HomeMy WebLinkAboutEHPR-12-09-3120 (2).TIF
A THIS IS NOT A PERMIT Case # EHPR-12-09-3120
CATAWBA COUNTY HEALTH DEPARTMENT
v ~J ~es® Plan Review Application for Environmental Services
1842 sM Environmental Health Plan Review - OSWP
IMPROVEMENT
f1PPLICANT. - ONVNER < 0NTRACT0R
KEITH STURTEVANT~ PTN PROPERTIES
PO BOX.477.
NC CATAWBA-NC 28609. '
(828)241-4236
NAME TO APPEAR ON PERMIT KEITH STURTEVANT Pin#: 461903015725
SITE ADDRESS: 7837 RIDGEVIEW DR, Sherrills Ford, NC
DIRECTIONS: SHERRILLS FORD RD TO MOLLY BACKBONE, TRAVEL A SHORT DISTANCE, CROSS RxR TRACKS, 1ST RIGHT IN
MOLLY WOODS ON RIDGEVIEW. ON RIGHT ABOUT HALFWAY DNOW RIDGEVIEW
NAME of SUBDIVISION: MOLLY WOODS Lot # 15 Section/Block/Phase
PROPERTY SIZE: Square Feet Acres 0.46 Date Platted/Recorded
TYPE OF FACILITY: House X Mobile Home Dimension of Structure 50 X 50, Bedrooms 3
Basement: No Water Using Fixtures in Basement:No No. in Family 2
Whirlpool Tub : (ral Capacity:
MULTIPLE FAMILY RESIDENCE: Units - 1.00 i ; 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: 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?
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 issued and is not transferable.
Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representations by ou of house or structure
location should conform to applicable setbacks.
Date: \7,-'L( z-'L( ' 05 Signature of Applicant or Agent
An Environmental Health Specialist will contact you within 2 working days of applica ion date.
If you need further information or assistance please call 828-466-7291
AREAL
(FOR OFFICE USE ONLY)
Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A
Minimum Setbacks
Front 30 FFF NAME DATI AMOUNT
Side 15 Improyeinent I'~r=nut rae' 12144/20.0.9 $150.00
Rear 30 TOTAL FEES $150.00
Max Hght
*If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge
12/14/09 17:07
THIS IS NOTA PERMIT WLS#
CATAWBA COUNTY HEALTH DEPARTMENT
Application for Environmental Services
i IP F` AC F-' S.T. Rpr. F-' S.T. Exp. Exist. S. T. F-,', Well Permit ~i Replacement Well
1. Name to Appear on Permit: Keith Sturtevant
2. Permit Requested By: PTN Properties ! Business Phone: 828-241-4236
Address: [POBOX 477 Home Phone: I n/a
3. Property Owner: PTN Properties Business Phone: 828-241-4236
_
PO Box 477 n/a
Address: Home Phone:
Mollywoods 15
4. Name of Subdivision: - - Lot - Section/Block/Phase:
7837 Ridgeview Drive. Sherrills Ford, NC 28673
Property Address: - - - - - -
Fs herrills Ford Road to Mollys Backbone. Travel a short distance, cross RxR tracks
Directions to Property : - - - - _ _ _ _
and it's your first right into the subdivision on Ridgeview. Travel about halfway down Ridgeview and the lot is on your right.
F20,000 469 2-21-2002
5. Property Size: Square Feet Acres Date Platted/Recorded
6. TYPE OF FACILITY: House Mobile Home Dimension of Structure 5oxso Bedrooms*!
r*An room that1will-l)e;intendedfor sleepingiatth;e tirrie of}construction;LIr•-f6r future consideration shouhl benoted.as a:,bedroom an"Nd o ntedon a14
.gin y€7tii-'H .~:&"ti-.,. fix.. i~7P:. }'3J'~' t3€ tt ..:::.'x''l.Y St's y„~?:'•.ir L}#_ '23-, 2;
.
edroams!` i .i,,m o~ ild,+ .`z:4fa4;ft4?a permih-:: .,e~ssua:
applications:~Thrumber of:bwill be confirmeo t ~y room S' ~id Pnufied one!h ? Nlans ara,be~~~om.at theitim~ otrbui ng!
