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HomeMy WebLinkAboutEHPR-12-09-3120.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: P7N Ipne> I„ Pi w, (1) 3D L'5 3 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 V, 7 0.2 1"~ I OF • i 0 ~.:i`7 2-5 1 15 13.9' 99-~08. 2 ,47-,'. 1 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