HomeMy WebLinkAboutEHPR-05-2018-29038.TIF -#13141111• THIS IS NOT A PERMIT Case# EIIPR-05-2018-29038
4. n CATAWBA COUNTY ❑EALI ll DEPARTMENT 0�rFro• 0
��� 7 PLAN REVIEW APPLICATION FOR ENVIRON MENTAL SERVICES • ;i ytl
lg q2 a Environmental Health Plan Review-OSWP 'Ts IFC
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IMPROVEMENT o`fo #
Applicant "IYI.ER IIEFNER,2591 I!FART DR.CLAREMONT NC 28610
0:8283201041
NAME TO APPEAR ON PERMIT
Tyler Hefner
SITE ADDRESS: 4T11 SF SE.CAIAWBA NC 28609 PIN# 378111771206
NAME of SUBDIVISION: DRUMSTEAD HOMESITES 1OtP 3,4,5 Sect ioM3lock E
PROPERTY SIZE: Square Feel 6490440 Acres 149
DIRECTIONS: Hwy 10 E,to Catawba stay straight onto 2nd Av SE,right onto 2nd St SE,left 3rd Av SE,right 3rd St SE.left 4th Av SE,3
parcel on right at 4th St SE
PRIMARY CONTACT: Applicant SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Public Water
DESCRIBE WORK: IF FOR PROPERTY COMBINATION
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES'.then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage/ No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 5
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 53 x 57
#OF NEW BEDROOMS:: 4
BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes
Desired system types(Improvement Permit or Authonzation to Construct):
ACCEPTED: ALTERNATIVE' CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
ch7001i .0100 05/01/2018 08.47 Page I oil
TCATAWBACOUNTY rase# EHP2-05-2018-29038
,C t Public n Health Department t S bdivision DRUMSTEAD HOMESITES
,moqi
i L nmcnt 111 hhO Division IN# 378111771206
POB x 389,100 A Southwest Blvd,Newton.NC 28652
Z111- w
NAME ON PERMIT: I TYLER I IIEPNIiR),2591 HEART DR,CLAREMONT NC 28610
(Tyler Hefner)
Site Address: 4TI I ST SE,CATAW RA NC 28609
Property Size: Square Feet 64,90440 Acres 1.49
Directions: Hwy 10 E,to Catawba stay straight onto 2nd Av SE,right onto 2nd St SE.left 3rd Av SE,right 3rd St SE,lett 4th Av SE,3
parcel on right at 4th St SE
Completed applications are valid for a period of 2 years.Improvement Permits are valid with complete site plan=60 months(5 years);with complete plat
=without expiration_ An Authorization to Construct will remain valid as long as the Improvement Permit is valid An Authorization to Construct issued for
septic repair is valid for 60 months(5 years).Permits may be revoked it the information on this application/site plan changes or if the intended use for the
proposed facility changes.Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and certify that the information provided herein is true,complete and correct Authorized county and state officials are
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation
can be performed.
The undersigned is the owner of the propeM or legal agent of the owner. /// /// //)
Date: 0��0/�x Signature of Applicant or Agent ��lL //, y-Ja
If you need further information or assistanceVVpl call 828.466- 91
AREAI
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FEENAME DATE'.. FEE AMOUNT
Improvement Permit Fee 05/01/2018 $150.00
TOTAL FEES.-. $150.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
C1445li..vn111• 05.0140t5 08.47 Page 2 of4
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:Applicaunn nor I'.nvItUnineing ` cit ices
Application is for: Z New ('onsiruction Li ll! us isag Facility'
4Itnprovement INcrnait ❑ Authorization to Construct
XNcw Septic H Septic Repair/Ala hill nefimt ❑ Septic Relocation ❑ Septic [cpansiou
I I1 Existing System inspection or Reconnection 1
ilNevi Well 1_] Replacement Went/ L I Well Abandonment Well Repair
Pr operte Addressii/t,,L7.0. 37%)1 I 71/0,2U5 subdivision 0;,,,l5-}y j14,4NS'❑c
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1Plumbing.
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PIanthing Li Yes 1 ltl chi,; Needed
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nlln Acgs net Shl$ 'Lir 'Brits I/ming Arca (SG.
