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Home My WebLink AboutEHPR-3-10-4486 (2).TIF A C THIS IS NOT A PERMIT Case # EHPR-3-10-4486 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 5M Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR JULIA BAILEY YULONDA HICKS 3983 MILLER DR 3983 MILLER DR NEWTON NC 28658- NEWTON NC 28658 (828)228-2059 NAME TO APPEAR ON PERMIT JULIA BAILEY Pin#: 361803042152 SITE ADDRESS: 3983 MILLER DR, Newton, NC DIRECTIONS: I OW/ LF HKY LINC HWY/ RT MILLER DR/ LOT ON LF NAME of SUBDIVISION: G C PARK SUB Lot # 12 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.46 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure 14 X 76 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 1 st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: ADDING DETACHED GARAGE 24 X 26 IN REAR YARD AREA 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: 3 r) V Signature of Applicant or Agent An Environmental Health Specialist will contact you within w king days of application ate. 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 10 Improvement Permit Fee 03/23/2010 $150.00 Rear 5 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 03/23/10 11:14 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT pplication for Environmental Services Improvement Permit Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New tWell Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Name to Appear on Permit ~,._I 2. Permit Requested By Business Phone Address 3 s s '(N , \ 1g'- Dr, !Q96 Font, hI QI? & 5~ Home Phon%a!! F,g 3. Property Owner Business Phone Address 34Q ? m 112 r- r- Ale a.:t, Z Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address ' v Directions to Property: 4 imclotqRd, u a ll . , On 5. Property Size: Square Feet Acres L4 ~e Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms* oC *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 ~ Water Using Fixtures in Basement: yes No. in Family Whirlpool Tub yes/40 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 / No If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? / No If so, describe: IN 9. Are there easements/rig t-of-ways recorded on th' roperty? Yes / 10. Is a public water supply ava able on or adjacent to the above property? Yes /a 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 ) " A3 - 16 Signature of Owner or Agent ~~~►~.3- 0 5 ~3 Catawba County, North Carolina N This map product was prepared f torn the Catawba County, NC, Geographic Information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba County promotes and recommends the independent verification of anv 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 mm, arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3618-03-04-2152 1 inch = 40 feet Prepared for: o o. 0 ~.1 o fl _ 1 00.oO o3155 o 21 '4' 115 f - o o OQC)' 1 1 0 1 1 Y o. o o 1 3 1 1 0 O • ~a 2 0 ~ 1 THIS IS NOT A LEGAL DOCUMENT Tuesday, March 23, 2010 10:47 AM CATAWBA COUNTY NC - Parcel Report Information Regarding. Selected Parcel(s) Parcel ID: 3618-03-04-2152 Name: HICKS YULONDA G Name2: Address: 3983 MILLER DR Address2: City: NEWTON State: NC Zip: 28658-8713 Account: 163701 Calc Acreage: 0.46 Tax Map: 006AJ 01012 I t LRK: 6236 ~1 ~ l C/~~ ~~ral.' ` Deed Book: 2334 Deed Page: 0470 Subdivision Name: G C PARK SUB / ' Subdivision Block: A Lots: 12 Plat Book: 15 Plat Page: 76 Building Number: 3983 Street Name: MILLER DR Site Zip: 28658 Township: JACOBS FORK Fire Code: PROPST City Code: COUNTY State Road: Total Bldgs Value: Land Value: $7,200 Total Value: $7,200 Year Built: Year Remodeled: Last Sale Date: 4/1/1985 Last Sale Amount: $3,000 Neighborhood: 89 Watershed: Watershed Split: Voter Precinct: P3 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: BLACKBURN Middle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011802 Census Block 2010: 4008 Small Area Plan: PLATEAU Agricultural District: Printed: Tuesday, March 23, 2010 10:47 AM A CMG CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE t--] Newton, NC 28658- 0 (828)465-8399 Tuesday, March 23, 2010 84 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4486 Invoice Number: INV-3-10-260694 Environmental Health Plan Review Invoice Date: 03/23/2010 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/23/2010 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 j lan im<oicc: ; cliOdObC? zt'461=ad 1 0-9 1 417-ci;O l O 1 c30i'] b; .rpt 03/23/2010 11:13