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HomeMy WebLinkAboutRBPR-04-2016-23756.TIF � THIS IS NOT A PERMIT Case # RBPR-04-2016-23756 Q - v' ; . CATAWBA COUNTY HEALTH DEPARTMENT .v "..•6 • G''-'''I PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 1842 sM Residential Building Plan Review - Building Addition o 1.13 IMPROVEMENT ` $o 13 CI -c Contractor 0111,Le SAME AS OWNER„ Lien Agent NO LIEN AGENT REQUIRED,, F:000000000 Owner BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 C:941-779-119 NAME TO APPEAR ON PERMIT BARRY ROWLAND SITE ADDRESS: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 PIN # 460701388154 NAME of SUBDIVISION: THE RETREAT Lot# 4 Section/Block PROPERTY SIZE: Square Feet Acres 0.75 DIRECTIONS: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WOR evised 6/13/16 - Garage Dimensions 20x30 evise anged to IP to designate repair area. Adding 29'x37' attached garage, no bonus, no heat, 1/2 bath (sink and toilet only); 32x30 (700 sq ft) partially covered deck, 8x14 sunroom, heated) 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? No 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF single family dwelling EXISTING STRUCTURES ON SITE(IF ANY) DIM EXISTING STRUCTURE: 60x60 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 20x30 garage; 32x30 deck, 8x14 sunroom Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplicauon 06/13/2016 09:36 Page 1 of 4 /g• CATAWBA COUNTY Case It RBPR-04-2016-23756 / x Public Health Department Subdivision THE RETREAT d ,,,m-. 'og, Environmental Health Division PINA 460701388154 '. f^• PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 1842 ,u NAME ON PERMIT: ( BARRY ROWLAND), 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 ( BARRY ROWLAND) Site Address: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.75 Directions: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left 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 count and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable s and rules. I u derstand hat am solely responsible for the proper identification and lab ing of all property lines and corners and making the site c sible so th��t)a mplete a aluation can be performed. Date: lo�)Z�f lo Signature of Applicant or Age r U' An Environmental Health Specialist will contact you within 5 wo king days of application date. If you need further information or assistance please call 828-466-7291 AREA1 :8 t r n HI I 1 or , . n11 }I i I I 1"Iry I i �iv m 1' t. T[I EENAME lth( is a ,L141'..•' LJi1li711 II ) I(111jjDATE,1 + EMOUNT. ti Existing Tank Check Fee 04/28/2016 $80.00 Improvement Permit Fee 05/11/2016 $70.00 "i e� I it OTALFEES , t°. . hum'sa,Iit'I IIi�%Hlf t, ""4t iDll�lw �iif�1�`IrjLIillflI ¢. I$ISOl00I �1. Sr �. Iln.,41y ,MIR I ! ' Ialllit l�rw!. EIMMMMMNingiVi �+ivane•M, sw,eMIIMJlM , ry FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplicmlon 06/13/2016 09:36 Page 2 ora d I1 ° ry /� I � vC' !n aap -se"p _m Q zil Si! 1 a i I ii E 6 c y ., n. l('6 li:°I ' hi_ \ ' r-,,c, I � : r - i s l4 W • y x ` o 0 - 4,-" _ q - I I '----L:� 4� 1 e'� �� 4 t 12,74„WL oi .. m -= 1 — � . 1- d �� St i ....4 1 1 5 n 7 . d 1 i i a ( IA 11 i 'I- li 1 3 a y 4{ i i I 11'a t f yyv4g 8 $$i�(p�-�f j 4 �p t4a thi 2P„wa / 4A II G THIS IS NOT A PERMIT Case # RBPR-04-2016-23756 /�� CATAWBA COUNTY HEALTH DEPARTMENT 0 ro ''"f 0 "�G° PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1842 sM Residential Building Plan Review - Building Addition o .1.