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Home My WebLink AboutEHPR-4-11-10589 (2).TIF .��' �� - � THIS IS NOT A PERMIT Case # EHPR-4-11-10589 �" �" � CATAWBA COUNTY HEALTH DEPARTMENT U �; ;; ''C Plan Review Application far Environmental Services I842 sM Environmental Health Plan Review - OSWP IMPROVEMENT NAME TO AP PEAR O N PERMIT FRANCISCA GARCIA SITE ADDRESS: 1612 ROBINWOOD RD, Newton, NC Pin#: 372005093221 NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.37 DIRECTIONS: ROBINWOOD RD/ HOUSE ACROSS FROM COCHRAN ST APPLICANT OWNER CONTRACTOR LUCIANO HERNANDEZ FRANCISCA GARCIA 1612 ROBINWOOD RD 1612 ROBINWOOD RD NEWTON NC 28658- NEWTON NC 28658 (828)291-7242 PRIMARY CONTACT: Applicant APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 60 X 36 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 3 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: 5 EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water IS available for this property. PUBLIC WATER TYPE AVAILABLE: DESCRIBE WORK: ADDING COVERED PORCH ON REAR OF EXISTING DWELLING / metal framing - field supervisior to check / may require additional information from owner metal framing DESCRIPTION OF SINGLE FAMILY DWELLING EXISTING STRUCTURES ON SITE (IF ANY) P EASEMENTS: NONE PROPOSED CONSTRUCTION PRIMARY RESIDENCE NEW RESIDENCE? Add/Alt to Residence # OF NEW BEDROOMS: 0 # OF STRUCTURE OCCUPANTS: 0 PROJECT DESC: ADDING COVERED PORCH ON REAR OF DWELLING PROJECT DIMENSION: 60 X 15 BASEMENT? No BASEMENT FIXTURES? 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 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: /— �/�� Signature of Applicant or Agent L,� �;�7 �c� -� n n C� � 2 An Environmental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA2 *********************�************************************************************************************************ 04/21 / I 1 15:32 � I ��,A . CATAWBA COUNTY Case # EHPR-4-11-10589 G Public Health Department Q' Subdivision f " a Environmental Health Division - Plan Review � 3►� "�` PO Box 389, 100-A Southwesi Blvd, Newton, NC 286�8 Lot# tg 2 � PIN# 372005093221 ApplicanUOwner LUCIANO HERNANDEZ, 1612 ROBINWOOD RD, NEWTON NC 28658 Site Address: 1612 ROBINWOOD RD, Newton, NC Property Size: SF 1.37 ACRES Directions: ROBINWOOD RD/ HOUSE ACROSS FROM COCE-IRAN ST Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height: FEE NAME DATE AMOUNT BALANCE DUE Improvement Permit Fee 04/21/2011 $150.00 $0.00 TOTAL FEES $150.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 04/2 I/ 11 l 5:32 I �� ` ��A THIS IS NOT A PERMIT �� -?' a CATAWBA COUNTY HEALTH DEPARTMENT `� ,,�� Application for Environmental Services Page 1 1 84 2 sa� Improvement Permit,� Authorization to Construct ❑ Septic Repair ❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New Construction ❑ Existing Facility ❑ Property Address I�c� � a I�0{�1(1��✓ a��C� l��J Subdivision �J �,� �� (; q��S C��j �' Lot # Acres SectionBlocWPhase Driving Directions to Property ��'� �i�l '"� �� - �s �'v �`7 v n!� � t Tl � Ft�.�.� I��+-e- --� � �� -r �l� 5��,��,Q./� ,, , , . p 7�v�! ��'� � �: ✓� � �ic�/r �'r �r—� �e� �"�,r �-L r'n i LC' �-''►� (�' ��r � � r �`� � �'-'�- � (1 � l��" �'✓/ `�'� d'�G� � � �'7%Y' � 9 � � a NAME TO APPEAR ON PERMIT? ❑ Owner ❑ Applicant ❑ Contractor O A licant Contact Information � - �_ ` 2 PP ? !, V Name � � � �;� m Address /�� '� : , ��. f�l� ✓��c'v�.