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Home My WebLink AboutEHPR-10-09-2419 (2).TIF A $ THIS IS NOT A PERMIT Case # EHPR-10-09-2419 - CATAWBA COUNTY HEALTH DEPARTMENT ^C Plan Review Application for Environmental Services _ 18 sM Environmental Health Plan Review - OSWP APPLIc, NT-T .',OWNERCONTRACTOR 1.AKF NORMAN MARINA, INC. TAIL-NORMAN . MARINA, INC. 6965 E NC 150. HW Y.. 6965 E NC 150 HWY SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673 704-483-5546 704-483-5546 NAME TO APPEAR ON PERMIT LAKE NORMAN MARINA, INC. Pin#: 460605094645 SITE ADDRESS: 6965 E NC 150 HWY, Sherrills Ford, NC DIRECTIONS: HWY 16 S - TURN LEFT ONTO HWY 150 - 3 MILES ON RIGHT NAME of SUBDIVISION: Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 9.859 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 35X610 Bedrooms 3 Basement: No Water Using Fixtures in Basement: No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 00'`:: - • Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: 'Number of Employees l st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: NO Has any grading, removal, or addition of soil been done to this. property? If so, describe NO Are there easements/right-of-ways recorded on this property? No Type of Water Supply: Individual Well X Community Well Municipal Semi-Public I understand that this is a formal application for a well permit, Improvement permit or Auttiorization 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 49 An Enviromnental Health Specialist will contact you within 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front FEE NAME _ DATE, AMOUNT latiiunzatiun t~, Cua»truct k 1~-oair► F'1`0/9%200y~u00.00 Side Rear TOTAL FEES $300.00 Max Fight *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 10/29/09 14:12 THIS IS NOT A PERMIT WLS# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services F IP F- AC IX S.T. Rpr. S.T. Exp. F- Exist. S. T. I- Well Permit I- Replacement Well 1. Name to Appear on Permit: Lake Norman Marina Inc. 2. Permit Requested By: Mark Kale Business Phone: 704-483-5546 Address: [6965 NC Hwy 150E, Sherrills Ford, NC 28673 Home Phone: na 3. Property Owner: B & K Real Estate Business Phone: 704-483-5546 F6965 NC Hwy 150E, Sherrills Ford, NC 28673 Address: Home Phone: 4. Name of Subdivision: Lot F Section/Block/Phase: Property Address: 6965 NC-Ffvvp- Sherrills Ford NC 28673 Hwy. 16 South, Go left on Hwy. 150 3 miles. Marina is on the right. Directions to Propert : F 5. Property Size: Square Feet Acres g~p Date Platted/Recorded 6. TYPE OF FACILITY: ' ouse C' Mobile Home Dimension of Structure s ~6 Bedrooms*' *Any room that will be intended for sleeping at the timed struction orfor future consideration should 'be,noted asa Bedroom and counted on all applications. The number of bedrooms will be confin-ned by rooms identified on the house plans as a bedroom, at the time of building permit issuance. This mayprevent the need for system size increase in the`future. Basement: (-Yes (e No Water Using Fixtures in Basement: C' Yes No No. in Family: I~ Whirlpool Tub: (,Yes (-No Gallon: _ MULTIPLE FAMILY RESIDENCES: Units I Total Number of Bedrooms DAY CARE: Number of Children F RESTAURANT: Seats F-Square Feet Dining Area F Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: Boat Sales/Marina No. of Employees 1 st 14 2nd I 3rd OTHER : (Specify) 7. Do you anticipate any additions to Facility? Yes No If so describe 8. Has any grading, removal, or addition of soil been done to this property? Yes (4 No If so describe 9. Are there easements/right-of-ways recorded on this property? Yes (m No 10. Is a public water supply available on or adjacent to the above property? (*-Yes (-No Check type that is available: /Individual ommunity Well I- Semi-public Well r County/City/Township waterline 11. Well Type Applying For: Well F Community Well r" Semi-public Well F Irrigation Well F- Geothermal Well 12. Monitoring Well Request:(' Yes (-No # of Wells: F-Name of Site: I understand that this 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 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 set backs. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE Date: Signature of Owner or Agent:. r- Print Form"-' a Catawba County, North Carolina This map product was prepared fi om the Catawba County, NC, Geographic lnfornhanon System. N Catcnrba 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 Counhv of Catawba, its employees, agents and personnel disclaim, and shall not be held liable for any and all damages, loss at- liability, whether direct, indirect or consequential which arises or mr?v arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 4606-05-09-4645 1 inch = 200 feet Prepared for: s ~ L Pla[ 62~ 130,)1 13 B4A 0201 ~O r 11215 ~ - ~ ~ ~ r r p ANC 15~~ ~ ~_J~ 3 't L~- 1 ° l N35-145 i 486A non m W ORTH r 1 \ ~r- 11~1 sr r 2 (1(6) r ~ ~I 0461 e 8 r f LCD' f6r, s, WORN 3 a 7453 f l1 r,, Sr l I ~ 6442 aj f76?7 a , 106A < 9 1 h 5349 100A 8368 1389 1 11 0385 Dry ( e 11 83 1-7 2 J \ C 6 o \ ee9 B.7) 4 _ v 5 n 6 00 j gD }1 B~ lrM10 '~~~O 10 ~ ~ f 1p e6 8 54 GU ryp a~.~ ~1p n LQ THIS IS NOT A LEGAL DOCUMENT Thu, October 29, 2009 01:56 PM CATAWBA.000NTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4606-05-09-4645 Name: B & K REAL ESTATE LLC Name2: Address: PO BOX 709 Address2: City: DENVER State: NC Zip: 28037-0709 Account: 142729 Calc Acreage: 9.86 Tax Map: 017 X 02004 LRK: 17774 Deed Book: 2228 Deed Page: 1981 Subdivision Name: Subdivision Block: Lots: Plat Book: 35 Plat Page: 145 Building Number: 6965 Street Name: E NC 150 HWY Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $1,960,600 Land Value: $1,088,300 Total Value: $3,048,900 Year Built: 1973 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: RC Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,MUC-O,WP-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: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: R-336,SU-115,VAR-67; LOMA 1/26/06;EXT2006-003 Census Tract 2010: 011502 Census Block 2010: 4008 Small Area Plan: SHERRILLS FORD Agricultural District: n Fy CATAWBA,COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4606-05-09-4645-0001 Name: KALE COTHRAN GRIFFIN Name2: KALE ELSIE L Address: PO BOX 957 Address2: City: DENVER State: NC Zip: 28037-0957 Account: 37102000 Calc Acreage: 0 Tax Map: 017 X 02004 LRK: 17775 Deed Book: 0000 Deed Page: 0000 Subdivision Name: Subdivision Block: Lots: Plat Book: Plat Page: Building Number: Street Name: Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $30,100 Land Value: Total Value: $30,100 Year Built: 1987 Year Remodeled: Last Sale Date: Last Sale Amount: Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: RC Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,MUC-O,WP-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: SHERRILLS FORD Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 4008 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Thu, October 29, 2009 01:57 PM a `s A, CATAWBA COUNTY, NC I00-A South West Blvd Newton, NC 28658- PLAN RECEIPT (828)465-8399 Thursday, October 29, 2009 184 sM www.catawbacountync.gov Plan Case: EHPR-10-09-2419 Invoice Number: INV-10-09-256755 Environmental Health Plan Review Invoice Date: 10/29/2009 Fee Name Fee Amount c Authorization to Construct (Repair) Fee- Adjustable $300'00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change ' 170/29/2009 Check 61823. $300.00 $0.00 I Total Paid: $300.00 Total Due: $0.00 plan receipt ; 1c-1ar1$v-?O~i1=lh?b-huh=1-l~ I b0=! I t~l3r I ;.Pt 10/29/2009 14:11