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��A •� THIS IS NOTA PERMIT Case # EI-IPR-08-2016-24582
7 T� `2,
u , , , CATAWBA COUNTY HEALTH DEPARTMENT ....",?1:1
\ `Lv"' PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
\ .,
842 sM Environmental Health Plan Review - OSWP • •for
IMPROVEMENT
Contact Person PAUL PENNINGER, 3718 OLD BATTLEGROUND RD, GREENSBORO NC 27410
C:7049966330 PGPENNINGERnGMAIL.COM
Contractor NEST HOMES, LLC (MICHAEL WETTER), PO BOX 3695, MOORESVILLE NC 298117
C:7044339947
Land Owner TONY STUTTS, PO BOX 247, TERRELL 28682-0247
H:704-907-4944 HOME:704-907-4944
NAME TO APPEAR ON PERMIT
Nest Homes, LLC (Michael Wetter)
SITE ADDRESS: 3535 OSPREY CT,TERRELL NC 28682 PIN # 462705074711
NAME of SUBDIVISION: Osprey Cove Lot# 2 Section/Block
PROPERTY SIZE: Square Feet 67,953.60Acres 1.56
DIRECTIONS: Hwy 150 East, Right onot Greenwood Rd & Lot is on the Left after Family Circle and before the power transmission
line.
PRIMARY CONTACT: Contact Person SEWER TYPE: Septic Tank
GALLONS PER DAY: 480 WATER SUPPLY: Private Well
DESCRIBE WORK: IP for Purchase*
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? Yes
Property Easements Description: Family Circle ROW
APPLICATION FOR: New Structure
STRUCTURE TYPE: PRIMARY RESIDENCE
FACILITY TYPE: House OTHER DESCRIPTION:
DESCRIPTION OF Vacant Lot
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: 8
PROPOSED CONSTRUCTION
NEW STRUCTURE DIM:: House 45x90
#OF NEW BEDROOMS:: 4
BASEMENT? Yes BASEMENT FIXTURES? Yes PLUMBING REQUIRED?
Desired system types (Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY: YES
Other described:
F9-ehapplicatioo 08/25/2016 11:09 Page 1 oro
` oA CATA�WBA COUNTY Case a EHPR-08-2016-24582
C Public Health Department Subdivision Osprey Cove
�` , 4 Environmental Health Division > p y
¢\sr,0 ^t PIM 462705074711
ab PO Box 389. 100-A Southwest Blvd,Newton,NC 28658
1g42 ,u
NAME ON PERMIT: NEST HOMES, LLC (MICHAEL WETTER), PO BOX 3695, MOORESVILLE NC 298117
Nest Homes, LLC ( Michael Wetter)
Site Address: 3535 OSPREY CT, TERRELL NC 28682
Property Size: Square Feet 67,953.60 Acres 1.56
Directions: Hwy 150 East, Right onot Greenwood Rd & Lot is on the Left after Family Circle and before the power transmission
line.
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 identifica nd I eling of all property lines and corners and making the site ac sible so that a complete site evaluation can be performed.
Date: b I1/4o Signature of Applicant or Agent 1 .t' Yi 1
An Environmental Health Specialist will contact you within 5 working days of, plication date.
If you need further information or assistance please call 828-466-7291
AREA1
1 : r;11 I{ 1 1 Illi i 'I 11 I I(1 1�1 "P�TM? 1hil 1975II1�1(N r7 611 li �'�lllflln?fr i"�(�'�
I�FEENAMEI 1 f7 1 ,1 1liiii1I6a1V i1`t«rt 'Lubi�iiGfj1D'ATF ,.I{lh�, FEEIAMOUNT'1
_ jI 1, � IiGFl ,y 14
Improvement Permit Fee 08/24/2016 $150.00
i t6 Ia 41 II d tx 1�alill 111 11111 9911 I` h �Ii,
l4 ' a' �ITOTALFE;Fsu4,llllllllil��IfihVllllh ,tIIIIIP„a i11,W,t 111IlI fig ool�la
„11_11:46;0!, - ':,[aug lrtm! tu20,9funlia1;11,oiil ati z.,.t 1 :otillia1t1 .Ililtita ellii I oitiiii#111111iiii4
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 08/25/2016 11:09 Page:2 of 4
CATAWBA THIS IS NOT A PERMIT SBZ
(AUNTY CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services Page 1
Improvement Permit❑® Authorization to Construct 0 Septic Repair❑ Septic Malfunction 0
Septic Expansion ❑ New Well Permit❑ Replacement Well ❑ Well Abandonment 0
Well Repair ❑ Existing System Inspection (Pre-Approval Required) 0
Application is for New Construction ❑w Existing Facility ❑
Property Address Osprey Ct S Subdivision Osprey Cove
Lot# 2 Acres 1.56
Section/Block/Phase
Driving Directions to Property Highway 150 East,TR Greenwood Road,Lot on Left after Family Circle and before Transmission Line
NAME TO APPEAR ON PERMIT? ❑ Owner Applicant ❑ Contractor
Applicant Contact Information
Name Nest Homes, LLC
Address PO Box 3695;236 Raceway Drive, Suite 7, Mooresville, NC 298117
Phone 704-433-9974 Cell Phone P. Penninger 704-996-6330
Owner Contact Information
Name Tony Stutts
Address p0 Box 247,Terrell, NC 28682
Phone Use phone numbers above Cell Phone
Contractor Contact Information
Name
Address
Phone Cell Phone
WHO WILL BE THE PRIMARY CONTACT? ❑ Owner ❑■ Applicant ❑ Contractor
Description of Existing Structures on Site None
#of Bedrooms 1' Structure Dimensions #of Occupants
Basement ❑ Yes ❑ No Basement Fixtures ❑ Yes ❑ 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.
