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Home My WebLink AboutEHPR-3-10-4351 (2).TIF }3A C THIS IS NOT A PERMIT Case # EHPR-3-10-4351 I_- CATAWBA COUNTY HEALTH DEPARTMENT V f :;0 Plan Review Application for Environmental Services Environmental Health Plan Review - OSWP Ig42 sM IMPROVEMENT APPLICANT OWNER CONTRACTOR JAMES WEBB Elvis Beal 3550 E MAIDEN RD 3582 E Maiden RD MAIDEN NC 28650- Maiden NC 28650 (828)328-9916 NAME TO APPEAR ON PERMIT JAMES WEBB Pin#: 366602650343 SITE ADDRESS: 3550 E MAIDEN RD, Maiden, NC DIRECTIONS: E MAIDEN RD PAST LAWINGS CHAPEL/ GO ABOUT 1 MILE/ AT BOTTOM OF HILL CROSS BRIDGE/ 2ND DRIVE ON LFT NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 10.81 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 80 Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 3 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 YES/ SITE PREP 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 representation by you of house or structure location should conform to applicable setbacks. ./7 / Date: .3 - I1 -/d Signature of Applicant or Agent An Environmental Health Specialist will contact you witl~rfi 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 Improvement Permit Fee 03/12/2010 $150.00 Rear 30 TOTAL FEES $150.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/12/10 14:42 THIS IS NOT A PERMIT WLS # f1 f f- 3 CATAWBA COUNTY HEALTH DEPARTMENT plication 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 James 2. Permit Requested By ~A -n e5 L. 2 Business Phone 0-3-22-191G Address X50 rocs-f eve ~lairlef7 l~.C• 2QlGS Home Phone 12,z- 312- gtf$5 3. Property Owner V 5 -R~ eA Business Phone Address 35AS East ft:,XPYI Re ;clergy NC, Home Phone SZ1- Z 4. Name of Subdivision Lot # Section/Block/Phase Property Address 355Q k,a5i I r o2kyI PA, A'Aey) ~fv.C, 2q '50 Directiqns to Property: r rY% mftj Ne East M RA pass u~, + c ha a QF ,x, We m, le- :,,a' the In Atom a the k; II rxo55 h►-Rale, , Gn drive nil fhe JP 5. Property Size: Square Feet Acres Date Platted/Record11'10 6. TYPE OF FACILITY: House Mobile Home -v/ Dimension of Structure Bedroornl *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: yes/Do Water Using Fixtures in Basement: yes(n-o No. in Family 3 Whirlpool Tub yes& 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 Q~s If so, describe: 8. Has any grading, remova , or addition of soil been done to this property Yes' No If so, describe: 9. Are there easements/right-of-w s rec ded on this property? Yes N~ 10. Is a public water supply available on or adjacent to the above property? Yes /@ 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 T,/THE PROPERTY THERE IS AN DDITIONAL CHARGE.** Date 3` Signature of Owner or Agent Catawba County, North Carolina N 77is nap product was prepared from the Comirba County, NC. Geographic Jnfornmiion Ss-stem. Cotau•ba Comrhv has made suhstantiol efforts to ensure the occurocy of location and labeling information cotuoined On this nap. Catawba Count- promotes and recommenciv the independent verification of c m clam contaoied on this map product by the user. The County of Caiawho, its enplovees, agents and personnel disclaim. and shall not be held liable for may and all damages, loss or liability, urhether direct, indirect or consequential whicli arises or mar arise from this map product or the use thereof by anp person or entity. Legend Selected Parcel Number: 3666-02-65-0343 1 inch = 60 feet ~/~Prepared for: i { l if 1 ~ ~ ~r ~'i / ~ ^ 7C n t it , Sepilc ;nt i k ~ t t t j 7 1,+ i ~ 7 3f 't . ~Oq`fey t 16 .43; la~~ 60' cb* Plat 6.6=2 4 6162 , l 91 626. (44) j THIS IS NOT A LEGAL, DOCUMENT _ Friday, March 12, 2010 02:08 PM ~t z:„ t~ Catawba County, North Carolina This reap producl was prepared from the Catawba County, NC Geographic Iglormation Srslem. Catawba County hos made .snbslcnuiol efforts to ensure the accuracy of location cool labeling h jornuuion contained on this map. Coia who Comity promotes and recommends the indepencleal yerificatimt of any dala contained an this map prodn0 by the user. The County of Calawba, its employees, codas and personnel disclaim, mid shall nol he held liable for anv and all damages, loss or liahilav, whether direct, indirect or consequential which arises or may arise front this map product or the use thereof by any person or coaty. Legend Selected Parcel Number: 3666-02-65-0343 1 inch = 150 feet Prepared for: J / / { f{ jf f J ! i f 1 t~ 1 1 , % l 4 f` r r I \ t d t, % r , r I' . ~ Old ~ 3.333A r I 4 50~,,~~ 4 671 i R-40 r D ~ ~ I t '~f tt; ~ d / „ ~ 1d d l~t'!l 0.81 A r r ! Lf x,034:3 d a 2 89 'y \ 68'431 60=.24 r>>9) ^Cb-Plat 60 24- v, 5.87 1.75,E 3 413, 6162 Iaf.-6 21' 1033 > I (44) THIS IS NOT A LEGAL DOCUMENT Friday, March 12, 2l)10 01:30 P11 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3666-02-65-0343 Name: BEAL ELVIS REEVES Name2: BEAL LOU ANN Address: 3582 E MAIDEN RD Address2: City: MAIDEN State: NC Zip: 28650-9636 Account: 159752633 Calc Acreage: 10.81 Tax Map: 011 K 02028 LRK: 11245 Deed Book: 2967 Deed Page: 0977 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 3548 Street Name: E MAIDEN RD Site Zip: 28650 Township: CALDWELL Fire Code: BANDY'S City Code: COUNTY State Road: 1855 Total Bldgs Value: $1,000 Land Value: $57,300 Total Value: $58,300 Year Built: Year Remodeled: Last Sale Date: 2/1/1993 Last Sale Amount: $30,000 Neighborhood: 113 Watershed: Watershed Split: Voter Precinct: P9 E911 District: COUNTY Zoning: R-40 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: TUTTLE Middle School: MAIDEN High School: MAIDEN School Split: NO P&Z Case Number: Census Tract 2010: 011600 Census Block 2010: 4008 Small Area Plan: BALLS CREEK Agricultural District: Printed: Friday, March 12, 2010 01:31 PM CATAWBA COUNTY, NC I00-A South West Blvd PLAN RECEIPT Newton, NC 28658- 0 (828)465-8399 Friday, March 12, 2010 184 2 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4351 Invoice Number: INV-3-10-260412 Environmental Health Plan Review Invoice Date: 03/12/2010 Site Address: 3550 E MAIDEN RD, Maiden, NC APPLICANT OWNER JAMES WEBB Elvis Beal 3550 E MAIDEN RD 3582 E Maiden RD MAIDEN NC 28650- Maiden NC 28650 (828)328-9916 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/12/2010 Cash -1 $150.00 $0.00 Total Paid: $150.00 Payer: JAMES WEBB Total Due: $0.00 planreceipt;biobdeai-ctcO-.t5cc-~~400-48ebu c194204;.rpt 03/12/2010 15:03