HomeMy WebLinkAboutEHPR-3-10-4356 (2).TIF
~~A r THIS IS NOT A PERMIT Case # EHPR-3-10-4356
CATAWBA COUNTY HEALTH DEPARTMENT
v Plan Review Application for Environmental Services
1842 sM Environmental Health Plan Review - OSWP
IMPROVEMENT
APPLICANT OWNER CONTRACTOR
STEVEN BURNS STEVEN BURNS
1700 RADIO STATION RD 1700 RADIO STATION RD
NEWTON NC 28658 NEWTON NC 28658
828-464-1364 828-464-1364
NAME TO APPEAR ON PERMIT STEVEN BARNS Pin#: 373014340843
SITE ADDRESS: 1700 RADIO STATION RD, Newton, NC
DIRECTIONS: RADIO STATION RD/ TWO LOTS PASS RADIO STATION
NAME of SUBDIVISION: Lot # 1 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.5 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure 60 X 76 Bedrooms 3
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: PVT DETACHED GARAGE 30 X 40
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 Community Well Municipal X Semi-Public
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: 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 40 FEE NAME DATE AMOUNT
Side 10 Improvement Pen-nit Fee 03/12/2010 $150.00
Rear 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 15:43
THIS IS NOT A PERMIT WLS #
CATAWBA COUNTY HEALTH DEPARTMENT~ o
~J
Application for Environmental Services
Improvement Permit El Authorization to Construct El Septic Repair El Septic xp Q-ansion ❑
Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑
1. Name to Appear on Permit S'7-f V X N 012!~ C4 A. NS
2. Permit Requested By 6 E} 4D KAVIA f.7 Business Phone- ~d?
Address Home Phone ' - 6 /344--
3. Property Owner --S >M Vi 4LAAS B siness Phone.` 2.'Z-. 19(7
Address /704 & *blcl► 1719''T1t L1 Ao me Phone N.& / c%A 74 J.•
4. Name of Subdivision Lot # Section/Block/Phase
Property Address `7 045 fiz~# d -%~-r# fllV /ZpQ N F40+ rib P ~ L
X~Ap 10
Directions to Property: F 1Q • r1% C e N -t E IZ i Q Al
a T X41 Gd ~o ~ J. i :4 AO
io fti es At e
5. Property Size: Square Feet Acres Date Platted/Recorded
6. TYPE OF FACILITY: House Mobile Home Dimensio • 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: yes/no Water Using Fixtures in Basement: yes/no 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 Facility? Yes / No
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 / No
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 Pennit 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 Pen-nit 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
Pen-nits 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.
RG E
**IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO TH OPERTY E - I ;A11
Date .3 Signature of Owner or Age '
Catawba County, North Carolina
N This map product was prepared from the Catawba County, NC, Geographic Information System.
Catawba County has made substantial efforts to ensure the accuracv of location and labeling information
contained on this map. Catawba County promotes and recommends the independent verification of any
data contained on this map product by the user. The Count y 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 Wray arise f•om this map product or the use thereof by any person or entity. Legend
Selected Parcel Number:
1 inch = 100 feet Prepared for:
244 o
1 0 d
335
0 9 ~1 y 52.31
F
38 \ /
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N
^oo ` 1360
t /-86 0 ,t o5 o HA N o
•'-`lg2q 84.86
2159
/ 815,7 4 ~'o
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3172
8017
\ t 1$
s 1998\ s t Plat 69-20 'so 20
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OOK _
2.63A
11905
8923
N
0 9828
100 Plat 45-64 -
s2s ti / ~~4~~
77S
70
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Mat 69=20' s~
1649
THIS IS NOT A LEGAL DOCUMENT( Friday, March 12, 2010 03:27 PM S
S- IIIATAWBA COUNTY HEALTH DEPARTMENT P~
/ Telephone (828) 465-8270 TDB (828) 465-8 ~0 WL,$ # o U4 - 0 o h O
Improvement Permit AC Repair Permit. Operation Permit. 1/ System Type Well Permit. Replacement Well
Owner/Agent s -4 Al hi r 1 !3 V r n Phone i cg A - D (o 1 - O ri S -j
Address ~3~aio ~2rvhc.rl 5 n~ 2 r or~o,i2f NC o~6~13 Subdivision
Section/Block/Phase Lot#
Lot Size Directions r a nn n F F uQ- U- P, c; c) d o 5.1-'c-}' t o r\ P C) n11A P f- Ps
t
Property Address i') o o ' r, t a
Facility-House Mobile Home Business Multi-family Other- Pin Number ;3130 IU Z 4 O 8y
Other Zoning Approval #
# Bedrooms # Seats # Employees Application Rate 0 GPD Flow-3-6 D
Hot Tub or Spa yes/no Special Fixtures Basement yes/fi 100% Repair Area es no
Basement Plumbing yes5 Water Supply- Private Well Public Semi-Public
Type of System: Trench Bed Pump Pump/Panel Panel, LPP Other
Septic Tank Size 10 O O Pump Tank Size Nitrification Field. Total Square Feet L) 0 Depth of Stone 13 tI
Bed Size Trench Width 3 t Total Length of All Trenches JOO Number of Trenches q
~
Trench Lengthy s -75 11 -75 / 1.3 /Feet on Center Maximum Trench Depth d~ t 1 Distance of Nearest Well
*DO NOT INSTALL SEPTIC WHEN WET*I LBF, .ORn uQU ED AT COMPLETION* 'TF
Topo % Slope
~
I P n~..J epi-IC 5 ,/S}e.
