HomeMy WebLinkAboutEHPR-2-10-4048 (2).TIF
~1$ THIS IS NOT A PERMIT Case # ERPR-2-10-4048
CATAWBA COUNTY HEALTH DEPARTMENT
v w ~C Plan Review Application for Environmental Services
Environmental Health Plan Review - OSWP
1842 SM
IMPROVEMENT - AUTH CONST - NEW WELL
APPLICANT OWNER CONTRACTOR
SCOTT FLEURY SCOTT FLEURY
2325 ELBOW RD 2325 ELBOW RD
NEWTON NC 28658 NEWTON NC 28658
828-320-2606 828-320-2606
NAME TO APPEAR ON PERMIT SCOTT FLEURY Pin#: 362707688774
SITE ADDRESS: 2329 ELBOW RD, NEWTON, NC
DIRECTIONS: 10W/ LEFT STARTOWN/ CROSS HWY 321/ RT ELBOW RD/ IST PAVED DRIVE ON LEFT
NAME of SUBDIVISION: Lot # 2 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.92 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3
Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 4
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 Ist 2nd 3rd
OTHER: (Specify)
Do you aniticipate any additions to Facility?
If so, describe:
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? UNKNOWN
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 representation by you of house or structure
location should conform to applicable setbacks.
Date: Signature of Applicant or Agent
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 2
(FOR OFFICE USE ONLY)
Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
FEE NAME DATE AMOUNT
Front 30
Side 15 Authorization to Construct Fee (New/Expansion) Fee 02/25/2010 $150.00
Rear 30 Improvement Permit Fee 02/25/2010 $150.00
Max Hght Well Permit & Inspection Fee 02/25/2010 $300.00
1 TOTAL FEES $600.00
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
03/15/10 13:10
A C THIS IS NOT A PERMIT Case # EHPR-2-10-4048
CATAWBA COUNTY HEALTH DEPARTMENT
Plan Review Application for Environmental Services
1842 SM Environmental Health Plan Review - OSWP
APPLICANT OWNER CONTRACTOR
SCOTTFLEURY SCOTTFLEURY
2325 ELBOW RD 2325 ELBOW RD
NEWTON NC 28658 NEWTON NC 28658
828-320-2606 828-320-2606
NAME TO APPEAR ON PERMIT SCOTT FLEURY Pin#: 362707688774
SITE ADDRESS: 2329 ELBOW RD, NEWTON, NC
DIRECTIONS: 10W/ LEFT STARTOWN/ CROSS HWY 321/ RT ELBOW RD/ 1ST PAVED DRIVE ON LEFT
NAME of SUBDIVISION: Lot # 2 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.92 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3
Basement: Yes Water Using Fixtures in Basement:Yes No. in Family 4
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:
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?
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 norrexpiring 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: 2-25-10 Signature of Applicant or Agent
.
An Environmental Health Specialist will contact you within 2 working days of application dAO"
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
Front 30 FEE NAME DATE AMOUNT
Side 15 Authorization to Construct Fee (New/Expansion) Fee 02/25/2010 $150.00
Rear 30 Improvement Permit Fee 02/25/2010 $150.00
Max Hght TOTAL FEES $300.00
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional S60 charge
02/25/10 09:23
THIS IS NOT A PERMIT WLS #
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑
Existing Tank Check ❑ New Well Permit [ Replacement Well ❑ Well Abandonment ❑
1. Name to Appear on Permit ~'La~'j
2. Permit Requested By ~ 41pr .4(1 Business Phone, Z(o - iN3~
Address 2 3 ?s ,P-) be,,, iu ~T ivy 294,rf Home Phondt~)3Z0 -Zf,o(~,
3. Property Owner S cs 1T GI eUrV Business Phone rte, z
Address 'Z37-5- (hrz6, 2~ N ~MJTn iv c, Z,QloS~ Home Phone Sci#np
4. Name of Subdivision Lot # Section/Block/Phase
Property Address
Directions to Property: % a,,~ m Hy/ v 'f l hHs r. g ?p 1% A c2Z~ W7',' f
/D T /
"hVI 1je1A c.lo 5~ epU 1&_k, JZI. ~i~l3r ~rosSitiC /yy/v s'Z/ --te):1° M 6kiTT ~zmA
_T Az - / ~u4, T /a~~ rd dam; a rn, f~T
5. Property Size: Square Feet Acres Date Platted/Recorded
6. TYPE OF FACILITY o ►se Mobile Home Dimension of Structure 28" x-,4-d' Bedrooms* 3
*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 system size increase in the future.
Basement: zono Water Using Fixtures in Basement: es io No. in Family
Whirlpool Tub yesO 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 1st 2nd 3rd
OTHER: (Specify)
7. Do you anticipate any additions to Facility? Yes o
If so, describe:
8. Has any grading, removal, or addition of soil been done to this property? Ye No
If so, describe:
9. Are there easements/right-of-ways recorded on this property? Yes / No
10. Is a public water supply available on or adjacent to the above property? Yes /Q
Check type that is available: [ ] Community well [ ] Semi-public well [ ] County/City/Township water line
**If No, a Well Permit must be issued with the Septic Permit.**
It. Well Type Applying For: LX 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 TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.**
Date 2-Z iD Signature of Owner or Agent `
Catawba County, North Carolina
This moP product WOS prepared fi oar die Cotawhcr Counm, AIC, Geographic Information Si-stem.
