The URL can be used to link to this page

Home My WebLink AboutEHPR-2-10-4054 (2).TIF BA C THIS IS NOT A PERMIT Case # EHPR-2-10-4054 CATAWBA COUNTY HEALTH DEPARTMENT U C,:`C Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR NORMAN HUGHES NORMAN HUGHES 2140 WITHERS RD 2140 WITHERS RD MAIDEN NC 28650 MAIDEN NC 28650 828-514-3940 828-514-3940 NAME TO APPEAR ON PERMIT NORMAN HUGHES Pin#: 365717104745 SITE ADDRESS: 2140 WITHERS RD, Maiden, NC DIRECTIONS: EAST MAIDEN (MAIDEN SIDE) WITHERS RD/.7 ON LEFT NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.439 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 30 X 48 Bedrooms 2 Basement: No Water Using Fixtures in Basement:No No. in Family 2 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: 16 X 24 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? NONE 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 nvironmental 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 I I IQ GXf' l~ tlTDO Zoning Form A Minimum Setbacks QO Front 40 FEE NAME DATE AMOUNT Side 12 Improvement Permit Fee 02/25/2010 $150.00 Rear 30 TOTAL FEES Max Hght $150.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 02/25/10 11:33 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 V New Well Permit E] Replacement Well ❑ Well Abandonment ❑ t 1. Name to Appear on Permit C 2. Permit Requested By usiness Pho e Address Home Phone rK2R~- S 15~~ 3. Property Owner Business Phoneme Address Home Phone 4. Name oeSubdivision IIIA7 /7 Lot # Section/Block/Phase Property Address t 41!;W XeC 190?-16t F Directions to Property: - r /4 V 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House l~ Mobile Home Dimension of Structure Bedrooms* *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 is uance. This may prevent the need for system size increase in the future. Z, Basement: yes Water Using Fixtures in Basement: yesV No. in Family Whirlpool Tub yes/i 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 Facility? Yes o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes o 10. Is a public water supply available on or adjacent to the above proper Yes Check type that is available: [ ] Community well [ ] Semi-public well [Noounty/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 TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE." Date ~J < Signature of Owner or Agent Catawba County, North Carolina This snap product was prepared from the Catawba County, tVC, Geographic Information System. N Catawba Couno, has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catowba 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 mm and all damages, loss or 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: 3657-17-10-4745 1 inch = 60 feet Prepared for: 1 M L N ~ 1.78A 6 3 f 8 0 12 2 48.20 L0 80 00 r w t X4745 ~ X15 ~ r CP C t THIS IS NOT A LEGAL DOCUMENT Thursday, February 18, 2010 12:07 PM / 1 1 : l: J n ) - CATAWBA COUNTY HEALTH DEPARTMENT N° 7070 fd Teleph ne (828) 46~-82XD (8 28) 46 ~5 Imp print. u . to Con . Rpr Prmt.vOpr Print. Sys Type~Well Print. Well Rpr Prrtit. 0„ner/Atent Phone Address L L-i 4-1" Subdivision C. Sectto lock/Phase Lott! Lo ze Direct ns w, nk i f rS - o r~1 fr Facility- House Mobile Home Business Multi-family Other- Tax Map or Pin Number 7 ~ 1 7 Y Other Zoning Approval # t/ Bedrooms N Seats # Employees Application Rate t b GPD Flow Hot Tub or Spa ye no ecial Fixtures Basement yes no 100% Repair Ar yes o Basement Plumbing ye o' Water Supply- Private Well Public Semi-Public Type of System. Trench Bed Pump Pump/Panel Panel LPP Other 6 ~ It Septic Tank Size! Pump Tank Size Nitrification Field. Total Square Feet (r7S- Depth of Stone Bed Size it) 1( q.j Trench Width Total Length of All Trenches Number of Trenches Trench Length Feet on Center Maximum Trench Depth Distance of Nearest Well 50t *DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* Topo S ' %Slope Texture I Structure S,.4 I I Clay Min, ` I "l~ t l3 i Yy J Soil Wetness " I ~k Soil Depth_ WE F" I it Res[ric Hoz. at YQy .E'v Available space&o I IU , Overall Class Comments ~j I w5 Nt I~~ I ~ x,sh tt I ( sv.r X- 2 PA i I ~ Filter Required Riser required when f tank is more than 6 inches deep. **NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PE FORM~ANCE OR LENGTH OF TIME THIS SYSTEM WILL FUNCTION** *Improvement Permit has no expiration date and is transferable, but may be revoked if site plans or intended use changes for the proposed facility An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 yeas provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of water is guarantee at s' e y the Health Department. cc Permit Date EHS ~J Owner A p .