The URL can be used to link to this page

Home My WebLink AboutEHPR-3-10-4307.TIF Cpl THIS IS NOT A PERMIT Case # EHPR-3-10-4307 CATAWBA COUNTY HEALTH DEPARTMENT Plan Review Application for Environmental Services 1842 SM Environmental Health Plan Review - OSWP IMPROVEMENT APPLICANT OWNER CONTRACTOR Thomas Lawley Thomas Lawley 9485 Island Point RD 9485 Island Point RD Sherrills Ford NC 28673 Sherrills Ford NC 28673 NAME TO APPEAR ON PERMIT Thomas Lawley Pin#: 366904840832 SITE ADDRESS: , , NC DIRECTIONS: HWY 16 S - TURN LEFT ONTO BALLS CREEK RD - TURN LEFT ONTO MT OLIVE CHURCH RD - 1/4 MILE ON RIGHT NAME of SUBDIVISION: BANDY'S RIDGE Lot # 2 Section/Block/Phase PROPERTY SIZE: Square Feet Acres 2.459 Date Platted/Recorded TYPE OF FACILITY: House X Mobile Home Dimension of Structure 50 X 100 Bedrooms 4 Basement: No Water Using Fixtures in Basement:No 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 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? NO Type of Water Supply: Individual Well Community Well 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 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. ny repr s tation by you of house or structure location should conform to applicable setbacks. Date: `3 4-Zol l) Signature of Applicant or Agent An Environmental Health Specialist will contact you within 2 working days of appl tion date. If you need further information or assistance please call 828-466-7291 AREA1 (FOR OFFICE USE ONLY) Zoning Approval: _Yes No Zoning Approval UDO Zoning Form A Minimum Setbacks AMOUNT Front 30 FEE NAME DATE Side 15 Improvement Permit Fee 03/11/2010 $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 03/11/10 11:29 THIS IS NOT A PERMIT CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Improvement Permit 0 Authorization to Construct ❑ Septic Repair ❑ Septic Expansion ❑ Existing Tank Check ❑ New Well Permi~t❑ Replacement Well ❑ Well Abandonment E] 1. Name to Appear on Permit 2. Permit Requested By Business Phone 7Z>4 3U )3-0 Address 9'1 5 ~t c~~ 6,, 'l SN r~~~S ~L Home Phone -ro\4 3ul- 30 3. Property Owner Business Phone Address Home Phone 4. Name of Subdivision ~S c,t Lot # Section/Block/Phase Property Address M7 OL-i'+G C 'C oUv~ Cif 120 Directions to Property: l\0 500: CrttEx- L Y`'t Vo 1%1 mlU IpPI^Ct`~ d"~ 9-181 5. Property Size: Square Feet Acres Date Platted/Recorded 6. TYPE OF FACILITY: House Mobile Home Dimension of Structure Si) t l00 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 issuance. This may prevent the need for system size inc ease in the future. Basement: yes Water Using Fixtures in Basement: yes No. in Family Whirlpool Tub(Le 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? Yes / o If so, describe: 8. Has any grading, removal, or addition of soil been done to this property? Yes / If so, describe: 9. Are there easements/right-of-ways recorded on this property? Yes / 10. Is a public water supply available on or adjacent to the above property? I S> No Check type that is available: [ ] Community well [ ] Serni-public well [,,L<6unty/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 Health Department employees to go on this property for evaluation purposes. 1 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 ROPE TY, THERE IS AN ADDITIONAL CHARGE." Date 31 111~Z O1~ Signature of Owner or Agent CATAWBA COUNTY NC - Parcel Report Information Regarding Selected Parcel(s) Parcel ID: 3669-04-84-0832 Name: LAWLEY THOMAS E JR Name2: LAWLEY TAMMY W Address: 9485 ISLAND POINT DR Address2: City: SHERRILLS FORD State: NC Zip: 28673-7248 Account: 159740682 Calc Acreage: 17.8 Tax Map: 002 K 02002 LRK: 1492 Deed Book: 2885 Deed Page: 0481 Subdivision Name: Subdivision Block: Lots: 2&3 Plat Book: 60 Plat Page: 35 Building Number: Street Name: MT OLIVE CHURCH RD Site Zip: 28658 Township: CALDWELL Fire Code: BANDY'S City Code: COUNTY State Road: 1802 Total Bldgs Value: $800 Land Value: $87,200 Total Value: $88,000 Year Built: Year Remodeled: Last Sale Date: 1/3/2008 Last Sale Amount: $223,500 Neighborhood: 122 Watershed: WS-IV Protected Area Watershed Split: YES Voter Precinct: P1 E911 District: COUNTY Zoning: R-40 Zoning2: Zoning3: Zoning Split: N Zoning Overlay: DWMH-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: BALLS CREEK Middle School: MILL CREEK High School: BANDYS School Split: NO P&Z Case Number: Census Tract 2010: 011400 Census Block 2010: 3013 Small Area Plan: BALLS CREEK Agricultural District: Printed: Thu, March 11, 2010 11:10 AM Catawba County, North Carolina N This map product was prepared from the Catawba County, NC, Geographic information System. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map. Catawba Countv 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: 3669-04-84-0832 1 inch = 250 feet Prepared for: I -W-BA- WELL 0I0 Z I Z 34.58A 0552 0 U) i C/) 2 I T~ v ' V u 99.05 ~y1 X99.05 X50 ~ I a ~ N 3276 Is N °s}q ~q eq + 198.60 o I/v ~sr, t ss o 1 717.62 TOWNSHIP I. Asa. s 60.6 G3s887 ~h L t CALDWELL 1 1 TOWNSHIP a336 4 z '?a 5 6 369Q 4m I?3~s 1~oe I, ~ s 3 Prat66, 360 0 5~. $ ~a~ CgTA 17,80A CAL 0832 m i i i 2 i Plat 60-35 3 Plat 60-35 1129 f 323.55 1453.45 B Plat 68-24 b / / / / 27.64A / 2173 / THIS IS NOT A LEGAL DOCUMENT Thu, March 11, 2010 11:t0 AM Cpl CATAWBA COUNTY, NC I00-A South West Blvd PLAN RECEIPT -e F.-] Newton, NC 28658- 0 (828)465-8399 Thursday, March 11, 2010 184 sM www.catawbacountync.gov Plan Case: EHPR-3-10-4307 Invoice Number: INV-3-10-260350 Environmental Health Plan Review Invoice Date: 03/11/2010 Site Address: , , NC APPLICANT OWNER Thomas Lawley Thomas Lawley 9485 Island Point RD 9485 Island Point RD Sherrills Ford NC 28673 Sherrills Ford NC 28673 Fee Name Fee Amount Improvement Permit Fee Fixed $150.00 Total Fees Due: $150.00 PAYMENTS Date Pay Type Check Number Amount Paid Change 03/11/2010 Check 1029 $150.00 $0.00 Total Paid: $150.00 Payer: THOMAS LAWLEY FOURTEES INCORPORATED Total Due: $0.00 plan receipt ; 9bi)7cbt1,i=1630-4c8e-aQd%-co ] 683c9OcS4 i }.i-In 03/1 1/2010 11:27