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Home My WebLink AboutEHPR-2-11-9216.TIF THIS IS NOT A PERMIT Case # EHPR -2 -11 -9216 „c CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services : 4 Su Environmental HealtJlau.Review - OSWP NAME TO APPEAR ON PERMIT RAY & BARBARA TRAN & FOX SITE ADDRESS: 7318 RIGHT ANGLE ST, Sherrills Ford, NC Plrr#: 460703231935 NAME of SUBDIVISION:AARON H LAIL Lot N 12 SeclionBlock/Phase PROPERTY SIZE: Squarc Feet Acres 0.54 DIRECTIONS: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO LITTLE MOUNTAIN RD - TURN RIGHT ONTO RIGHT ANGLE ST - TURN RIGHT AGAIN (STILL RIGHT ANGLE ST) - HOME ON LEFT APPLICANT OWNER CONTRACTOR RAY & BARBARA TRAN & FOX JOHN & SUZANNE C. STANKIEV■ICZ 15604 KNOX HILL RD 7530 LIBERTY RD HUNTERSVILLE NC 28078- SOLON OH 44139 - 5608 (704)453 -9340 PRIMARY CONTACT: Applicant APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 38 X 40 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 2 SEWER TYPE: Septic Tattk NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is "NOT" available for this property. PUBLIC WATER TYPE AVAILABLE: NiA DESCRIBE WORK: SELLING HOUSE AND BUYER WANTS TO SEE IF A FOUR- BEDROOM SYSTEM CAN BE INSTALLED DESCRIPTION OF BRICK RANDH EXISTING STRUCTURES ON SITE (IF ANY) PROPOSED FUTURE ADDITIONS REPAIR EXISTING LINES & POSSIBLE IMPROVE FOR 4 BEDROOM HOME OR IMPROVEMENTS: PROPERTY EASEMENTS: NO c PROPOSED CONSTRUCTION APPLICATION FOR WELL CONSTRUCTION /ABANDONMENT /REPAIR PROPOSED WELL TYP : ABA DI NMENT TYPE: WELL REPAI REQUESTED? I understand that thls 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 Hoalth 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 ellgIblo for a non - expiring date, but may be revoked if this information, site plans or Intondod 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 locations ould conform to applicable setbacks. /' - -- Date: I ', , 1 Si`nature of Applicant or Agent Ail 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 AREA1 6ttfati4k Yi�44i 41i ,�iF } }�yRMA '+Mi ♦tI i.A ii1 h11 #A tIt AAd[I)Ft tf xttr at*itt4 �fwM�� +�ibFf YNiF4 ♦i ?titf +,{'�. *� +i {htOki RR Pair* MlnlmumSethacks: Front: 30 Side: 15 Rear: 30 Side St: Max Height: 03/10f11 1417 /Z - EDid lnld BT:TT TTOZ- OZ -1EN ...-c \ CATANBA. COUNTY 1� P ..\ Pub Health Dcpanment Case 1=HPR 2 -11 9216 t )�; Environmental Health Div -P lan Review Subdivision AARON H LAIL .. ;\ ) PO Box 389, 100-A Southwest D!vd, Newton, NC 28658 Lot* 12 PIVa 460703231935 Appllcant/Ownor RAY & BARBARA IRAN & FOX, 15604 KNOX HILL RD, HUNTERSVILLL• NC 28078 - Site Address: 7318 RIGHT ANGLE ST, Siterrills Ford, NC Property Size: SF 0,54 ACRES Directions: HWY 16 S •'TURN LEFT ONTO HWY 150 - TURN LEFT ONTO LITTLE 1\IOUNT.A.IN RI) - TURN RIGHT ONTO RIGHT ANGLE ST - TURN RIGHT AGAIN (STILL RIGHT ANGLE ST) - HOME ON LEFT FEE NAME DATE AMOUNT BLANCF D 1F Authorization to Construct (Repair) Fee 03/08/2011 $150.00 50.00 Improvement Permit Fee 02/01/2011 $150.00 50.00 TOTAL FEES 5300.00 50.00 CHANGE WORK ORDER REQUIRING REDESIGN AND/OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/1011 14.17 /E JKd Wd ST:TT TTOZ- OZ.IEW THIS IS NOT A PERMIT Case # EHPR -2 -11 -9216 Ilk CATAWBA COUNTY HEALTH DEPARTMENT ! 