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Home My WebLink AboutEHPR-11-09-2467.TIF THIS IS NOT A PERMIT Case # EHPR-11-09-2467 d yid CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP ,APPLICANT ~ ON\ \ER` CONTRACTOR MILTON J.POLEMIDLS MILTON J POLEMIDLS 313 ABELIA'RD. 313 ABELIA Kll , _ WAXHAW NC 28 1 73-931 0 WAXHAWNC 28173-9310 NAME TO APPEAR ON PERMIT MILTON J POLEMIDES Pin#: 369607792156 SITE ADDRESS: 6736 EMERALD ISLE DR, Sherrills Ford, NC DIRECTIONS: 16 TO 150 /TURN ON 150 GOTO 77 TURN LEFT ON MT PLEASANT RD / TURN RT ON EMERALD ISLE DR / LOT ON LF WOODED LOT NAME of SUBDIVISION: EMERALD ISLES UNRECORDED Lot # 3 Section/Block/Phase PROPERTY SIZE: Square Feet Acres .49 Date Platted/Recorded TYPE OF FACILITY: House Mobile Home X Dimension of Structure Bedrooms 3 Basement: No Water Using Fixtures in Basement:No No. in Family 4 Whirlpool Tub : Gal. Capacity: MULTIPLEYAMILY 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: ADDING AT TIME OF SETUP/ ATTACHED GARAGE / COVERED FRONT PORCH/ MASTER BEDROOM & REAR PATIO 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 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 representation by you o house or structure location should conform to applicable setbacks. I~ Date: ' Q Signature of Applicant or Agent n Environmental Health Specialist will contact you within 2 workin ays of application date. If you need further information or assistance 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 15 luili~r1, ,iti,,n i,, ( „nsh-uct P~ Rear 30 I111proyement Permit Fee Il/022009 X750:00 Max Hght TOTAL FEES 5300.00 *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/02/09 13:20 ( t THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services t-19 Septic Repair El Septic Expansion ❑ Improvement Permit Authorization to Construe Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit PO se-s- 2. Permit Requested By S~}YYl~ Business Phone Address Home Phone 3. Property Owner Business Phone Address yA/P 7 Home Phone 4. Name of Subdivision Lot # Sect'on/Block/Phase Property Address '2 6 if k" l -Z~- vN 7, A✓ Directions to Property: < 1 4l, 2 L 1' i~,^O 2 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: Horse Mnhile Home Dimension of Structure S~,Y S-5- Bedrooms* 3 "-An room that will be intended for,IccPilI" at the time ofconstruction,„ for futUl~ consideration ~I1'uild be llw'~ i a bcdr00111 and Countedon all applications. The number ol'bedroonis vy;ill 1,c coil lirn~c l I-" 'room> i;l"11t1iied'06 house pl~In, as a LJ~ Cc:_ I]] This mad pLy then for sy L_ni ire ill the future: ~ b dtoow-at the time ul:buildin`a peliit.ils Basement: yes/no 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 1 st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? Ye C/ No 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 _,o 10. Is a public water supply available on or adjacent to the above property. Yes N/ Check type that is available: [ ] Community well [ ] Semi-public we [ County/City/Township water line **If No, a Well Permit must be issued with the Septic Permit.** 11. Well Type Applying For: [ ] Individual well [ ] Community well [ ] Semi-Public well 1 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 HA TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY THERE IS AN ADDITIONAL CHARGE.