Buusim ss:rOtho.;r Speen: I1jie' Slrue.Imr Dime].stow,
Ihygnil / loot Space ir all mpl es pot Shill of Shifts - -
0 l hath U kr Seals Comnlet ial I:iichen LI Yon L7 No
If Davcw-e. of Children
I r AIrkl LI ench /.widen:a. of Apal ttutenl, _ ?lictlroonts per Ap:u(m:tit:'t Iota] si l3edto)nis—°[
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alcultacti lacsien How,, ( ol unorcral 'I' _.. C1.111S value wi11 be determined by I1 slat/)
Ihe .1pplosint nhall lotththe local health department linen/ subnnital of thisupplu aliou if any cfthe lollovving apple to
the poketla quern n Iftheansa to to any question is 'yes`,applicant 1111151 :Hach supporting_ dOealllelnall011. F
U les \o Does Ihe sine ctnaain ams tut ttellands?
Uie VINO Does the she euulaiu any eaiating tvastett Her h)smuts?
U Yes1p11. No k any wasteww ato okinn to be nenerated MI the Mc other than chain:Die sewage?
I I I Yes No Ia Ihe rile subject to approval by any other public agony?
❑ Yea F No Are there any casements . / rifihr nfwats on this properly? Describe
If appl\ For In Improvement Permit or Authorization to Cunstiuct, Please Indicate DesiredSstent Type(s):
f v au n be tanked in ()HD ort ma I Femme.e) �)n t;Lwl.rt e-�yr)c/ L.Il tithed otr �ol.Dhaa)
C Acaet(cd t l Mentos U koravntional ❑ hlnuvalito ❑ Other Any? _...'.
rartmmat o 11 he...leadedto ;aleepu _ tlefimo of e.ntu[ion 01 room'consider:thanhouldl noted ha a bed ,I and wonted
Il
argil:ohms, I he nickel et ( *Dans bt conrrnnedIns i i luilr J e L:001 ptant as a hedr oro at MC titre at building'tomtit
int nae. pan may met eat Me Hood bre sy _stste_ rasp:intim. in Ihe Hama.
o su tut cs phiincgd has no bcdre II aladand desigk flow,vill he determined by all stall.
..II permit rot (he nslmd vvid the wutl1onau:ion I ( die: art
It) tall' 1011lli PROPER Il AND/OR S1SFE, tRLDLSI( \ MIA INCUR AN AUDIT IONALULARr L(SEE ELL sciii,1)(ILKd
( ul ticw lappinynamathe lot mgiod al yeera_ lomrotenom Pcanits are waIid.with complete site Ilan ba months 0 yearn). ooi(u
ca tpi_Ie Hat sarin ropiratina A:lth : .Imp to(Donna evil/ :amain valid as knout the Intact encl t denial is valid.nn
Vrtorirun n ( omm.:et tamed , msepte Loam it valid tta tel month)b t taro nrmds flay l,e revoked if Ihe information on this
'pplk :aion sic Dan ,'umare red'rotas el tIle far die ptpdee Irility thaanct. Prontonth; be revoked if the candido m are alma/
.00h 1hdr-dee allayd penal nl or':di rim.IP.'on itquheletlh.
I hate le,d thin application and c:rtiIc 01 a Ihe I tbrmulion pt waded la rent is new, complete and correct Authorized counna and state
(ariel..ls'are ndell1d richt of entry to comItaa necessary m,peeions to da.imine compliance with nppli ahlc laws and rules- 1
un cs::r.a that I on yolelt tespansible lot the proper idennli.zninn and laltel1rm t tele properly pines and coolers and In duo;:the site
askya Mal n complote rite evaluatioa car he por;nnwa.
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Catawba County Environmental Health
98.6•
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3 Selected Parcels 1 in=60ft
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report 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/report product or the use thereof by any person or entity.
Copyright 2014 Catawba County NC
05/01/2018
Parcel Report Page 1 of 1
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 378111770205 Owner: BELLOS STEPHEN ERNEST
Parcel Address: Owner2:
City: CATAWBA, 28609 Address: 110 4TH AVE SE
LRK(REID): 7279 Address2:
Deed Book/Page: 2671/1116 City: CATAWBA
Subdivision: DRUMSTEAD HOMESITES State/Zip: NC 28609-8196
Lots/Block: 3/ E School Information:
Last Sale: School District: COUNTY
Plat Book/Page: 15/5 Elementary School: CATAWBA
Legal: Middle School: RIVER BEND
Calculated Acreage: .520 High School: BUNKER HILL
Tax Map: 007 Y 03003
Township: CATAWBA
State Road#:
Tax/Value Information: Tax Rates(pdf) Zoning Information:
City Tax District: CATAWBA Zoning District: CATAWBA
County Fire District: All in City Zoning1: R-1
Building(s)Value: $0 Zoning2:
Land Value: $12,700 Zoning3:
Assessed Total Value: $12,700 Zoning Overlay:
Year Built/Remodeled: / Small Area:
Current Tax Bill Split Zoning Districts: /
Zoning Agency Phone Numbers
Miscellaneous: Firm Panel Date: 2008-03-18
Building Permits for this parcel. Firm Panel#: 3710378100K
Building Details 2010 Census Block: 1034
WaterShed: WS-IV Critical Area 2010 Census Tract: 011501
Voter Precinct: P5 Agricultural District:
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This mavrrepart product was prepared from the Catawba County,NC Geospatial Information Service&Catawba County has made substantial efforts to ensure
the accuracy of ocation and labeling mmrmaton contained on this map or data on this repo.Catawba County promotes and recommends the independent
verification of any data contained on this map/report 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/report product or the use
thereof by any person or entity,
2018, Catawba County Government, North Carolina.All rights reserved.
