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HomeMy WebLinkAboutEHPR-2-10-3962 (2).TIF A ys$ c~G THIS IS NOT A PERMIT Case # EHPR-2-10-3962 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM APPLICANT OWNER CONTRACTOR ADAM STEWART ADAM STEWART 2669 BALLS CREEK RD 2669 BALLS CREEK RD NEWTON NC 28658 NEWTON NC 28658 (828)244-7249 (828)244-7249 NAME TO APPEAR ON PERMIT ADAM STEWART Pin#: 366904526300 SITE ADDRESS: 2669 BALLS CREEK RD, Newton, NC DIRECTIONS: TURN LT IN FRONT OF BALLS CREEK SCHOOL NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 45.229 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure DUX _`50 Bedrooms 2 Basement: Yes Water Using Fixtures in Basement:No 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: ZX ZLa 1 ~L C1C~ tSy~-~v mu 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? No Type of Water Supply: Individual Well X Community Well 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 represenyou of ouse or structure location should conform to applicable setbacks. n Date: Signature of Applicant or Agent / (f 0.. c 4- 'L- 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 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: -Yes No "Zoning Approval UDO Zoning Form A Minimum Setbacks Front 80 FEE NAME DATE AMOUNT Side 15 Existing Tank Check Fee 02/19/2010 $80.00 Rear 30 TOTAL FEES 580.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 02/19/10 11:11 CATAWBA-LINCOLN-ALEXANDER DISTRICT, HEALTH DEPARTMENT -i H3CKOR3';`N. C.-NEWTON, "N. C.-LINCOLNTON, N. C.-TAYLORSVILLE, N. C. PHONES 29491 - ' 291 ; 435 3142. PERMIT TO INSTALL SEPTIC TANK PERMIT PERMIT DATE` 19- Owner - - ----------=----Address' Tenant - ------------------Address - - - Address.----------------------- by are` _ Location of Property of trench.~ f _ Kind of tank Length NOTIFY ALTH EP T T AT LEAST= EI HOURS BEFORE TANK IS T BE INSPECTED Final Inspection Approved ( Disapproved-`( ) Remarks: 7 - - - First five feet of line from::outlet should be. of cast iron soil pipe. - `Sanitarian. i tank and line showing L. distance m dwelling - and well on " - subject porperty and on adjoining property. i s Catawba County, North Carolina 77iis map product was prepared from the Catmrbo Couuv, NC, Geographic hifo niolimr Svriem. N Catanrbo County has made substantial effm is io ensure do occurarn of location mrd labeling it formatian contained on this nicip. Catawba County promotes and reconnrendv the independent verificmion of cn v dal! contained of this map product by the user. The Coimiv of Cotawba, iir employees. agenis and personnel disclaim, mul shall not be held liable for ony ord all damages, loss or liability, whether direct, indirect or consequential which arises or mqr prise fi om this map producl or the use thereof by onv person or entity. Legend Selected Parcel Number: 3669-04-52-6300 1 inch = 80 feet Prepared for: 2.01A r 1640 W -W W 5 ° 'o 385,.67 4 o .62 1 J j ~l O ~S 26~ ~1z51 1.30A ~g THIS IS NOT A LEGAL DOCUMENT' ' Friday, February 19, 2010 10:07 Aj*\9 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3669-04-52-6300 Name: , STEWART ADAM R tlame2: Address: 2669 BALLS CREEK RD Address2: City: NEWTON State: NC Zip: 28658-8109 Account: 204813 Calc Acreage: 45.23 Tax Map: 001 K 01039 LR K: 464 Deed Book: 2746 Deed Page: 0720 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 2669 Street Name: BALLS CREEK RD Site Zip: 28658 Township: CALDWELL Fire Code: BANDY'S City Code: COUNTY State Road: 1810 Total Bldgs Value: $54,700 Land Value: $179,600 Total Value: $234,300 Year Built: 1943 Year Remodeled: 1969 Last Sale Date: Last Sale Amount: Neighborhood: 122 Watershed: WS-11 Protected Area Watershed Split: YES Voter Precinct: P1 