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Home My WebLink AboutEHPR-12-09-3129.TIF A THIS IS NOT A PERMIT Case # EHPR-12-09-3129 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 sM Environmental Health Plan Review - OSWP EXS_SYSTEM xPPLICANT OWNER CONTRACTOR 1 MIC,HALL LAUER' N/lICHAEL LAUER LOS ~C 4866 MOORE ST 4866 MOORE ST SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673 ~}p 8828-478-5473 8828-478-5473_ .-7U. _7"1 I qq NAME TO APPEAR ON PERMIT MICHAEL LAUER Pin#: 461601354789 SITE ADDRESS: 4866 MOORE ST, Sherrills Ford, NC DIRECTIONS: 16S/ 150E/ RT SLANTING BRIDGE RD/ LF DRENA/ RT GILES / RT MOORE ST/ 2ND FISE ON LF NAME of SUBDIVISION: CRESCENT LAND AND TIMBER CORP Lot # 52 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.75 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 3 Basement: -Yes Water Usirig'Fixtures in Basement: Yes 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 I st 2nd 3rd OTHER: (Specify) Do you aniticipate any additions to Facility?_,.'° If so. describe: 20 X 28' FINISHED BONUS ROOM"BFING ADDED 10 ?ND LEVEL OVER LIVING ROOM/ ADDING ROOF OVER EXITING DECK AND Has any grading,- VO iNWlhition of soil been done to.this property? If so, describe _ Are there easements/right-of-ways recorded on this property? NA Type of Water Supply: Individual Well X' Community Well Muriicipal 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 of house or structure location should conform to applicable setbacks. Date: 101 Signature of Applicant or Agent Environmental Health Specialist will contact you withirf'-2 working a 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 NAMF DATE AMOUNT Side is FxistTanl: hc.l. Fee 12 1 5-70`09 580_:00 Rear 30 TOTAL FEES $80.00 Max Hght *If a permit has to be redesigned and / or RETRIPS made to the property, there is an additional $60 charge 12/15/09 13:40 C o~+,Rr 70 y-7 - 3Y ~ THIS IS NOT A PERMIT WLS # CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit ❑ Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check JK New Well Permit E] Replacement Well E] Well Abandonment ❑ 1. Name to Appear on Permit Mlc -4 L, r\Lc Lks,,,EE -N -q7S - 5U--7 3 2. Permit Requested By h'l,kC Vase- Business Phone Address Mnc,- {rez t S>~Q~c , l\S Vera N CJ Q ~ L-,`lHome Phone ~3 g - y 7 ~ - 5 `17 3 3. Property Owner SAtnr Business Phone Address Home Phone 4. Name of Subdivision 1' V`f Wt 1 Lot # Z Section/Block/Phase Property Address 4SUO 0 Directions to Property: 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY-: House Mobile Home Dimension of Structure 2-S X ZO Bedrooms* 5- °-.~11A f~k~lll l~lal I~ IIllCn~_~C~~ ~~~I Slf;t~~lllt' ;ll I~l~' lllllC t~~ Cull>ULICtl~~ll hf ~i!I`llllll'C ~~~Il~l~~~l;lllt~ll ~~l~~lf~I ~~C I1~~C~~ ;I~ ;1 h,:,Irooni,and counteCl x111 a111 pp~Ic.ITIOII>. I Ili' IIIIIIIhCI' by 1,-,()m, I~~CIIII~IC~~ oIl`~l~~II~C ~ildll lYtial h,~, room at the time of I)Llllding 1 lllll I» LI;IIICC hl, 1 1 tj IJ]~ lh LCd ~V, >~~L~'lll ~I/~j111 F~~l Ili 1 110. - Basement: &e /no Water Using Fixtures in Basement: V 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 1st 2nd 3rd OTHER: (Specify) 7. Do you anticipate any additions to Facility? es` No If so, describe: vl-~ c , RCn~ks V0Crn C>'bj, S. Has any grading, removal, or addition of soil been done to this property? Yes /U If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / Nod 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: [ -]-In~lividual 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 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 HAS TO BE REDESIGNED AND/OR RETRIPS MADE TO THE PROPERTY, THERE IS AN ADDITIONAL CHARGE.