�`�� 'J e. ��S � � Phone �'^ � �,.y� �,� L-1 ,� Cell Phone � Owner Contact Information � i � Name �` - S C�� C t` �� Z Address � Phone Cell Phone � Contractor Contact Information W Name � Address � = Phone Cell Phone � 2 WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑ Applicant ❑ Contractor � Description of Existing Structures on Site � Q # of Bedrooms *� � Structure Dimensions # of Occupants � F� Basement �'es ❑ No Basement Fixtures�Yes ❑ No � Planned Future Additions or Improvements (Building Permit NOT requested at this time) CC Describe � Proposed Future Structure Dimensions # of Bedrooms *�' if applicable � Are there easements or right-of-ways recorded on this property ❑ Yes ❑ No Describe Is a public water supply available on or adjacent to the above property ** ❑ Yes ❑ 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 CO MBINED EVALUATION PROCEDUES) �� THIS IS NOT A PERMIT � �� CATAWBA COUNTY HEALTH DEPARTME�TT � Y Application for Environmental Services Page 2 $4�' sM Proposed Facility Type ❑ Primary Residence ❑ New Residence ❑ Addition to Residence # of New Bedrooms * j' ProjectDescription �� S,`�Q, ��I�'�� (�� Structure Dimensions # of ccupants Basement �'Yes ❑ No Basement Fixtures [�'JYes ❑ No ❑ Accessory Structure(s) Describe # of New Bedrooms *�' if applicable Structure Dimensions # of Occupants Accessory Dwelling ❑ Yes ❑ No Plumbing ❑ Yes ❑ No 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 # o S Dining Area (Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Sllift # of Shifts ❑ Other Facility Type Specify If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type ❑ Individual Well ❑ Semi-Public Well ❑ Community We11 Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑[Jnknown Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial �' Additional information may be reyuired to determine design flow from certain facilities. This value will be determined during consultation with on- site 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 al] 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 septic system size increase in the future. fiIf structure is plumbed but no bedrooms, calculated design flow is required. ** If No, a weil 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. � CHANGE WORK ORDER REQUIRING 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 •J J�,Onn rl e�Sllan�� Z� � Printed Name of Owner or Agent � v� i�,�_ t�r �7�/' N�2 � Date �" �/ -// Catawba County, North Carolina N This map prodi�ct was preparedjrom the Catmvba County, NC, Geographic /nformation System. Catawba County has made substantial efjorts to ensure the accuracy oJlocatio» and labeling informntion contarned on this map. Calawba Co:�nty promotes and recommends the rndependent verrfication ofany dam contained on thrs mnp product by the user. The Co:mty of Catawba, rts employees, agents and personnel disc/aina, and shall not be held liable for any and u/1 damages, loss or lrabrlity, w/�ether direct, indirect or conseguentia! whrch arrses or may arrse from this map product or the use thereof by any person or entrty. Legend Selected Parcel Number: 3720-OS-09-3221 1 inch = 60 feet Prepared for: ` � � � h � �' 2 � � � ,� � � ,� SSJ � fi `- i / 1 ` � � � � ;� r ' �; � . � ; � , � �� . �� .: r , .- ; ��.___ , �, ,� r - i ' � _....J s� � , � 1 i i � j / ' �� ,� � ,1� / - � ��. �. , � � . 1 � � �� .� �� _ , ,�_= � �' � � � I � �, ' � � � �� 3387; , / � ' � , �� _ � �� _ y--- �� . ; ; � � �-^ - � _ \ _ ; J J k � � M .� __ � �2 � � �, �� `� , l� � �o� �, , � � � r �� ^ � ^ '�� i 1 � , _'`— .;. `" �.. `�� 1 , � �°-- �i � , � r �� S1p �� - � � � l �-- ` � s� . �--s J . •,�� ..: _J , � � �� °�s.. ��,..� �� f �---°w..� �S9 9 � .��,� "`.--�° r l � � �� ` � ��' � 1.37A � �\��::.._ , � � � 3221 �� ,�' ; �� ,� _. �` ��92) ��R ;�. , , .� 3 �, �� o , ,,�_.- _ '� �-�� °•,'� r , �i� r� / + 4? � r � �,�', L. ) 7 r � � � � �. :..�"" � � , f 1162 , �:��_ �4 ,�,�� , � �� a , �, .