http://gis.catawbacountync.gov/nomap/parce! report.php?key=3781 1 1770205&typ=P 5/1/2018
Parcel Report Page 1 of 1
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 378111771206 Owner: BELLOS STEPHEN ERNEST
Parcel Address: Owner2:
City: CATAWBA, 28609 Address: 110 4TH AVE SE
LRK(REID): 7280 Address2:
Deed Book/Page: 2671/1116 City: CATAWBA
Subdivision: DRUMSTEAD HOMESITES State/Zip: NC 28609-8196
Lots/Block: 4/E
School Information:
Last Sale:
School District: COUNTY
Plat Book/Page: 15/5 Elementary School: CATAWBA
Legal:
Middle School: RIVER BEND
Calculated Acreage: .540
Tax Map: 007 Y 03004 High School: BUNKER HILL
Township: CATAWBA
State Road#:
TaxNalue Information: Tax Rates(pdf) Zoning Information:
City Tax District: CATAWBA Zoning District: CATAWBA
County Fire District: All in City Zoning l: R-1
Building(s) Value: $0 Zoning2:
Land Value: $12,900 Zoning3:
Assessed Total Value: $12,900 Zoning Overlay:
Year Built/Remodeled: / Small Area:
Current Tax Bill Split Zoning Districts: /
Zoning Agency Phone Numbers
Miscellaneous: Firm Panel Date: 2008-03-18
Building Permits for this parcel. Firm Panel#: 3710378100K
Building Details 2010 Census Block: 1034
WaterShed: WS-IV Critical Area 2010 Census Tract: 011501
Voter Precinct: P5 Agricultural District:
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure
the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent
verification of any data contained on this map/report 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 arses or may arise from this map/report product or the use
thereof by any person or entity
C 2018, Catawba County Government, North Carolina. All rights reserved.
http://gis.catawbacountync.gov/nomap/parcel_report.php?key=3781 1 1771206&typ=P 5/1/2018
Parcel Report Page 1 of 1
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 378111772340 Owner: BELLOS STEPHEN ERNEST
Parcel Address: Owner2:
City: CATAWBA, 28609 Address: 110 4TH AVE SE
LRK(REID): 7281 Address2:
Deed Book/Page: 2671/1116 City: CATAWBA
Subdivision: DRUMSTEAD HOMESITES State/Zip: NC 28609-8196
Lots/Block: 5/ E
School Information:
Last Sale:
School District: COUNTY
Plat Book/Page: 15/5
Elementary School: CATAWBA
Legal: Middle School: RIVER BEND
Calculated Acreage: A30
Tax Map: 007 Y 03005 High School: BUNKER HILL
Township: CATAWBA
State Road #:
TaxNalue Information: Tax Rates(pdf) Zoning Information:
City Tax District: CATAWBA Zoning District: CATAWBA
County Fire District: All in City Zoningl: R-1
Building(s) Value: $0 Zoning2:
Land Value: $11,400 Zoning3:
Assessed Total Value: $11,400 Zoning Overlay:
Year Built/Remodeled: / Small Area:
Current Tax Bill Split Zoning Districts: /
Zoning Agency Phone Numbers
Miscellaneous: Firm Panel Date: 2008-03-18
Building Permits for this parcel. Firm Panel#: 3710378100K
Building Details 2010 Census Block: 1034
WaterShed: WS-IV Critical Area 2010 Census Tract: 011501
Voter Precinct: P5 Agricultural District:
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure
the accuracy of ocaton and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent
verification of any data contained on this map report product by he user The County ofCatawba,its employees,agents,and personnel,disclaim,and shall not be
held liable or any and all damages.loss or liability,whether direct indirect or consequential which arises or may arise from this map/report product or the use
thereof by any person or entity.
Gi 2018, Catawba County Government, North Carolina.All rights reserved.
http://gis.catawbacountync.gov/nomap/parcel_report.php?key=378111772340&typ=P 5/1/2018