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Home My WebLink AboutEHPR-10-09-2026.TIF THIS IS NOTA PERMIT WLS# {~P - 061-zOzZ CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services [X- IP rX AC r S.T. Rpr. F- S.T. Exp. r Exist. S. T. r Well Permit I- Replacement Well 1. N e to Apppr on permit: Richard & Susan Slater o a (Contractor) Don Wiswall, CJ Homes, Inc. 828-478-4200 2.-Permit Requested By: Business Phone: Address: P.O. Box 68, Sherrill's Ford, NC 28673 Home Phone: (C) 828-446-9090 3. Property Owner: Richard & Susan Slater Business Phone: 781-784-2586 Address: [47 N. Main Street, Sharon, MA 02067 Home Phone: (C) 781-696-4343 Long Island Airpark 15 I3 4. Name of Subdivision: Lot Section/Block/Phase: Property Address: CNC 28609 I ~(o Cv S ~c ~S Dr. MRd, N Saunders Dr., Left on Chick Dr, a on utsi a op, econd lot on left. Directions to Property: 1 5. Property Size: Square Feet Acres 1.05 Acres Date Platted/Recorded 6. TYPE OF FACILITY: C' House Mobile Home Dimension of Structure 45'X33" Bedrooms*F *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 the house plans as a bedroom at the time of building permit issuances This may prevent the need for system size increase inthe future. Basement: (o Yes No Water Using Fixtures in Basement: Yes (o No No. in Family: 2 Whirlpool Tub: Yes No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units F Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area F Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: No. of Employees 1 st F 2nd F 3rd F OTHER : (Specify) 7. Do you anticipate any additions to Facility? (o Yes (-No If so describe Aircraft hanger with 1/2 bath, no living quarters 8. Has any grading, removal, or addition of soil been done to this property? Yes C: No If so-describe 9. Are there easements/right-of-ways recorded on this property? l' Yes C: No 10. Is a public water supply available on or adjacent to the above property? (-Yes (*-No Check type that is available: F Community Well I- Semi-public Well I- County/City/Township waterline 11. Well Type Applying For: (X Individual Well I- Community Well I- Semi-public Well F_ Irrigation Well I- Geothermal Well 12. Monitoring Well Request:(- Yes (-No # of Wells: F 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: 9/28/2009 Signature of Owner or Agent: 20t' Print Form I Catawba County, North Carolina This moo) product was prepared from the Catawbo County, NC, Geographic Information System. N Ccnawbo County has male substaotiol efj)rts to ensure lire accio-ocy of location and labeling information contained on this mot). Catawba County promotes and reeonnrencls the indepenclent verific'ntiun of anv data contained on this mop product by the user. The Court , of Ccrtawba, its employees, agents and personnel disclaim, and sholl not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which orises or may arise from this map prochrct or the use thereof by any person or entity'. Legend Selected Parcel Number: 4710-03-31-5473 1 inch = 100 feet Prepared for: 07 i-~_ cl~~ a , 17 1.07, 6~ 1.00a c~ 0730 , 1t c'\ F3 7 - 14.4 1.-041 TF 061 ? - Plat 50=157, off; -6.2 1.05A , 952'5 t 51 -,-'17,61 5 ~ ~ .,5) 14 36 ~p i.vr-n1 54-17 %3' lat 50-1! = .~~5 .01:-A AIRSTRIP 6 37 1.72A G % 8293 tCO o .'13A.