13 Yes No Does the site contain any jurisdictional wetlands?
® Yes No Does the site contain any existing wastewater systems?
Yes CI No Is any wastewater going to be generated on the site other than domestic sewage?
Ei Yes ID No Is the site subject to approval by any other public agency?
FM Yes ri No Are there any easements or right of ways on this property? Describe Family Circle RNV
Existing water supply in use U Individual Well ❑ Community Well LI Semi-Public Well
❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ❑Y 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)
N Accepted ❑ Alternative 0 Conventional B Innovative 8 Other T&J Panel if space is issue ❑ Any
CArAWBA THIS IS NOT A PERMIT
COUNTY CATAWBA COUNTY HEALTH DEPARTMENT
,,,„„c� Application for Environmental Services Page 2
Proposed Facility Type
❑ Primary Residence 0 New Residence ❑ Addition to Residence #of New Bedrooms *t 4
Project Description New subdivision IP for Record Plat Requirements
Structure Dimensions 45x90 # of Occupants 8
Basement 0 Yes ❑ No Basement Fixtures b' Yes ® No
U Accessory Structure(s) Describe None -Future Pool A A ... 'A S ( J. 4
# of New Bedrooms *t if applicable Structure Dimensions
# of Occupants Accessory Dwelling ❑ Yes ❑ No '?e( 1 I A�� P No
Plumbing n Yes n No Describe Plumbing Needed b�
ElMulti-FamilyResidence # Units _ #Bedrooms per Unit*t
T� " ,
Total # Bedrooms *t Structure Dimensions
U Food Service Specify Type
# Seats Floor Space-Entire Food Service Facility (Sq Ft)
# Employees per Shift #of Shifts Dining Area (Sq. Ft.)
❑ Business Specific Type of Business Retail Floor Space
#of Employees per Shift # of Shifts
❑ Other Facility Type Specify
If Church# of Seats Kitchen E Yes ❑ No If Daycare Specify Occupancy
Application for Well Construction/Abandonment/Repair
Proposed Well Type ❑ Individual Well ❑ Semi-Public Well n Community Well
Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ 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 he 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.
i 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 he 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 Agent11/4_, --C � Date Oinii.
Printed Name of Owner or Agent ..„f -�— t L elz—
!k .
Catawba County Environmental Health
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Parcel: 462705074711, 9038 GREENWOOD RD 1in=150ft
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This maap/r"e"ort product was prepared from the Catawba County, o patio er S•rw ataw a made su s anti 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.
Copyright 2014 Catawba County NC
08/23/2016
Catawba County Environmental Health
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Parcel: 462705074711 , 9038 GREENWOOD RD 1in=300ft
TERRELL, 28682
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.
Copyright 2014 Catawba County NC
08/23/2016
SBA co CATAWBA COUNTY
•
(iyn
��,iml s1
y NEWTON, NORTH CAROLINA 28658 RECEIPT
U 1mV►e� PHONE: 828.465.8399
l a►o' Thursday, August 25, 2016
/$42 SM www.catawbacountync.gov
PAYOR: Nest Homes, LLC
Nest Homes, LLC(Wetter, Michael )
PAYMENTS
TRANSACTION NUMBER: TRC-799720-25-08-2016
PAYMENT DATE : 08/25/2016
PAYMENT TYPE: Check 1110
INVOICE NUMBER FEE NAME FEE AMOUNT
08-16-332009 Improvement Permit Fee $150.00
TOTAL PAYMENTS : $150.00
EHPR-08-2016-24582
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 3535 OSPREY CT, TERRELL NC 28682
Contact Person PAUL PENNINGER, 3718 OLD BATTLEGROUND RD, GREENSBORO NC 27410
C:7049966330 PGPENNINGER@GMAIL.COM
Land Owner TONY STUTTS, PO BOX 247, TERRELL 28682-0247
H:704-907-4944
Contractor NEST HOMES, LLC, PO BOX 3695, MOORESVILLE NC 298117
C:7044339947
** NO PEOPLESOFT ACCOUNT ASSIGNED **
receipt 08/25/2016 11:09 Page 1 of 1
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