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Home My WebLink AboutEHPR-12-09-3047.TIF THIS IS NOT A PERMIT Case # EHPR-12-09-3047 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXPANSION APPLICANT OWNER CONTRACTOR RANDALL ARENDT RANDALL ARENDT 237 MOTT RD 237 MOTT RD MOORESVILLE NC 28115-8505 MOORESVILLE NC 28 1 1 5-8505 828-478-2040 828-478-2040 NAME TO APPEAR ON PERMIT RANDALL ARENDT Pin#: 471003415084 SITE ADDRESS: 1203 CARTWRIGHT DR, Catawba, NC DIRECTIONS: HWY 10/ RT ON BOLTON RD/ LFT ON LONG ISLAND / RT ON MONBO/ RT ON SAUNDERS/ RT ON AEROMARINE/ LFT ON CLIPPER/ RT ON SAUNDERS/ LFT ON RUFTY/ LFT ON CARTWRIGHT NAME of SUBDIVISION: LONG ISLAND AIRPORT PH 3 Lot # 10 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.649 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms Basement: No Water Using Fixtures in Basement:No No. in Family 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 Ist 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 norrexpiring 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 setbacks. Date: / 2 - b - n9 Signature of Applicant or Agent I'lle- An Environmental Health Specialist will contact you within 2 working 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 Front 30 FEE NAME DATE AMOUNT Side 15 Authorization to Construct Fee (New[. 12/08/2009 $275.00 Rear TOTAL FEES 5275.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 12/08/09 11:28 I THIS IS NOT A PERMIT WLS # ~ Z;2 0~ -.307 CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit Authorization to Construct El Septic Repair F1 Septic Expansion Existing Tank Check ❑ New Well Permit ❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit QA^joy A9eAjor' 2. Permit Requested By RIV Vo,/ r Business Phone Address 203 CARrt✓R/ W* -r C!j r;,Tt, taA Home Phone S2'6q 7 8 Zoyo 3I Property Owner leA,io'/ Business Phone Address 1203 CART Ahe I.H r C/} rAwaA Home Phone 4. Name of Subdivision o-. i S i9r12Lbti T Lot # / O Section/Block/Phase Property Address / 20,3 Cr42TWQ' k-'-r r Directions to Property: C S z ovl - 005 Z S dlaT E EXii Tii✓~ I % /;f- 'y PLCASe CAFAR AP/Q~,~..~,~9rc- T•-~~ .two ~„~y-rt FAQ ~.✓~fk~r~~ &Z8 4178 Zoyo 5. Property Size: Square Feet Acres -k2 A Date Platted/Recorded 6. TYPE OF FACILITY: House _ Mobile Home Dimension of Structure Bedrooms* $ *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 house plans as a bedroom at the time of building permit iss nce. This may prevent the need for system size increase in the future. Basement: ye no Water Using Fixtures in Basement: yep/no , No. in Family Whirlpool Tub yes/no Gallon Capacity MULTIPLE FAMILY RESIDENCES: Units Z 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? Yes If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? es / No If so, describe: AD .-~--e exr-s T,-/ to 9. Are there easements/right-of ways recorded on this property? Yes No 10. Is a public water supply available on or adjacent to the above property? Yes Check type that is available: [ ] Community well [ ] Semi-public well [ ] 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 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 Flealth 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 HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE" Date / Z - b -0q Signature of Owner or Agent If Catawba County, North Carolina This map product was prepared from the Catawba Comity, NC, Geographic Information System. N Catmvba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this nap. Catawba Canty 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 a- may arise from this map product or the use thereof by any person or entity. Legend Selected Parcel Number: 4710-03-41-5084 1 inch = 60 feet J__V_ Prepared for: tJ / 1 t 41 cY ~t '0 'Zo \(4 I I be c i~ ~I:.___-~ 00 10.9 8 Q8 "A N _5 10, t>Ews . /0 o 47 I--'id~ 1 U-622 86.36 ~.nn 4b.Un 888 THIS IS NOT A LEGAL DOCUMENT Tuesday, December 08, 2009 11:02 AM CATAWB4000NTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4710-03-41-5084 Name: ARENDT RANDALL ROBERT Name2: ARENDT KRISTEN A Address: 237 MOTT RD Address2: City: MOORESVILLE State: NC Zip: 28115-8505 Account: 150458 Calc Acreage: 1.65 Tax Map: LRK: 301094 Deed Book: 2261 Deed Page: 1641 Subdivision Name: LONG ISLAND AIRPORT PH 3 Subdivision Block: Lots: 10 Plat Book: 50 Plat Page: 158 Building Number: 1203 Street Name: CARTWRIGHT DR Site Zip: 28609 Township: CATAWBA Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $42,500 Land Value: $87,000 Total Value: $129,500 Year Built: Year Remodeled: Last Sale Date: 4/5/2001 Last Sale Amount: $60,000 Neighborhood: 131 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P21 E911 District: COUNTY 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: CATAWBA Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011502 Census Block 2010: 1015 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, December 08, 2009 11:02 AM