�� , �`° _ --' .- .� �-° � d ,. ,,,- � - � __- _- _-- / ��"' ----�-..__ _—___..-- 4.? � / rd O O / '� 70 ,,• ' � 3026 f� /�' � 2 � o, -;' o r ��,,' �, " THIS IS NOT A LEGAL DOCUMENT � Thursday, April 2l, 2011 03:11 PM �,� / ,--_ �—''• C�,, Catawba County, North Carolina N This map product was prepared jrom !he CataH�ba Co��nry, NC, Geographlc Infarmation System. Calawba Cotnvn� has made subsran�iul ejjarts to ensnre the accuracy ajlocation and labeling injormalron coritained on lhrs map. Catawba Coimt} promotes und reconimends the independent verification ojany dnla contained on dris map prodi�ct by dre user. The Coimry ojCatmvba, iis employees, agents and persom�e/ dise/aim, and shal/ not be held liab/e for any a�id a// da�nages, loss or Ifpbr/iry, whether direct, indirec� or conseguenilal i� l:fch arrses or mat� arise from �his map pradnct or the r�se Ihereojby arry person ar entity. Legend Selected Parcel Number: 3720-OS-09-3221 1 inch = 60 feet Prepared for: , � , � ' ,, " �,� y � � , ,�. � . � � �� ;�� _ �'� �� g �� _ �, � � ,,�j �; ,,�{ L ` 3t x} 3 �" �u�'� �, b�� i . a, .�` �"4.. i ', :� s � Y ; x ,3 " "` ..�� '�§-p' � t� �3 4� ' �. � � � fv.t L � �.,,� r w� .�k,�'h*i�T�`` < ��, 4,t��;�,`�` �... i e "�� w ��4t�� ,,,�� g'1. -„�� `` �.�� j �' �` ��°` ��'� l �:�� *� ": �� r . EN � � ,�- � g ,� ,� , . n� �i� � � � •.. 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' E m� ,� a � p � �,R�,, !4� .ad'`� �,��. � p ��,� � � �� ' � �� g , � r- - ° �r�°�hd'. � , " ? .�. =:.�.� °...-�br P��'t..r.�'s'�» .� r�« „ ?i � , �.: r a .,. ,� �. THIS IS NOT A LEGAL DOCUMENT �� ,�� Thursday, Apr�l 21, 2011 03 18 PM �" �� ` ,� �; � , � , � �` � ' s � g � �. ; � . � .�� r � s�� u ' , �wr � ��. u�� _d..,��, 4� �� mu�� `r �� ('+� CATAWBA COUNTY NC - Parcel Report . Information Regarding Selected Parcel(s) Pa rcel I D: 3720-05-09-3221 Name: GARCIA FRANCISCA Name2: PELAYO ARTURO Address: 1612 ROBINWOOD RD Address2: City: NEWTON State: NC Zip: 28658-8324 Account: 154977 Calc Acreage: 1.37 Tax Map: 049N 02029A LRK: 31284 Deed Book: 2283 Deed Page: 1541 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: 1612 Street Name: ROBINWOOD RD Site Zip: 28658 Township: NEWTON Fire Code: HICKORY RURAL City Code: COUNTY State Road: 1148 Total Bldgs Value: $71,000 Land Value: $18,700 Total Value: $89,700 Year Built: 1960 Year Remodeled: Last Sale Date: 6/29/2001 Last Sale Amount: $83,000 Neighborhood: 92 Watershed: Watershed Split: Voter Precinct: P34 E911 District: COUNTY Zoning: R-20 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: Zoning District: COUNTY Split Zoning Dist: N Split Zoning Dist(1): 0 Split Zoning Dist(2): 0 School District: COUNTY Elementary School: BLACKBURN M+ddle School: JACOBS FORK High School: FRED T FOARD School Split: NO P&Z Case Number: Census Tract 2010: 011701 Census Block 2010: 1050 Small Area Plan: STARTOWN Agricultural District: Printed: Thursday, April 21, 2011 03:11 PM .�� Cp� � ' ' CATAWBA COUNTY, NC �,� �, '°°-A S°ut" Wes` Bi"d pLAN RECEiPT �+ �--; Newton, NC 28658- � �� 828 465-8399 Thursda A ril 21 2011 V ; .i►. '`S' ( ) Y, P , j$ 4'L sM www.catawbacountync.gov P�an �ase: EHPR-4-11-10589 �nvoice Number: INV-4-11-274527 Environmental Health Plan Review Invoice Date: 04/21/2011 Site Address: 1612 ROBINWOOD RD, Newton, NC APPLICANT OWNER CONTRACTOR LUCIANO HERNANDEZ FRANCISCA GARCIA 1612 ROBINWOOD RD 1612 ROBINWOOD RD NEWTON NC 28658- NEWTON NC 28658 (828)291-7242 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS PAYER: LUCIANO HERNANDEZ Date Pay Type Check Number Amount Paid Change 04/21l2011 Cash -1 $150.00 $0.00 Total Paid: $150.00 Total Due: $0.00 plun rcceipt 04/21/201 I 15:32