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Home My WebLink AboutEHPR-3-10-4130.TIF ys~A C THIS IS NOT A PERMIT Case # EHPR-3-10-4130 L r' CATAWBA COUNTY HEALTH DEPARTMENT V ®as Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT: 7 OWN E '~_..7-77 R CONTRACTOR i. LINDA CARPER, L,CARPFR 9015 TINTINHULL LN '9015 TINTINHULI. LN i t WAXHAW NC'28173 WAXHAW NC 28173-6549 (704)293-405 (980)721-4382 NAME TO APPEAR ON PERMIT LINDA CARPER Pin#: 4629031 14282 SITE ADDRESS: 2135 NORTHVIEW HARBOUR DR, Sherrills Ford, NC DIRECTIONS: SHERRILLS FORD RD, ISLAND POINT DRIVE EASE, LEFT ON NORTHVIEW HARBOUR DR, TO PEMBROKE CT, PROPERTY ON CORNER OF PENBROKE AND NORTHVIEW HARBOUR DR. NAME of SUBDIVISION: NORTHVIEW HARBOUR 51 Lot # Section/Block/Phase PROPERTY SIZE: Square Feet Acres 1.19 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure Bedrooms 4 Basement: Yes Water Using Fixtures in Basement:.Yes No. in Family 4 Whirlpool Tub : Gal. Capacity: MULTIPLE FAMILY RESIDENCE: Units 0.00 Total Number of Bedrooms DAYCARE: Number of Children RESTAURANT: Seats Square Feet Dining Aiea Square Feet Foodstand/Meat Market Floor Space TYPE OF BUSINESS: Niimber of Employees 1st 2nd 3rd OTHER: (Specify) Do you anitici ate any additions to Facility?.. Y P Y If so, describe: NO Has any grading, removal, or addition of soil been doneao'this property? If so, describe NO iJ _ i Are there easements/right-of-ways recorded on this property? t, rrNO, Type of Water Supply: Individual Well Community-Well i Municipal X 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. f.:.y Note: You must obtain Zoning Approval prior to locating a home or structure on this property. Any representatiomby you of house or structure location sho ild Conform to applicable setbacks. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you withi 2 working days of application date. If you need further information or assistance please call 828-466-7291 AREA I (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks Front 30 FEE NAME DATE_ AM OUNT Permit Fee' x`03%02`/20'10 - Side IS Improvement $1`50:00. 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 03/02/10 16:44 THIS IS NOT A PERMIT wts # ~f I~ - ~~3D CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services { IP I- AC F- S.T. Rpr. F- S.T. Exp. F- Exist. S. T. F- Well Permit Replacement Well > ~~FB 1. Name to Appear on Permit: Richard L Carper Af - 0"a 2. Permit Requested By: Richard LCarper Business Phone: (980) 721-4382 Address: 9015 Tintinhull Lane, Waxhaw, NC 28173 Home Phone: (704) 845-4515 3. Property Owner: Richard and Linda Carper Business Phone: (704) 293-4053 9015 Tintinhull Lane, Waxhaw, NC 28173 (704) 845_4515 Address: - Home Phone: - INor t hview Harbour 51 4. Name of Subdivision: Lot Section/Block/Phase: 2135 Northview Harbour Drive, Sherrills Ford, NC 28673 Property Address: - - [shenrills Ford Road, Island Point Drive East, Left on Northview Harbour Drive, drive to Pembroke Ct Directions to Property: 1Property on corner of Pembroke and NVH Drive MAR 0 2 2010 T COUNTY 5. Property Size: Square Feet F Acres I 1.19 Date Platted/Recorded ENVIRONMEiVTAL HEALTH 6. TYPE OF FACILITY: (e- House Mobile Home Dimension of Structure Bedrooms*' ~n r In that vwill'I ) 1nh 6+3d for sleeping at the'Ume oficonstruction or for future consideration should be noted as a bedroom and.counted:on all ; a~i lu , bons: Then nil r of h ~drooms be confirmed by rooms identified on the house"plans as a`bedroom at the time of building