Caanrho County has mode substantial efforts to ensure the accuracy of locclion cold labeling it fn-IM1 017
contained on Ihis mop. Catcnrbo Conan: promotes and recommends llhe independent verificatimr of oar
data contained on this mop product b'v the user. A e Conan- of Catcnrbo, its enq,loyees, agents and
personnel disclaim, and sholl not be held liable for mrv and oll damgses, loss or liohility, whether direct, indirect
or consequential which arises or may arise from this n,ap product or the use thereof big mm person or enni . Legend
Selected Parcel Number: 3627-07-63-3774
1 inch = 60 feet Prepared for:
45
r ,
~ j~ r 1•
10° .00 . ~ cn
100 17
8961
(-0
1 ,'}51 244
53 a, ~-J-
Plat 66-129
V
N
4
? co
8774
v - co
fi Plat 66-129 24356
'o q4
0
THIS IS NOT A LEGAL 1)000iIMFN1' 'Thursday, February 25, 2010 08:48 ANI
1
CATAWBA COUNTY PERMIT
)A ZONING AUTHORIZATION (R)
New Dwelling
P. 0. Box 389
PERMIT NO: ZONR-2-10-494
100A Southwest Blvd APPLIED: 02/25/2010
Newton. North Carolina 28658 ISSUED: 02/25/2010
I(' SM Phone: 828-465-5380 EXPIRES: 08/24/2010
I' A X : 828-465-8484
www.catawbacountync.gov
APPLICANT OWNER CONTRACTOR
SCOTTFLEURY SCOTT FLEURY
2325 EI-13OW RD 2325 ELBOW RD
NEWTON NC 28658 NEWTON NC 28658
PROPERTY ID#: 362707688774 CENSUS TRACT:
STREET ADDRESS: 2329 ELBOW RD, NEWTON, NC LOTI/ 2
PROJECT DESCRIPTION: I STORY DNVE .LING W/ UN17INISI IED 13AS1~MEN"f ARf1-A
DIRECTIONS:
COMMENTS: 1 STORY DWELLING W/ UNFINISHED BASF N-1EN"I'
FLOOD LONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS
100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00
FLOOD PLAIN. STRUCTURE? No MAX HEIGHT: 45.00 REAR: 30.00 SIDI, I:
VALUE: 0 CORNER: SIDE 2:
1. Before an inspection can be made by the Building hispection Office. the applicant must pull a string, to designate the sicic and rear
property lines where the stRucture is being placed or constructed.
2. I lone shall be placed on the lot in harmony with the site-built structures. or have the front door lace the road frontage.
FEE DESCRIPTION DATE FEE AMOUNT
Residential Zoning Fee 02/25/2010 $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
aclcnowledtes that this permit was issued on the basis of the information required herein. The applicant further acknowledges that any const-uction.
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 beat the expense of-the applicant.
It is the responsibility of Applicant to comply with all existing decd 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 Authori/ation Permit shall expire six months fi-om the date of issuance unless a buildingf y~mit is secured and remains active.
2
APPLICIN"f NAN41. (PRINT(',D) APPLICANT SIGNATURE ZONING APPROVED BY
ZONING FEES ARE NON-REFUNDABLE
CON-1PANY NAME
n 02/25/2010 09:21 Page 1 01' 1
A CATAWBA COUNTY, NC
100-A South West Blvd PLAN INVOICE
Newton, NC 28658-
(828)465-8399 Thursday, February 25, 2010
j 8 4 2 sm w«rv.catawbacountync.gov
Plan Case: EHPR-2-10-4048 Invoice Number: INV-2-10-259872
Environmental Health Plan Review Invoice Date: 02/25/2010
Fee Name Fee Amount
Well Permit & Inspection Fee Fixed $300.00
Total Fees Due: $300.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
02/25/2010 Check 1376 $300.00 $0.00
Total Paid: $300.00
Total Due: $0.00
plan mmiic, ;171'-4100-c8 4 ec3-hcdI-aShAM6247: rpt 02/25/2010 0928
A CATAWBA COUNTY, NC
100-A South West Blvd PLAN INVOICE
~ Newton, NC 28658-
0 (828)465-8399 Thursday, February 25, 2010
184 'Z sM www.catawbacountync.gov
Plan Case: EHPR-2-10-4048 Invoice Number: INV-2-10-259871
Environmental Health Plan Review Invoice Date: 02/25/2010
Fee Name Fee Amount
Authorization to Construct Fee Adjustable $150.00
(New/Expansion) Fee
Improvement Permit Fee Fixed $150.00
Total Fees Due: $300.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
02/25/2010 Check 1376 $300.00 $0.00
Total Paid: $300.00
Total Due: $0.00
plan imoicc ;6d0fe-10-60bb-1IPc-a41Ii-00k:Ic8ad702~.ipt 02/25/2010 09:25