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Home My WebLink AboutEHPR-11-09-2856 (2).TIF ~'A C THIS IS NOT A PERMIT Case # EHPR-1 1-09-2856 CATAWBA COUNTY HEALTH DEPARTMENT V ^C Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP IMPROVEMENT- AUTH CONST APPLICANT OWNER CONTRACTOR GEMINI HOMES INC GEMINI HOMES INC GEMINI HOMES INC PO BOX 376 PO BOX 376 TERRELL NC 28682 TERRELL NC 28682 704-489-9497 704-489-9497 704-489-9497 estes_construction@msn.com NAME TO APPEAR ON PERMIT GEMINI HOMES INC Pin#: 460602785446 SITE ADDRESS: 4541 LAKE DR, Sherrills Ford, NC DIRECTIONS: 150E/ RT SLANTING BRIDGE RD/ RT ENOCH DR/ ON LEFT NAME of SUBDIVISION: ENOCH AND INA SIGIVION ESTATE Lot # 59 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.75 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home Dimension of Structure Bedrooms 0 Basement: No Water Using Fixtures in Basement:No No. in Family Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 1.00 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 1st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility? If so, describe: Has any grading, removal, or addition of soil been done to this property? If so, describe Are there easements/right-of-ways recorded on this property? NONE 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 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 iss ed and is not transferable. Note: You must obtain Zoning Approval prior to locating a home or structure on this property. ny rep • s tation by you of house or structure location should conform to applicable setbacks. Date: rf ~Z Z~ / Signature of Applicant or Agent An Environmental Health Specialist will contact you w' in 2 working days of application date. If you need further information or assi ce please call 828-466-7291 AREA 1 (FOR OFFICE USE ONLY) Zoning Approval: Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE AMOUNT Side 10 Authorization to Construct Fee (New/ 11/23/2009 $150.00 Rear 5 Improvement Permit Fee 11/23/2009 $150.00 Max Hght $300.00 TOTAL FEES *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/23/09 13:23 THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment ❑ 1. Naive to Appear on Permit 2. Permit Requested By Business Phone-/-,b'I-1-I%'3 -!~W~-7 Address 4 5 2 y F~ o ~h ?Dr,'y~,L, Home Phone 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision Lot # Section/Block/Phase Property Address Z _ c- Directions to Property: I r' fi i O cI' J e. f,J t 5. Property Size: Square Fee Acres ate Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure ?-q x ZS4 Bedrooms*-(O *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 system size increase in the fixture. Basement: yeslno Water Using Fixtures in Basement: yes/no No. in Family Whirlpool Tub yes/no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area -Square Feet Food stand/Meat Market Floor Space TYPE OF BUSINESS: Number of Employees 1st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes No If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes No 10. Is a public water supply available on or adjacent to the above property? Yes No Check type that is available: [ ] Community well [ ] Semi-public well [ County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Comnninity well [ ] Semi-Public well 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 valid for 5 years or may be non-expiring under certain specified conditions. Improvement Permits and Well Permits are transferable, but may be revoked if this information, site plans or intended use changes for the proposed facility. An 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. **IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO TH P 0 Y AN ADDITIONAL CHARGE." Date Signature of Owner or Agent f Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Country 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 al/ damages, loss or liability, whether direct, indirect or consequential which arises or nnay arise fn-onn this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 4606-02-78-5446 1 inch = 40 feet Prepared for: 77 r ; 5$ 2F4 rx ~ T 4 2 ~ 5Q.'001 h 4 4 j ~61 _59 R O f ,,t 1 1 60 4 l t VVV F~0f J ~o c=~ AE ' 1 4 I t Y THIS IS NOT A LEGAL DOCUMENT Monday, November 23, 2009 01:25 PM Catawba County, North Carolina This map product was prepared fi oin the Catawba County, NC, Geographic Information System. N Cataivba 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 amf 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 o• habiliiv, whether direct, indirect or consequential which arises or may arisegroin this mop product or the use thereof by any person or entity. Legend Selected Parcel Number: 4606-02-78-5446 1 inch = 40 feet Prepared for: Y *a W . / f ~k .70) 58 l.Y..t~Rh :'ft#'..yYkrw°w 4a. W ' k ;.r I. r•, yyy y..t air X' ~ 'I._a f"~~~~' 'W I r._ tir t Ir o O f A f .~"ki .C?t try y ~Oj . l i a3, 6 F fir* f a z t u r f ; ~ f r t - _ ~~f• R-3~ ~4 ~tt x' TH 1, 1 ~ 1 I I c ; I DOCUMENT Monday, November 23, 2009 01:25 PM ~ : ti ~ tiFS 1 '±F4- it Va F, W a I I I.K .A i~ i CATAW,BA C04JNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID.- 4606-02-78-5446 Name: GEMINI HOMES INC Name2: Address: PO BOX 376 Address2: City: TERRELL State: NC Zip: 28682-0376 Account: 185177 Calc Acreage: 0.75 Tax Map: 018DX 01059 LRK: 19522 Deed Book: 2666 Deed Page: 0302 Subdivision Name: ENOCH AND INA SIGMON ESTATE Subdivision Block: Lots: 59 Plat Book: 59 Plat Page: 84 Building Number: 4541 Street Name: LAKE DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $385,000 Land Value: $105,800 Total Value: $490,800 Year Built: 2004 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: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-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: 4047 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, November 23, 2009 01:25 PM