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Home My WebLink AboutEHPR-3-10-4312 (2).TIF /~~yA C THIS IS NOT A PERMIT Case ElTPR-3-10-4312 CATAWBA COUNTY HEALTH DEPARTMENT v~~ C Plan Review Application for Environmental Services db r Ig~2 SM k Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT T OWNER T CONTRACTOR H & M DEVELOPING COMPANY, LLC HOWARD HUDSON ALEX S. HARRILL CONSTRUCTION CON 1657 HERBIE CIR 3028 SANDY FORD RD 617 NEWTON NC 28658- NEWTON NC 28658 CENTER HICKORY NC 28601- - (828)228-1000 NAME TO APPEAR ON PERMIT H & M DEVELOPING COMPANY, LLC alex@inviRb*Toup10ddit812676 SITE ADDRESS: 1657 HERBIE CIR, Newton, NC DIRECTIONS: RT ON ROBINWOOD RD OFF STARTOWN / RT ON LUTZ LF ON NASH/ PROPERTY ON LF AROUND CIRCLE NAME of SUBDIVISION: FAIRBROOK Lot # 19-24 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.689 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 40 X 50 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 1 Whirlpool Tub : Galc Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 Total Number of Bedrooms DAYCARE: Number or 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: NONE Has any grading, removal, or addition of soil been done to this property? If so, describe NONE 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 con orm to applicable setbacks. Date: r l O 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 Front 30 FEE NAME DATE AMOUNT Side 15 Improvement Permit Fee 03/11/2010 $150.00 Rear 30 TOTAL FEES $150.00 Max Hgllt 4 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/11/10 13:52 THIS IS NOT A PERMIT WLS tt CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit (~!I Authorization to Construct El Septic Repair El Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit U LM ~l~t~lo~,nG ~~om/7anV, L-L L 2. Permit Requested By Business Phone 7`~-7Z~-leo~ Address b1_7 rJ ? Nt _?-&,Q1 Home Phone 3. Property Owner Verna, 1- wc,,J Ljju lSa Business Phone Address -~07 K Sc (mil 1 vrcJ 12LA N c- 2_&, 55 Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address t ¢,r ',e_ ",-eIe NcAA 1_!5 Directions to Property: Z'r h-] n ob*rnwvoJ c~ --6w r\ , Z l^~ n [ ~ ~QA~ 0V_\ rJi'~ L.. 7~o~c'1 l c~ Le C;r-o'nj c C -CL- 5. Property Size: Square Feet 2S~ c~t~r~ Acres _ (v Date Platted/Recorded 6. TYPE OF FACILITY: House 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 issuance. This may prevent the need for system size increase in the future. Basement: ye no Water Using Fixtures in Basement: -o 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 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? 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 property? Yes No 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.** 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 3 9.) Z-6 10 S ignature of Owner or Agent ~I-t~ t • Catawba County, North Carolina ]v This map product was prepared from the Catawba County, NC, Geographic Information System. Catawba County has made subsidmial efforts to ensure the accuracv of location and labeling information contained on this map. Catawba Countv promotes and recommends the independent verification ofany 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 any 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: 3711-20-81-2676 1 inch = 60 feet Prepared for: 83,7 25 ~3 2812` o~ 1 CO 7S V 0\ 0. 4723 150. . N\ .1622- t xa t 1a1 "1 V % ~~~R-20\ 44i`$ THIS IS NOT A LEGAL DOCUMENT Thursday, March 11, 2010 01:39 PM L~ CATAWBA COUNTY NC - Parcel Report J Information Regarding Selected Parcel(s) Parcel ID: 3711-20-81-2676 Name: HUDSON HOWARD VERNON Name2: •r4JDSON PATSY ANN THURM Address: 3028 SANDY FORD RD u Address2: City: NEWTON State: NC Zip: 28658-9201 Account: 32972000 Calc Acreage: 0.69 Tax Map: 015H 03003 LRK: 16447 Deed Book: 1440 Deed Page: 0868 Subdivision Name: FAIRBROOK Subdivision Block: C Lots: 19-24 Plat Book: 12 Plat Page: 117 Building Number: 1657 Street Name: HERBIE CIR Site Zip: 28658 Township: HICKORY Fire Code: HICKORY RURAL City Code: COUNTY State Road: Total Bldgs Value: Land Value: $14,600 Total Value: $14,600 Year Built: Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 87 Watershed: Watershed Split: Voter Precinct: P35 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BLACKBURN Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011102 Census Block 2010: 3009 Small Area Plan: MOUNTAIN VIEW Agricultural District: Printed: Thursday, March 11, 2010 01:39 PM