HomeMy WebLinkAboutEHPR-4-11-10401 (2).TIF ��' C p G TffiS IS NOT A PERMIT Case # EHPR-4-1 1-10401
�' � CATAWBA COUNTY HEALTH DEPARTMENT
c�.� ; S;� �`4' Plan Review Application for Environmental Services
1842 SM Environmental Health Plan Review - OSWP
�'i�tc� � J� � � t AUTH CONST
p �� (l�rp�� NAME TO APPEAR ON PERMIT
HOPE DIXON COOPER
SITE ADDRESS: 3610 gt11 ST CT NW Hickory, NC Pin#: 370407582793
NAME of SUBDIVISION:ACADEMY ACRES Lot # ( Section/Block/Phase
PROPERTY SIZE: Square Peet Acres 0.5(
DIRECTIONS: HWY 127N/ LT ON 29TI-I AV DRNW/ TURNS INT06TH ST DRNW/ LT ON 36TH STNW/ RT ON 8TH ST
CT N W
PLICANT OWNER CONTRACTOR
HOPE DIXON COOPER DONALD HEFNER
404 MAPLE ST 204 8TH AV DR NW
MURFREESBORO NC 27855-21 HICKORY NC 228601
(252)398-3735
PRIMARY CONTACT: APPUCATtON FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: N/A
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Public Water
CALCULATED DESIGN FLOW:
Public water IS availa for this property.
PUBLIC WATER TYPE AVAILABLE: County/Ciry/Township Wa
DESCRIBE WORK: SINGLE FAMILY MODULAR DWELLING
PROPOSED FUTURE ADDITIONS GARAGE OR CARPORT
OR IMPROVEMENTS:
PROPERTY EASEMENTS: NA
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 6
PROJECT DESC: SINGLE FAMILY MODULAR DWELLING
PROJECT DIMENSION: 60X40
BASEMENT? No BASEMENTFIXTURES? No
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 transferab{e.
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 conPorm to applicable setbacks.
Date: Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 warking days of application date.
If you need further information or assistance please call 828-466-7291
AREA2
*********�************************************************************************************************************
Minimum Setbacks Front: 20 Side: 10 Rear: 25 Side St:10 Max Height:
04/18/ll 11:02
CATAWBA COUNTY NC - Parcel Report
Information Regarding`5�1�°cted Parcel(s)
ParcellD: 3704-07-58-2793
Name: COOPER HOPE DIXON
Name2: FULLER FAITH DIXON
Address: 404 MAPLE ST
Address2:
City: MURFREESBORO
State: NC
Zip: 27855-2100
Account: 159769445
Calc Acreage: 0.56
Tax Map: 194H 01064
LRK: 61684
Deed Book: 3071
Deed Page: 0484
Subdivision Name: ACADEMY ACRES
Subdivision Block: B
Lots: 6
Plat Book: 16
Plat Page: 39
Building Number: 3610
Street Name: 8TH ST CT NW
Site Zip: 28601
Township: HICKORY
Fire Code: HICKORY RURAL
City Code: COUNTY
State Road: 1321
Total Bldgs Value:
Land Value: $28,900
Total Value: $28,900
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 3
Watershed: WS-IV Critical Area
Watershed Split: NO
Voter Precinct: P39
E911 District: HICKORY
Zoning: R-2
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay:
Zoning District: HICKORY
Split Zoning Dist: N
SplitZoning Dist(1): 0
Split Zoning Dist(2): 0
School District: HICKORY
Elementary School: JENKINS
Middle School: NORTHVIEW
High School: HICKORY
School Split: NO
P&Z Case Number:
Census Tract 2010: 010500
Census Block 2010: 1032
Small Area Plan:
Agricultural District:
Printed: Monday, April 18, 2011 11:02 AM
CA'�AWBA COiJN1'Y Case # IMPV-3-i 1-16048
Public Healtli Aepartrnent Subdivision
�" � Environmental Heaith Division ACADEMY ACRES
PO Box 389, lOQA Southwest Blvd, Newton, NC 28658 Lot # 6
+� PM# 370407582793
ApplicanUOwner DIANE DIXON /�
DONALD HEFNER �I�PI� - ` - ll � Q7�S
Site Address: 3610 8TH ST CT NW, HICKORY, NC
Property Size: SF 4� ACRES
Dtrections: 127N/ LEFT 29TH AVE DR NW/ TURNS INTO 6TH ST DR NW/ LEFT 36TH ST NW/ RT 8TH ST CT NW
Improvement Permit �
�
�
Facllity p�mary Residence �.
