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Home My WebLink AboutEHPR-3-10-4572 (2).TIF ~A cOG THIS IS NOT'A PERMIT Case # EHPR-3-10-4572 r~ CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 184 sM i Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR LEONEL SALAS DE LA CRUZ PATRI SALAS LEONEL 1051 NE 35TH PL ST 1051 NE 35TH PL ST CONOVER NC 28613- CONOVER NC 29613 (828)238-8270 828-238-8270 NAME TO APPEAR ON PERMIT LEONEL SALAS Pin#: 372320801957 SITE ADDRESS: 1051 NE 35TH ST PL, Conover, NC DIRECTIONS: NON SW BLVD/ SW US-321/ NC-16 TOWARD W AST US-321 BR/ LF CON BLVD W/ US-70/ US-321/ RT FAIRGROVE CH RD/ LF HIGHLAND AV/ RT SPENCER RD / RT 35TH ST PL NE/ ON LF NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.509 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 6 _ 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? II'so, describe: 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 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 o applicable setbacks. Date: ~ u Signature of Applicant or Agent f An En ironmental Health Specialist will contact you tthin 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 J7b_c_- V J UDO Zoning Form A Minimum Setbacks Front 40 FEE NAME DATE AMOUNT Side 5 Improvement Permit Fee 03/29/2010 $150.00 Rear 3 Max H TOTAL FEES $150.00 h z Ha t If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 03/29/10 15:55 vJL THIS IS NOT A PERMIT. LS # CATAWPA COUNTY HEALTH ARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ I . Name to Appear on Permit Z jlq-&14 f l Business Phone 2. Permit Requested By Al~l- Address c/ ~I j 5~71~ r'%~/_ > 4~ 0Q uv-1- ltiL Home Phone Vt 2- A _ Z -7 3. Property Owner C-'h'►' Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Directions to Property: - J 5. Property Size: Square Feet Acres Date Platted/Record d 6. TYPE OF FACILITY: House v Mobile Home Dimension of Structure Bedrooms* *Any room that will be intended for sleeping at the time of construction or for future considerat on should be noted as a bedroom and counted on all applications. The number of bedrooms will be confinned by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for system size in ease . the future. Basement: yes/ ~Fe,, Water Using Fixtures in Basement: ye /no No. in Family Whirlpool Tub GallonCapacity MULTIPLE FAMILY RESIDENCES: i 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 I st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? 'e / No If so, describe: 8. Has any grading, removal, or addition of soil been done to this pro e, ?Yes / If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / 10. Is a public water supply available on or adjacent to the above property Y /No Check type that is available: [ ] Community well [ ] Semi-public we 1 [ ounty/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 fonnal application for a well pennit, 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- Date ERTY, THERE IS AN ADDITIONAL CHARGE." 0 Signature of Owner or Agent _Vq~_ 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 accuracy of location and labeling information contained on this map. Catawba County 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 mcry arise fi-om this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3723-20-80-1957 1 inch = 60 feet Prepared for: l A X200 r` „ J 1108 J r 76't c, 8 t~13 1\ 0 O (9~ l 2039' 4 036 ,7 j0$0 1907 p 99.61 e r r U / r~ t v Cg~ 3855 0.853 THIS IS NOT A LEGAL DOCUMENT Friday, March 26, 2010 04:11 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 37?3-20-80-1957 Name: DE LA CkUZ PATRI Name7: SALAS LEONEL Address: 1051 35TH ST PL NE Address2: City: CONOVER State: NC Zip: 28613-8638 Account: 150662 Calc Acreage: 0.51 Tax Map: 166H 11014 LRK: 56939 Deed Book: 2265 Deed Page: 0308 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 1051 Street Name: 35TH ST PL N Site Zip: 28613 Township: ~a Fire Code: ST. STEPHENS City Code: COUNTY State Road: Total Bldgs Value: $73,200 Land Value: $15,200 Total Value: $88,400 Year Built: 1969 Year Remodeled: 1987 Last Sale Date: 4/20/2001 Last Sale Amount: $80,000 Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P28 E911 District: HICKORY IL~i V I c'G' d~ Zoning: R-1 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: T I)Ae ~ S Zoning District: HICKORY Split Zoning Dist: N A Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: ST STEPHENS Middle School: ARNDT High School: ST STEPHENS School Split: NO P&Z Case Number: Census Tract 2010: 010304 Census Block 2010: 1002 Small Area Plan: Agricultural District: Printed: Friday, March 26, 2010 04:11 PM File Edit Options Window Help 11 a' a 23 a jl Exit NOpen Task List GeE GIS l~ Clone Edit Proica Group Add Cl- Porn) Activity PeoPle Fee: Valuation Condition. C-Note: Tag: Doeu-ti GISCa: Name: LEONEL SALAS Updated:5t3 U2006 DJK property Address: 1051 35TH ST PL NE CONOVER NC Info InspArea: WEST Description: Master # WLS2006-00869 Project: Fac,Hus Info HWY 701 LF ON SPENCER RD/ GO APPROX 2 MI/ TURN RT ON 35TH ST - 2ND HOUSE ON LEFT General Info i WaIINVater Contact: DJK New Major Subdiv?: Capacity: <481 (4 bedr Supply Info Subdivision Name: Lot Septic Tank Section/Block/Phase: r~ property Size: .51 A or S. Gres Info Plat/Record Date: Nitrification Well Service Type: NIA' Dates Field Application: /31x06 Improvement Permit?: NA Issued: !2106 Not used Septic Service Type: SEPTIC REPAIR Final: I _ System Classification: Expires: /2/11 (View/Add Activities Catawba County, North Carolina N This map product was prgpored from the Catawba County, NC, Geographic Information System. ~7 Catawba County has made substantial efforts to ensure the accuracy of location and labeling information cpmained on this map. Catawba Comity 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 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: 3723-20-80-1957 1 inch = 60 feet Prepared for: A ' 200 ; ` 1108 - co J % Jam, Q) t 2039' 2 036 1~ ~ 1 ,7 t K~\ f ~1,97 ~}r j J 1 9 - ~~r ~ O \I 9961 f ! oo , , 31855 0)853 THIS IS NOT A LEGAL DOCUMENT ' Friday, March 26, 2010 04:11 PM t ~A CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE a Newton, NC 28658- 0 (828)465-8399 Monday, March 29, 2010 184 2 sm www.catawbacountync.gov Plan Case: EHPR-3-10-4572 Invoice Number: INV-3-10-260873 Environmental Health Plan Review Invoice Date: 03/29/2010 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/29/2010 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plan invoice , 2cal c l a3-001)-4 I cS 9l &c-a6Q5()'_ cM)3:.rpt 03/29/2010 16:02