . 5• I I SD / v ~~G J '0)1 Permit Date (Lot Evaluation and Improvement t vo' aftfiF 36 months) Owner/Agent ~i Sanitarian Installed By /•P.>t..., ~-,`c, 2or Date 4 13 -PV Sanitar (Note.'any change /information in red or by ske n back) Topo S PS U Drainage S PS U Depth S PS U Restrictive Hoz. S PS U Space S PS U Soil S PS U III Loams: Sandy Clay, Silt, Clay, Silty Clay .6-.4 IVa Clays: Sandy, Silty, Clay .4-.2 WHITE.- OFFICE COPY + YELLOW 7 OWNEFVAGENT COPY