- . i Date O Signature of Owner or Agent CATAWBA COUNTY PERMIT ZONINGN AUTHORIZATION (R) Manufactured Nome r P. O. Box 389 PERMIT NO: ZONR-11-09-2260 I00A Southwest Blvd > > c AI I L11~D: 11/0o _/-007 Newton, North Carolina 28658 1SSUID: 11/02/2009 SM Phone: 828-465-8380 l,XPIRI S: 05/01/2010 PAX: 828-465-8962 www.catawbacountvnc.gov APPLICANT- - QW VNER MILTON .1 POLLMIDF'S MILTON J POLLMIDFS 313 ABELIA RD 313 ABELIA RD WAXHAW NC 28173-9310 WAXHAW NC 2 8 1 73-93 10 PROPERTY ID#: 369607792156 CENSUS TRACT: STREET ADDRESS: 6736 EMERALD ISLE DR, Slherrills Ford, NC LOTH 3 PRO.IECII DESCRIPTION: 2001DWM0131LEHOME/ 1(iTO150/TURN ON 15000TO77TURNLEFTONMTPLEASANTRD/"TURNRTON EMERALD ISLE DR / LOT ON t_F WOODED LOT DIRECTIONS: COMMENTS: DW MOBILE HOME /W SITE 'BUILT-GARAGE, MASTER BEDROOM / FRONT COVERED PORCH REAR PATIO 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: 45.00 REAR: 30.00 SIDE, l: 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. [-Ionic shall be placed on the lot in harmony with the site-built structures, or have the front door face the road frontage. 3. All manufactured homes must be underskirted before power can be connected. 4. Only one manufactured home shall be allowed per lot or parcel of land. 5. Florae shall have either deck or porch with steps, located in the front 01'1111C home (minimum SIZC shall measure at least 36 square 1ect). FEE DESCRIPTION DATE FEE AMOUNT Residential Zoning Fee 1 1/02/2009 $25.00 TOTAL FEES $25.00 The apmlicant hereby certifies that all information and attachments to this Certificate of Zoning Compiliance are true and correct, and acknowledges that this nermit 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 Sul'jcct 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 ol'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 e date of issuance unless a building permit is sect iCAl and remains active. J ~ f _ x) l 1'c nl 1 r~l 121A" cZ e APPLICANT NAM1 (PRINTED) APPLE ' Al' SIGNATURE ZONING APPROVI~D-BY ZONING FEES ARE NON-REFUNDABLE COMPANY NAB l.--1 urmit Pegg I of I Catawba County, North Carolina This map product was prepared from the Catawba Comtty, NC, Geographic Information System. N Catawba Count' has made substantial efforts to ensure the accuracy of location and labeling information A 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 front this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 3696-07-79-2156 1 inch = 60 feet Prepared for: 4'~ : ivl. - 99.98 100.00 100.00 400.0 4 I 3 ~~2~ 1 ( p 41 _ 7 149 N N~ ; N 1157 3156- 415E 13.~~ 102) 100 -,e.o n)'7- 3 o f f- SRS 1977 / 0.20 5.7 87.07`~4 -----_87;n._--= 1 5 90.41 26 4 THIS IS NOT A LEGAL DOCUMENT Monday, November 02, 2009 01:00 PM CATAWBA COUNTY NC - Parcel Report Information' Regarding Selected Parcel(s) Parcel ID.- 3696-07-79-2156 Name: POLEMIDES MILTON J Name2: POLEMIDES PHOTENI K Address: 313 ABELIA RD Address2: City: WAXHAW State: NC Zip: 28173-9310 Account: 198128 Calc Acreage: 0.49 Tax Map: 017 X 01020G LRK: 17743 Deed Book: 2624 Deed Page: 0595 Subdivision Name: EMERALD ISLES UNRECORDED Subdivision Block: Lots: 3 Plat Book: Plat Page: Building Number: 6736 Street Name: EMERALD ISLE DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: 1977 Total Bldgs Value: $1,500 Land Value: $93,100 Total Value: $94,600 Year Built: Year Remodeled: Last Sale Date: 11/24/2004 Last Sale Amount: $112,500 Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,MUC-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: 3033 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Monday, November 02, 2009 01:00 PM 