- - 0125,, 3 THIS IS NOT A L,ECAL. DOCUMENT ~'J' Friday, October 09, 2009 03:46 PM Print Parcel Map and Report Page 2 of 2 Parcel Report - Catawba County, NC IParcel Information: 'Owner Information: Parcel ID: 471003315473 Name: SLATER RICHARD (Parcel Address: 1113 OUTSIDE LOOP ;Name2: SLATER SUSAN [City: CATAWBA 28609 'Address: 47 NORTH MAIN ST ILRK(REID) : 301088 ;Address2: I [Deed Book/Page: 2934/1633 Deed Image City: SHARON ISubdivision: LONG ISLAND AIRPORT PH 3 State/Zip: MA 02067-1203 (Lots: 15 [Block: (Last Sale: $90,000 on 9/18/2008 School Information: !Plat Book/Page: 50/157 Plat Image School District: COUNTY Calculated Acreage: 1.05 Elementary School: CATAWBA 'Tax Map: Middle School: MILL CREEK (State Road: High School: BANDYS !Township: CATAWBA Tax/Value Information: Tax Rates(pdf) Zoning Information: Municipal Tax District: COUNTY Zoning District: COUNTY (Fire District: SHERRILLS FORD !Zonings: R-30 Tax Account Number: 159746637 Zoning2: i ;Market Building(s) Value: Zoning3: i IMarket Land Value: $55,300 Zoning Overlay: CRC-O,WP-O - - - - - - [Market Total Value: $55,300 Small Area: SHERRILLS FORD Year Built/Remodeled: Split Zoning District 1/2: 0/0 !Current Tax Bill Zoning Agency Phone Numbers I Miscellaneous: jVoter Precinct: P21 Firm Panel Date: 3/18/2008 ;Building Code: VACANT 'Firm Panel 3710471000K Building Permits for this parcel 2010 Census Tract: 011502 jWaterShed: WS-IV Critical Area 2010 Census Block: 1013 Watershed Split: NO ;Parcel Report Data Descriptions DISCLAIMER: 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. http://www.gis.catawba.nc.us/website/Parcel/printMapandReport.asp?pinc=471003 315473... 9/28/2009 CATAWBA COUNTY PERMIT Aco ZONING AUTHORIZATION R New Dwelling P. 0. Box 389 PERMIT NO: ZONR-10-09-1673 100A Southwest Blvd APPLIED: 10/09/2009 Newton, North Carolina 28658 ISSUED: 10/09/2009 184 v SM Phone: 828-465-8380 EXPIRES: 04/07/2010 FAX: 828-465-8962 www.catawbacountync.gov APPLICANT OWNER' - CONTRACTOR RICHARD SLATER RICHARD, SLATER 47 N MAIN ST 47 N MAIN ST SHARON MA 02067 SHARON MA 02067 PROPERTY ID#: 471003315473 CENSUS TRACT: STREET ADDRESS: 1113 OUTSIDE LOOP, Catawba, NC LOT# 15 PROJECT DESCRIPTION: SINGLE FAMILY RESIDENTIAL DWELLING WITH AIRPLANE HANGER ATTACHED BY BREEZEWAY/ OKAY FOR HOUSE TO SIT AS LOCATED ON THE ATTACHED GIS MAP DUE TO TOPOGRAPHY. DIRECTIONS: FLOOD ZONE? OWNER TYPE: Residential (Private) REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? No LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 0.00 REAR: 30.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: 1. Before an inspection can be made by the Building Inspection Office, the applicant must pull a string to designate the side and rear property lines where the structure is being placed or constructed. 2. Home shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage. FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 10/09/2009 $25.00 TOTAL FEES $25.00 The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct and acknowledges that this permit was issued on the basis of the information required herein. The applicant further acknowledges that any construction, alteration or addition which differs from this application shall be subject to removal or alteration so as to bring said structure into conformance with the specifications and standards-of the Catawba County Zoning Ordinance. Such corrective action shall be at the expense of the applicant. It is the responsibility of Applicant to comply with all existing deed restrictions pertaining to the property. Issuance of this permit is not certification of such compliance and does not relieve Applicant of the duty to comply. "This Zoning Authorization Permit shall expire six months from the date of issuance unless a building permit is secured and remains active. SUSC.1,32- 9~a~e_r R-k L"_DLi &4=2 ZdZZ~, APPLICANT NAME (PRINTED) APPLICANT SIGNATURE ZONING APPROVED BY ZONING FEES ARE NON-REFUNDABLE COMPANY NAME permit Page I of I Wa HD:Uwm pwftr-DesMw,SIATER 0805092D.pln m m m 'fl~ O N W A ~~,,,.s......~,,,.,...... f 0 0 0 0 0 0 0 J j f I I I ~ 1 ~ I ~ 'il I i 1~ \ I t I l 11 I \ I I 1111 i Ar ~j m; l m m - v.lWiN. I _ m ? m~ ~ O 01:. 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