Texture
l
r,, n q z
Structure 56I I M 1\ r a r, r)
Clay Min. i I I a G~ 1 vine i
Soil Wetness O r i) r~ n y W o
Soil Depth d( 7a I C dy .55 k 30 I
Restric Hoz at 'k J'fa „n ~Jro r r~ r~ t n ` S
Available spat ye /no
Overall Class S:~DU I t r
Comments I - Or .F
L O 'I f J t U y 0 Q * .L n S I"C (I t /12..5 c) i'1 C. t;+Y~ ~0 J l
I
lJ4 ilof C~PgdQ-lat'tvc? I o r'
41
tJrvL~ r O
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S~ 4~ 1 I Croce sys~e,~
I
q- P \f,5 te~' en at
>r
I ~s Fo -J, C-1os2 { o ho~,~ cs Pos.,t~IZ
Filter Required I r- , ~o
Riser required when
r v
tank is more than 6 I I D O
inches deep. I 2ec1 a S { or t c c~ .
**NO GUARANTEE OR WARRANTY IS IMPLIED OR GIVEN AS TO THE PERFORMANCE 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 years
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 guaranteed at ny ite by the Health Department. (I
Permit Date p I o EHS
Owner/Age [ Septic Tat Installed B i Qtir Date -I/--06-
EHS. Well Installed By Well Grout Approval ate Well Head
Approval Date Date Sample Collected
Date of Results Results. - EHS
White - Office Yellow Owner/Agent Pink Building Inspection Authorization to Construct
Catawba County, North Carolina
This nrnp product it as prepared from the Catawba Counn; %'C, GeographiclnformationSystent.
N Catayba Coann has made substonialefforts ioensure the accuracy of location and labeling information
contninedon ihis map CaravbaCotuatvproneotesartd recontntends iheindependent rprification ofani,
data contained on this map product br the user The Comn of Carayba. its employees, agents and
personnel disclaim, and shall not be held liable for an and all damages, loss or liabiluy, whether direct, indirect
or consequential which drises or ma}• arise from this map product or the use thereof br• and person orentin•
Selected Parcel Number.: 3730-14-34-0843
1 inch equals 60 feet Prepared for: P
3
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100 4'
C
i F ~sg
3 08A
1905
3 '~o
9828
s2 S
0:8.43
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(S OJ ,70
/
THIS IS NOT A LEGAL DOCUMENT \ Wednesday June 02, 2004 12:34 PM
N,
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID- 3730-14-34-0843 ;
Name BURNS STEVEN. T +
Name2. BURNS KIMBERLY D
Address. 3386 HERMAN SIPE RD
Address2:
City, CONOVER
State NC
Zip 28613-8901
Account: t 9318800
Calc Acreage 0 47
Tax Map
LRK. 901644
Deed-Book: 2344
Deed Page. 0446
Subdivision Name
Subdivision Block:
Lots: 1
Plat Book: 45
Plat Page 64
Building. Number 1700
Street Name RADIO STATION RD'
Site Zip- 28658
Township- NEWTON
Fire Code.
City Code. NEWTON
School-Code CATAWBA COUNTY
State Road 1154
Total Bldgs Value 0
Land Value 9900
Total Value. 9900
Year Built:
Year Remodeled
'Neighborhood 108
Watershed
Watershed Split:
Voter Precinct: P40 - ` ' -
E911 District: NEWTON
Matrix:
'Zoning R-20
Zoning2:
Zoning3
Zoning Split: N
Zoning District: NEWTON
Split Zoning Dist:
Split Zoning Dist(1): 0
Split Zoning.Dist(2) 0
School District: COUNTY
Elementary School: STARTOWN ELEM
Middle School: JACOBS FORK MIDDLE
High School- FOARD HIGH
School Split: NO
P&Z Case, Number-
Census Tract 2000 011200
Census Block 2000 2021
R2ecorded Date
Small Area Plan
Printed for P Wednesday, June 02, 2004 12:34 PM
BUILDERS sole discretion. If the BUILDER chooses arbitration, PAGE 3
it will be in accordance with the Construction Industry Rules of the
American Arbitration Association and will be privately administrated.
Such arbitration or litigation will be held in Catawba County,
North Carolina, and the BUYER agrees to submit to the jurisdiction of
of the panel or court at such venue. The prevailing party shall be
entitled to recover actual attorney's fees and expenses.
(11) GENERAL CONDITIONS:
(1) The Contract Documents may not be assigned or transferred without
the written agreement of the BUILDER and the BUYER.