** Date Signature of Owner or Agent CA ` v A .OUNTY , 5 \ Public Hcalth Department Case # W LS2008-01011 i ; Environmental Health Division Subdivision CRESCENT LAND AND TIM " T PO Box 389.. I0-A Southwest Blvd, Newton, NC 28658 SecUBUPh/Lot # 52 1 4j~Y (828) 465-8270' FAX (828) 465-8276 TDD (828) 465-8200 PIN# 461601354789 Applicant/Owner MICHAEL LAUER Site Address: 4866 MOORE ST SHERRILLS FORD NC P%-kci S(i Property Size: SF .75 ACRES Directions: 16S/ 150E/ FIT SLANTING BRIDGE RD/ LF DRENA/ FIT GILES / FIT MOORE ST/ 2ND HSE ON LF Improvement Permit Permit Valid For: Five years No Expiration Facility (Residential): House House X Mobile Home Multi-Family Bedrooms I- New? _ AUditiodO Projected Daily Flow g.p.d Water Supply Private Well? Public? Semi-Public? Basement: Y Basement Plumbing: HotTub/Spa: N Special Fixtures (explain): Proposed Wastewater System: Type: Proposed Repair: Permit Conditions: Owner or Legal Representative Signature: Date: Authorized State Agent: Date: The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes, or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina Uvvs and Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A .1900). Neither Catawba County nor the Environmental Health Specialist warrants-.that the septic tank system will continue to function satisfactorily for any given period of time. Authorization to Construct Wastewater System (Required for Building Permit) See site plan and additional attachments ( Proposed Wastewater System: N 1~Auk 1( Type: - Wastewater Flow g.p.d New 10 -l Repair Expansion Va-IVN. Soil LTAR: g.p.d.M2 Type of Facility: Basement: Y Basement Plumbing: Y HotTUb/Spa: N Special Fixtures (explain): Wastewater System Requirements Tank Size: Septic Tank 1 000 gal Pump Tank gal Grease Trap gal DraiInfield Total Area: sq It Total Length: ft Maximum Trench Depth - in Trench Width ft Minimum Soil Cover in Minimum Trench Seperation ft Distribution: Distribution Box Serial Distribution Pressure Manifold LPP Other Additional Specifications: Ca.j u; ~gpc_gvtr~il~_I ~L~ Pr-nor -Vn Cewsiwnlr DN_ SiIL c te, k- c +d_ _~L(_t~ ana Ja lctL AUT RIZED STATE AGENT APPROVAL DATE Permit Expiration Date: / have read cued accept the specifications and all. conditions of this permit as indicated. OWNER OR LEGAL REPRESENTATIVE SIGNATURE DATE r:V'idcmn rk\Fm nua)WLSapp. rP+ 10/22/08 15:22 ~ cATawBA COUNTY Case # W LS2008-0101 1 Q Public Health Department 1 Subdivision CRESCENT LAND AND TIM Environmental Health Division PO Box 389, 100-A Southwest Blvd, Newton, NC 28658 SecUBUPh/Lot # 52 ~8 1i ,w (828) 465-8270 FAX (828) 465-8276 TDD (828) 465-8200 PIN# 461601354789 Applicant/Owner MICHAEL LAUER Site Address: 4866 MOORE ST SHERRILLS FORD NC Property Size: SF .75 ACRES Directions: 16S/ 150E/ RT SLANTING BRIDGE RD/ LF DRENA/ FIT GILES / FIT MOORE ST/ 2ND HSE ON LF ® Improvement Permit Ih% 1 Authorization To Construct ® We11 Permit SITE PLAN ~o vs e- /~lCX~ v G O- o Y, I ~ r-`~ ~ 6.