~.a Sepuc Tank I le y Date 1.7 EHS S Well Installed By- Well Grout Approval Date Well I d prov 1 at Date Sample Collected Date o Re Its Results EHS White - Office Blue Building Inspection Operation Permit Yellow - Owner/Agent Gieen Building Inspection Authorization to Construct A CGS _ CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE Q+ Newton, NC 28658- 0 (828)465-8399 Thursday, February 25, 2010 184 sM www.catawbacountync.gov Plan Case: EHPR-2-10-4054 Invoice Number: INV-2-10-259880 Environmental Health Plan Review Invoice Date: 02/25/2010 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 02/2512010 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plenmwicc ;84(,042,~0-4h8h-49dc-JC3 c-84fc-k11312h;.rrt 02/25/2010 11:33 CATAWBA COUNTY NC - Parcel Report Information Regardiag Selected Parcel(s) Parcel ID: 3657-17-10-4745 Name: BURRIS CASSANDRA MARIE GOODSON Name2: HUGHES LINDA RUTH GOODSON Address: PO BOX 909 S Address2: City: DAMASCUS J State: VA Zip: 24236-0909 Account: 159757735 S-~ Calc Acreage: 0.44--------- - Tax Map: 007 K 04042 LRK: 7022 Deed Book: 2589 Deed Page: 0260 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 2140 Street Name: WITHERS RD Site Zip: 28650 Township: CALDWELL Fire Code: MAIDEN RURAL City Code: COUNTY State Road: 1868 Total Bldgs Value: $63,800 Land Value: $8,400 Total Value: $72,200 Year Built: 1953 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 113 Watershed: WS-II Protected Area Watershed Split: NO Voter Precinct: P9 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: MAIDEN Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: MAIDEN Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 5005 Small Area Plan: Agricultural District: Printed: Thursday, February 18, 2010 12:07 PM 02/25/2010 11:46 828-428-5017 TOWN OF MAIDEN PAGE 02/02 0 TOWN OF MAIDEN PLANNING DEPARTMENT ZONING PERMIT P110NE (828) 428-5000 FAX (828) 428-5017 TDD 1800-735-2962 TOWN OF MAIDEN, 113 W. MAIN ST., MAIDEN, NC 28650 ZONING PERMIT NUMBER: 10-2010 PIN# 3657_i71047_45DATE: 2/19Z201 0 OWNS TENANT/CONTRACTOR: NORMAN HUGHES SR. BUSINESS NAME: PHONE: 514-3940 PARCEL ADDRESS: -ZI40 Withers Rd. Xalden. N"-O_6- MAILING ADDRESS IF DIFFERENT THAN ABOVE: SUBDIVISION: AREA:0.44 ZONING: R-20 & & WATERSHED: WS-II PROTECTED FLOODPLAIN: NO TOWN WATER: NO TOWN SEWER: NO - - - - - - - - USE (CHECK ALL THAT APPLY) PROPOSED USE: BUILD 16X24 S FT SHOP AND MOVE AND OR DEMO EXISTING OUTBUILDINGS ALTER- ACCESSORY _ CHANGE OF USE _ DEMOLITION ,-ENLARGE„ ERECT, MOBILE HOME NEW CONSTRUCTION- OCCUPANCY CHANGE _ REMODEL REPAIR SIGN OTHER electric permit for outbuilding (pulled at a later date) ZONING REQUIREMENTS SETBACK REQUIREMENTS: FRONT: 40' SIDE:12' STREET SIDE: 15' REAR: 20% LOT DEPTH UP TO 30' ACCESSORY USE SETBACK: NOT PERMITTED IN FRONT YARD OR WITHIN 15' OF ANY STREET RIGHT-OF WAY OR 5' FROM LOT LINES. OTHER SETBACK REQUIREMENTS: 20% MAXIMUM IMPERV10US SURFACE. BUILDING HEIGHT SHALL NOT EXCEED 35' UNLES$ DEPTH OF FRONT AND SIDE YARD SETBACK IS INCREASED V FOR EVERY 2' IN BUILDING HEIGHT OR FRACTION THERE OF. THE ABOVE DESCRIBED PROPERTY HAS BEEV/,o,4cr UND TO BE IN COMPLIANCE WITH THE TOWN OF MAIDEN ZONING ORDINANCE?ot- IS HEREBY AUTHORIZED TO APPLY FOR APPROPRIATE BUILDING INSPECTIONS AND EALTH DEPARTMENT PERMITS FOR SAID PROPERTY. 4~ 01, SIGNATURE OF APPLICA DATE ±7 SIGNATURE OF ZONING ENFORCEMENT OFFICER DATE R#saiak4r•krr#RkkR#s###s##s#RRkks4sst#•sa4rwkR#is#arswyrt#tis#ssrfsfr4wpRRk*##Rk##s#ssirtYrrrwr#* ALL PERMITS EXPIRE (6) MONTHS AFTER DATE OF ISSUANCE OR AFTER (1) ONE YEAR LAPS-IN WORK. ssswwakrrRrkRR##ssk##Rk+kRk#R#s#rssssrasrwR###R#sssssrassssssssassrrwwrrRRR##f#sskakwrrrrwrrrr#k#