nee:
Thismay~prevent th y,nzed,for syste~ I Psize i,n~crease i n
Basement: Yes No Water Using Fixtures in Basement: Yes No No. in Family: 2
Whirlpool Tub: (:.Yes No Gallon Capacity: 40
MULTIPLE FAMILY RESIDENCES: Units nTotal Number of Bedrooms n/a
DAY CARE: Number of Children n/a
RESTAURANT: Seats I n/a Square Feet Dining Area n/a Square Feet Food Stand/Meat Market Floor Space n/a
TYPE OF BUSINESS: n/a No. of Employees 1 st n/a 2nd F/a 3rd n/a
OTHER: (Specify) n/a
7. Do you anticipate any additions to Facility? (-.,Yes (-,,No If so describe n/a
8. Has any grading, removal, or addition of soil been done to this property? ('Yes (?-)No
If so describe n/a
9. Are there easements/right-of-ways recorded on this property? (j Yes No
10. Is a public water supply available on or adjacent to the above property? ( Yes C?; No
Check type that is available: 7 Community Well Semi-public Well F- County/CitylTownship water line
11. Well Type Applying For: Ix individual Well F_ Community Well F. Semi-public Well F Irrigation well
ri Geothermal Well
12. Monitoring Well Request:(-Yes ~jNo # of Wells: Fn/a Name of Site: n/a
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 (S) 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:
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Catawba County, North Carolina
This map product was prepared front the Catawba County, NC, Geographic Information System.
N Catawba Counq, 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 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. Legend
Selected Parcel Number: 4619-03-01-5725
1 inch = 40 feet Prepared for: 9 L6® 3
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THIS IS NOT A LEGAL DOCUMENT Monday, December 14, 2009 04:57 PM
CATAWBA COUNTY NC - Parcel Report
Information Regarding Selected Parcel(s)
Parcel ID: 4619-03-01-5725
Name: PTN PROPERTIES INC
Name2:
Address: PO BOX 477
Address2:
City: CATA W BA
State: NC
Zip: 28609-0477
Account: 53808600
Calc Acreage: 0.46
Tax Map:
LRK: 802072
Deed Book: 2288
Deed Page: 0190
Subdivision Name: MOLLY WOODS
Subdivision Block:
Lots: 15
Plat Book: 55
Plat Page: 88
Building Number: 7837
Street Name: RIDGEVIEW DR
Site Zip: 28673
Township: MOUNTAIN CREEK
Fire Code: SHERRILLS FORD
City Code: COUNTY
State Road:
Total Bldgs Value:
Land Value: $20,300
Total Value: $20,300.
Year Built:
Year Remodeled:
Last Sale Date:
Last Sale Amount:
Neighborhood: 129
Watershed: WS-IV Protected Area
Watershed Split: NO
Voter Precinct: P31
E911 District: COUNTY
Zoning: R-20
Zoning2:
Zoning3:
Zoning Split: N
Zoning Overlay: WP-0
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: 2029
Small Area Plan: SHERRILLS FORD
Agricultural District:
Printed: Monday, December 14, 2009 04:57 PM
CATAWBA COUNTY, NC
100-A South West Blvd PLAN RECEIPT
Newton, NC 28658-
0a (828)465-8399 Monday, December 14, 2009
184 Z sM www.catawbacountync.gov
Plan Case: EHPR-12-09-3120 Invoice Number: INV-12-09-258012
Environmental Health Plan Review Invoice Date: 12/14/2009
Fee Name Fee Amount
Fixed - - 150 00,
Improvement.Permit Fee
Total Fees Due: $150.00
PAYMENTS
Date Pay Type Check Number Amount Paid Change
12/14/2009 - Check 431 G x.150.00 $0.001,
Total Paid: $150.00
Total Due: $0.00
planicccipi;c=12cn bf=f 5f`-4f:4-b3af=4843nw'IJl~15;.rp1 12/14/2009 17:10