HomeMy WebLinkAboutRBPR-07-2013-17644.TIFTHIS IS NOT A PERMIT Case # RBPR-07-2013-17644
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
Residential Building Plan Review - Accessory Structure
IMPROVEMENT
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Applicant ELIZABETH HAUPT, PO BOX 508, NEWTON NC 28658-0508
Owner ELIZABETH HAUPT, PO BOX 508, NEWTON NC 28658-0508
NAME TO APPEAR ON PERMIT
Elizabeth Haupt
SITE ADDRESS: 6577 PROSPECT DR, CONOVER NC 28613 PIN # 374501486654
NAME of SUBDIVISION: CRESCENT LAND AND TIMBER COMPA Lot # 8 Section/Block
PROPERTY SIZE: Square Feet Acres 0.82
DIRECTIONS: 16N/ LEFT ST PETERS CHURCH RD/ 1 MILE TAKE RIGHT ON VALWOOD DR / 2ND ROAD TO LEFT WEDGEWOOD
DR .5 MILE TAKE LEFT ON PROSPECT
PRIMARY CONTACT: SEWER TYPE: Septic Tank
GALLONS PER DAY: 240 WATER SUPPLY: Private Well
DESCRIBE WORK: pvt accessory building 15 x 20 beside existing accessory building
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? Yes
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? Yes
Are there any easements or right-of-ways on this property? No
APPLICATION FOR: New Structure
STRUCTURE TYPE: ** NO STRUCTURE SELECTED **
FACILITY TYPE: Accessory Structure OTHER DESCRIPTION:
DESCRIPTION OF SINGLE FAMILY DWELLING
EXISTING STRUCTURES
ON SITE (IF ANY)
DIM EXISTING STRUCTURE: 40 X 40
NUMBER OF EXISTING BEDROOMS: 2 # OF OCCUPANTS: 2
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: 15 X 20
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
Improvement Permits issued as a result of this information are valid for 5 years or may be non -expiring under certain specified conditions. An
Authorization to Construct issued by this department is valid for (5) five years from the date issued and is not transferable; Improvement Permits and Well
Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility.
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 pt a com tete s/ite�valuation can be rformed.
Date: % �`� — /31 Signature of Applicant or Agent_`
An Environmental Health Specialist will contact you within 2 4rking days of applicatiomd e.
If you need further information or assistance please call 828-466-7291
AREA2
MINIMUM SETBACKS FRONT: 30 SIDE: 5 REAR: 30 MAX HEIGHT: 45
L�) - Ilappli�,Jl on 07/09/2013 17:05 Paee t of
a�3A CATAWBA COUNTY Case # RBPR-07-2013-17644
G Public Health Department Subdivision
ti ! CRESCENT LAND AND TIMBE
u �y Environmental Health Division PIN# 374501486654
PO Box 389, 100-A Southwest Blvd, Newton, NC 28658
1842` srn
NAME ON PERMIT:
Site Address: 6577 PROSPECT DR, CONOVER NC 28613
Property Size: Square Feet Acres 0.82
Directions: 16N/ LEFT ST PETERS CHURCH RD/ 1 MILE TAKE RIGHT ON VALWOOD DR / 2ND ROAD TO LEFT WEDGEWOOD
DR .5 MILE TAKE LEFT ON PROSPECT
FEENAME
Improvement Permit Fee
TOTAL FEES
DATE FEE AMOUNT
07/09/2013 $150.00
$150.00
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
L.')-:happli�amon 07/09/2013 17.05 Page 2 of
Q,�",A"ATHIS IS NOT A PERMIT
C)�« CATAWBA COUNTY HEALTH DEPARTMENT
Norlh Cnrollno ' Application for Environmental Services Page I
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 ❑
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Property Address ZJ J �'�',Jcl - r t� Subdivision
Lot # Acres
l Section/BlocWPhase
Driving Directions to Property hVt 1) �� / ` fW �(��, `� �` v 4� �' > r� •,� l' j; �; ��
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NAME TO APPEAR ON PERMIT?
Owner E:1 Applicant ❑Contractor
Applicant Contact Information
Name
AddressS'7
Phone
Owner Contact Information
Name f/',.� )el
Address /oS% % �l/��°�'� i ✓C
Phone ��� G of 41g
Contractor Contact Inforrmation
Name i --l' Z_
Address
Phone
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Cell Phone
C C�oaJo✓�'� 4) C Af?, /�-
Cell Phone
Cell Phone
WHO WILL BE THE PRIMARY CONTACT? Owner ❑ Applicant ❑ Contractor
Description of Existing Structures on Site ✓��5; (,�r�c1C C�
# of Bedrooms Structure Dimensions Fj ,of Occupants o2-
Basement ❑ Yes �No Basement Fixtures ❑ Yes E�o
The Applicant shall notify the local health department upon submittal of this application if any of the following apply to
the property in question. If the answer to any question is "yes", applicant must attach supporting documentation.
❑ yes CKO Does the site contain any jurisdictional wetlands?
Yes .PWO Does the site contain any existing wastewater systems?
�❑/�es 4Q -<O- is any wastewater going to be generated on the site other than domestic sewage?
dIII Yeso _ Is the site subject to approval by any other public agency?
El Yes Are there any easements or right of ways on thisproperh' ? Describe
Existing water supply in use [g -Individual Well ❑ Community Well ❑ Semi -Public Well
❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑ No
If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
❑ Accepted 0 Alternative 0 Conventional 0 Innovative ❑ Other 0 Any
Catawba County, North Carolina
This map product was prepared from the Catawba County, NC, Geospatial Information System.
a N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information
contained on this map. Catawba County promotes and recommends the independent verification of anv
data contained on this map 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 product or the use thereof by any person or entity.
1 inch = 60 feet
Selected Parcel Number: 3745-01-48-6654
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THIS IS NOT A LEGAL DOCUMENT:..
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Date: 7/9/2013
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CATAVV8ACOUNTY NC'Parcel Report
Information Regarding Selected Parco(s)
Parcel ID:
3745'01-48'6654
Name:
HAUPTELIZABETH FRANCES
NeNn2:
Address:
POBOX 5O8
Addnomo2:
City:
NEWTON
State:
NC
Zip:
280580508
Account:
Calc Acreage:
0.82
Tax Map:
0300 24008
LRK:
26492
Deed Book:
2558
Deed
1850
Subdivision Name:
CRESCENT LAND AND TIMBER COK8PA
Subdivision Block:
Lots:
O
Plat Book:
16
Plat Page:
88
Building Number
6577
Street Name:
PROSPECT DR
Site Zip:
28613
Township:
CLINES
Fire Dist:
OXFORD
State Road:
Total Bldgs Value:
$157.500
Land Value:
B83.500
Total Value:
S251,000
Year Built:
1961
Year Remodeled:
1981
Last Sale Date:
3/10/2004
Last Sale Amount:
s250000
Neighborhood:
58
Watershed:
Watershed Split:
Voter Precinct:
P33
E911 District:
COUNTY
Zoning:
R+40
Zoning Split:
N
Zoning Overlay: CRC -O
Zoning District:
COUNTY
Split Zoning Dist:
N
Split Zoning Dist(l): 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 Cane Number
Census Tract 2D10:O1O2O1
Census Block 2010: 1010
Small Area Plan:
STSTEPHENGX]XF0RD
Agricultural District:
Printed: Tuesday,
July 08.2013O4:42PM