permit issuance. jh,' inay prevent-the nre l for system si 'e increase in the future Basement: Yes No Water Using Fixtures in Basement: (a Yes No No. in Family: IT Whirlpool Tub: (.,Yes (e- No Gallon Capacity: MULTIPLE FAMILY RESIDENCES: Units F Total Number of Bedrooms DAY CARE: Number of Children RESTAURANT: Seats F-Square Feet Dining Area Square Feet Food Stand/Meat Market Floor Space F TYPE OF BUSINESS: No. of Employees 1st F 2nd F-3rd I- OTHER: (Specify) 7. Do you anticipate any additions to Facility? Yes No If so describe 1 8. Has any grading, removal, or addition of soil been done to this property? Yes C: No If so describe 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 (-No Check type that is available: F Community Well Semi-public Well Fx County/City/Township water line /YT. Well Type Applying For: F Individual Well I- Community Well F- Semi-public Well F- Irrigation Well F- Geothermal Well Monitoring Well Request:(-..Yes (-No # of Wells: F_-Name of Site: 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 (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 ADDITIONAL CHARGE " Date: 28 February 2010 Signature of Owner or Agent: Print Form o yr- µ ` N/ ~ sr " tt 1r 4 nr w N I Ln 1 v N x 00 Npp rn N k x ,a At ~ I 1F • 00 N r. Y RT. , w R' w i. Ln _0 Z a a (D < 00 R c , it 1 C F+ c ~ ZV ,Vt G N ~t+~~ Z jet ► ni C arf CATAWBA COUNTY HEALTH DEPARTMENT N°- 6 9 9 2 Telephone: (828) 465-8270 TDD: (828) 465-8200 :mp, Print. J Auth. to Const. Rpr. Print. Opr. Print. Sys. Type Well Print. Well Rpr. Print. )wner/Agent Phone iddress ~t= m ,~?l~/~ c C0 q0 Subdivision f~~.c~lL~S GLL , C = -aK Z3 Section/Block/Phase _I_ Lot#-~ .ot Size l,/ 9 ,,jLcQ~ Directions: 7r n 14- acility: House Mobile Home Business Multi-family . Other: Tax Map or Pin Number 6x&2 ether . Zoning Approval # Bedrooms # Seats # Employees . Application Rate Z - GPD Flow_ lot Tub or Spa yes no pecial Fixtures Basemen es/ 100% Repair.Ar es o ~asement Plumbin ye o Water Supply: Private Well Public Semi-Public ype of System: Trench Bed Pump Pump/Panel Panel- LPP---- Other.2-9afo ~~Dt r r7'i e /iJ st,~ S' eptic Tank Size Pump Tank Size Nitrification Field: Total Square Feet - Depth of Stone--- -ed Size Trench Width _ Total Length of All Trenches Number of Trenches rench Length / Feet on Center Maximum Trench Depth Distance of Nearest Well - `DO NOT INSTALL SEPTIC WHEN WET* *WELL RECORD REQUIRED AT COMPLETION* t*rt##rt##rt#rtrt##rts######*rt###***####rt#*rtrtrtrtrt#####rt#rt######rt#########rtrt##*###*##*##rt***####rtrtrt#***##*#rt#*##*####**##*######## 'opoS % Slope exture [~Vq r~fy tructure lay Min. J!/ oil Wetness oil Depth__L/~" estric. Hoz. at S1" vailable space e o hl0 2TM W EkJ )yCp Oti2 lverall Class P omments: A , r; t7 .o ilter Required iser required when ink is more than 6 aches deep. NO GUARANTEE OR WARRA'1 Y IS IMPLIED OR GI AS TO THE PERFORMANCE OR LENGTH OF TIME THIS S STEM ILL FUNCTION" mprovement Permit has no expiration da a an ferable, but may be revoked if site plans or intended use changes for the proposed cility. An Authorization to Construct is v 1- fo 5) five years from date issued and is not transferable. Well Permit valid for 5 years 'ovided site conditions do not change. Wel location, installation, and protection must meet state and local regulations, and must be spected and approved by a representative o the Catawba County Health Department before any portion of the installation is put into use. to siting of the well by the Health