~ s~er41 Moo r-e -Gk- Scale System components represent approxi contours only. The contractor must flag the system prior to beginning the installation to ensure that prope rade Is intained. Do not install system under wet conditions. This permit is subject of revocation if the site r conditi are altered. %O-3 )-06 AUTH IZEDSTATEAGENT DATE Form C 10/22/08 15:22 Catawba County, North Carolina This map product was prepared from the Catawba Comny. NC, Geographic Information System. N Catawba Cawrm has made substantial efforts to ensure the accuracy oflocation and labeling n formotimn contained on this map. Catawba County promotes acid reconuncnds the independent verification ofotm data contained on this map product by the user. The Can177y ofCUtmvho, its employees, agents and personnel disclaim, and shall not be held liable for mm and all damages, loss or liability, whether direct, indirect or consequential which arises or man arise from this map product or the use lheregf by any person or entity. Legend Selected Parcel Number: 4616-01-35-4739 1 inch = 60 fees c Prepared for: f at 1 `)-1"81 ~ 111 -A- l . X97 6 CP 'ill l i 61 i d;9 ti (DO + ~ r 4 CIO - 3.654 s ter THIS IS NOT A LEGAL DOCUMENTy Tuesday, December 15, 2009 12:45 PM CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: '4616-01-35-4789 Name: LAUER MICHAEL R Name2: LAUER LINDA A Address: 4866 MOORE ST Address2: City: SHERRILLS FORD State: NC Zip: 28673-9386 Account: 40285100 Calc Acreage: 0.75 Tax Map: 018 X 32052 LRK: 18822 Deed Book: 1638 Deed Page: 0130 Subdivision Name: CRESCENT LAND AND TIMBER CORP Subdivision Block: Lots: 52 Plat Book: 15 Plat Page: 184 Building Number: 4866 Street Name: MOORE ST Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: $260,100 Land Value: $291,000 Total Value: $551,100 Year Built: 1963 Year Remodeled: 1992 Last Sale Date: 11/1/1989 Last Sale Amount: $159,900 Neighborhood: 129 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P41 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-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: LOMA 7/3/2003 Census Tract 2010: 011502 Census Block 2010: 5028 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, December 15, 2009 12:45 PM 5 ' CATAWBA COUNTY PERMIT {o ZONING AUTHORIZATION (R) Addition Qr ~ P. 0. Box 389 1o0A Southwest Blvd PERMIT NO: ZONR-12-09-3376 APPLIED: 12/15/2009 Newton, North Carolina 28658 ISSUED: 12/15/2009 184 SM Phone: 828-465-8380 EXPIRES: 06/13/2010 FAX: 828-465-8962 www.catawbacountync.gov APPLICANT bwNER CONTRACTOR MICHAEL LAVER MICHAEL LAUER ADVANCED RENOVATIONS, INC 4866 MOORE ST 4866 MOORE ST 3914 MIRIAM DR SHERRILLS FORD NC 28673 SHERRILLS FORD NC 28673. CHARLOTTE NC 28205- PROPERTY ID#: 461601354789 CENSUS TRACT: STREET ADDRESS: 4866 MOORE ST, Sherrills Ford, NC LOT# 52 PROJECT DESCRIPTION: 20 X 28' 1-INISI-IED BONUS ROOM BEING ADDED TO 2ND LEVEL OVER LIVING ROOM/ ADDING ROOF OVER EXITING DECK AND SCREENING IT IN DIRECTIONS: COMMENTS: FLOOD ZONE? OWNER TYPE: Residential (Private). REQUIRED SETBACKS 100 YEAR FLOOD ZONE PLAIN? Yes LAND OWNER: FRONT: 30.00 SIDE: 15.00 FLOOD PLAIN, STRUCTURE? No MAX HEIGHT: 25.00 REAR: 30.00 SIDE 1: VALUE: 0 CORNER: SIDE 2: FEE DESCRIPTION-- DATE FEE AMOUNT TOTAL"FEES The applicant hereby certifies that all information and attachments to this Certificate of Zoning Compilinnce 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 properly. 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. APPLICANT NAME (PRINTED) APPLICAN=r-SIGN,,TURE ZO 1NG APPROVI 13, 13Y ****-'-'ZONING FEES ARE NON-REFUNDABLE COMPANY NAME Pa~c 1 0(1