•CI a.a . !. IMPROVEMENT 0 -: o Y Contractor SAME AS OWNER, , Lien Agent NO LIEN AGENT REQUIRED, , F:000000000 Owner BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 C:941-779-119 NAME TO APPEAR ON PERMIT BARRY ROWLAND SITE ADDRESS: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 PIN # 460701388154 NAME of SUBDIVISION: THE RETREAT Lot# 4 Section/Block PROPERTY SIZE: Square Feet Acres 0.75 DIRECTIONS: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Revised 5/11/16- Changed to IP to designate repair area. Adding 29'x37' attached garage, no bonus, no heat, 1/2 bath (sink and toilet only); 32x30 (700 sq ft) partially covered deck, 8x14 sunroom, heated) 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? No 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF single family dwelling EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60x60 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2 PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 29'x37' garage; 32x30 deck, 8x14 sunroom Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: E9-ehapplication 05/11/2016 15:19 Page I of4 �s� • CATAWBA COUNTY Case# RBPR-04-2016-23756 Public Health Department Subdivision THE RETREAT 4 LL::+I.;;II H Environmental Health Division PINY "\j ° 'c 460701388154 ' PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 12 su NAME ON PERMIT: ( BARRY ROWLAND), 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 ( BARRY ROWLAND) Site Address: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.75 Directions: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left 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. Authoriz ounty and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicabl I ws and rules.. indersta d hat I am solely responsible for the proper identification nd labeling of all property lines and corners and making the site aessible rtha complet to evaluation can be performed. Date: 3 i II Signature of Applicant or Age ( An Environmental Health Specialist will contact you within 5 corking days of application date. If you need further information or assistance please call 828-466-7291 AREA1 rapria .lrgerfr9"�'rlll' rI74 ;, , r ;,:14 h ' r,� r,.-T. jl i L:uiFEE NAME f� '1buii ddr ""u lWi l I�,;.rr YDATE, II FEEAMOUNcLlLI Existing Tank Check Fee 04/28/2016 $80.00 Improvement Permit Fee 05/11/2016 $70.00 I R i N °' III "� h hI iii �h �i v'�ni a i pi i u- i ���I 66}�i1h�,l�,'' TOTAL'FEORIIIIIIIIINllIIIIII�IIIIIIII�III>11�g1��N�lh,I IIo31�I�1111�p IIIIIIi liliIIII -, $iso oo ,. IL�I�IIIIid Ii oh •4:. lvlgdif -! W tlJaullam loll fll4.1u,":n, r-:911y➢iiIIII mr vnn,didlllnirr�n�.� isvlH , FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehappl ication 05/11/2016 1 5:19 Page 2 of 4 • OA - ;,6, COUNTY h 100A SOUTHWEST BLVD Z.' pq,e114 Y NEWTON,NORTH CAROLINA 28658 RECEIPT C, nwi ' PHONE: 828.465.8399 ciStAir 'C We dnesday, May 11, 2016 842 sM www.catawbacountync.gov PAYOR: ROWLAND, BARRY PAYMENTS TRANSACTION NUMBER: TRC-670976-11-05-2016 PAYMENT DATE : 05/11/2016 PAYMENT TYPE Credit Card INVOICE NUMBER FEE NAME FEE AMOUNT 05-16-328248 Improvement Permit Fee $70.00 TOTAL PAYMENTS : S70.00 RBPR-04-2016-23756 CASE TYPE: Residential Building Plan Review WORK CLASS: Building Addition SITE ADDRESS: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Lien Agent NO LIEN AGENT REQUIRED, , F:000000000 Owner BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 C:941-779-119 ** NO PEOPLESOFTACCOUNTASSIGNED ** Contractor SAME AS OWNER, , receipt 05/11/2016 15119 Page I oil S$A !G THIS IS NOT A PERMIT Case # RBPR-04-2016-23756 AILS CATAWBA COUNTY HEALTH DEPARTMENT 0 x 0 � ' �'1�' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' ''"� 1 \84Z sM Residential Building Plan Review - Building Addition a • •a 'w r EXS_SYSTEM `O'ti; ' o.. Contractor SAME AS OWNER, . Lien Agent NO LIEN AGENT REQUIRED,, F:000000000 Owner BARRY ROWLAND, 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 C:941-779-119 NAME TO APPEAR ON PERMIT BARRY ROWLAND SITE ADDRESS: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 PIN # 460701388154 NAME of SUBDIVISION: THE RETREAT Lot# 4 Section/Block_ PROPERTY SIZE: Square