(2) In the event that any court of competent jurisdiction shall de-
clare any provision of the Contract Documents to be invalid the
remaining portions of the contract shall remain in full force and
effect except to the extent that said adjudication of invalidity
shall defeat the purpose of the contract, in which case it shall
terminate.
(3) The contract shall be construed in accordance with the laws of NC.
(4) The contract shall be binding upon and shall inure to the benefit
of the parties,their executors and administrators and their heirs.
(5) As used herein the words in the singular include the plural and
the masculine,feminine and neuter genders are interchangeable as
required by context.
(6) The BUILDER at his option may "Sub-Contract" some or all portions
of the work.
(7) The BUILDER insures all workers with Workmans Compensation
Insurance.
(8) The BUYER shall carry Builders Risk Insurance.
(9) This Contract can be cancelled by the BUILDER if not signed
and returned within 30 days.
(10) This Contract will be NULL & VOID if a mortgage commitment is not
approved within 30 days the effective date.
(12) WARRANTIES:
The sole warranties provided by the BUILDER to the BUYER are con-
tained in the LIMITED WARRANTY.
(13) TERMINATION OF THE CONTRACT:
If the BUYER terminates the contract for any reason other than through
the fault of the BUILDER,the BUYER shall pay the BUILDER for any un-
paid costs of work due the BUILDER. It is understood and agreed by the
parties that the BUILDER has earned and shall retain any amounts
received up to the time of the termination. The BUILDER agrees to sign
a lien release upon receipt of all funds due him.
(14) LICENSEE:
M & M Carpentry Contractor License 0
(15) SIGNATURES:
We the undersigned have read, understand and agree to each of the pro-
visions of these Contract Documents and acknowledge receipt.
BUILDER Matt Mungal Date
BUYER Steve Burns- Date
BUYER Date
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f . ZONING CLEARANCE'-PEA MIT
CITYOF NEWTON PLANNING DEPARTMENT .
P.O. BOX 550 (828)695-4305 Fax (82465-7412
13
THIS PERMIT EXPIRES IN SIX MONTHS. OR AFTER ~ ONE YEAR LAPS~JN WORK
Project Address: 9 Pin: 3.73o / 430 08g3
Project Description: ~u~'~d GQ~o 9e Area Estimated $
• Disturbed: "Cost: C, fl 00
Applicant: ~e V en a r n -5 Owner. ~I 2U Q n KI m t urn)
Address: 1 7DD Qt1 / D ~~`Q~ f'On Address:
City: I, V Q I,CJr ~n State: ac Zip Code: ~t~w 5S City: State: Zip Code:
r _
Phone: 6f8 _,46q _ 13~~ Fax: LSQ~L Phone: Fax:
Email: Email:
I do hereby certify that the foregoing statements are accurate and correct to the best of my understanding and knowledge and that 1 agree to conform to all City Ordinances and Laws of the State
of North Carolina regulating such work and any plans or specifications submitted.. With my signature below I assume responsibility for all errors and omissions of the Information provided on
this application together with any plan !or o or documents associated the Issuance of this Permit by the City of Newton:
Signature of Applicant: v/ n Pate.:
l~
Type of Permit Needed:
lew Construction r Sign F7 Mobile Home F- Remodel/alteration ri~Accessory
F- Addition F- Service Change r Structure Moving r Demolition F- Change of Use
Type oe:
FT gle-Family Residential F- Commercial r Assembly
F- Multi-Family Residential F- Industrial F-. Non-Profit/Governmental
Zoning District: Required Setbacks: Utilities Services:
Overlay District: Front: q0 Electricity: r City of Newton r Duke / REMCO
r r SPI -Highway Corridor
Rear: Water: F- City of Newton r Well
F-SPI - Watershed
Side: I Sewer: F- City of Newton F+ Septic Tank
F- Flood Plain Overlay
F- St Pauls Overlay Side Street:
Other Requirements:
F- Buffers & Screening Required F- Stormwater Permit Required r Grading Permit Required
Watershed: WS-IV- P /WS--III - C /WS-111 - BW F-" Soil Erosion Permit Required r Driveway Permit Required: City/ NCDOT
r Flood Plain - As Built Survey Required F- Plan Review Required F- Vested Rights
' Approval: 2
Complete Application Received: Fee: $ t~ Receipt 93
t
Signature of Approving Authority: Date:
cam-
NOTES:
Inspection Approval: Setback Date: By: Final - Date: By:
CATAWBA COUNTY, NC
100-A South West Blvd PLAN INVOICE
Newton, NC 28658-
0 (828)465-8399 Friday, March 12, 2010
1,94 2 sM www.catawbacountync.gov
Plan Case: EHPR-3-10-4356 Invoice Number: INV-3-10-260418
Environmental Health Plan Review Invoice Date: 03/12/2010
Fee Name Fee Amount
Improvement Permit Fee Fixed $150.00
Total Fees Due: $150.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
03/12/2010 Check 3761 $150.00 $0.00
Total Paid: $150.00
Total Due: $0.00
planimoice;b,025b9-1 ~d-40cf'-K",d-a,i144h7x9'lah;.rpt 03/12/2010 15:42