The URL can be used to link to this page

Home My WebLink AboutEHPR-3-11-10027 (2).TIF *S'� ��0� THIS IS NOT A PERMIT Case # EHPR-3-1 1-10027 �" � ` � CATAWBA COUNTY HEALTH DEPARTMENT c� °>;�: `�' Plan Review Application for Environmental Services I842 SM Environmental Health Plan Review - OSWP EXS SYSTEM NAME TO APPEAR ON PERMIT CHRISTY CARSWELL siTe ,a��RESS: 6230 MONFORD DR, Conover, NC P�n#: 374513047977 NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.769 DIRECTIONS: SPRINGS RD TO SIG'S TIRE, LEFT ON ST PETERS CHURC, LEFT MONFORD, 2ND HOUSE ON RIGHT AFTER "S" CURVE. 6230 ON MAILBOX APPLICANT OWNER CONTRACTOR CHRISTY CARSWELL CHR[STY CARSWELL 6230 MONFORD DR 6230 MONFORD DR CONOVER NC 28613 CONOVER NC 28613 (828)448-8712 (828)448-8712 PRIMARY CONTACT: Owner APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 60 X 41 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 4 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is ""NOT** available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: ADDING HEIGHT AND APPROXIMATELY 20' TO EXISTING RETAINING WALL WANTS TO LOCATE SYSTEM TO MAKE SURE NOT BUILDING OVER DESCRIPTION OF HOUSE EXISTING STRUCTURES ON SITE (IF ANY) PROPOSED FUTURE ADDITIONS NONE OR IMPROVEMENTS: PROPERTY EASEMENTS: NONE PROPOSED CONSTRUCTION ACCESSORY STRUCTURES DESCRIPTION: RETAINING WALL # OF NEW BEDROOMS: 0 STRUCTURE DIMENSIONS: ADDING APPROX 20' SO EXI� ACC DWELLING? No PLUMBING? No # OF STRUCTURE OCCUPANTS: 0 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 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 conf'orm to applicable setbachs. � _ Date: ,�IJ� I� Signature of Applicant or Agent G �'(.. An Environmental Health Specialist �vill contact you w'�'2 working ys of application date. If you need further information or assistance please call 828-466-7291 AREA2 ****��***********�*******�***�**�********�*�************�**********�****************�*************�*��******�*�:******* 03/25/I 1 12:00 �qP. CATAWBACOUNTY Case# EHPR-3-11-10027 y - , Public Health Department '�' � Environmental Flealth Division - Plan Review Subdivision d C�3 `c PO Box 389, 100-A Southwest Bivd, Ne��ton, NC 286�8 Lot# tg 2 tw PIN# 374513047977 ApplicanUOwner CHRISTY CARSWELL, 6230 MONFORD DR, CONOVER NC 28613 Site Address: 6230 MONPORD DR, Conover, NC Property Size: SF 0.769 ACRES Directions: SPRINGS RD "I'O SIG'S TIRE, LGPT ON ST PGTERS CHURC, LEF"[' MONFORD, 2ND HOUSE ON RIGHT AFTER "S" CURVE. 6230 ON MAILBOX Minimum Setbaeks Front: Side: Rear: Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Existing Tank Check Fee 03/25/201 1 $80.00 $0.00 TOTAL FEES $80.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/25/II 12:00 , ��. � THIS IS NOT A PERMIT __ y � �_ /�' � CATAWBA COUNTY HEALTH DEPARTMENT �" �� ,:g ;' Application for Environmental Services Page 1 1 84 2 �n, Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ E�sting System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address � . � G�� `�� Subdivision '� C- �3 Lot # Acres . �,�` . � Section/Bloc hase Driving Directions to Property I 1"1 S � I U ° L �l � \(' 7�+ � ��4 I'�do►�r �r �� -�.J h�rn vn P a�t ��S � �rue 0 � W � a NAME TO APPEAR ON PERMIT? �Owner ❑ Applicant ❑ Contractor O Applicant Contact Information U Name � r � �Cll`�l.t.� e� ( W Address mp� ' t � f_ , Cp(� p U 2 r ti C � �o(� m Phone ' Cell Phone L�L( g -� � � a ? Owner Contact Information � Name -e, Z Address Q Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � Z WHO WILL BE THE PRIMARY CONTACT? �,Owner ❑ Applicant ❑ Contractor Description of E�sting Structures on Site t1 v u Q # of Bedrooms *�' 3 Structure Dimensions ,� �� # of Occupants F� Basement �',Yes ❑ No Basement Fixtures �Yes ❑ No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) OG Describe � (Jl�' 0 Proposed Future Structure Dimensions # of Bedrooms *�' if applicable ? Are there easements or right-of-ways recorded on this property ❑ Yes [f /No Describe � Is a public water supply available on or adjacent to the above property ** ��i'es ❑ No Check type available ❑ Community Well ❑ Semi-Public Well � County/City/Township Water Line Existing water supply in use ❑ Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line ❑ I WOULD LIKE TO SCHEDULE A COMBINED FLAGGING AND SOIL EVALUATION (SEE COMBINED EVALU PROCEDUES) �� G THIS IS NOT A PERMIT t ,,� a CATAWBA COUNTY HEALTH DEPARTMENT `' ''° � Application for Environmental Services Page 2 I84 sM Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms *�' Project Description Structure Dimensions # of Occupants Basemen ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *�j if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ N Describe Plumbing Needed ❑ Multi-Family Residence # Units #Bedrooms per Unit*�' Total # Bedrooms *�' Structure Dimensions ❑ Food Service Specify Type # Seats Floor Space -Entire Food Service Facility (Sq Ft) # Employees per Shift # of Sh Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church # of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown We ll Rep air Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial �' Additional information may be required to determine design flow from certain facilities. This value will be determined during consultation with on- s ite staff. *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 tune of building permit issuance. This may prevent the need for septic system size increase in the future. �'If structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a well permit must be issued with the Authorization to Construct. 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. W CHANGE WORK ORDER REQUIItING REDESIGN AND/OR RETRIP WILL INCURE AN � ADDITIONAL CHARGE (SEE FEE SCHEDULE) a I understand that this is a formal application for Environmental Services and authorize Catawba County Environmental � Health employees to go on this property for evaluation purposes. I certify the above information to be correct and understand 0 that an Improvement Permit issued as a result of this information is valid for 5 years or may be non-expiring under certain V specified conditions. Improvement Permits and Well Permits are transferrable, but may be revoked if this information, site W plans or intended use changes for the proposed facility. An Authorization to Construct issued by this department is valid for m � (5) five years from the date issued and is not transferable � Signature of Owner or Agent � Printed Name of Owner or Agent Date � Catawba County, North Carolina N This map produci ivas prepnred fi•om the Ca�awba Cormh; NC, Ceogiapl�ic Informatioi� System. Catawba Countv has made s��bsinntrnl eJforts to ensvr�e �he accuracy of location and labelrng rnforrnntion ca�tained on �hrs map. Ca�mvba Coimrn promotes nnd reconunends the independen� verrfication ofany data con�anaed on this map pi�odric! b�� d�e �iser. The Coun�i� ofCn�mvbn, iis employees, agenls nnd personnel disclain�, and shnll nol be held liable for anv and all damages, loss or liabiliry, whether drrect, indirect or conseque�ttial tivhich arrses or may arise fi�oni tl�is map prode�ct or tlae iise ihereo a�rv perso�r or entrty. L2gend Selected Parcel Number: 3745-13-04-7977 1 inch = 50 feet Prepared for: � � I L1 J � N 7 7 � � �- _ _. �.,, (361 � (41 p � � r- �_ .; �- � , _ �, 6 � �,_ 3 8 �� . 7977 � � � �. .. � 0 �3� 1.42A � � �_"-.- 9911 w �'�°�� w n ., ,, rn .� � � � THIS IS NOT A LEGAL DOCUMENT �` Friday, March 25, 2011 l2:Ol PM `' � CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel I D: 3745-13-04-7977 Name: CARSWELL STEPHEN ERIC Name2: CARSWELL CHRISTY PRICE Address: 6230 MONFORD DR Address2: City: CONOVER State: NC Zip: 28613-8703 Account: 159752452 Calc Acreage: 0.77 Tax Map: 0800 00062G LRK: 40101 Deed Book: 2967 Deed Page: 0070 Subdivision Name: Subdivision Block: Lots: Plat Book: 22 Plat Page: 12 Building Number: 6230 Street Name: MONFORD DR Site Zip: 28613 Township: CLINES Fire Code: ST. STEPHENS City Code: COUNTY �,�,�� State Road: _^�. Total Bldgs Value: $208,400 � Y��" Land Value: $66,200 � Total Value: $274,600 Year Built: 1987 Year Remodeled: Last Sale Date: 4/22/2009 Last Sale Amount: $250,000 Neighborhood: 58 Watershed: Watershed Split: Voter Precinct: P33 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,FPM-O Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: OXFORD Middle School: RIVER BEND High School: BUNKER HILL School Split: NO P&Z Case Number: Census Tract 2010: 010201 Census Block 2010: 1019 Small Area Plan: ST STEPHENS/OXFORD Agricultural District: Printed: Friday, March 25, 2011 12:01 PM ��-� �o� CATAWBA COUNTY Nc �,� �, 100-A South West Blvd PLAN RECEIPT Q+ � Newton, NC 28658- U =�� ' (828)465-8399 Friday, March 25, 2011 �► 1842 srn www.catawbacountync.gov P�an �ase: EHPR-3-11-10027 �nvoice Number: INV-3-11-273409 Environmentai Health Plan Review Invoice Date: 03/25/2011 Site Address: 6230 MONFORD DR, Conover, NC APPL[CANT OWNER CONTRACTOR CHRISTY CARSWELL CHRISTY CARSWELL 6230 MONFORD DR 6230 MONFORD DR CONOVER NC 28613 CONOVER NC 28613 (828)448-8712 ( 828)44 8-8 712 Fee Name Fee Amount Existing Tank Check Fee Fixed $80.00 Total Fees Due: $80.00 PAYMENTS PAYER: CHRISTY CARSWELL Date Pay Type Check Number Amount Paid ChangE 03/25/2011 Check 1470 $80.00 $0.00 Total Paid: $80.00 Total Due: $0.00 plan r�ceipt 03/25/201 I 12:00