HomeMy WebLinkAboutEHPR-4-11-10705 (2).TIF ��' p� THIS IS NOT A PERMIT Case # EHPR-4-11-10705
� � �� � CATAWBA COUNTY HEALTH DEPARTMENT
v , a � "�' Plan Review Application for Environmental Services
Environmental Health Plan flteview - OSWP
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Il�'P140!/EMEfVT - AUTH COIVST
NAME TO APPEAR ON PERMIT
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SITE ADDRE : 2476 STARTOWN RD Newton, NC Pir,�: 372118425084
NAME of SUBDIVIS . Lot # Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 9.989
DIRECTIONS: STARTOWN RD/ LFT ON VALLEY VIEW DR/ 1ST HOUSE ON Right
APPLICANT OWNER CONTRACTOR
Travis Cromer Travis Cromer
2498 Startown RD 2498 Startown RD
Newton NC 28658-8354 Newton NC 28658-8354
828-390-1725 82&390-1725
PRIMARY CONTACT: Owner APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well
CALCULATED DESIGN FLOW: 360
Public water is **NOT*" available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: 2 Story Log Cabin ** Need engineer sealed drawings
DESCRIPTION OF House burned ** using existing well
EXISTING STRUCTURES
ON SITE (IF ANY)
PROPERTY EASEMENTS: none
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New Residence
# OF NEW BEDROOMS: 3 # OF STRUCTURE OCCUPANTS: 3
PROJECT DESC: 50 x 50
PROJECT DIMENSION: New lo� cabin * nrevious house burn
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 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 to applicable setbacks.
Date: Signature of Applicant or Agent
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
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Ma9i191i1�19! SE�bBCkS: Front: 30 Side: 15 Rear: 30 Side St: Max Height:
OS/27/11 12:56
�� � THIS IS NOT A PERMIT Case # EHPR-4-11-10705
� � CATAWBA COUNTY HEALTH DEPARTMENT
U ,�''C Plan Review Application for Environmental Services
1842 5M Environmental Health Plan Review - OSWP
� �L� i�c� IMPROVEMENT - AUTH CONST
A. Q NAME TO APPEAR ON PERMIT
Travis Cromer
s�Te A��Ress: 2609 VALLEYVIEW DR, Newton, NC Pin#: 372118425084
NAME of SUBDIVISION: Lot # Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 9.989
DIRECTIONS: STARTOWN RD/ LFT ON VALLEY VIEW DR/ 1 ST HOUSE ON Right
APPLICANT OWNER � CONTRACTOR
Travis Cromer Travis Cromer
2498 Startown RD 2498 Startown RD
Newton NC 28658-8354 Newton NC 28658-8354
828-390-1725 82&390-1725
PRIMARY CONTACT: Owner APPLICATION FOR: New Construction
DIM EXISTING STRUCTURE: EXISTING FACILITY TYPE: House
NUMBER OF EXISTING BEDROOMS: SEWER TYPE: Septic Tank
NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well
CALCULATED DESIGN FLOW:
Public water is ""NOT** available for this property.
PUBLIC WATER TYPE AVAILABLE:
DESCRIBE WORK: 2 Story Log Cabin ** Need engineer sealed drawings
DESCRIPTION OF House burned ** using existing well
EXISTING STRUCTURES
ON SITE (IF ANY)
PR EA none
PROPOSED CONSTRUCTION
PRIMARY RESIDENCE
NEW RESIDENCE? New R ence
# OF NEW BEDROOMS: ( 31 # OF STRUCTURE OCCUPANTS 3
PROJECT DESC: 50 x 50 �
PROJECT DIMENSION: New loe cabin * nrevious house burn
BASEMENT? No BASEMENT FIXTURES? No
I understand that this is a formal application for a well permit, Improvemen 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
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
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Minimum Setbacks Front: 30 Side: 15 Rear: 30 Side St: Max Height:
OS/03/11 10:13