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HomeMy WebLinkAboutEHPR-11-09-2611.TIF ~A Cpl THIS IS NOT A PERMIT Case # EHPR-11-09-261 l CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP EXPANSION APPLICANT OWNER CONTRACTOR DALE SLOAN DALE SLOAN PAINT MASTERS AND COMPANY, INC 7354 BROAD WING LN 7354 BROAD WING LN MAIDEN NC 28650 SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673 828-428-2204 704-483-5708 704-483-5708 BARRY_HARBINSON@HOTMAIL.COM NAME TO APPEAR ON PERMIT DALE SLOAN Pin#: 460718218667 SITE ADDRESS: 7354 BROAD WING LN, Sherrills Ford, NC DIRECTIONS: HWY 150 TOWARD MOORESVILLE/ LT ON LITTLE MTN RD/ RT ON BROAD WING LN/ 2ND HOUSE ON RT NAME of SUBDIVISION: EAGLE HARBOR Lot # 14 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.6 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 Basement: No Water Using Fixtures in Basement:No No. in Family 3 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? NO 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 pro Any re r tation by you of house or structure location should conform to applicable setbacks. Date: If I t - e ti Signature of Applicant or Agent An Environmental Health Specialist will contact you within wor ing days 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 FEE NAME DATE AMOUNT Front 30 Side Authorization to Construct Fee (New[. 11/10/2009 $275.00 Rear 30 Improvement Permit Fee 11/10/2009 $150.00 Max Hght $425.00 TOTAL FEES *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 11/10/09 10:24 Catawba County, North Carolina This neap product was prepared front the Catawbo Coumr, AIC, Geographic L formation SYSlenr. N Colau bo Comm, nleas made subsicimial efforts io eosw e the accuracy of locaiion and laheling it formotion contained on this map. Catombo Coma); promotes and recommends die independent verification o/ mn' dola contained on this 11101) product by the user. The Comrro of Colawba, its eniployees, agents and personnel disclaim, and shall not u' held liable for cnrr ....doll clomages, loss or liahilin, mhether direcl, indirect or copse « mial which arise r nrym prise from this mop product or the )rse (hereof by am: person or enlity. Legend i'/ ,,11 Selected Parcel Number: 4607-18-21-3667 1 inch = 60 feet U Prepared for: - 0858 rod, 96 , ~ / , co `ti v- J LO 92 8 ~ , . d5 sO 8 52 7706. . r, N1.5 1'4p X43.46 2 14 23.5 IV 4S 867 Plat 30-84, C 8 l 'c9 ~ I cL~ gyp, 15 7612 / ' 3 ® 139 g6 ~ 2~ sal 0563 oP 1 gR sr 9478. THIS IS NOT A LEGAL DOCUMENT I'hursday, October 22, 2009 04:51 PiNI ILs \ QA 7 i1 \ \ CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel.I D: 4607-18-21-8667 Name- SLOAN DALE CAMERON Name2: SLOAN JODI LEANN Address: 7354 BROAD WING LN Address2: City: SHERRILLS FORD State: NC Zip: 28673-9792 Account: 185362 Calc Acreage: 0.6 Tax Map: 012EX 03014 LRK: 70868 Deed Book: 2668 Deed Page: 2005 Subdivision Name: EAGLE HARBOR Subdivision Block: Lots: 14 Plat Book: 30 Plat Page: 84 Building Number: 7354 Street Name: BROAD WING LN Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $179,300 Land Value: $45,500 Total Value: $224,800 Year Built: 1993 Year Remodeled: Last Sale Date: 6/10/2005 Last Sale Amount: $191,500 Neighborhood: 131 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Matrix: Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-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: R-402 Census Tract 2010: 011502 Census Block 2010: 3042 Recorded Date: Lot Type: Small Area Plan: SHERRILLS FORD Printed: Thursday, October 22, 2009 04:51 PM Op. Permit and/or Cert. Op. Required (Must be completed prior to final) C A T AW B A COUNTY HEALTH D E P A R T M E N T (704) 465-8270 Lot Eval. ~mprove. Permit l_-I(epair Permit Cert. of Comp. Permit=, Oper. Permit owner/Agent x-4,,9A p ) ~ L P m r S Phone Address .1 ~ . Subdivision Cjl _ Ao9,Y