Pertnit Category: New Septic Bedrooms 3 —'
�
WATER SUPPLY: Public Water
Basement? No Basement Piumbing? No
----------------------------------------------------------------------------------------------------------------•-----------------------------------------------------------------
IMTIAL SYSTEM SPECIFICATIONS
------------------------------------------------------------------------------------------------------------------------------------=---------------------------------------------
Permit Valid: Expires In Five Years: X No Expiration:
Projected Daily Flow 360 9•P•d
Proposed Wastewater System: 25% REDUCTION
Type: IIIG - OTHER NON-CONV TRENCH SYSTEMS
Permit Condit�ons: Lot to be cleared and house site restaked before AC is sissued.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
REPAIIt SYSTEM SPECIFICATIONS
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Repair System Required? Required
Proposed Wastewater System: 50% REDUCTION
Type: IIIE _ ppgpS GRAVITY DOSED SYSTEM
PUMP *MAY BE* REOUIRED
Landscaping or other ske alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage
away from the septic system, including the direction of gutter flows or foundation drains, is not ADproved, and may result in failure to approve the
inkial system installation, o r t h e s uspensioNrevocation of existing pertnits.
The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the
applicant/property owner to insure that all Catswba County Planning/Zoning and Building Inspections requirements are met. This
Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The
Improvement Permit is aot affected by a change in ownership of the property. This permit was issued in compliance with the
provisions of the North Carolina 'L.aws and Rules ior Sewaee Treat nt and Dl}�osal Svstems' (15A NCAC 18A .1900). Neit6er
Catawba County nor the Eoviroamental Healtb Specialist warrants that t6e septic tank system will continue to function satisfactorily
Susa Bumgarner 03/15/2011
AUTHORIZED STATE AGENT APPROVAL DATE
Permit E�iration Date: 03/13/2016
No grading or construction activity is allowed in areas designated for system and repair without approva! of the Health Department.
03/15/11 15:57
2(111-0421 16:46 CRPOTE 7044830182» 1 828 465 8276 P 1�z
'_ t
� .—
_ _ �,;
•_ �.�
Capote Builders C) ��,���1 E �j.� ��
8� Development Co_
��a����
5426 Capote Road
Maiden. NC 28650
Fax# 704-483-0182
T'a: ' �-�
rrom: � U�''J •
Re:
Fax#._ �2�'_�(6� = �'oZ�,�
��oo� ��� �n� .� 6lU � fi�' s� � f �t/cv
�� �J��r �G �
(�a,c � r �o .� � � `� 0 7 ,J� z 7 ���
2011-0421 16:46 ^ ^^. ^` CAPOTE 7044830182» 1 828 465 8276 P212
� \ �, V
s , . . �' '.' �� � , eV
( ° � �� � ��, P °
r. � „ � ; � �
� o , ��.
r " ` ' ._( `
� � �- �
� �'.. �"�. , `�
� X
� . �, � � �
� a,�,�
� '_� w S �
O ro � i
� � � �� � A
� � p � � �
�
� � � .
� L1 n �i � .,,
� \ I . .".r.'e /,
�
7(� i � � ( �� ' _. �� �
� � . �� �,
�, �J,� �
� � � ,,� -
� , �.�' �
e �
'fi _.�---- ; c,�.,
_;, \
. � �
`;
�,,- �
�-
. �
c � .
� '
�
i o � �, �
� � . � '�:'.�
c� 3 ' ` `�t
�
v�'
� �
. � �
• n
I � �� �' '
� ,� � � � �.-
�; 4� �.� ,
�r y � _ �
�) U
-�- - , �� '` ` �,�,_
N `' .� �-
� � �' � � �� �
�' � ' `
r ,� 1 W �.� � . �.r�'
� � ' '� � �� , l
� . . . .. �' � n
�
� � . c• v`
�, i
� �' �._, � �
s a � ���� �
, � �. \ ., � ` �
-� `� �� � 1
_ � .�
R ,
� , � � �` � �-,, �.
0
. N (; -¢ T' ° � r: r I
� " � �-� ' + L
v � �'
� �_� � �
�
�s- '
R-
� y �
N �
r �,-- rl�Z �
. _,,
+ .
►+tu r�uTr co a5is�oas3 P�"'