0 '� Plan Review Application for Environmental Services , 8 4ti SM Environmental Health Plan Review - OSWP g eki l lSeci REPAIR NAME TO APPEAR ON PERMIT RAY & BARBARA TRAN & FOX SITE ADDRESS: 7318 RIGHT ANGLE ST, Sherrills Ford, NC Pin#: 460703231935 NAME of SUBDIVISION:AARON H LAIL Lot # 12 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 0.54 DIRECTIONS: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO LITTLE MOUNTAIN RD - TURN RIGHT ONTO RIGHT ANGLE ST - TURN RIGHT AGAIN (STILL RIGHT ANGLE ST) - HOME ON LEFT APPLICANT OWNER CONTRACTOR RAY & BARBARA TRAN & FOX JOHN & SUZANNE C. STANKIEWICZ 15604 KNOX HILL RD 7530 LIBERTY RD HUNTERSVILLE NC 28078- SOLON OH 44139 -5608 (704)453 -9340 PRIMARY CONTACT: Applicant APPLICATION FOR: Existing Structure DIM EXISTING STRUCTURE: 38 X 40 EXISTING FACILITY TYPE: House NUMBER OF EXISTING BEDROOMS: 2 SEWER TYPE: Septic Tank NUMBER OF EXISTING OCCUPANTS: EXISTING WATER SUPPLY IN USE: Private Well CALCULATED DESIGN FLOW: Public water is * *NOT ** available for this property. PUBLIC WATER TYPE AVAILABLE: N/A DESCRIBE WORK: SELLING HOUSE AND BUYER WANTS TO SEE IF A FOUR - BEDROOM SYSTEM CAN BE INSTALLED DESCRIPTION OF BRICK RANDH EXISTING STRUCTURES ON SITE (IF ANY) PROPOSED FUTURE ADDITIONS REPAIR EXISTING LINES & POSSIBLE IMPROVE FOR 4 BEDROOM HOME OR IMPROVEMENTS: PROPERTY EASEMENTS: NO PROPOSED CONSTRUCTION APPLICATION FOR WELL CONSTRUCTION /ABANDONMENT /REPAIR PROPOSED WELL TYPE: ABANDONMENT TYPE: WELL REPAI REQUESTED? 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: Signature of Applicant or Agent 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 AREA1 Minimum Setbacks: Front: 30 Side: 15 Rear: 30 Side St: Max Height: 03/10/11 14:17 4K. CATAWBA COUNTY Case 4 EHPR - - - 9216 u G Public Health Department Subdivision Environmental Health Division - Plan Review AARON H LAIL v ''' PO Box 389, 100 -A Southwest Blvd, Newton, NC 28658 Lot# 12 /842 s. PIN# 460703231935 Applicant/Owner RAY & BARBARA TRAN & FOX, 15604 KNOX HILL RD, HUNTERSVILLE NC 28078 - Site Address: 7318 RIGHT ANGLE ST, Sherrills Ford, NC Property Size: SF 0.54 ACRES Directions: HWY 16 S - TURN LEFT ONTO HWY 150 - TURN LEFT ONTO LITTLE MOUNTAIN RD - TURN RIGHT ONTO RIGHT ANGLE ST - TURN RIGHT AGAIN (STILL RIGHT ANGLE ST) - HOME ON LEFT FEE NAME DATE AMOUNT BALANCE DUE Authorization to Construct (Repair) Fee 03/08/2011 $150.00 $0.00 Improvement Permit Fee 02/01/2011 $150.00 $0.00 TOTAL FEES $300.00 $0.00 CHANGE WORK ORDER REQUIRING REDESIGN AND /OR RETRIP WILL INCURE AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) 03/10/11 14:17