Feet Acres 0.75 DIRECTIONS: Hwy 150 E,turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left PRIMARY CONTACT: Owner SEWER TYPE: Septic Tank , GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: Adding 29'x37' attached garage, no bonus, no heat, 1/2 bath (sink and toilet only); 32x30 (700 sq ft) partially covered deck, 8x14 sunroom, heated) 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? No 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? No Are there any easements or right-of-ways on this property? No APPLICATION FOR: • Existing Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF single family dwelling EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: 60x60 NUMBER OF EXISTING BEDROOMS: 4 #OF OCCUPANTS: 2 . PROPOSED CONSTRUCTION . NEW STRUCTURE DIM:: 29'x37' garage; 32x30 deck, 8x14 sunroom Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: \Iv E9-ehapplication 04/28/2016 10:42 Page 1 of 5 ,rgA CATAWBA COUNTY Case# RBPR-04-20 1 6-23 7 5 6 /1 ink x' Public Health Department Subdivision THE RETREAT< .:-‘ •,,, -1 Environmental Health Division � � PIN# 460701388154 PO Box 389, 100-A Southwest Blvd, Newton.NC 28658 18.2 w • NAME ON PERMIT: (BARRY ROWLAND), 3659 LAKE BLUFF RD, SHERRILLS FORD NC 28673 ( BARRY ROWLAND) Site Address: 3659 LAKE BLUFF DR, SHERRILLS FORD NC 28673 Property Size: Square Feet Acres 0.75 Directions: Hwy 150 E, turn left on Slanting Bridge Rd, Left on Sherrills Ford Rd, left on Beatty, right on Lake Bluff Rd, 4th house left 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 change for the proposed facility. I have read this application and certify that the information provided herein is true,complete and correct. Authorized coup y and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable la- and rules. I u <erstand t a I am solely responsible for the proper identificatio d I ling of all property lines and corners and making the site a ible so t t a o plete Si :t -valuation can be performed. Date: %/ ! Signature of Applicant or Agen 4 4 An Environmental Health Specialist will contact you within 5 w king day • -application date. If you need further information or assistance pleas call 828-466-7291 AREA1 ............................................................................................................ FEENAME DATE FEE AMOUNT 1 Existing Tank Check Fee 04/28/2016 $80.00 TOTAL FEES . '' $80.00 i FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-chappi ication 04/28/2016 10:42 Page 2 of 5 CATAWBA THIS 15 NOT A PERMIT COUNTY ;,/ CATAWBA COUNTY HEALTH DEPARTMENT - Page 1 v�'-�„ ,��� Application for Environmental Services g Improvement Permit❑ Authorization to Construct n Septic Repair❑ Septic Malfunction ❑ Septic Expansion ❑ New Well Permit ❑ Replacement Well ❑ Well Abandon ent❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) 21 �A plicatign is ffjo�ri N- o9truction ❑ Existing Facility ❑ Property Address 3 L Ai (.l �J 11 t c I Subdivision Lot# I Acres 2 Section/Bloc 'base Driving Directions to Property 510 E 1 I, % l,. ` 0 f nl r iL i:. L A U� 1 A1 1 . I -i ! _ Gcc s -1"_1- a Z' 1 , . G b on • !f' JR ,, up . l„, co- loll, 11 6 ilf`,J( w DT. C.t NAME TO APPEAR ON PERMIT? 5illOwner ❑ Applicant ❑ Contractor Applicant Contact Information I I Name ENO f q( ll / u� 1.i.�6B�v` k Address :441 i +-qi' (iU 4Th 1 U R I D �1 J Phone QO ei - 1pd Cell Phone 12 il Owner Contact Information Name i ito ak),L Address Phone Cell Phone Contractpr Cgntact Information Name +vv/1--b Address Phone Cell Phone WHO WILL BE THE PRIMARY CONTACT? 