10`-28-04_ 02.54PM. FROM-EASTLAND OFFICE 24 E 7045362187 -T-837 P 01/02 F-274 CATA A COUNTY HEALTH DEPARTMENT wrw ' elephone: (828) 465.8270 TDD (822)465-M WLS #C?V/-0 ` 1j atprovemem Permit AC Rep ' Permit. Operauosl Permit. System Type Well Permit. Replacement Well Yarper/Agent "d-e-.9 Phone 7D4- : ~ - f/s,3 4ddress rq Subdivision G~~ra~a l3>~T' r' 9ecrion(BlocklPhase Low ~ _ Lot Size~_4y 4 Duacnons: 14 L 156 L /f/1 - 2! f- _ Property Address ~ Facilityi Douse Mobile Hoare Businoss Multi-family Other' Pin Number ather Z°uing Approval # Bedrooms # Seats k Employees Application Rate o ~S' GPD Flow SQ Hot Tub or Spa yes/no Special Fixtures Basement /I ~5) 100% Repair Aread5~/no Basement plumbing yes/no Water Supply- mate. Well Public Scan.Public p4Cisri6Ydk*B;0t1i99Y*90~ttk"Ss;q;qq~;SfFil9*94499UY*tet~{~~gff9iR1it16t9M904aWgmrY~~siYrYbtD9{';RSi;;s;IIY■tt10• t t OOtt9tt I`+pe of System: Trench Bed Pamp-)~_ Pump/Panel Panel LPP Otherp 7 [s1 t Septic. Tank, Size. OW Ptitnp Tank Seze_~ _ Nitrification Field: Total Square Feec- _.Depth of Stone Bed Size Trrorh Width Total Length of All Trenches (9 Q Number of Trenches Trench Length /W!,65l Feet on Center Maximum Trench Depth Distance of Nearest Well AO NOT INSTALL SEPTIC WHEN WET" tWELL RECORD REQIJIRFD AT COMPLETION' r,~tsassssa~wodtnarrr~etrattts*sa~*:xs*tErR 9s*4*tOPa94;iltst*s;;i0; 9~Paar*a***a*;istt+;ssggt49999R9R49P0*;rLit*bi7 To - % Slope (,>~'ttn`- Tezture e i Structure clay min_ /11 S 3' Soil Wemess -Soil Depth ~K~k' . Restsic Hoz. at. Available spacsu no I ' Overall Class t m=ents t s , I Filter Required j Riser required when ` a is 1 Lank is more than 6 I s {vti i..w/~ d I s ® r inches det-p. °"`NO GUARANTEE OR WARRANTY IS IMR IFD OR GIVEN AS TO THE PERFORMANCE OR LENGTH OF TIME THIS SYSTEM WILL p i'L+NC'nON"" us8tda;{74g98t(tpt.OrMbOfMb.tt~Ywa~itattssakf Yts;al`sssg~i/iFFYPY4w~~PVYFYYtNOyd9ii9t=fist:sass:sit;s;;ssi+Li;;t9091;gMPYFttYMY `Improvement Permit has no expiration date aitd is tr'ensfcrable, but may be revoked if sire plans.or intended use changes for the proposed Farility An Authorization to Construct is vali for (5) f"avc years from date issued and is not transferable. Well Permit valid for 5 years provided site conditions do not change. Well Ideation, installation, and protection must meet state and local regulations, and must be inspected and approved by a representative of jhe Catawba County HcWth Department before any portion of the installation is out into use. The siting of the well by the Heslth Department staff is to provide protection 'from kn sible sources of contamination- No volume of water is guaranteed at any site by the Hrdth Ilepamment. Permit Date / - t EHS OwturiAgent, Septic 7an1r [tes laad By oat EHS Well Installed By Well Grout Approval Dace Well Head Annmval Date Data EnDlellected CATAWBA COUNTY, NC 100-A South West Blvd PLAN INVOICE r--_ - Newton, NC 28658- °f P 828 465-8399 Monday, November 2 2009 184 2 sM www.catawbacountync.gov Plan Case: EHPR-11-09-2467 Invoice Number: INV-11-09-256846 Environmental Health Plan Review Invoice Date: 11/02/2009 Fee Name Fee Amount Authorization to,Construct FCC Adjustable.. _$150.00:` (New/Expansion) Fee lmproveli)cnt Permit Fee F Alt-CG S1X0.00 Total Fees Due: $300.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 11/02/2009 Cash -1 .x300.00 - $0.00. Total Paid: $300.00 Total Due: $0.00 plan invoiceillba'_;+ti=t-?41~ 41~>9-b?ae-Rh'9c2rccicail.rpr 11/02/2009 13 20