Department staff is to provide protection from known possible sources of contamination. No volume of %ter is guaranteed at any site by the Health Department. rmit Date A160. J EHS rner l Septic Tank Installed By Date IS Well Installed By Well Grout Approval Date :11 Head Approv D to Date Sample Collected Catawba County, North Carolina This map product was prepared from the Catawba County, NC, Geographic Information System. N Catawba County 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 o• 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 J4 Selected Parcel Number: 4629-03-11-4282 1 inch = 60 feet Prepared for: ~-A -A cs 00 PIa~tJ~9 ~ 1.10A Ito-71 3245 I.,~ 'IV 2 32 6' c'Cp 23.45 c'cS 9.12 15.41 A. o 22. ~8 /to C> c7 w O THIS IS NOT A LEGAL. DOCUMENT Tuesday, March 02, 2010 02:37 PM 5 nn 1 CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 4629-03-11-4282 Name: CARPER RICHARD L Name2: CARPER LINDA A Address: 9015 TINTINHULL LN Address2: City: WAXHAW State: NC Zip: 28173-6549 Account: 176699 Calc Acreage: 1.19 Tax Map: LRK: 801562 Deed Book: 2417 Deed Page: 0627 Subdivision Name: NORTHVIEW HARBOUR Subdivision Block: Lots: 51 Plat Book: 54 Plat Page: 71 Building Number: 2135 Street Name: NORTHVIEW HARBOUR DR Site Zip: 28673 Township: MOUNTAIN CREEK Fire Code: SHERRILLS FORD City Code: COUNTY State Road: Total Bldgs Value: Land Value: $249,300 Total Value: $249,300 Year Built: Year Remodeled: Last Sale Date: 12/9/2002 Last Sale Amount: $119,500 Neighborhood: 130 Watershed: WS-IV Critical Area Watershed Split: NO Voter Precinct: P31 E911 District: COUNTY Zoning: R-30 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: CRC-O,WP-O,FPM-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: Census Tract 2010: 011502 Census Block 2010: 2014 Small Area Plan: SHERRILLS FORD Agricultural District: Printed: Tuesday, March 02, 2010 02:37 PM ~A Cpl CATAWBA COUNTY, NC F~_ V 100-A South West Blvd PLAN RECEIPT ~ Newton, NC 28658- 0 (828)465-8399 Tuesday, March 2, 2010 184 sm www.catawbacountync.gov Plan Case: EHPR-3-10-4130 Invoice Number: INV-3-10-260010 Environmental Health Plan Review Invoice Date: 03/02/2010 Site Address: 2135 NORTHVIEW HARBOUR DR, Sherrills Ford, NC APPLICANT OWNER LINDA CARPER RICHARD L CARPER 9015 TINTINHULL I.N 9015 TINTINHULL LN WAXHAW NC 28173- WAXHAW NC 28173-6549 (704)293-4053 (980)721-4382 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/02/2010 Credit Card -1 $150.00 $0.00 Total Paid: $150.00 Payer: LINDA CARPER Total Due: $0.00 planreccipt;5i9a3 6~-d7c1-4bc7-80e09c6aeoh22bl9;.rpr 03/02/2010 16:43 V-POS - Transaction Receipt Page 1 of 1 Transaction Receipt Catawba County, NC Catawba County Permit Center 100 A SW Blvd Newton , NC 28658 828-4658404 03/02/2010 04:10PM Catawba030210160904953Eng 29046722 a EHPR-3-10-4130 RICHARD L CARPER 1 N/A LINDA A CARPER 9015 TINTINHULL LN, WAXHAW, NC 28173 ************3290 Authorization and Capture Amount: $150.00 Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember's agreement with the issuer. Signature click here to continue. https://www.velocitypayment.com/admin/catawbacountyne/vpos/942/transactions/receipt/?... 3/2/2010 Linda A. Carper Cam, s-~ Richard L. Carper 3347 9015 TintinhuU Lane t vr(z Waxhaw, NC 28173-6549 30-7426/3140 (c Pny to the Da et Y Order of $ ZO ,Cc~ Dollars ` USAA' DO GS ANK Mc RMOTf ` SAN A NIO, XAS 78288 IJSAA (210) -800 -800-832-372 For [ rtl h17- 140 7 - - - 2 6 9: u~ 112228 NUMBER 80 3 3 4 2 TRANSIT ROUTING NUMBER ACCOUNT NUMBER ~ C