11 Owner 21 Applicant n Contractor Description of Existing S pictures on Site ())f J if/(\Liu # of Bedrooms *t Structure Dimensions 0 . ll #of Occupants Basement ❑ Yes [f No Basement Fixtures ® Yes :?7 No 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. o Yes it No Does the site contain any jurisdictional wetlands? , Yes ✓ No Does the site contain any existing wastewater systems? ❑ Yes (No No Is any wastewater going to be generated on the site other than domestic sewage? )'Yes Is the site subject to approval by any other public agency? O Yes No Are there any easements or right of ways on this property? Describe Existing water supply in use sl Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes MNo 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 ❑ Alternative ❑ Conventional ❑ Innovative ❑ Other ❑ Any CATAWBA THIS IS NOT A PERMIT _e un,, . CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 N MCO.oIi Proposed Facility Type El Primary Residence n ew Resi ence Addition to Re idence # of New C edrooms *t di Project Description i.U', LT t I • L 1, 4 Al -c/a '� _, 9uickg.tJ Structure Dimensions r : ` • of Occupants I 0 h L` +o (ef On ly Basement n Yes V No Basement Fixtures n Yes No U Accessory Structure(s) Describe # of New Bedrooms *j' if applicable Structure Dimensions # of Occupants Accessory Dwelling n Yes in No Plumbing [- Yes n No Describe Plumbing Needed n Multi-Family Residence# Units #Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions T. Food Service Specify Type ft Seats Floor Space-Entire Food Service Facility (Sq Ft) # Employees per Shift #of Shifts Dining Area(Sq. Ft.) n Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair Proposed Well Type n Individual Well n Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled n Bored ❑ Dug fT Unknown Well Repair Requested _ Yes ❑ No Describe Calculated Design Flow, Commercial t Additional information may be required 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 all 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. t If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 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 that a complete site evaluation can be performed. Signature of Owner or Agent Date 14 Printed Name of Owner or Agent 11 Catawba County, North Carolina This map product was prepared from the Catawba County,NC,Geospatial Information System. - - I N - - - Catawbacoun ty-hasmadesubstantial.efforts.to-ensurelheaccuracy_oi-locatioaandlabeling informatisn - - - - - - A contained on this map.Catawba Count promotes and recommends the independent verification of any 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. Selected Parcel Number: 4607-01-38-8154 1 inch=50 feet Prepared for:I 0 %bit__ . • k 4.-e: : z sr 839 0:3 rill I Sa I 3 °it . 40 . 78 ,9 5 0) p, °3, CO awl . ,k - :CO 8263 co r , sToe- cry -32-7 :6-2-- -_ J� • a 0 :: I , t Lito. a - t y ia154 —pa it. — l f l l I p 338 . -39 CO -144Aff.g 22 V4VIIN 4 3, U' c9 \ 1I42s4 • ,t,,,� . ,. 3 8063 '- � • 42• CP• 1 . /i r' 3 Cr Q 3 0 •W �-t 33 < r � ,. a • ix.„ THIS IS NOT A LEGAL DOCUMENT Date `?ved: 1/12/2016 Time: 9:44••- 1 ;y; • Parcel,Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 460701388154 Owner: ROWLAND BARRY DEAN Parcel Address: 3659 LAKE BLUFF DR Owner2: ROWLAND DONNA JO City: SHERRILLS FORD, 28673 Address: 3659 LAKE BLUFF DR LRK(REID): 800847 Address2: null Deed Book/Page: 3213/0289 City: SHERRILLS FORD Subdivision: THE RETREAT State/Zip: NC 28673-8367 Lots/Block: 4/ null School Information: Last Sale: $525,000 on 2013-10-04 School District: COUNTY Plat Book/Page: 42/172 Elementary School: SHERRILLS FORD Legal: LOT 4 PLAT 42-172 Middle School: MILL CREEK Calculated Acreage: .750 High School: BANDYS Tax Map: null Township: MOUNTAIN CREEK School Map State Road #: null TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: All in County Zoning District: COUNTY County Fire District: SHERRILLS FORD Zoning1: R-30 Building(s) Value: $380,100 Zoning2: null Land Value: $131,300 Zoning3: null Assessed Total Value: $511,400 Zoning Overlay: CRC-O,WP-O,FPM-O Year Built/Remodeled: 2006/null Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: null/null Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: 2007-09-05 Building Permits for this parcel. Firm Panel #: 3710460700J Building Details 2010 Census Block: 3002 WaterShed: WS-IV Critical Area 2010 Census Tract: 011504 Voter Precinct: P31 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Report Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights reserved. 