Section/Block/Phase Lot# Lot Size Directions: L 4777 M-T. Facility: House r./kobile Home Business Other: Tax Map # r=X- 3 -i ~f Multi-family Other Zoning Approval # ~ Bedrooms _ Seats Employees Application Rate D Flo%4 Hot Tub or Spa yes4_ Special Fixtures 100% Repair Are es no REPAIR NOTICE: Basement yes( Basement Plumbing yes Do . REPAIRS MUST BE 30 DAYS OR Water Supply: Private~Public DAYS FROM DATE OF PERMIT. Type of System: Trench_L,~_Bed Pump Pump/Panel Panel LPP Other Tank Size: Septic Tank /000- . Pump Tank Nitrification Field: Total Square Feet 2?)n Depth of Stone J•~? Bed Size Trench Width 3..- Total Length of All Trenches Jtt) Number of Trenches Individual Trench Lengthl //0 C/tr7Z`/_/_ Feet on Center - ~ Maximum Trench Depth9 Distance of Nearest Well = Lot Evaluation: Approved(Es no (Void After 24 months) #*##***###########*#**#######w############t#########wtt#te~w+►##,RS#wwr#t►#wte#####~#######w#### Topo % Slope SketCh of :15 1 \ va ua on i e - ystem Design ~F® nal Texture _CA.G. 0 - Structure ~ - Clay Min. 10 0 )C 3 ` Soil Wetness " Soil Depth Restric. Hoz. at r " Available space o l - j - --r - Overall Class S~ ` Comments: \ V Septic Tank Contractors FrLGC-D MUST contact the 1~QcA Sanitarian BEFORE changing permit. **NO GUARANTEE OR WARRANTY IMPpR GIVEN THROUGH THE ISSUANCE OF THIS PERMIT** / g (Improvement Permit void after 60 months) C Permit Date Owner/Agent Sanitarian Installed By Date y-" 3 Sanitarian- , (Note any changes/information in red or by sketch on back)g r *******IF A PERMIT HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY. THERE*#*#** IS AN ADDITIONAL $25 CHARGE. ' White-Office Blue-Bldg. Insp. Comp. Yellow-Owner/Agent Green-Bldg. Insp. I.P. THIS IS NOTA PERMIT WLS# CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services IP AC S.T. Rpr. X S.T. Exp. Exist. S. T. Well Permit Replacement Well 1. Name to Appear on Permit: Dale Cameron Sloan 2. Permit Requested By: Paint Masters and Company, Inc Barry Harbinson Business Phone: 828-312-6222 Address: 3570 Divot Drive, Maiden, NC 28650 Home Phone: 3. Property Owner: 'Dale Cameron Sloan Business Phone: 7354 Broad Wing Lane, Sherrills Ford, NC Address: Home Phone: Eagle Harbor ? 14 4. Name of Subdivision: Lot Section/Block/Phase: Property Address: 7354 Broad Wing Lane, Sherrills Ford, NC Directions to Property: Highway 150 towards Mooresville, Left on Little Mt. Road, Right on Broad Wing Lane, 2nd House on P6 5. Property Size: Square Feet a Acres -(0 Date Platted/Recorded 6. TYPE OF FACILITY: ' House Mobile Home Dimension of Structure ©X SO Bedrooms* 4 *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 issuance. This may prevent the need for system size increase in the future. Basement: Yes No Water Using Fixtures in Basement: Yes No No. in Family: Whirlpool Tub: C' Yes is No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units Total Number of Bedrooms 14 DAY CARE: Number of Children RESTAURANT: Seats Square Feet Dining Area Square Feet Food Stand/Meat Market Floor Space TYPE OF BUSINESS: No. of Employees 1 st 2nd 3rd OTHER : (Specify) 7. Do you anticipate any additions to Facility? "Kes ),-q!Co- If so describe This addition should be the final. This "I 8. Has any grading, removal, or addition of soil been done to this property? Yes o No If so describe 9. Are there easements/right-of-ways recorded on this property? Yes 'P No 10. Is a public water supply available on or adjacent to the above property? Yes No Check type that is available: Co unity Well Semi-public Well County/Citylrownship water line 11. Well Type Applying For: ndividual Well Community Well Semi-public Well Irrigation Well Geothermal Wei 12. Monitoring Well Request: C Yes # of Wells Name of Site: 1 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 ADDI NAL CHARGE.** Date: Signature of Owner or Agent: K Print Form