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: WP-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011400 Census Block 2010: 3014 Small Area Plan: BALLS CREEK Agricultural District: Printed: Friday, February 19, 2010 10:06 AM THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT e-V~S4'~ Pei 043h Application for Environmental Services Improvement Permit Authorization to Construct El Septic Repair F Septic Expansion ❑ Existing Tank Cheek New Well Permit El Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit A So- m lZ SEs 2. Permit Requested By Business Phone n1Ll L4- 7aL14 Address a J k c rroo t.' R u tiQ." ,kJ C ~ S Home Phone t2_8' - LIC,L 1- o t ~L*7 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY House Mobile Home Dimension of Structure '3 x y a Bedrooms* *Any room that ~Il (Tv mended for sleepin ai thu ttme of cun.sirtic7 on or fOi luttifre_constderahoii should be noted as a bedroom and counteds ri all applic'attoii,~. Thy iluntb r of b Vin: oms v~rill be cgnfirmed by rooms rdentified on house plans as a bedroom at th-e tgpe `of building ermtt issuanc eM 1 his, n d ; i c~ ent th 66e'd,for system size increase m the futur. Basement: yes no Water Using Fixtures in Basement. yes49 No. in Family Whirlpool Tub yes/no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to FaAcil'' jty ? e _,)/No 11 If so, describe: it I )(d-& r a-, . l3,,A , OaA!,, 066se -l- T'L► I Ac © o'f r=x'Sk" 8. Has any grading, removal, or addition of soil been done to this property? Yes / No mo- L, 11~ ~ 8ec.~nn~ ~i If so, describe: "7 9. Are there easements/right-of-ways recorded on this property? Yes / o r 10. Is a public water supply available on or adjacent to the above property? Yes /0 Check type that is available: [ ] Community well [ ] Semi-public well [ J County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well 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 valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, 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. 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. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE T HE PROPERTY, THE E IS AN DDITIONAL CHARGE" Date - 0(-' D Signature of Owner or Agent CATAWBA COUNTY PERMIT ~A co ZONING AUTHORIZATION R I-, a Addition P. 0. Box 389 e~► PERMIT NO: ZONR-2-10-4835 a4®O 100A Southwest Blvd APPLIED: 02/19/2010 Newton, North Carolina 28658 ISSUED: 02/19/2010 0p ^ 'l 4 v SM Phone: 828-465-8380 EXPIRES: 08/18/2010 FAX: 828-465-8484 www.catawbacountync.gov APPLICANT OWNER CONTRACTOR ADAM STEWART ADAM STEWART SAME AS OWNER 2669 BALLS CREEK RD 2669 BALLS CREEK RD NEWTON NC 28658 NEWTON NC 28658 PROPERTY ID#: 366904526300 CENSUS TRACT: STREET ADDRESS: 2669 BALLS CREEK RD, Newton, NC LOT# PROJECT DESCRIPTION: ADDING A 26 X 24' BEDROOM ADDITION ON BACK OF HOME DIRECTIONS: COMMENTS: FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 45.00 FRONT: 80.00 SIDE: 15.00 REAR: 30.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 02/19/2010 $25.00 TOTAL'FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct, and acknowledges that this permit was issued on the basis of the information required herein. The applicant further acknowledges that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the property. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. **This Zoning Authorization Permit shall expire six months from the date of issuance unless a building permit is secured and remains active. APPLICANT NAME (PRINTED) APPLICANT SIGNATU Zdm APPROVED Y ZONING FEES ARE NON-REFUNDABLE COMPANY NAME permit 02/19/2010 11:18 Page I of 1 24'-0" 3'4,„ I 3h'r o0 , W-0" 83roF X 3~n O i+1 O X , 0 ~ - X csv i `4 X ~ X s C, 2'-6!-5" T-j ADAM STELUART ADDITION FLOOR F'LAN~