5l11C3 �Xls SySfCrn I n.Sped,AL aid IreiofrA 2-12;R (IP gad or Pi rrnnn tn Tn,9UP.r=4An7n1ZRR1sa,er,t,,,_P 4/7R/7816 5Y-4-06 <""' rrn -Fr—" . 14 :•— CATAWBA COUNTY HEALTH DEPARTMENT /a-c____ Telephone (828)465-8270, 1/'DD (828) 465-8200 WLS # -DQ$ -0/arr q Improvement Perini[ AC Repair Permit. Operation Permit.K System Type Lit/Well Permit. �( Replacement We Owner/Agent 'n0/_t • l �� 1i,_n Fr/2,S C�-y0 Phone 9de� - 5t7- gg9,5 Address 34.. 9 e_0->ke- eGUrr• 'prt.,F Subdivision • •nc - ,2t?77 frr • :.e Section/Block/Phase Lot# 4- Lot�Size 6 75 r :w.S Directions .40 _ •i 0,1) a ns,A G ,[j eA i cf n44) 'Tp FNII 1 Jz 1ni/i elm F- = 170, ts Lof •tE y 6 N L. Property Address_ L/ _ 8 ey FF Del tS Facility' House Mobile Home Business Multi-family Other. Pin Number Gn7 n/ ,�8' 8/, Other x Zoning Approval # #Bedrooms Sl # Seats # Employees Application Rate i 3 GPD Flow 457) Hot Tub or Spa yes no Special Fixtures Basement ye no 100% Repair Are tes/no Basement Plumbing ye no Water Supply. Private Well Public Semi-Public *************************************************************************** ******************************************** Type of System: Trench -- Bed — Pump Pump/Panel_Panel --- LPP— Other Septic Tank Size jpb6 Pump Tank Size /Da?) Nitrification Field: Total.Square Feet OTC Depth of Stone N//'I Bed Size Trench Width 3 / Total Length of All Trenches a,' Number of Trenches .C. Trench Length/ rj/1nI Fe on enter ' ' Maximum Trench Depth.'F 3E ti Distance of Nearest Well so 1-f- *DO NOT INSTA _ _ . ' it • -• ,• •• ' WELL RECORD REQUIRED AT COMPLETION* ************************* ***********gtr/*14*1.}g**** ********************************************************************** Topo % Slope J qa' J)-SO' Texture Structure is Yr 9 0 1"W Si z i To 8c D e'l�Arniutt A Clay Min. . _ 3 SolWemcss k Xr- /,✓S b^.) RcL.RCrr Soil.Depth iii Restric HOZ. at " S i.--An--/G 7-.1-0-)/C Co /1F1-c i o2 a pq� Available space yes/no(J Overall Class S PS.0 ' .5 c2A.t„ Comments P/itu Q��Z -S`/-`S/Cn /S 1, ; 70' /NSTAt :6 Fo .0 pT/ouitt, /iJloRrnfg.770 to sjrr(IP 5•5 -/6 00 14 4 Ai C J .jS Ui 1 i, N '2fl''1 C--33 SA.n/.p o2 EQkt C.. .crn • * )Pq6-t_ o F-oN F c o A t T'S 0 e - ,.(, 1 3 ;h..A., ',51,...3'7_. . F Ir Filter Required Riser required when ‘i).L tank is more than 6 inches deep. **NO GUARANTEE OR WARRANT, I IMPLIED * l' i UcL,, AS TO THE PERFORMANCE OR LENGT�Qe1 'HIS SYSTEM ' WILL FUNCTION** <wC- 3 1 `. �Ty (/� 7 /� ***********************************4***4*if4a4.** • ******************** * ****<i**#£t** *J** **W **+tYh f******* a. An Authorization to Construct is valid for (5) five years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well location, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of the Catawba County Health Department before any portion of the installation is put into use. The siting of the well by the Health Department staff is to provide protection from known possible sources ofcontamination. No volume of water is guaranteed at any site by the Health Department. Permit Date 1 iOt'. 9' d 0 EHS may— - e C Owner/Agent 11 __ _ .• _ . Septic Tank Installed By ('np,,07ThA&) ac-DEps Date V-.27-L16 EHS . Well Installed By e -2n.4.0 Well Grout Approval Date 9-51-6C Well Head Approval Date 9-2.7-45 Date Sample Collected Date of Results Results EHS _� _ White-Office Yellow-Owner/Agent Pink-Building Inspection Authorization to Construct